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Nifedipine pretreatment for prevention of autonomic hyperreflexia during anesthesia-free extracorporeal shock wave lithotripsy.

Abstract
Nifedipine, a calcium channel blocker, has been used to treat autonomic hyperreflexia in quadriplegics undergoing invasive urological procedures. We present a case of autonomic hyperreflexia triggered by extracorporeal shock wave lithotripsy in which nifedipine was used successfully to treat the hypertensive crisis on 1 occasion and subsequently it was used prophylactically to prevent the crisis in the same patient.
AuthorsA Burnstein, D Richlin, J R Sotolongo Jr
JournalThe Journal of urology (J Urol) Vol. 147 Issue 3 Pg. 676-7 (Mar 1992) ISSN: 0022-5347 [Print] United States
PMID1538454 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Nifedipine
Topics
  • Humans
  • Kidney Calculi (complications, therapy)
  • Lithotripsy
  • Male
  • Middle Aged
  • Nifedipine (administration & dosage, therapeutic use)
  • Premedication
  • Quadriplegia (complications)
  • Reflex, Abnormal (drug effects)

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