期刊文献+
共找到2篇文章
< 1 >
每页显示 20 50 100
Disruption of sensation-dependent bladder emptying due to bladder overdistension in a complete spinal cord injury:A case report
1
作者 Ju-Yul Yoon Da-Sol Kim +4 位作者 Gi-Wook Kim Yu Hui Won Sung-Hee Park Myoung-Hwan Ko Jeong-Hwan Seo 《World Journal of Clinical Cases》 SCIE 2021年第29期8946-8952,共7页
BACKGROUNDAutonomic dysreflexia (AD) can be a life-threatening condition in patients withspinal cord injury. It is important to prevent bladder overdistension in thesepatients as it may trigger AD. Sensation-dependent... BACKGROUNDAutonomic dysreflexia (AD) can be a life-threatening condition in patients withspinal cord injury. It is important to prevent bladder overdistension in thesepatients as it may trigger AD. Sensation-dependent bladder emptying (SDBE), asa method of bladder management, improves the quality of life and allowsphysiologic voiding. In this study, we report disruption of the SDBE habit afterbladder overdistension leading to AD with chest pain.CASE SUMMARYA 47-year-old male with a diagnosis of C4 American Spinal Cord InjuryAssociation impairment scale A had been emptying his bladder using the cleanintermittent catheterization method with an itchy sensation in the nose as asensory indication for a full bladder for 23 years, and the usual urine volume wasabout 300-400 mL. At the time of this study, the patient had delayed catheterizationfor approximately five hours. He developed severe abdominal pain andheadache and had to visit the emergency room for bladder overdistension (800mL) and a high systolic blood pressure (205 mmHg). After control of AD, ahypersensitive bladder was observed despite using anticholinergic agents. Thesensation indicating bladder fullness changed from nose itching to pain in theabdomen and precordial area. Moreover, the volume of the painful bladder fillingsensation became highly variable and was noted when the bladder urine volumeexceeded only 100 mL. The patient refused intermittent clean catheterization Finally, a cystostomy was performed, which relieved the symptoms.CONCLUSIONPatients using physiologic feedback, such as SDBE, for bladder management arerecommended to avoid bladder overdistension. 展开更多
关键词 Neurogenic bladder Sensation-dependent bladder emptying Spinal cord injury Autonomic dysreflexia bladder overdistension bladder management Case report
下载PDF
Perioperative anesthetic management in pediatric hereditary angioedema;case report
2
作者 M.Nuri Deniz Aylin Incesu +1 位作者 Elvan Erhan Gulden Ugur 《Open Journal of Pediatrics》 2012年第4期294-297,共4页
Hereditary angioedema is a rare but life-threatening disease, usually resulting from upper respiratory tract traumas and stress. In this case report, we present the management of a 14-year-old female patient who was d... Hereditary angioedema is a rare but life-threatening disease, usually resulting from upper respiratory tract traumas and stress. In this case report, we present the management of a 14-year-old female patient who was diagnosed with hereditary angioedema and scheduled to undergo transurethral resection of bladder (TURB) procedure for bladder tumor. She was on prophylactic danazol treatment and prior to the operation the dose of danazol was increased. On the day of the operation, patient was given C1-IHN concentrate and was sedated. In conclusion, hereditary angioedema is a rare disease in which multidisciplinary and aggressive approach during anesthesia would yield successful results. 展开更多
关键词 Hereditary Angioedema C1 Inhibitor Deficiency Anesthetic management and bladder Tumor
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部