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Autonomic hyperreflexia after spinal cord injury managed successfully with intravenous lidocaine: a case report

Overview of attention for article published in Patient Safety in Surgery, March 2016
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Title
Autonomic hyperreflexia after spinal cord injury managed successfully with intravenous lidocaine: a case report
Published in
Patient Safety in Surgery, March 2016
DOI 10.1186/s13037-016-0098-5
Pubmed ID
Authors

Pedro Leão, Paulo Figueiredo

Abstract

Some paraplegic patients may wish undergo some surgical procedures, like urological procedures, without anesthesia. However, these patients can develop autonomic hyperreflexia if cystoscopy is performed without anesthesia. We present a case of severe autonomic hyperreflexia in a 44-year-old male with spinal cord injury at the level of T4 during urologic procedure under sedation and analgesia successfully treated with intravenous lidocaine. This case illustrates that patients with spinal cord injuries are likely to develop autonomic hyperreflexia during urological procedures performed without anesthesia. Health professionals should educate spinal cord injury patients regarding risks of this serious condition and be aware to prevent and manage autonomic hyperreflexia. In an acute episode, nifedipine, nitrates and captopril are the most commonly used and recommended agents. To our knowledge, this is the first case report of severe autonomic hyperreflexia treated successfully with intravenous lidocaine.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 22 100%

Demographic breakdown

Readers by professional status Count As %
Other 3 14%
Student > Master 2 9%
Student > Doctoral Student 2 9%
Lecturer 1 5%
Student > Bachelor 1 5%
Other 5 23%
Unknown 8 36%
Readers by discipline Count As %
Medicine and Dentistry 5 23%
Nursing and Health Professions 3 14%
Neuroscience 2 9%
Immunology and Microbiology 1 5%
Arts and Humanities 1 5%
Other 0 0%
Unknown 10 45%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2016.
All research outputs
#18,447,592
of 22,856,968 outputs
Outputs from Patient Safety in Surgery
#187
of 230 outputs
Outputs of similar age
#218,400
of 299,392 outputs
Outputs of similar age from Patient Safety in Surgery
#2
of 3 outputs
Altmetric has tracked 22,856,968 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 230 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.9. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 299,392 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 3 others from the same source and published within six weeks on either side of this one.