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2010•Unpublished venueRequires access

CLINICAL NOTES Autonomic Dysreflexia as a Complication of a Fecal Management System in a Man With Tetraplegia

İsmail Safaz, Serdar Kesikburun, Özlem Köroğlu Omaç, İlknur Tuğcu, Rıdvan Alaca

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Abstract

Background/Objective: To present a case of autonomic dysreflexia caused by the use of a fecal management system in a patient with tetraplegia. Design: Case report. Setting: Military rehabilitation center. Results: A man with tetraplegia had a fecal management system inserted to divert stool away from his sacral pressure ulcer to reduce contamination and infection risk. Two days later, he developed severe autonomic dysreflexia that improved after removal of the system. Conclusions: Autonomic dysreflexia, a life-threatening complication, has not been reported before as a side effect of a fecal management system. These systems should be used with caution in patients with highlevel spinal cord injury.

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What this paper is about

Background/Objective: To present a case of autonomic dysreflexia caused by the use of a fecal management system in a patient with tetraplegia. Design: Case report. Setting: Military rehabilitation center. Results: A man with tetraplegia had a fecal management system inserted to divert stool away from his sacral pressure ulcer to reduce contamination and infection risk. Two days later, he developed severe autonomic dysreflexia that improved after removal of the system. Conclusions: Autonomic dysreflexia, a life-threatening complication, has not been reported before as a side effect of a fecal management system. These systems should be used with caution in patients with highlevel spinal cord injury.

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Available abstract

Background/Objective: To present a case of autonomic dysreflexia caused by the use of a fecal management system in a patient with tetraplegia. Design: Case report. Setting: Military rehabilitation center. Results: A man with tetraplegia had a fecal management system inserted to divert stool away from his sacral pressure ulcer to reduce contamination and infection risk. Two days later, he developed severe autonomic dysreflexia that improved after removal of the system. Conclusions: Autonomic dysreflexia, a life-threatening complication, has not been reported before as a side effect of a fecal management system. These systems should be used with caution in patients with highlevel spinal cord injury.

Key concepts: Tetraplegia, Autonomic dysreflexia, Spinal cord injury, Medicine, Complication, Rehabilitation, Bowel management, Anesthesia

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