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Autonomic Dysreflexia With Negative‐Pressure Wound Therapy: A Report of Two Cases
Author(s) -
Mhatre Priya,
Huang Mark,
Cohler Marissa
Publication year - 2013
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2012.11.008
Subject(s) - autonomic dysreflexia , medicine , negative pressure wound therapy , anesthesia , physical medicine and rehabilitation , spinal cord injury , surgery , spinal cord , pathology , alternative medicine , psychiatry
Pressure ulcers and autonomic dysreflexia (AD) are common complications that may affect individuals with spinal cord injury (SCI). Negative‐pressure wound therapy (NPWT) is a frequently used modality to aid in wound healing in the treatment of pressures ulcers in patients with SCI. Although the common triggers of AD have been well described in the literature, there have been no formal reports of NPWT itself as a cause of AD. We detail 2 cases of patients with SCI and with AD thought to be secondary to NPWT and discuss modifications made to allow for continued treatment with NPWT while minimizing further episodes of AD. We propose that NPWT should be considered as a potential source of AD in patients with SCI undergoing this therapy.