Medical Journal of the Islamic Republic of Iran, 2023 · DOI: https://doi.org/10.47176/mjiri.37.109 · Published: October 9, 2023
Autonomic Dysreflexia (AD) is a dangerous emergency for those with spinal cord injuries, particularly in the neck and upper back. Although several treatments exist, experts don't agree on the best approach. This project created guidelines for managing AD in various situations related to spinal cord injuries. The guidelines were created by a team of doctors and surgeons, with input from a national panel of experts. The panel made decisions about the final recommendations, including new ideas for managing AD patients. The guidelines were also evaluated using a standard tool to ensure their quality. The final result was a protocol for managing patients with autonomic dysreflexia. The authors suggest more educational multimedia for health care professionals, primarily in the emergency department.
The clinical practice guideline offers a structured approach to managing autonomic dysreflexia in spinal cord injury patients, potentially leading to better patient outcomes.
The recommendation for more educational multimedia can improve the knowledge and skills of healthcare professionals, particularly in emergency departments, for managing AD.
The guideline highlights areas where more clinical trials and research are needed to establish a consensus on the treatment and pharmacotherapy of autonomic dysreflexia.