Lower extremity ischemia occurred in a quadriplegic patient following dihy droergotamine-heparin prophylaxis. Ergotamine should be used with caution in paralyzed patients.
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References
1.
Barone JA, Raia JJ, Levy DB: Combination dihydroergotamine mesylate and heparin sodium with lidocaine HCl . Pharmacotherapy6:3S-11S, 1986.
2.
Van Den Berg E., Walterbusch G., Gotzen L., et al: Ergotism leading to threatened limb amputation or to death in two patients given heparin-dihydroergotamine prophylaxis . Lancet1:955-956, 1982.
3.
Van Den Berg E., Rumpf K-D., Frohlich H., et al: Vascular spasm during thromboembolism prophylaxis with heparin-dihydroergotamine. Lancet2:268-69, 1982.
4.
Cunningham M. , de Torrente A., Ekoe J-M., et al: Vascular spasm and gangrene during heparin-dihydroergotamine prophylaxis. Br J Surg71:829-831, 1984.
5.
Gatterer R.: Ergotism as complication of thromboembolic prophylaxis with heparin and dihydroergotamine . Lancet2:638-639, 1986.
6.
Giffin JP: Anesthetic management of patients with spinal cord injuries. Proceedings of 37th Annual Refresher Course Lectures and Clinical Update Program, American Society of Anesthesiologists, October 17-21, 1986. 1986, pp 21A-22A.
Bailey R.: The Cervical Spine. Philadelphia: JB Lippincott Co, 1983, pp 134-135.
9.
Rothman RH: The Spine, ed 2. Philadelphia : WB Saunders Co. 2:1120, 1982.
10.
Kewalramani LS: Autonomic dysreflexia in traumatic myelopathy . Am J Phys Med59:1-21, 980.
11.
Erickson RP : Autonomic hyperreflexia: Pathophysiology and medical management. Arch Phys Med Rehabil61:431-440, 1980.
12.
Lindan R., Joiner E., Freehafer A., et al: Incidence and clinical features of autonomic dysreflexia in patients with spinal cord injury. Paraplegia18:285-292, 1980.
13.
Mathias CJ, Frankel HL: Clinical manifestations of malfunctioning sympathetic mechanisms in tetraplegia . J Auto Nerv Sys7:303-312, 1983.
