Sukhdip Singh*, Gavriie Singh and Gurdeep Singh

Department of Anesthesiology, Robert Packer Hospital, Guthrie Clinic, 1 Guthrie Square, Sayre, PA, U.S.A

*Corresponding Author: Sukhdip Singh, Director, Obstetric Anesthesia, Department of Anesthesiology, Robert Packer Hospital, 1 Guthrie Square, Sayre, PA, U.S.A

Received: August 29, 2023; Published: September 28, 2023

Abstract

Uterine artery embolization is a safe alternative treatment for symptomatic uterine fibroids. Autonomic dysreflexia is an acute potentially life threatening syndrome associated with high spinal cord injury. We report the multidisciplinary management of a 39 year old patient with long standing incomplete quadriplegia from spinal cord injury secondary to seventh cervical vertebra fracture and history of autonomic dysreflexia, who underwent uterine artery embolization for multiple uterine fibroids. A combined spinal epidural anesthesia along with intravenous sedation was used during the procedure. Patient controlled epidural analgesia was used for providing post-procedural pain relief for 24 hours. Using the above approach we were able to successfully avoid triggering of autonomic dysreflexia in this patient with a high spinal cord injury undergoing uterine artery embolization.

Keywords: Uterine Artery Embolization; Spinal Cord Injury; Autonomic Dysreflexia

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Citation

Citation: Sukhdip Singh. “Uterine Artery Embolization for Multiple Uterine Fibroids in a Quadriplegic Patient at Risk for Autonomic Dysreflexia – A Case Report". Acta Scientific Women's Health 5.10 (2023): 15-18.

Copyright

Copyright: © 2023 Sukhdip Singh. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.