Patient (condition)
 
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Patients are poikilothermic. Ensure environmental temperature near 37degrees if patient exposed. Improves over a few months after injury.

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Anaesthesia is still required despite sensory deficits. Reflexes intact, and the patient is at risk of autonomic dysreflexia.

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Quadraplegic patients use abdominal muscles to breath, and chest falls in on inspiration. This can be mistaken for bilateral flail chest.

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At risk of autonomic dysreflexia. Ensure adequate analgesia. Ensure empty bladder.

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Consider the risk of a sympathectomised heart in high lesions

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Unopposed vagal/parasympathetic tone. Give Atropine 1.2mg IV prior to procedures.

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Remifentanil may cause severe bradycardia due to the patients unopposed parasympathetic tone. Excercise caution or consider avoiding

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At risk of hyperkalemia with suxamethonium from proliferated extrajunctional neuromuscular junction NMJ receptors 48hrs after the time of injury

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