What is a proper technique to manage Autonomic Dysreflexia/Hyperreflexia?

In the management of Autonomic Dysreflexia, especially in individuals with spinal cord injuries, it's crucial to alleviate the triggering factors that provoke this condition. A common precipitant is bladder distension, so the insertion of a Foley catheter to relieve this pressure is essential.

Draining the bladder slowly is a key technique as it allows the body to adjust to the gradual reduction of bladder volume and helps to minimize the risk of triggering a severe hypertensive episode. Rapid drainage can sometimes lead to overdecompression of the bladder, causing a rebound effect that can further exacerbate blood pressure spikes. Thus, the recommended approach is to insert the Foley catheter and drain the bladder slowly to provide safe and effective relief from the symptoms of Autonomic Dysreflexia.

Other management strategies may include elevating the head and finding the noxious stimuli causing the dysreflexia, but the primary and immediate focus is on proper urinary management, emphasizing a slow drainage method.