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Many of the symptoms initially experienced by people with CSR are effects of an extended activation of the human body's fight-or-flight response. The fight-or-flight response involves a general sympathetic nervous system discharge in reaction to a perceived stressor and prepares the body to fight or run from the threat causing the stress.
This phenomenon occurs due to dilation of the blood vessels, probably as a result of withdrawal of sympathetic nervous system tone. The majority of people with vasovagal syncope have a mixed response somewhere between these two ends of the spectrum. One account for these physiological responses is the Bezold-Jarisch reflex.
Glucocorticoids also are in effect during times of stress for the sympathoadrenal system, but provide an inhibitory function for the protection of the body from its own immune system. The glucocorticoids work to inhibit reactions produced from the immune system during times of stress that could cause damage within the body. [4]
The most favoured hypothesis for the cause of insomnia is the hyperarousal hypothesis, which is known as a collective over-activation of various systems in the body, this over-activation includes the hyperactivity of the SNS. Whereby during sleep cycle disruption sympathetic baroreflex function and neural cardiovascular responses become impaired.
The time depends on pulse rate, pulmonary function, RBC count, and other metabolic factors. Lidocaine can be given in 1.5 mg/kg IV a few minutes before sedation and paralysis. The purpose of administering lidocaine is to blunt the sympathetic response of an increased heart rate, blood pressure, and intracranial pressure caused by laryngoscopy.
There is a resultant parasympathetic surge originating in the central nervous system which inhibits the sympathetic outflow. This parasympathetic signal is unable to transmit below the level of the spinal cord lesion and there is a heightened sympathetic response.
A typical allostatic response has been initiated by a stressor and then continues for the duration of the stressor, in which it shuts off as the stressor has ended. Allostatic load is the accumulation of stressors and maladaptive responses that may result in an extreme state, where the stress response does not terminate. [26]
The Hering–Breuer inflation reflex, named for Josef Breuer and Ewald Hering, [1] [2] [3] is a reflex triggered to prevent the over-inflation of the lung. Pulmonary stretch receptors present on the wall of bronchi and bronchioles of the airways respond to excessive stretching of the lung during large inspirations.