Remifentanil in the management of severe tetanus

A 61-yr-old woman presented with severe tetanus. Her intensive care management was complicated by severe generalized tetanic spasms despite the use of propofol, midazolam, alfentanil, magnesium sulphate, and atracurium. We describe the management of this problem with a variable dose remifentanil inf...

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Veröffentlicht in:	British journal of anaesthesia : BJA 2005-01, Vol.94 (1), p.46-48
Hauptverfasser:	Beecroft, C.L., Enright, S.M., O’Beirne, H.A.
Format:	Artikel
Sprache:	eng
Schlagworte:	analgesics opioid analgesics opioid, remifentanil Analgesics, Opioid - therapeutic use Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences complications complications, infection, tetanus Drug Administration Schedule Fatal Outcome Female Humans Hypoxia, Brain - etiology infection Infusions, Intravenous Medical sciences Middle Aged Piperidines - therapeutic use remifentanil tetanus Tetanus - complications Tetanus - drug therapy
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Zusammenfassung:	A 61-yr-old woman presented with severe tetanus. Her intensive care management was complicated by severe generalized tetanic spasms despite the use of propofol, midazolam, alfentanil, magnesium sulphate, and atracurium. We describe the management of this problem with a variable dose remifentanil infusion.
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/aeh288