Cargando…

Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report

Tetanus is a potentially fatal infectious disease caused by the toxins produced by the anaerobic bacterium, Clostridium tetani. Of major concern during the perioperative care of these patients is control of muscle spasms, skeletal rigidity, and autonomic dysfunction. Several of the modern sedative a...

Descripción completa

Detalles Bibliográficos
Autores principales: Yoshida, Megumi, Yamaguchi, Yoshikazu, Matsushita, Mizuho, Tsuboi, Sayaka, Sugawara, Yoh, Hayami, Hajime, Tobias, Joseph, Inagawa, Gaku
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8541758/
https://www.ncbi.nlm.nih.gov/pubmed/34703324
http://dx.doi.org/10.2147/IMCRJ.S332175
Descripción
Sumario:Tetanus is a potentially fatal infectious disease caused by the toxins produced by the anaerobic bacterium, Clostridium tetani. Of major concern during the perioperative care of these patients is control of muscle spasms, skeletal rigidity, and autonomic dysfunction. Several of the modern sedative and opioid agents including remifentanil have not been fully evaluated in managing tetanus. We present the intraoperative use of remifentanil in a 75-year-old woman with generalized tetanus who required anesthetic care during placement of a tracheostomy. The end-organ involvement of tetanus is presented, previous reports of anesthetic care reviewed, and the potential utility of remifentanil explored.