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...

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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:
Case Report
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
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author Yoshida, Megumi
Yamaguchi, Yoshikazu
Matsushita, Mizuho
Tsuboi, Sayaka
Sugawara, Yoh
Hayami, Hajime
Tobias, Joseph
Inagawa, Gaku
author_facet Yoshida, Megumi
Yamaguchi, Yoshikazu
Matsushita, Mizuho
Tsuboi, Sayaka
Sugawara, Yoh
Hayami, Hajime
Tobias, Joseph
Inagawa, Gaku
author_sort Yoshida, Megumi
collection PubMed
description 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.
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spelling pubmed-85417582021-10-25 Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report Yoshida, Megumi Yamaguchi, Yoshikazu Matsushita, Mizuho Tsuboi, Sayaka Sugawara, Yoh Hayami, Hajime Tobias, Joseph Inagawa, Gaku Int Med Case Rep J 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 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. Dove 2021-10-19 /pmc/articles/PMC8541758/ /pubmed/34703324 http://dx.doi.org/10.2147/IMCRJ.S332175 Text en © 2021 Yoshida et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Yoshida, Megumi
Yamaguchi, Yoshikazu
Matsushita, Mizuho
Tsuboi, Sayaka
Sugawara, Yoh
Hayami, Hajime
Tobias, Joseph
Inagawa, Gaku
Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title_full Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title_fullStr Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title_full_unstemmed Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title_short Anesthetic Care During Tracheostomy in a Patient with Generalized Tetanus: A Case Report
title_sort anesthetic care during tracheostomy in a patient with generalized tetanus: a case report
topic Case Report
url 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
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