Treatment of tetanus-induced autonomic nervous system dysfunction with continuous epidural blockade.
A patient with tetanus had a labile blood pressure caused by marked fluctuations in systemic vascular resistance. During hypotensive episodes, mixed venous oxygen saturation decreased below 60%. Hemodynamic instability was controlled after institution of a continuous lumbar epidural local anesthetic block.
D001340:Autonomic Nerve Block; D001342:Autonomic Nervous System Diseases / Q000188:drug therapy* / Q000209:etiology* / Q000503:physiopathology; D002045:Bupivacaine; D004824:Epidural Space; D006439:Hemodynamics; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D007022:Hypotension / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D013742:Tetanus / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology
D002045:Bupivacaine