[Marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation in a patient with tetanus].
A patient with tetanus showed marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation. Coronary artery spasm could have been induced probably by tetanospasmin and this would lead to transmural ischemia during procedure. Pretreatment with anti-hypertensive agents such as calcium antagonist as well as sedatives are mandatory even when endotracheal intubation without laryngoscope is scheduled in this disease.
Koitabashi
T
T
Department of Anesthesiology, Ichikawa General Hospital, Tokyo Dental College.
Takino
Y
Y
D000368:Aged; D003329:Coronary Vasospasm / Q000209:etiology / Q000503:physiopathology; D004562:Electrocardiography; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D013742:Tetanus / Q000503:physiopathology*