[Anesthetic management of a patient with tetanus using epidural anesthesia].
A 75-year-old woman with breast cancer complicated with tetanus was scheduled for mastectomy. Since severe bradycardia (17 beats.min-1) was detected by preoperative Holter monitoring, a temporary pacing catheter was inserted. She underwent mastectomy under general anesthesia using propofol combined with thoracic epidural anesthesia. She also received postoperative thoracic epidural block. Her perioperative heart rate was 80-105 beats.min-1 and the rhythm was sinus. There was no marked perioperative cardiovascular derangement.
Hamada
T
T
Department of Anesthesiology, School of Medicine, Fukuoka University, Fukuoka 814-0180.
Katori
K
K
Nitahara
K
K
Shiratake
T
T
Kaneko
T
T
Higa
K
K
D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General / Q000379:methods*; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D015742:Propofol; D013742:Tetanus / Q000150:complications*
D015742:Propofol