Remifentanil in the management of severe tetanus.
A 61-yr-old woman presented with severe tetanus. Her intensive care management was complicated by severe generalized tetanic spasms despite the use of propofol, midazolam, alfentanil, magnesium sulphate, and atracurium. We describe the management of this problem with a variable dose remifentanil infusion.
Beecroft
C L
CL
Department of Anaesthesia and Intensive Care, Pinderfields General Hospital, Aberford Road, Wakefield, West Yorkshire WF1 4DG, UK. christina@feelingsleepy.com
Enright
S M
SM
O'beirne
H A
HA
D000701:Analgesics, Opioid / Q000627:therapeutic use*; D004334:Drug Administration Schedule; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D002534:Hypoxia, Brain / Q000209:etiology; D007262:Infusions, Intravenous; D008875:Middle Aged; D010880:Piperidines / Q000627:therapeutic use*; D000077208:Remifentanil; D013742:Tetanus / Q000150:complications / Q000188:drug therapy*
D000701:Analgesics, Opioid; D010880:Piperidines; D000077208:Remifentanil