title: Sciatic Nerve Block in Tetanus: A Case Report.
abstract: BACKGROUND
  Muscle rigidity and generalized spasm can cause severe pain in patients with tetanus. Administration of high dose sedative or narcotic agents can increase respiratory failure and prolong mechanical ventilation support.
  
  
  METHODS
  In this report, ultrasound-guided sciatic nerve block was performed in a 25-year-old patient with tetanus to progress his respiratory drive which was decreased due to high dose sedative administration. This procedure accelerates the weaning process and extubation.
  
  
  CONCLUSIONS
  Nerve blocks may be appropriate for the particular patient with tetanus to tolerate the pain, reduce depth of sedation, accelerate extubation and subsequently decrease complications of tetanus relating to long time intubation.
authors.affiliation: Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of medical Sciences, Tehran, Iran.
authors.forename: Mohammad Taghi
authors.initials: MT
authors.lastname: Beigmohammadi
authors.affiliation: Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of medical Sciences, Tehran, Iran.
authors.forename: Farhad
authors.initials: F
authors.lastname: Tavakoli
authors.affiliation: Pain Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran.
authors.forename: Saeid
authors.initials: S
authors.lastname: Safari
authors.affiliation: Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of medical Sciences, Tehran, Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Amiri
keywords: Intensive Care Units; Nerve Block; Sciatic Nerve; Tetanus; U.S. Guided