sciatic nerve block in tetanus: a case report

نویسندگان

mohammad taghi beigmohammadi department of anesthesiology and critical care, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran

farhad tavakoli department of anesthesiology and critical care, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran

saeid safari pain research center, iran university of medical sciences (iums), tehran, iran

hamid reza amiri department of anesthesiology and critical care, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran; department of anesthesiology and critical care, imam khomeini hospital complex, tehran university of medical sciences, tehran, iran. tel: +98-2166509059, fax: +98-2166515758

چکیده

case presentation 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. introduction 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. 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.

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عنوان ژورنال:
anesthesiology and pain medicine

جلد ۵، شماره ۶، صفحات ۰-۰

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