Treatment of tetanus-induced autonomic nervous system dysfunction with continuous epidural blockade

Crit Care Med. 1986 Mar;14(3):251-2. doi: 10.1097/00003246-198603000-00018.

Abstract

A patient with tetanus had a labile blood pressure caused by marked fluctuations in systemic vascular resistance. During hypotensive episodes, mixed venous oxygen saturation decreased below 60%. Hemodynamic instability was controlled after institution of a continuous lumbar epidural local anesthetic block.

Publication types

  • Case Reports

MeSH terms

  • Autonomic Nerve Block*
  • Autonomic Nervous System Diseases / drug therapy*
  • Autonomic Nervous System Diseases / etiology*
  • Autonomic Nervous System Diseases / physiopathology
  • Bupivacaine
  • Epidural Space
  • Hemodynamics
  • Humans
  • Hypertension / drug therapy
  • Hypotension / drug therapy
  • Male
  • Middle Aged
  • Tetanus / complications*
  • Tetanus / drug therapy
  • Tetanus / physiopathology

Substances

  • Bupivacaine