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Fırat Tıp Dergisi
2012, Cilt 17, Sayı 0, Sayfa(lar) 069-071
[ Turkish ] [ PDF ]
Tetanus Case Needing Mechanical Ventilation
İsmail DEMİREL1, Suzan ÜSTÜN2, Cemal ÜSTÜN3
1Sağlık Bakanlığı Elazığ Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Elazığ, Türkiye
2Sağlık Bakanlığı Elazığ Eğitim ve Araştırma Hastanesi, Nöroloji Kliniği, Elazığ, Türkiye
3Sağlık Bakanlığı Harput Devlet Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Elazığ, Türkiye

Tetanus is an infection disease caused by Clostridium tetani with high mortality in which tonic muscle spasms are existed. A 60-year-old male patient had a trauma on his right foot ten days ago. His general condition was middle, conscious, cooperated, oriented enough and he had trismus and risus sardonicus. His pupils were isochoric, myotic, respiration was tachypneic (25/min), fever was 36.2oC, and he was tachycardic (128/min). He was intubated once his tachypnea increased, and mechanical ventilation was started. The case was scored as Ablett Grade III. Tracheostomy was opened in his seventh day after admitted intensive care unit. Weaning procedure was started to him when he was stable for respiratory and hemodynamically in twenty sixth day and discharged from intensive care unit to service in thirty second day. Preventing of complications and autonomic dysfunction, and controlling of muscular rigidity and spasms are general major therapeutic approaches in patients who are left over in intensive care unit. Also, we think that using of Bispectral index (BIS) will be effective for the therapeutic approachs to determining level of sedation.

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