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- Mohammad Taghi Beigmohammadi, Farhad Tavakoli, Saeid Safari, and Hamid Reza Amiri.
- Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of medical Sciences, Tehran, Iran.
- Anesth Pain Med. 2015 Dec 1; 5 (6): e29698.
IntroductionMuscle 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.Case PresentationIn 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.ConclusionsNerve 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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