Intensive care medicine

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• Intensive care medicine · May 1979

  Autonomic dysfunction in tetanus: the effects of a variety of therapeutic agents, with special refernce to morphine.

  Sympathetic overactivity in tetanus is a common event and may be difficult to control. This report demonstrates the efficacy of morphine in this clinical situation and also discusses the sympathetic effects of 3 muscle relaxants, pancuronium, d-tubocurarine and alcuronium.

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• Intensive care medicine · May 1979

  Case Reports

  Tension pneumoperitoneum complicating cardiac resuscitation.

  A case of gastric rupture and tension pneumonperitoneum following cardiac resuscitation is presented. Respiratory embarrassment necessitated emergency decompression by needle puncture of the peritoneal cavity, followed by laparotomy and repair of the gastric tear. The post-operative course has been satisfactory. The aetiology of the gastric rupture is discussed and recommendations are made for the prevention and treatment of this unusual complication of combined mouth to mouth respiration and external cardiac massage.

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