Key result
Continuous lumbar epidural blockade successfully controlled severe hemodynamic instability in a patient with tetanus-induced autonomic nervous system dysfunction.
Why the study?
Does continuous lumbar epidural local anesthetic block improve hemodynamic stability in a patient with tetanus-induced autonomic nervous system dysfunction?
Does continuous lumbar epidural local anesthetic block improve hemodynamic stability in a patient with tetanus-induced autonomic nervous system dysfunction?
Continuous lumbar epidural blockade successfully controlled severe hemodynamic instability in a patient with tetanus-induced autonomic dysfunction.
May support epidural blockade in refractory tetanus autonomic instability; hypothesis-generating and requires prospective validation.
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.
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Southorn et al. (1986) studied this question. Continuous lumbar epidural blockade successfully controlled severe hemodynamic instability in a patient with tetanus-induced autonomic nervous system dysfunction.
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