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BJA Advance Access published online on October 1, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh288
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted September 3, 2004

Case Report

Remifentanil in the management of severe tetanus

C. L. Beecroft 1*, S. M. Enright 1, and H. A. O'Beirne 1

1 Department of Anaesthesia and Intensive Care, Pinderfields General Hospital, Aberford Road, Wakefield, West Yorkshire WF1 4DG, UK

* To whom correspondence should be addressed. E-mail: christina{at}feelingsleepy.com.


  Abstract

A 61-yr-old woman presented with severe tetanus. Her intensive care management was complicated by severe generalized tetanic spasms despite the use of propofol, midazolam, alfentanil, magnesium sulphate, and atracurium. We describe the management of this problem with a variable dose remifentanil infusion.

Keywords: analgesics opioid, remifentanil; complications, infection, tetanus.
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