Abstract
Tetanus is often accompained by autonomic instability, rendering hemodynamic management difficult. Death is frequently secondary to an inability to control this instability. A variety of modalities have been used to stabilize the cardiovascular system, but all are not ideal. Esmolol offers theoretical advantages over other modalities. We report a case of severe tetanus in which a continuous infusion of esmolol was effective in controlling the autonomic instability.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adrenergic beta-Antagonists / administration & dosage
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Adrenergic beta-Antagonists / pharmacology
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Adrenergic beta-Antagonists / therapeutic use*
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Adult
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Autonomic Nervous System Diseases / drug therapy*
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Autonomic Nervous System Diseases / etiology
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Autonomic Nervous System Diseases / physiopathology
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Drug Therapy, Combination
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Female
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Humans
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Infusions, Intravenous
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Norepinephrine / administration & dosage
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Norepinephrine / therapeutic use
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Propanolamines / administration & dosage
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Propanolamines / pharmacology
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Propanolamines / therapeutic use*
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Tetanus / complications*
Substances
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Adrenergic beta-Antagonists
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Propanolamines
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esmolol
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Norepinephrine