Intraoperative Diagnosis and Use of Glidescope^t^mVideo Laryngoscope for Cephalic Tetanus  

作　　者：Steven Shulman Yana Yasyulyanets Patricia Kloser 

机构地区：[1]Department of Anesthesiology, University of Medicine and Dentistry of New Jersey, Newark, USA [2]Department of Medicine, St. Joseph’s Regional Medical Center, Paterson, USA [3]Department of Medicine, University of Medicine and Dentistry of New Jersey, Newark, USA

出　　处：《Open Journal of Anesthesiology》2013年第1期28-32,共5页麻醉学期刊（英文）

摘　　要：This case report describes the clinical characteristics and management of a 38-year-old man with cephalic tetanus. He presented with a massive facial infection after a dental procedure. After induction of anesthesia, cephalic tetanus was clinically diagnosed during induction based on the presence of a new facial nerve palsy and nuchal rigidity even after the administration of succinylcholine. The first attempt at intubation was unsuccessful with a Macintosh laryngoscope due to persistent nuchal rigidity and lockjaw despite the use of succinylcholine. Consistent with other reports, intubation was remarkably uncomplicated when the video laryngoscope was used. Postoperatively, the Clostridium tetani infection progressed to generalized tetanus and responded to supportive care. This case highlights the difficulties of diagnosis, and supports the utility of the Glidescopetm video laryngoscope in this unusual pathological condition.This case report describes the clinical characteristics and management of a 38-year-old man with cephalic tetanus. He presented with a massive facial infection after a dental procedure. After induction of anesthesia, cephalic tetanus was clinically diagnosed during induction based on the presence of a new facial nerve palsy and nuchal rigidity even after the administration of succinylcholine. The first attempt at intubation was unsuccessful with a Macintosh laryngoscope due to persistent nuchal rigidity and lockjaw despite the use of succinylcholine. Consistent with other reports, intubation was remarkably uncomplicated when the video laryngoscope was used. Postoperatively, the Clostridium tetani infection progressed to generalized tetanus and responded to supportive care. This case highlights the difficulties of diagnosis, and supports the utility of the Glidescopetm video laryngoscope in this unusual pathological condition.

关 键 词：TETANUS INTRAOPERATIVE DIAGNOSIS GLIDESCOPE 

分 类 号：R73[医药卫生—肿瘤]