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Minerva Med ; 66(15): 699-705, 1975 Feb 28.
Artigo em Italiano | MEDLINE | ID: mdl-1113915

RESUMO

Notes on the typical infectious and toxis picture associated with tetatus and the physiopathological aspects of the disease are followed by the presentation of continuous C8-L2 peridural anaesthesia, giving antalgic relief and partial motor block, as a primary form of therapeutic management. A classic two catheter technique is employed and fractioned doses are used so as to exploit the action of the local anaesthetic absorbed by the patient over several days. Sedation of the orthosympathetic leads to reduced catecholamine production, hypometabolism and cardiac sedation. Analgesia and relaxation are achieved by blocking the local and general spasms typical of the disease. Success with the method in serious cases is mentioned and its use in all forms is recommended.


Assuntos
Anestesia Epidural , Tétano/terapia , Analgesia , Catecolaminas/biossíntese , Humanos , Hipnóticos e Sedativos/uso terapêutico , Imunoglobulinas/administração & dosagem , Monitorização Fisiológica , Modalidades de Fisioterapia , Tétano/tratamento farmacológico , Tétano/metabolismo , Fatores de Tempo , Traqueotomia , Tranquilizantes/uso terapêutico
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