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Canadian Journal of Anesthesia, Vol 6, 24-31, Copyright © 1959 by Canadian Anesthesiologists' Society
1 Department of Anesthesiology, Bowman Gray School of Medicine, Wake Forest College, and the North Carolina Baptist Hospital, Winston-Salem, N.C.
An outline of the management of severe systemic tetanus has been presented. Special emphasis has been given to the control of reflex muscle spasm and to the maintenance of adequate pulmonary ventilation. A sedative-relaxant regimen consisting of secobarbital or pentobarbital, methocarbamol, and chlorpromazine administered intravenously has been advocated. The anaesthesiologist, with his knowledge of the pharmacological application of drugs and of the physiological maintenance of pulmonary ventilation, can play a vital role in the management of severe systemic tetanus.
Note:
Presented at the Annual Meeting, Canadian Anaesthetists' Society, June 23–25, 1958.
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