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[Marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation in a patient with tetanus].

Abstract
A patient with tetanus showed marked ST segment elevation in ECG during fiberscope-guided nasotracheal intubation. Coronary artery spasm could have been induced probably by tetanospasmin and this would lead to transmural ischemia during procedure. Pretreatment with anti-hypertensive agents such as calcium antagonist as well as sedatives are mandatory even when endotracheal intubation without laryngoscope is scheduled in this disease.
AuthorsT Koitabashi, Y Takino
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 44 Issue 6 Pg. 834-6 (Jun 1995) ISSN: 0021-4892 [Print] Japan
PMID7637160 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Aged
  • Coronary Vasospasm (etiology, physiopathology)
  • Electrocardiography
  • Female
  • Fiber Optic Technology (instrumentation)
  • Humans
  • Intubation, Intratracheal (adverse effects)
  • Tetanus (physiopathology)

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