Management of autonomic dysfunction in severe tetanus: the use of magnesium sulphate and clonidine.

Abstract:

:The treatment of severe tetanus with autonomic dysfunction is discussed, with emphasis on the use of magnesium sulphate. An exemplary case is reported, describing the inadequate response to magnesium, but the previously unreported and successful use of clonidine to control sympathetic overactivity. The properties of clonidine are reviewed. Clonidine is felt to be a logical and appropriate drug for the treatment of autonomic dysfunction in severe tetanus.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Sutton DN,Tremlett MR,Woodcock TE,Nielsen MS

doi

10.1007/BF02575297

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

75-80

issue

2

eissn

0342-4642

issn

1432-1238

journal_volume

16

pub_type

杂志文章,评审
  • Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications.

    abstract::The use of ultrasonography has become increasingly popular in the everyday management of critically ill patients. It has been demonstrated to be a safe and handy bedside tool that allows rapid hemodynamic assessment and visualization of the thoracic, abdominal and major vessels structures. More recently, M-mode ultras...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-013-2823-1

    authors: Matamis D,Soilemezi E,Tsagourias M,Akoumianaki E,Dimassi S,Boroli F,Richard JC,Brochard L

    更新日期:2013-05-01 00:00:00

  • Continuous EEG and ICP monitoring as a guide to the administration of althesin sedation in severe head injury.

    abstract::The effects of 142 intravenous boluses of althesin (0.05 ml/kg) on cerebral perfusion pressure (CPP) were studied in twelve head injured comatose patients. The data were divided into those where the mean pre-bolus intracranial pressure (ICP) was above or below 20 mmHg and then subdivided into those where the minimum p...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00257469

    authors: Procaccio F,Bingham RM,Hinds CJ,Prior PF

    更新日期:1988-01-01 00:00:00

  • Decontamination of the digestive tract and oropharynx: hospital acquired infections after discharge from the intensive care unit.

    abstract:OBJECTIVE:To determine the incidence rates of hospital acquired infections (HAI) during the first 14 days after ICU discharge after treatment during ICU-stay with Selective Decontamination of the Digestive tract (SDD), Selective Oropharyngeal Decontamination (SOD) or Standard Care (SC). DESIGN:Prospective observationa...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-009-1554-9

    authors: de Smet AM,Hopmans TE,Minderhoud AL,Blok HE,Gossink-Franssen A,Bernards AT,Bonten MJ

    更新日期:2009-09-01 00:00:00

  • Value of brain natriuretic peptide in the perioperative follow-up of children with valvular disease.

    abstract:OBJECTIVE:To characterize N-terminal pro-brain natriuretic peptide (N-proBNP) and troponin I (TnI) profile following mitral and/or aortic valve surgery and to evaluate correlations with echocardiography measures and outcome criteria. DESIGN AND SETTING:Prospective cross-controlled study in a university children's hosp...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1025-8

    authors: Tissières P,da Cruz E,Habre W,Aggoun Y,Mensi N,Kalangos A,Beghetti M

    更新日期:2008-06-01 00:00:00

  • Effect of cyclooxygenase inhibition in a canine model of unilateral pulmonary occlusion and reperfusion.

    abstract:OBJECTIVE:To assess the effects of the cyclooxygenase inhibitor diclofenac in a canine model of pulmonary occlusion and reperfusion of the left lower lobe (LLL). DESIGN:Twelve adult beagle dogs (13-17 kg) were randomly assigned to a control group (n = 6) and a diclofenac-treated group (n = 6). Animals in the treatment...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01700965

    authors: Segiet W,Krieter H,Stieber C,Albrecht DM,van Ackern K

    更新日期:1995-10-01 00:00:00

  • Increased long-term mortality with plasma transfusion after coronary artery bypass surgery.

    abstract:PURPOSE:Patients undergoing cardiac surgery often require transfusions of red blood cells, plasma and platelets. These components differ widely in both indications for use and composition. However, from a statistical point of view there is a significant colinearity between the components. This study explores the relati...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2723-9

    authors: Bjursten H,Dardashti A,Ederoth P,Brondén B,Algotsson L

    更新日期:2013-03-01 00:00:00

  • Prognostic evaluation in meningococcal disease. A retrospective study of 115 cases.

    abstract::A retrospective study of the medical records of 115 consecutive cases of meningococcal disease with 11 fatalities was carried out in order to evaluate the power of 15 clinical and laboratory variables available on admission in predicting a fatal outcome. On linear discriminant analysis, six variables showed a signific...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00261740

    authors: Gårdlund B

    更新日期:1986-01-01 00:00:00

  • Bench testing of a new hyperbaric chamber ventilator at different atmospheric pressures.

    abstract:PURPOSE:Providing mechanical ventilation is challenging at supra-atmospheric pressure. The higher gas density increases resistance, reducing the flow delivered by the ventilator. A new hyperbaric ventilator (Siaretron IPER 1000) is said to compensate for these effects automatically. The aim of this bench test study was...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2590-4

    authors: Lefebvre JC,Lyazidi A,Parceiro M,Sferrazza Papa GF,Akoumianaki E,Pugin D,Tassaux D,Brochard L,Richard JC

    更新日期:2012-08-01 00:00:00

  • The fluidised bed.

    abstract::The process of fluidisation involves blowing warm air through small solid microspheres thus creating a liquid, without wetness. The warmth provides some important properties including reducing the metabolic rate in thermal injury which has a beneficial effect on mortality, modifying catabolism after surgery, providing...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01701488

    authors: Ryan DW

    更新日期:1995-03-01 00:00:00

  • Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis.

    abstract:PURPOSE:To evaluate the diagnostic accuracy of ultrasonography of optic nerve sheath diameter (ONSD) for assessment of intracranial hypertension. METHODS:Systematic review without language restriction based on electronic databases, with manual review of literature and conference proceedings until July 2010. Studies we...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00134-011-2224-2

    authors: Dubourg J,Javouhey E,Geeraerts T,Messerer M,Kassai B

    更新日期:2011-07-01 00:00:00

  • The costs of septic syndromes in the intensive care unit and influence of hospital-acquired sepsis.

    abstract:OBJECTIVE:To document the costs and outcomes of the various forms of the septic syndromes [systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, septic shock), particularly those associated with infection acquired in an intensive care unit (ICU). DESIGN:Prospective data collection for all septic patie...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1877-x

    authors: Brun-Buisson C,Roudot-Thoraval F,Girou E,Grenier-Sennelier C,Durand-Zaleski I

    更新日期:2003-09-01 00:00:00

  • Carbamylated erythropoietin-FC fusion protein and recombinant human erythropoietin during porcine kidney ischemia/reperfusion injury.

    abstract:PURPOSE:To test the hypothesis that a carbamylated EPO-FC fusion protein (cEPO-FC) or recombinant human erythropoietin (rhEPO) would protect against kidney ischemia/reperfusion (I/R) injury in pigs with atherosclerosis. METHODS:Anesthetized and mechanically ventilated animals received cEPO-FC (50 μg kg(-1)), rhEPO (5,...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2766-y

    authors: Matějková Š,Scheuerle A,Wagner F,McCook O,Matallo J,Gröger M,Seifritz A,Stahl B,Vcelar B,Calzia E,Georgieff M,Möller P,Schelzig H,Radermacher P,Simon F

    更新日期:2013-03-01 00:00:00

  • Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI.

    abstract:OBJECTIVE:To assess acute cardiorespiratory effects of recruitment manoeuvres in experimental acute lung injury. DESIGN:Experimental study in animal models of acute lung injury. SETTING:Experimental laboratory at a University Medical Centre. ANIMALS:Ten pigs with bronchoalveolar lavage and eight pigs with endotoxin-...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-004-2496-x

    authors: Odenstedt H,Aneman A,Kárason S,Stenqvist O,Lundin S

    更新日期:2005-01-01 00:00:00

  • Online vs live methods for teaching difficult airway management to anesthesiology residents.

    abstract:OBJECTIVE:To compare the effectiveness of traditional and online teaching methods for educating anesthesiology residents in the principles and practice of difficult airway management. DESIGN:Prospective, randomized, controlled trial. SETTING:University hospital. PARTICIPANTS:Two randomly selected groups, each contai...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00134-005-2561-0

    authors: Bello G,Pennisi MA,Maviglia R,Maggiore SM,Bocci MG,Montini L,Antonelli M

    更新日期:2005-04-01 00:00:00

  • Plasma and lung concentrations of ceftazidime administered in continuous infusion to critically ill patients with severe nosocomial pneumonia.

    abstract:OBJECTIVE:To determine the steady-state plasma and epithelial lining fluid (ELF) concentrations of ceftazidime administered in continuous infusion to critically ill patients with severe nosocomial pneumonia. DESIGN:Prospective, open-label study. SETTING:An intensive care unit and research ward in a university hospita...

    journal_title:Intensive care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00134-004-2171-2

    authors: Boselli E,Breilh D,Rimmelé T,Poupelin JC,Saux MC,Chassard D,Allaouchiche B

    更新日期:2004-05-01 00:00:00

  • Are religion and religiosity important to end-of-life decisions and patient autonomy in the ICU? The Ethicatt study.

    abstract:PURPOSE:This study explored differences in end-of-life (EOL) decisions and respect for patient autonomy of religious members versus those only affiliated to that particular religion (affiliated is a member without strong religious feelings). METHODS:In 2005 structured questionnaires regarding EOL decisions were distri...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-012-2554-8

    authors: Bülow HH,Sprung CL,Baras M,Carmel S,Svantesson M,Benbenishty J,Maia PA,Beishuizen A,Cohen S,Nalos D

    更新日期:2012-07-01 00:00:00

  • Alternative modes of ventilation. Part I. Disadvantages of controlled mechanical ventilation: intermittent mandatory ventilation.

    abstract::Controlled mechanical ventilation is an accepted therapy for acute respiratory failure but by virtue of the increase in intrathoracic pressure has a large number of disadvantages. It is to overcome these disadvantages that alternative modes of ventilation have been introduced. These aim to reduce the effects of abnorm...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF00254773

    authors: Willatts SM

    更新日期:1985-01-01 00:00:00

  • Late outcome of percutaneous dilatational tracheostomy in intensive care patients.

    abstract:OBJECTIVE:Percutaneous dilatational tracheostomy is increasingly practiced in intensive care units and has a low incidence of early complications. The late effects of this procedure are still poorly known and were the focus of this study. DESIGN:Prospective descriptive clinical study. SETTING:Interdisciplinary intens...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01706200

    authors: Fischler MP,Kuhn M,Cantieni R,Frutiger A

    更新日期:1995-06-01 00:00:00

  • Emergency endovascular treatment of a life-threatening hemorrhage from traumatic rupture of the left extracranial vertebral artery.

    abstract::Hemorrhagic complications from transection of cervical arteries in blunt traumas are rare. We report a case of potentially fatal hemorrhage from rupture of the left vertebral artery in a closed trauma, successfully treated by endovascular injection of glue. Endovascular embolization may be considered as an alternative...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s001340051033

    authors: Simionato F,Righi C,Silvani P,Torri G,Scotti G

    更新日期:1999-10-01 00:00:00

  • Muscle perfusion and oxygen consumption by near-infrared spectroscopy in septic-shock and non-septic-shock patients.

    abstract:OBJECTIVE:To measure muscle blood flow (Qtis) and oxygen consumption (VO(2)tis) in septic and non-septic critically ill patients by near-infrared spectroscopy (NIRS). SETTING:Surgical intensive care unit of a university hospital. PATIENTS AND PARTICIPANTS:Four patients with septic shock, eight post-surgical criticall...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-003-1805-0

    authors: Girardis M,Rinaldi L,Busani S,Flore I,Mauro S,Pasetto A

    更新日期:2003-07-01 00:00:00

  • Infant lung function testing in the intensive care unit.

    abstract::As a result of the previous shortage of tools to assess objectively the overall physiological status of the respiratory system in infants and young children, it has been difficult to measure the degree of physiological disorder or the response to therapy in respiratory diseases such as BPD, the pediatric version of AR...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/BF01704742

    authors: Hammer J,Newth CJ

    更新日期:1995-09-01 00:00:00

  • Anticoagulation strategies in continuous renal replacement therapy: can the choice be evidence based?

    abstract:OBJECTIVES:Critical illness increases the tendency to both coagulation and bleeding, complicating anticoagulation for continuous renal replacement therapy (CRRT). We analyzed strategies for anticoagulation in CRRT concerning implementation, efficacy and safety to provide evidence-based recommendations for clinical prac...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00134-005-0044-y

    authors: Oudemans-van Straaten HM,Wester JPJ,de Pont ACJM,Schetz MRC

    更新日期:2006-02-01 00:00:00

  • Theoretical interactions between ventilator settings and proximal deadspace ventilation during tracheal gas insufflation.

    abstract:OBJECTIVE:To investigate the theoretical interactions between ventilator settings, tracheal gas insufflation (TGI), and alveolar ventilation. DESIGN:We derived differential equations governing compartmental volume changes in a one-compartment model of TGI-assisted ventilation and equations governing gas dilution in th...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01699238

    authors: Hotchkiss JR Jr,Crooke PS 3rd,Marini JJ

    更新日期:1996-10-01 00:00:00

  • Intra-thoracic placement of central venous catheter despite ultrasound guidance.

    abstract:: ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-018-5278-6

    authors: De Cassai A,Dal Cin S,Bertini D

    更新日期:2018-12-01 00:00:00

  • Early prediction of non-survival for patients suffering cardiac arrest--a word of caution. The Belgian Cerebral Resuscitation Study Group.

    abstract::A total of 6178 persons with out-of-hospital (70%) and in hospital (30%) cardiac arrests from the first of January 1982 until the end of 1989 were reviewed retrospectively with respect to 4 variables, contributing to a score for specific prediction of poor prognosis (cut-off point: greater than 3 points). These includ...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01706419

    authors: Martens PR,Mullie A,Buylaert W,Calle P,van Hoeyweghen R

    更新日期:1992-01-01 00:00:00

  • Evaluation of a transcutaneous carbon dioxide monitor in severe obesity.

    abstract:OBJECTIVE:To determine the reliability of estimating arterial CO(2) pressure (PaCO(2)) using a recently introduced transcutaneous CO(2) pressure (PtcCO(2)) monitor in severe obese patients. DESIGN:Observational and interventional study. SETTING:District hospital with respiratory ward and bariatric surgery unit. PATI...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/s00134-008-1078-8

    authors: Maniscalco M,Zedda A,Faraone S,Carratù P,Sofia M

    更新日期:2008-07-01 00:00:00

  • Enterococcus faecalis colonisation and endocarditis in five intensive care patients as late sequelae of selective decontamination.

    abstract:OBJECTIVE:To describe Enterococcus faecalis colonisation and endocarditis in 5 intensive care patients after treatment with selective decontamination (SDD). SETTING:Intensive care unit (ICU) in a general hospital. PATIENTS:The patients were admitted to the ICU because of adult respiratory distress syndrome, polytraum...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01701478

    authors: Sijpkens YW,Buurke EJ,Ulrich C,van Asselt GJ

    更新日期:1995-03-01 00:00:00

  • Meningococcal disease: a comparison of eight severity scores in 125 children.

    abstract:OBJECTIVE:To investigate the accuracy of eight different prognostic scores (Stiehm, Niklasson, Leclerc, Garlund, the MOC score, Tesero, the Glasgow Meningococcal Septicaemia Prognostic Score (GMSPS) and Tüyzüs) in the prediction of fatal outcome in meningococcal disease. DESIGN:Combined prospective and retrospective s...

    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF01709565

    authors: Derkx HH,van den Hoek J,Redekop WK,Bijlmer RP,van Deventer SJ,Bossuyt PM

    更新日期:1996-12-01 00:00:00

  • Effects of reducing beta-lactam antibiotic pressure on intestinal colonization of antibiotic-resistant gram-negative bacteria.

    abstract:BACKGROUND:We determined the effects of two antibiotic policies (predominance of either beta-lactam antibiotics or fluroquinolones) on acquisition with third-generation cephalosporin-resistant Enterobacteriaceae (CRE) and fluoroquinolone-resistant CRE (FCRE) in two ICUs, with monitoring of other variables that may infl...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00134-009-1714-y

    authors: Nijssen S,Fluit A,van de Vijver D,Top J,Willems R,Bonten MJ

    更新日期:2010-03-01 00:00:00

  • Definitions and methods of cost assessment: an intensivist's guide. ESICM section on health research and outcome working group on cost effectiveness.

    abstract:OBJECTIVE:To define the different types of costs incurred in the care of critically ill patients and to describe some of the most commonly used methods for measuring and allocating these costs. DESIGN:Literature review. Definitions for opportunity, direct and indirect, fixed, variable, marginal, and total costs are de...

    journal_title:Intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1007/s00134-002-1279-5

    authors: Jegers M,Edbrooke DL,Hibbert CL,Chalfin DB,Burchardi H

    更新日期:2002-06-01 00:00:00