Rocuronium for control of muscle spasms in a tetanus patient with chronic methamphetamine use disorder
| Autor: | Carissa Paz Dioquino Maligaso, Philip Asuncion Ramiro, Clare Angeli G. Enriquez, Joshua Emmanuel Edillon Abejero |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Spasm Vehicular accident medicine.drug_class Midazolam Amphetamine-Related Disorders Methamphetamine 03 medical and health sciences 0302 clinical medicine Refractory Humans Medicine Androstanols 030212 general & internal medicine Rocuronium Infusions Intravenous Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Benzodiazepine Tetanus business.industry 030208 emergency & critical care medicine Skin Transplantation General Medicine medicine.disease stomatognathic diseases Methamphetamine use Anesthesia Left calcaneus business Anesthetics Intravenous Neuromuscular Nondepolarizing Agents medicine.drug |
| Zdroj: | BMJ Case Reports. :bcr-2018 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2018-224391 |
| Popis: | This is a case of a 31-year-old Filipino man with chronic methamphetamine use disorder who developed tetanus from a necrotic skin graft over his left calcaneus, which was fractured after a motor vehicular accident. During the course of his illness, the patient’s muscle spasms were unusually refractory to benzodiazepine, which is the first-line drug used in the management of muscle spasms. The muscle spasms were successfully controlled on the seventh day of illness with rocuronium at a dose of 10 μg/kg/min and midazolam at 0.30 mg/kg/hour. Both infusions were tapered off until the 23rd day of illness. The patient was discharged on the 30th day of illness, improved and stable. |
| Databáze: | OpenAIRE |
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