Sedation-Paralysis as Cornerstone on Rabies Management (Milwaukee Protocol)

Autor: Ali Jabbari, Behnaz Khodabakhshi, Shabnam Tabasi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 8, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v8i1.8250
Popis: Rabies is a viral infection involving the central nervous system that is almost always fatal without proper post exposure prophylaxis. Here, we present a 38 years-old male with dog-bite and late attention whom, managed in intensive care unit. After 21 days, the disease progressed to serious neurologic and hemodynamic damage including motor disorders and imbalance in blood pressure and cardiac rhythm. Clinical management of the patient consisted of antiviral agents (Amantadine and Ribavirin), neuroprotection, sedation-paralysis and supportive care. Patient was survived 43 days from the clinical disease onset. Although our patient died in spite of intensive care, advances in the use of sedation-paralysis and early prescription of antiviral agents raised hopes that it may eventually be possible to save rabies patients.
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