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September 1972

Central Venous Nutrition in Severe Tetanus

Author Affiliations

New York
From the departments of neurology (Dr. Richter), medicine (Dr. Anderson), and surgery (Dr. Parsa), Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York. Dr. Anderson is now at the Henry Ford Hospital, Detroit.

Arch Surg. 1972;105(3):420-423. doi:10.1001/archsurg.1972.04180090025006

Five heroin addicts with severe tetanus and its consequent catabolic state were managed with antitetanus therapy and central venous hyperalimentation. Adequate nutrition and maintenance of weight were achieved until enteral nutrition was resumed. This is the first documented use of total parenteral nutrition to meet the accelerated metabolic demands of severely ill patients with tetanus.