From lockjaw to life: A case series on tetanus

Tetanus remains a major cause of morbidity and mortality, especially in resource-limited settings. This case series outlines the management of four patients with tetanus referred to our critical care unit in New Delhi from July to November 2024. The comprehensive approach included early administration of tetanus immunoglobulin, rigorous control of spasms and autonomic dysfunction, and careful management of complications. Our team achieved a 100% survival rate in a disease known for its high fatality. We discuss the challenges of tetanus management with the need for sedatives, muscle relaxants for a longer period, approximately 2 weeks, and underscores the importance of immunization and timely, evidence-based critical care.