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In this case report, we present a 61-year-old female who applied to the emergency service by generalized tetanus with an incubation period of 5 days, due to a dirty injury after which only the tetanus vaccine was applied. The patient whose first signs were risus sardonicus and trismus was intubated because of respiratory distress and the patient was followed in the intensive care unit afterwards. Although all the medical treatment was given, she died on the 23rd day of admission because of progressive autonomic dysfunction. [ABSTRACT FROM AUTHOR]

Pulmonary Rehabilitation (PR) is clinically recognized in newborns and clinics and intensive care units that are related with neonatal management. The primary problems in the scope of PR seen in newborns are respiratory distress syndrome, hyalin membrane disease, post-extubation collapse, bronchopulmonary dysplasia, congenital diaphragmatic hernia, congenital heart diseases, and cardiac surgery complications. It is essential to initiate a physiotherapy program in 48 hours in newborn intensive care units with frequent and close patient follow-up. On the grounds that cases involve newborns, developmental-themed and holistic approaches are required. Positioning, percussion techniques, range of motion exercises, oxygen treatment, and positive pressure resuscitator are routines followed in clinics in newborns with PR. Casespecific physiotherapy and a rehabilitation program in ventilated newborns and/or those developing complications are performed with continual monitoring of blood pressure, pulmonary variables, and blood gases. Due to more complicated clinical progress of pulmonary problems in risky, premature, and low birth weight newborns, contents of PR should be configured as instantaneously adjustable to clinical variables. These type of cases should be followed-up in school age and the years ahead in terms of the developmental aspect. Trendelenburg position in chest physiotherapy of newborns must be restricted because of the high risk of intracranial pressure increase, pneumonia risk due to gastroesophageal reflux, and even cerebral hemorrhages may be caused in babies weighing lower than 1500 g if it is applied in the first 3 days of birth. Precautions should be taken in bronchial drainage and supplementary oxygen use due to the severe problems that they can cause. For newborns with increased survivability and with development in neonatology, support of neonatal therapists with further knowledge, clinical investigations, and practical experiences will increase the treatment success of the newborn multidisciplinary team. [ABSTRACT FROM AUTHOR]