Case Report
Year: 2021 | Month: July-September | Volume: 6 | Issue: 3 | Pages: 31-34
DOI: https://doi.org/10.52403/ijshr.20210706
Anaesthetic Management of a Patient with Necrotizing Fasciitis: A Case Report
Shallu Chaudhary1, Major Amit Atwal2
1Medical Officer, Health & Family Welfare Department, Himachal Pradesh, India
2Medical Officer, Military Hospital Jutogh Cantt, Shimla, Himachal Pradesh, India
Corresponding Author: Major Amit Atwal
ABSTRACT
Necrotizing fasciitis is a highly lethal bacterial infection of subcutaneous tissue and fascia. 77 year old male patient, smoker with necrotizing fasciitis underwent surgery:- left shoulder disarticulation in emergency OT under general anesthesia. Intraoperatively, the patient went into severe sepsis and developed arrythmias and hypotension which was managed with anti-arrythmic drugs and infusion norepinephrine. The patient responded to the treatment and the surgery was completed. Postoperatively mechanical ventilation was continued and subsequently the patient improved and was extubated 3 days later.
Keywords: Necrotizing fasciitis, necrotizing acute soft tissue injury, NASTI.