bandage-green

Necrotizing Fasciitis Debridement

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lithotomy, arms extended
Time : 1-2 hours (average)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, High Blood Loss, Aspiration risk / Full stomach

Anesthetic Approaches

1GETT, 1/2 MAC Gas
2GETT, TIVA, Propofol Drip
The Surgery

Decision to operate - diagnosis is clinical and surgical. Imaging and scoring tools support it but a negative scan does not exclude it, so the patient goes to the room on suspicion rather than on...

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