| Anesthetic implications of cervicofacial necrotizing fasciitis. | |
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MedLine Citation:
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PMID: 14507567 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cervicofacial necrotizing fasciitis is a necrotizing soft tissue infection of face and neck spreading at the level of fascia. It has been described as a putrid ulcer, phagedaena, and hospital gangrene. It has a high mortality rate, and presents a challenge to anesthesiologists who must secure an airway to deliver anesthesia safely. We report a case of cervicofacial necrotizing fasciitis in which the patient underwent repeated radical surgical debridement of face and neck, including a mandibulectomy. These critically ill patients often present with sepsis and multiple system organ failure. Extensive preoperative evaluation, invasive monitoring, and possibly the use of vasopressors and inotropes are essential in treating these patients. The tracheas of these patients should remain intubated after initial debridement. Tracheostomy should be performed early. Antibiotic therapy, nutritional support, early debridement, and hyperbaric oxygen therapy all help to decrease mortality in these patients. |
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Authors:
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Mehmood A Durrani; John F Mansfield |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 15 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-09-25 Completed Date: 2004-02-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 378-81 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, West Virginia University Hospital, Morgantown, WV 26506-9134, USA. Mehmoodd@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Inhalation* Debridement Diabetes Mellitus, Type 2 / complications Face / pathology, surgery* Fasciitis, Necrotizing / pathology, surgery* Fatal Outcome Humans Kidney Failure, Chronic / complications Male Mandible / surgery Middle Aged Neck / pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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