Anaesthetic Management Of A Patient With Necrotising Fascitis Of Neck And Ches-Wall

Abstract

The anesthetic management of a patient with Necrotising Fascitis involving chest wall & neck is presented. Necrotising Fascitis causes necrosis and gas formation in the fascial planes. The edema, compressing the chest wall associated with respiratory distress and neck tissue caused deviation of the trachea. Thorough pre-op evaluation including IDL, CT chest neck was done. Anesthesia was induced with Inj. Ketamine induction 1.5 mg/kg and after confirmation of ventilation Inj. Scoline was given. DL scopy followed by bougie guided intubation was done. Post-op. patient was electively kept on ventilator support.