In Patients not Suitable for Generalised Anaesthesia, Surgery for Necrotising Fasciitis under Spinal Anaesthesia should be Considered
Abstract
We read with interest the article by Faris et al about a 54-year-old man who suffered from necrotizing fasciitis secondary to enterococcal infection but, due to severe heart failure and anticoagulation with dabigatran, did not undergo resection of the necrosis, which is the gold standard in the treatment of fasciitis, but instead underwent conservative therapy. Despite this strategy, the patient partially recovered at the three-month follow-up with partial detachment of the eschar with underlying healthy granulation tissue and was able to use a wheelchair. Some ambiguities should be clarified.
Abstract | Reference
