Fujihara Tatsuya, Ochi Yasuyuki, Gobara Takumi, Nikai Tetsuro
Anesthesiology, Shimane University Hospital, Izumo, JPN.
Dermatology, Shimane University Hospital, Izumo, JPN.
Cureus. 2025 Mar 9;17(3):e80314. doi: 10.7759/cureus.80314. eCollection 2025 Mar.
Appropriate methods have not been established despite the necessity of analgesia for debridement in cases of necrotizing fasciitis. A 45-year-old woman was hospitalized for necrotizing fasciitis due to . Rapid debridement and antibiotic treatment enabled the patient's quick discharge from the intensive care unit. However, after discharge, she began experiencing considerable pain in the left lower leg, which hindered adequate debridement, resulting in the persistence of necrotic tissue. Epidural anesthesia was administered to alleviate pain and enable debridement. Epidural anesthesia was effective as analgesia in this case, facilitating infection control through debridement and alleviating procedural pain.
尽管坏死性筋膜炎清创时需要镇痛，但尚未确立适当的方法。一名45岁女性因坏死性筋膜炎住院。快速清创和抗生素治疗使患者能够迅速从重症监护病房出院。然而，出院后，她开始感到左小腿剧痛，这妨碍了充分的清创，导致坏死组织持续存在。给予硬膜外麻醉以减轻疼痛并进行清创。在这种情况下，硬膜外麻醉作为镇痛有效，通过清创促进感染控制并减轻手术疼痛。
