Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report
Fournier’s gangrene is infectious, necrotizing, life-threatening fasciitis of the perineal, genital, and perianal regions leading to soft-tissue necrosis and sepsis, and is treated with aggressive surgical debridement and antimicrobial agents. Negative-pressure wound therapy can be used if septic ri...
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2024-11-01
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| Series: | Journal of Acute Care Surgery |
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| Online Access: | http://jacs.or.kr/upload/pdf/jacs-2024-14-3-113.pdf |
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| author | Dongbeen Choi Ji Young Jang Kwanhoon Park Kang Yoon Lee Hangil Yun Sungho Lee |
| author_facet | Dongbeen Choi Ji Young Jang Kwanhoon Park Kang Yoon Lee Hangil Yun Sungho Lee |
| author_sort | Dongbeen Choi |
| collection | DOAJ |
| description | Fournier’s gangrene is infectious, necrotizing, life-threatening fasciitis of the perineal, genital, and perianal regions leading to soft-tissue necrosis and sepsis, and is treated with aggressive surgical debridement and antimicrobial agents. Negative-pressure wound therapy can be used if septic risk is controlled. An 82-year-old woman presented with Fournier’s gangrene and septic shock. After emergency debridement, perineal resection, a colostomy, and daily wound debridement was performed under general anesthesia (1 week). Multiple intubations and extubations under general anesthesia are a risk factor for poor patient outcomes. Therefore, negative-pressure wound therapy was performed under light sedation using noninvasive ventilation in the intensive care unit after extubation and for wound debridement. One month later, the perineum was reconstructed. Procedures performed under light sedation should be considered for patients requiring periodic invasive surgical procedures who are burdened by repeated general anesthesia. The number of general anesthesia sessions was significantly reduced by using noninvasive ventilation. |
| format | Article |
| id | doaj-art-a27e2034f3c6458791b79270ee4903d6 |
| institution | Kabale University |
| issn | 2288-5862 2288-9582 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj-art-a27e2034f3c6458791b79270ee4903d62024-11-29T06:52:05ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822024-11-0114311311710.17479/jacs.2024.14.3.113306Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case ReportDongbeen Choi0Ji Young Jang1Kwanhoon Park2Kang Yoon Lee3Hangil Yun4Sungho Lee5 Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea Department of Nursing, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of KoreaFournier’s gangrene is infectious, necrotizing, life-threatening fasciitis of the perineal, genital, and perianal regions leading to soft-tissue necrosis and sepsis, and is treated with aggressive surgical debridement and antimicrobial agents. Negative-pressure wound therapy can be used if septic risk is controlled. An 82-year-old woman presented with Fournier’s gangrene and septic shock. After emergency debridement, perineal resection, a colostomy, and daily wound debridement was performed under general anesthesia (1 week). Multiple intubations and extubations under general anesthesia are a risk factor for poor patient outcomes. Therefore, negative-pressure wound therapy was performed under light sedation using noninvasive ventilation in the intensive care unit after extubation and for wound debridement. One month later, the perineum was reconstructed. Procedures performed under light sedation should be considered for patients requiring periodic invasive surgical procedures who are burdened by repeated general anesthesia. The number of general anesthesia sessions was significantly reduced by using noninvasive ventilation.http://jacs.or.kr/upload/pdf/jacs-2024-14-3-113.pdffournier’s gangrenenegative-pressure wound therapynoninvasive ventilationsurgical procedure |
| spellingShingle | Dongbeen Choi Ji Young Jang Kwanhoon Park Kang Yoon Lee Hangil Yun Sungho Lee Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report Journal of Acute Care Surgery fournier’s gangrene negative-pressure wound therapy noninvasive ventilation surgical procedure |
| title | Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report |
| title_full | Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report |
| title_fullStr | Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report |
| title_full_unstemmed | Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report |
| title_short | Usefulness of Noninvasive Ventilation with Negative-Pressure Wound Therapy in the Intensive Care Unit: A Case Report |
| title_sort | usefulness of noninvasive ventilation with negative pressure wound therapy in the intensive care unit a case report |
| topic | fournier’s gangrene negative-pressure wound therapy noninvasive ventilation surgical procedure |
| url | http://jacs.or.kr/upload/pdf/jacs-2024-14-3-113.pdf |
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