GAS GANGRENE Flashcards
1
Q
Who occur…
A
•By clostridial infection (esp C.welchii)
•Anaerobic with low oxygen tension
•Produce toxins destroy cell wall and cause tissue necrosis Spreading
2
Q
THE CLINICAL FEATURES
A
Swelling:
Brownish discharge
Gas formation
3
Q
How to prevent it?
A
•Deep penetrating wound should be EXPLORED
•ALL dead tissue completely EXCISED
•Doubt about tissue viability left it OPEN
4
Q
Treatment for gas gangrene
A
•The key = EARLY DIAGNOSIS
•General measures (fluid, IV antibiotics)
•Hyperbaric oxygen (limiting spread)
•Decompression of wound
•Removal of all dead tissue
•Amputation (advanced case)
