Analgesia With Epidural Anesthesia in Lower-Leg Necrotizing Fasciitis: A Case Report

TL;DR

Epidural anesthesia helped manage pain during debridement for a patient with lower-leg necrotizing fasciitis, improving treatment outcomes.

Contribution

Demonstrates the effectiveness of epidural anesthesia for analgesia in necrotizing fasciitis debridement.

Findings

Epidural anesthesia alleviated pain and enabled effective debridement.

The patient's infection was controlled, leading to recovery.

Pain management improved procedural success in this case.

Abstract

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 Streptococcus pyogenes. 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.

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