Musculoskeletal Infection

2.1.4 Gas Gangrene

 GANGREN
 Definition
 Destruction of tissues or cells with sudden
or slowly causes interruption of blood
supply was carry oxygen to the cell.
 Latin language – gangreana
 ( kudis melarat )
Dr. Suib Ismail Pakar Bedah Vaskular.
 PATHOPHYSIOLOGY

 Wound / Open wound

 Blockage and interruption of blood supply
and oxygen.
 Infection at the wound
 Inflammation slowly - edema.
 Redness – Blue /Pale – Black
 Sensation dysfunction
 Tissue death
 CAUSES OF GANGREN.

1. Peripheral Artery Disease.

• Interruption of blood supply
• Chronic disease
2. Blood Clot – Blockage.
• Heart block
• foot ( Deep Vein Thrombosis ).
 CAUSE OF GANGREN.

3. Injury – Blood Supply cut off.

• Motor Vehicle Accident
• Injection.
4. Frosbite
 LOCATION

 Any part of body

 A lot of cases at …
 foot
 Hand
 Appendicitis.
 TYPES OF GANGREN.

 1. Wet Gangrene

 2. Dry Gangrene
 Sign and Symptom

 Pain sensation
 Change of color – Color + death
tissue
 Fever ++
 Immediate treatment
 Continues treatment
 CAUSE OF INTTERUPPTION
BLOOD SUPPLY
 Atherosclerosis.
 Narrowing vascular & blockage among
elderly

Risk Factor:
 Diabetes patient
 High Cholesterol level
 Hypertension
 Smoker
 Heart disease
 Injury
 Motor Vehicle accident
 Artery Injury - angiogram /
 Embolism / thrombosis – Blood Clot
 Drugs interaction –
 COMPLICATION

 Necrotic tissue for long term

 Septicemia shock
 Shocked
 Amputation
 Tissue death – gangrene at intestine or
colon
 GANGREN TREATMENT

 Amputation
 surgical procedure to cut the part
of infection for prevent seriously
complication :- Systemic
infection.
 Specific treatment:
 Peripheral Artery – angioplasty /
Surgery
 Nursing care:
 Dressing.

 Diet.

 Urine.

 Antibiotic – culture & sensitivity.