prikaz prve stranice dokumenta Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen
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Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen
Undersea and Hyperbaric Medical, 37 (2010), 2; 95-9. urn:nbn:hr:239:848551
Takač, Ines; Kvolik, Slavica; Divković, Dalibor; Kalajdžić-Čandrlić, Jasenka; Pušeljić, Silvija; Ižaković, Senka

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Takač, I., Kvolik, S., Divković, D., Kalajdžić Čandrlić, J., Pušeljić, S. i Ižaković, S. (2010). Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen. Undersea and Hyperbaric Medical, 37. (2), 95-9. Preuzeto s https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, Ines, et al. "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen." Undersea and Hyperbaric Medical, vol. 37, br. 2, 2010, str. 95-9. https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, Ines, Slavica Kvolik, Dalibor Divković, Jasenka Kalajdžić Čandrlić, Silvija Pušeljić i Senka Ižaković. "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen." Undersea and Hyperbaric Medical 37, br. 2 (2010): 95-9. https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, I., et al. (2010) 'Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen', Undersea and Hyperbaric Medical, 37(2), str. 95-9. Preuzeto s: https://urn.nsk.hr/urn:nbn:hr:239:848551 (Datum pristupa: 07.12.2024.)

Takač I, Kvolik S, Divković D, Kalajdžić Čandrlić J, Pušeljić S, Ižaković S. Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen. Undersea and Hyperbaric Medical [Internet]. 2010. [pristupljeno 07.12.2024.];37(2):95-9. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:239:848551

I. Takač, S. Kvolik, D. Divković, J. Kalajdžić Čandrlić, S. Pušeljić i S. Ižaković, "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen", Undersea and Hyperbaric Medical, vol. 37, br. 2, str. 95-9, 2010. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:239:848551. [Citirano: 07.12.2024.]

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Naslov (engleski)Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen
AutorInes Takač
AutorSlavica Kvolik
MBZ: 259895
AutorDalibor Divković
MBZ: 344355
AutorJasenka Kalajdžić-Čandrlić
AutorSilvija Pušeljić
MBZ: 263190
AutorSenka Ižaković
Autorova ustanova(Klinički bolnički centar Osijek)
Autorova ustanovaSveučilište Josipa Jurja Strossmayera u Osijeku
Medicinski fakultet Osijek
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Pedijatrija
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Kirurgija
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Interna medicina
Sažetak (engleski)
This article presents the case of a 5-month-old infant, who survived a fulminant meningococcal sepsis with purpura fulminans, septic shock and severe DIC with gastrointestinal bleeding. Amputation and reconstructive surgery were considered to treat the multiple skin and limb necroses at high risk of superinfection, but the surgical intervention was delayed due to the extremely doubtful outcome. On Day 10 after the onset of the disease, a hemodynamic improvement was achieved. The baby overcame early critical period, but was still in poor general condition. The hyperbaric oxygenation (HBO2) as adjuvant therapy was started in the monoplace chamber using the following protocol: from first through fifth day 45 minutes twice a day on 1.5 atmosphere absolute (ATA); after a two-day break, once a day on 1.8 ATA for 60 minutes. During 52 HBO2 treatments multiple areas of necrotic skin and subcutaneous tissue, together with fingertips and toes, detached spontaneously. All wounds healed without reinfections. An increased oxygen concentration during HBO2 therapy promoted spontaneous wound healing. Bacterial superinfection was not observed in numerous low-perfused lesions. Since repeated anesthesia and surgical interventions were not needed, a final invalidity was minimized. To the best of our knowledge, this is the first report on the successful conservative surgical treatment of this mutilating disease without aggressive reconstructive surgery in an infant with the help of HBO2.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Pregledni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaUndersea and Hyperbaric Medical
Brojčani podacivol. 37, br. 2, str. 95-9
p-ISSN1066-2936
URN:NBNurn:nbn:hr:239:848551
Datum objave publikacije2010
URL dokumentahttps://www.semanticscholar.org/paper/Conservative-surgical-management-of-necrotic-case-a-Taka%C4%8D-Kvolik/d581d5a2fd87da9d1c5aa134362f4180195ff1c8
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2020-03-30 09:46:01