Emergency Anaesthesiologic Management of Septic Shock Following Gangrenous Foot In Elderly patient with Multiple Comorbidities In A Low Income Setting- Case Report

Abstract

Septic shock following advanced gangrene is a severe and challenging presentation in diabetic patients in our African context. When such a patient presents with others significant co-morbidities such as heart failure, anaesthesiologic management becomes
more complex and challenging especially in a low resource setting. We thus describe the successful surgical management of grade 5 Megitt-Wagner gangrene of the right foot in an elderly 70-year-old male, known hypertensive and diabetic complicated by
septic shock and heart failure stage C in a low resource setting Buea, Cameroon. Trans femoral amputation under general anaesthesia was done. The report suggests that successful management of such a patient with multiple comorbidities, in a setting of
limited resources (such as lack of invasive monitoring techniqucs and high end drugs), prompts to the importance of good clinical skills and careful articulation on patient peculiarities in limited resource settings.