Soft Tissue Infection - Washington Manual of Surgery

Let’s talk NSTI – Join general surgery resident Dr. Tiffany Brocke for a discussion with Dr. Lindsay Kranker, surgical critical care specialist and assistant professor of surgery with expertise in comprehensive trauma/emergency surgery care. This episode of the Washington Manual of Surgery Podcast will focus on the assessment and treatment of necrotizing soft tissue infections and serves as a companion to Chapter 11 of the 9th edition of the bestselling Washington Manual of Surgery. 

In this episode of The Washington Manual of Surgery Podcast, hosted by general surgery resident Dr. Tiffany Brocke, Dr. Lindsay Kranker – who plays a major role in ACCS patient care and surgical education efforts – offers an in-depth review of necrotizing soft tissue infection identification and management. 

This episode covers crucial aspects of necrotizing soft tissue infections, including the importance of early identification, debridement, antibiotic coverage, and managing expectations for recovery. They discuss the utility of imaging, the significance of multidisciplinary care, and setting realistic recovery expectations with patients. Tune in for a comprehensive review on NSTI from experts who combine clinical insight with compassionate patient care. 

Guest Host: 

Tiffany Brocke, MD – General surgery resident at WashU Medicine. 

Guest: 

Lindsay M. Kranker, MD – Assistant Professor of Surgery for the Section of Acute and Critical Care Surgery. She specializes in emergency general surgery and surgical critical care. Dr. Kranker is also an assistant program director for the general surgery residency program and the associate director for the surgery clerkship at WashU Medicine. 

Show notes:

LRINEC score: https://pubmed.ncbi.nlm.nih.gov/15241098/

Clindamycin versus linezolid: https://pubmed.ncbi.nlm.nih.gov/38149106/

Vibrio NSTI article: https://climatehealthed.org/course/vibrio-vulnificus-and-necrotizing-fasciitis/

“Dakin’s”: dilute sodium hypochlorite (bleach) solution available from 0.0125% to 0.5%

“Vashe”: saline-based 0.033% hypochlorous acid

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The Washington Manual of Surgery Podcast is a companion to the Washington Manual of Surgery (9th Edition). For more comprehensive surgical education, pick up a copy of the Washington Manual of Surgery: https://bit.ly/41xJ0aQ

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For more information about the Department of Surgery at WashU Medicine, visit https://surgery.wustl.edu/ and follow us on social media.

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