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Accidental chemical burn injury associated with recreational thinner inhalation 娱乐性稀释剂吸入致意外化学烧伤
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_30_21
Mohd Mohd Said, Mohamad Ali Mat Zain, N. Basiron
Inhalation of thinners is known to have systemic toxic effects on the human body. Despite this, thinners have been abused for mood alteration. Accidental injury following thinner inhalation includes burns from the ignition of volatile substance or secondary trauma (as the patient loses consciousness). Chemical burn from prolonged contact with thinner-containing toluene may occur, although rare. We present a case of accidental burn injury resulting from prolonged contact with spilled thinner.
众所周知,吸入稀释剂会对人体产生全身毒性影响。尽管如此,稀释剂还是被滥用来改变情绪。吸入稀释剂后的意外伤害包括挥发性物质点燃造成的烧伤或继发性创伤(患者失去意识)。长时间接触含有甲苯的稀释剂可能会发生化学灼伤,尽管这种情况很少见。我们报告了一例由于长时间接触溢出的稀释剂而导致的意外烧伤。
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引用次数: 0
To determine the efficacy and safety of acetic acid gel in comparison to silver sulfadiazine cream in patients suffering from second-degree burns 醋酸凝胶与磺胺嘧啶银乳膏治疗二度烧伤的疗效和安全性比较
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_12_21
Chandrashekar Chalwade, M. Pawar, Abhijeet D. Sawant
Acetic acid solution is effective in healing of chronic wounds by its ability to eradicate biofilms. One percent silver sulfadiazine (SSD) cream is the commonly used topical antimicrobial agent in burn wound care. In our study, we compared the efficacy and safety of 1% acetic acid gel with 1% SSD in partial-thickness burn wound with <20% total body surface area. Context: Bacterial colonization of burn wounds results in delayed wound healing. SSD is commonly used as a topical antibiotic in the second degree and third-degree burn wounds. The acetic acid solution is found to be clinically effective against the eradication of mature or chronic biofilm.[6] We have used 1% acetic acid gel as an anti-microbial dressing for acute burn wounds and compared it with 1% SSD. Aims: To evaluate the efficacy and safety of acetic acid gel with SSD cream in patients with second-degree burn wounds involving up to 20% of total body surface area. Outcome parameters evaluated were Wound healing (BWAT score and status as on Day 21), Pain (VAS score), Healing quality (VSS score at 1 and 3 months) and adverse effects if any. Settings and Design: The study was conducted in the burn department affiliated with a tertiary care centre. It is a prospective randomized, investigator-initiated open-label case-control study. Inclusion criteria 1. Males and females between the ages of 18 and 65 years 2. Second-degree burn involving total body surface area up to 20% at 48 h of burn injury. Exclusion criteria1.Patients with pre-existing comorbidities. Uncontrolled diabetes Mellitus. Renal insufficiency.2. Patients with known keloid tendency3.Patients with electrical burn4.Patients with inhalation burn. Patients were included in the study in accordance with mentioned inclusion and exclusion criteria. Informed consent was obtained from all patients. All procedures contributing to this work comply with the ethical standards of the relevant national and institutional guidelines on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. The study group received 1% Acetic acid gel while the control group received 1% SSD cream for antimicrobial dressings. Simple randomization was followed for the allocation of patients. Outcome parameters were assessed, compiled, and were statistically analyzed. Subjects and Methods: Eighty cases were included in the study, forty in each group. Each group patient underwent dressing with respective allotted topical antimicrobial agent, and outcome parameters were compared. In both groups, Bates-Jensen Wound Assessment Tool (BWAT), Visual Analog Scale (VAS), and Vancouver Scar Scale (VSS) scores were documented. Parameters compared were wound healing, patient acceptability, any adverse events, and quality of the healed scar. Statistical Analysis Used: The data was compiled and analyzed statistically for Outcome parameters will be analyzed for distribution, central tendency, and variability by calculating Mean, SD and p-value using
醋酸溶液通过其清除生物膜的能力在慢性伤口愈合中是有效的。百分之一磺胺嘧啶银乳膏是烧伤创面护理中常用的局部抗菌剂。在我们的研究中,我们比较了1%醋酸凝胶和1% SSD在体表面积<20%的部分厚度烧伤创面中的疗效和安全性。背景:烧伤创面的细菌定植导致伤口愈合延迟。SSD常被用作二度和三度烧伤创面的局部抗生素。临床发现醋酸溶液对成熟或慢性生物膜的根除有效我们采用1%醋酸凝胶作为急性烧伤创面的抗菌敷料,并与1%醋酸凝胶进行比较。目的:评价醋酸凝胶联合SSD霜治疗占体表面积达20%的二度烧伤创面的疗效和安全性。评估的结果参数包括伤口愈合(BWAT评分和第21天的状态)、疼痛(VAS评分)、愈合质量(1个月和3个月的VSS评分)和不良反应(如果有的话)。环境和设计:本研究在一家三级护理中心的烧伤科进行。这是一项前瞻性随机、研究者发起的开放标签病例对照研究。纳入标准年龄在18至65岁之间的男性和女性烧伤后48小时二级烧伤,烧伤面积占全身表面积的20%。排除criteria1。既往存在合并症的患者。未控制的糖尿病。肾insufficiency.2。已知有瘢痕疙瘩倾向的患者。4.电烧伤患者。吸入性烧伤患者。患者按照上述纳入和排除标准纳入研究。获得了所有患者的知情同意。所有有助于这项工作的程序都符合相关国家和机构人体实验准则的道德标准,以及1975年《赫尔辛基宣言》(2008年修订)。研究组给予1%醋酸凝胶,对照组给予1% SSD抗菌敷料乳膏。患者的分配遵循简单随机化。评估、汇编结局参数并进行统计分析。对象与方法:80例病例纳入研究,每组40例。各组患者分别使用各自分配的局部抗菌药物进行包扎,并比较结果参数。两组均记录了贝茨-詹森伤口评估工具(BWAT)、视觉模拟量表(VAS)和温哥华疤痕量表(VSS)评分。比较的参数是伤口愈合、患者可接受性、任何不良事件和愈合疤痕的质量。使用统计分析:对数据进行整理和统计分析,使用Microsoft excel软件(2007)计算Mean、SD和p值,分析结果参数的分布、集中趋势和变异性。结果:在第21天,乙酸组有45%的病例完全上皮化,7.5%的病例完全肉芽化,而SSD组有32.5%的病例完全上皮化。两组其余病例均于21 d后痊愈。两组BWAT评分均降低。两组平均VAS和平均VSS评分具有可比性。在任何一组中均未发现由于各自的药物而引起的不良事件。结论:在我们的研究中,我们发现1%醋酸凝胶与1% SSD的疗效相当,可以安全用于<20%体表面积(TBSA)的部分厚度烧伤创面,临床效果良好。
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引用次数: 0
Burns and COVID-19: Is the synergy sinister? 伯恩斯和新冠肺炎:这种协同作用是邪恶的吗?
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_24_21
P. Baba, Raheeb Shah, H. Bhat, Adfar Gul, A. Wani
Background: A burn injury necessitates immediate emergency treatment that should be furnished securely to the victims. Appropriate precautions need to be undertaken to cut down the risk of exposure. A proper assessment and treatment commencement ought to be carried out before the viral infection has even been excluded as it is a race against time. The prognosis is determined by the established factors with viral infection acting as an ancillary addition. Burns are associated with many systemic disorders such as coagulopathy, sepsis, and respiratory distress which need to be differentiated from similar manifestations of the disease. Materials and Methods: A retrospective study was conducted in our burn unit (analysing data from Burn Registry of the Department), comparing various parameters during the pandemic year with those of the previous year. The aim was to observe whether COVID-19 has any sinister impact on burn management and outcome or not. Results: There was a 30.5% decrease in burn admissions with reduction in male burns (9%; M: F ratio decreased from 3:2 to 1:1) and delayed presentations (4%). The epidemiological parameters largely remained unaltered. The intensive care unit (ICU) admission rate and mortality remained the same. Our COVID positivity rate among burns was 5.3%. Conclusion: We conclude that incidence of burn admissions decreased during the pandemic with increase in delayed presentations. The ICU admission rate and mortality increased by 9% rate (outcome) remained unchanged. Hence, COVID-19 did not at the end of the “first wave” put any sinister impact on burn increased, management as well as the outcome.
背景:烧伤需要立即进行紧急治疗,并应安全地为受害者提供治疗。需要采取适当的预防措施来降低暴露的风险。在病毒感染被排除之前,应该进行适当的评估和治疗开始,因为这是一场与时间的赛跑。预后由病毒感染作为辅助因素的既定因素决定。烧伤与许多系统性疾病有关,如凝血障碍、败血症和呼吸窘迫,这些疾病需要与类似的疾病表现区分开来。材料和方法:在我们的烧伤科进行了一项回顾性研究(分析了该科烧伤登记处的数据),将疫情年的各种参数与前一年的参数进行了比较。目的是观察新冠肺炎是否对烧伤管理和结果有任何不利影响。结果:烧伤入院人数减少了30.5%,男性烧伤人数减少了(9%;M:F比例从3:2降至1:1),表现延迟了(4%)。流行病学参数基本保持不变。重症监护室(ICU)的入院率和死亡率保持不变。我们在烧伤患者中的COVID阳性率为5.3%。结论:我们得出的结论是,在大流行期间,烧伤入院率随着延迟就诊的增加而下降。ICU入院率和死亡率增加9%的比率(结果)保持不变。因此,新冠肺炎没有在“第一波”结束时对烧伤造成任何不利影响,增加了管理和结果。
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引用次数: 0
Tips for management of postburn neck contracture 烧伤后颈部挛缩的处理技巧
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_3_22
Parmod Kumar
Postburn neck contractures are frequent sequelae after deep thermal burns. They are a significant cause of morbidity and pose a serious challenge for anesthesia. In developing countries, lack of adequate burn care infrastructure, training, and workforce leads to the occurrence of multiple postburn deformities. Wound healing can never occur without wound bed contraction. Therefore, the best treatment for any problem related to burn wound contraction is to prevent or at least reduce its severity. The same is the case with postburn contractures and deformities. The use of simple measures can prevent or at least limit the severity of deformities even when used by trained paramedics and nursing staff.
烧伤后颈部挛缩是深度热烧伤后常见的后遗症。它们是发病率的重要原因,并对麻醉构成严重挑战。在发展中国家,缺乏足够的烧伤护理基础设施、培训和劳动力会导致多发性烧伤后畸形的发生。伤口愈合离不开伤口床的收缩。因此,对于任何与烧伤伤口收缩有关的问题,最好的治疗方法是预防或至少减轻其严重程度。烧伤后挛缩和畸形也是如此。即使经过培训的护理人员和护理人员使用简单的措施,也可以预防或至少限制畸形的严重程度。
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引用次数: 0
Epidemiological analysis of burn patients in Hospital Melaka, Malaysia 马来西亚马六甲医院烧伤病人的流行病学分析
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_15_20
Mohd Mohd Said, Ilyasak Hussin, I. Noran
Background: Burn injury remains one of the most frequent public frequent public health concerns that are associated with significant morbidity and mortality. This study aims to understand the epidemiological profile of burn patients admitted to Burn Unit, Hospital Melaka between January 2016 and December 2018. Methods: A retrospective study was conducted to review burn cases that were admitted to Burn Unit, Hospital Melaka from January 2016 to December 2018. The epidemiological data of 241 patients were collected and studied. Results: The etiology of burn was determined: 230 (95.4%) thermal burns, 4 (1.7%) electrical burns, and 7 (2.9%) chemical burns. In 230 cases of thermal burn, 85 (37.0%) of accidents were caused by flames, 119 (51.7%) by scalds, and 26 (11.3%) by contact with hot objects. One hundred and eighty-nine (63.2%) of the patients were male, the remaining 110 patients (36.8%) were female. The female/male ratio was 1:1.7. The duration of hospitalization stay was 8 days. Mortality rate was 3.34% with 50% of deaths following major burn were due to sepsis with multiorgan failure. Conclusion: This study provides an overview on demographic features of burn patients admitted to Hospital Melaka.
背景:烧伤仍然是最常见的公共卫生问题之一,与严重的发病率和死亡率有关。本研究旨在了解2016年1月至2018年12月期间入住马六甲医院烧伤科的烧伤患者的流行病学特征。方法:对2016年1月至2018年12月入住马六甲医院烧伤科的烧伤病例进行回顾性研究。对241例患者的流行病学资料进行了收集和研究。结果:确定了烧伤的病因:热烧伤230例(95.4%),电烧伤4例(1.7%),化学烧伤7例(2.9%)。在230例热烧伤中,85例(37.0%)是由火焰引起的,119例(51.7%)是由烫伤引起的,26例(11.3%)是由接触热物体引起的。一百八十九名患者(63.2%)为男性,其余110名患者(36.8%)为女性。男女比例为1:1.7。住院时间为8天。死亡率为3.34%,严重烧伤后50%的死亡是由于败血症和多器官衰竭。结论:本研究对马六甲医院烧伤患者的人口学特征进行了综述。
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引用次数: 0
Airway management in patients with neck burn contracture 颈部烧伤挛缩患者的气道管理
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_25_21
N. Gupta, Tanmay Tiwari, Haider Abbas
Airway management is an important aspect during reconstructive surgeries of patients with postburn contracture (PBC) due to significant morbidity and mortality associated with it. The standard recommendations by the American Society of Anesthesiologists for Difficult Airway Management may not be appropriate for these patients due to the high risk of intubation failure and airway crisis. With recent advancements, many techniques and devices have been used successfully in patients with PBC of the head and neck. This article focuses on various barriers faced during the airway management of such patients along with common techniques to overcome them.
在烧伤后挛缩(PBC)患者的重建手术中,气道管理是一个重要方面,因为与此相关的发病率和死亡率很高。由于插管失败和气道危象的风险很高,美国麻醉师协会的气道困难管理标准建议可能不适用于这些患者。近年来,许多技术和设备已成功应用于头颈部PBC患者。本文重点介绍了此类患者在气道管理过程中面临的各种障碍,以及克服这些障碍的常用技术。
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引用次数: 0
ARC technique – An innovative method to assess true defect in postburn contracture release ARC技术——一种评估烧伤后挛缩松解真实缺陷的创新方法
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_34_20
S. Sarabahi, K. Ananda Murthy, P. Arumugam, Mula Babu
Most commonly, skin grafts are used to resurface the raw areas resulting after the release of postburn contractures but in the extensively burned patient, donor sites may be limited. There is no accurate technique described in literature for the assessment of the true defect preoperatively. We describe a technique to accurately assess the true defect which helps to determine the amount of skin graft required preoperatively.
最常见的是,皮肤移植物用于烧伤后挛缩释放后产生的原始区域的表面重建,但在大面积烧伤的患者中,供体部位可能受到限制。文献中没有描述准确的技术来评估术前的真正缺陷。我们描述了一种准确评估真正缺陷的技术,这有助于确定术前所需的皮肤移植量。
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引用次数: 0
Role of fibreoptic bronchoscopy in early diagnosis of inhalational burns in patients with facial burns 纤维支气管镜在面部烧伤患者吸入性烧伤早期诊断中的作用
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_6_21
Nosheen Kanchwala, R. Mohan, Komal Tripathi, Shilpi Baranwal, Manoj K Jha, S. Bhattacharya
Introduction: Inhalation burn is a major cause of mortality in burn patients. Early diagnosis of smoke inhalation injury (SII) is imperative in the management and prevention of burn injury. The gold standard modality for the diagnosis of SII is fiber-optic bronchoscopy (FOB). Materials and Methods: This prospective, observational study included thirty patients and was conducted from November 2016 to May 2018. Patients with thermal burns sustained < 72 h with facial burns, age group 18–60 years, were included in the study. Results: FOB was done in thirty patients. About 26.67% of patients had closed space injuries. Singeing of scalp hair/eyebrows was present in 46.67% of patients. Singeing of nasal vibrissae/mustache was present in 56.67% of patients. Eversion of eyelids and lips was present in 33.33% and 50% of patients, respectively. Hoarseness of voice, edema of tongue, and tachycardia were present in 16.67%, 50%, and 66.67% of cases, respectively. On auscultation, 26.67% patients had basal crepts. In the chest X-ray, 16.67% of patients had pulmonary edema. Forty percent of patients had arterial hypoxemia and acidosis at the time of arrival. About 56.67% of patients were proved bronchoscopically to have features of SII. Conclusions: FOB has significant value in evaluation, prediction of prognosis, and management of SII when performed within 72 h of burns.
吸入性烧伤是烧伤患者死亡的主要原因。早期诊断烟雾吸入性损伤对烧伤的管理和预防至关重要。诊断SII的金标准方式是光纤支气管镜检查(FOB)。材料和方法:本前瞻性观察性研究纳入30例患者,于2016年11月至2018年5月进行。研究对象为面部热烧伤持续时间< 72 h的患者,年龄18-60岁。结果:30例患者行FOB手术。闭合性间隙损伤占26.67%。46.67%的患者出现头皮/眉毛烧灼。56.67%的患者存在鼻触须/鼻髭烧灼。眼睑外翻和嘴唇外翻分别占33.33%和50%。嗓音嘶哑占16.67%,舌水肿占50%,心动过速占66.67%。听诊时,26.67%的患者有基底爬行。胸片显示,16.67%的患者出现肺水肿。40%的患者在入院时出现动脉低氧血症和酸中毒。约56.67%的患者经支气管镜检查证实具有SII的特征。结论:在烧伤后72h内进行FOB对SII的评估、预后预测和处理有重要价值。
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引用次数: 0
Burn injury from cooking gas flame in a child of 6 years 烹调煤气火焰烧伤1例6岁儿童
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_28_21
K. Ramakrishnan, V. Jayaraman, K. Ramachandran, T. Mathivanan, R. Ravi
It has become the fashion to have a gas cooking facility in the kitchen of even the middle class personnal like teachers, and office going people (middle income group) in Chennai.
在金奈,即使是中产阶级,比如老师和上班族(中等收入群体)的厨房里也有燃气烹饪设备,这已经成为一种时尚。
{"title":"Burn injury from cooking gas flame in a child of 6 years","authors":"K. Ramakrishnan, V. Jayaraman, K. Ramachandran, T. Mathivanan, R. Ravi","doi":"10.4103/ijb.ijb_28_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_28_21","url":null,"abstract":"It has become the fashion to have a gas cooking facility in the kitchen of even the middle class personnal like teachers, and office going people (middle income group) in Chennai.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"90 - 91"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41772531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric burn wound complicated with herpes simplex virus infection: A rare case report and literature review 小儿烧伤并发单纯疱疹病毒感染1例报告及文献复习
Pub Date : 2021-01-01 DOI: 10.4103/ijb.ijb_19_21
M. Verma
Herpes simplex virus infection in major burn wounds is a well-known entity. Here, I am reporting a relatively rare case of a pediatric patient who presented with superficial partial-thickness scald burn injury over his face and neck. He was managed in outpatient department services with topical antibiotic dressings. After 2 weeks, he presented with multiple vesicular lesions over his lower face and neck with delayed wound healing in that area. Clinical suspicion of superadded viral infection was made. Tzanck smear and polymerase chain reaction test confirmed the infection with herpes simplex virus. Antiviral treatment was started, and regular dressings were continued. The patient responded well to the treatment, and lesions were disappeared. Later, he developed hypertrophic scarring over the lower part of face. Now, he is being managed on massage and pressure therapy. There has been no relapse of viral infection till 6 months of follow-up.
单纯疱疹病毒感染在严重烧伤伤口是一个众所周知的实体。在这里,我报告了一个相对罕见的儿科患者,他的面部和颈部出现浅表部分厚度的烫伤。他在门诊部使用局部抗生素敷料进行治疗。2周后,他的下面部和颈部出现多处水疱性病变,该区域的伤口愈合延迟。临床上怀疑有超附加病毒感染。Tzanck涂片和聚合酶链式反应试验证实感染了单纯疱疹病毒。开始抗病毒治疗,并继续定期包扎。患者对治疗反应良好,病变消失。后来,他面部下部出现了增生性疤痕。现在,他正在接受按摩和压力治疗。随访6个月后,病毒感染没有复发。
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引用次数: 0
期刊
Indian journal of burns
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