Limits...
Tourniquet associated chemical burn.

Yang JH, Lim H, Yoon JR, Jeong HI - Indian J Orthop (2012)

Bottom Line: Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature.The two important mechanisms are maceration (friction) and wetness underneath the tourniquent.In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Seoul Veterans Hospital, Korea.

ABSTRACT
Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature. The two important mechanisms are maceration (friction) and wetness underneath the tourniquent. In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

No MeSH data available.


Related in: MedlinePlus

Case 2. Tourniquet-associated chemical burn developed on medial aspect of thigh: (a) 1 week postoperative; (b) 1 year and 4 months postoperative (just prior to scar excision)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3377150&req=5

Figure 2: Case 2. Tourniquet-associated chemical burn developed on medial aspect of thigh: (a) 1 week postoperative; (b) 1 year and 4 months postoperative (just prior to scar excision)

Mentions: A 65 year old female patient, underwent elective unicompartmental knee arthroplasty for medial compartment osteoarthritis of the knee. The patient was free of chronic underlying diseases and had moderate skin thickness. The tourniquet cuff used was a standard leg tourniquet and was applied with four layers of adequate wool padding. The skin preparation used was a 10% povidone-iodine (betadine) solution. The set pressure was 250 mmHg which was about 100 mmHg higher than the patient's systolic pressure. The tourniquet compression time was 1.5 h (total operation time=2 h). When the tourniquet was removed, the burn was seen on the medial aspect of thigh. The burn was also of intermediate to deep second degree with dermis involvement. Betadine soaked padding was also observed at the site of burn. One week postoperatively, blisters and crusts were found roughly at the proximal margin of tourniquet [Figure 2a]. Local furazone gauze was applied for dressing and complete healing needed almost 1 year after operation. During this followup period, analgesics were continuously prescribed for the irritating, hypersensitive scar. Scar revision excising this hypersensitive, hypertrophic scar was needed after 1 year 4 months postoperatively [Figure 2b].


Tourniquet associated chemical burn.

Yang JH, Lim H, Yoon JR, Jeong HI - Indian J Orthop (2012)

Case 2. Tourniquet-associated chemical burn developed on medial aspect of thigh: (a) 1 week postoperative; (b) 1 year and 4 months postoperative (just prior to scar excision)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3377150&req=5

Figure 2: Case 2. Tourniquet-associated chemical burn developed on medial aspect of thigh: (a) 1 week postoperative; (b) 1 year and 4 months postoperative (just prior to scar excision)
Mentions: A 65 year old female patient, underwent elective unicompartmental knee arthroplasty for medial compartment osteoarthritis of the knee. The patient was free of chronic underlying diseases and had moderate skin thickness. The tourniquet cuff used was a standard leg tourniquet and was applied with four layers of adequate wool padding. The skin preparation used was a 10% povidone-iodine (betadine) solution. The set pressure was 250 mmHg which was about 100 mmHg higher than the patient's systolic pressure. The tourniquet compression time was 1.5 h (total operation time=2 h). When the tourniquet was removed, the burn was seen on the medial aspect of thigh. The burn was also of intermediate to deep second degree with dermis involvement. Betadine soaked padding was also observed at the site of burn. One week postoperatively, blisters and crusts were found roughly at the proximal margin of tourniquet [Figure 2a]. Local furazone gauze was applied for dressing and complete healing needed almost 1 year after operation. During this followup period, analgesics were continuously prescribed for the irritating, hypersensitive scar. Scar revision excising this hypersensitive, hypertrophic scar was needed after 1 year 4 months postoperatively [Figure 2b].

Bottom Line: Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature.The two important mechanisms are maceration (friction) and wetness underneath the tourniquent.In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Seoul Veterans Hospital, Korea.

ABSTRACT
Chemical burn under pneumatic tourniquet is an iatrogenic preventable injury and is rarely reported in the literature. The two important mechanisms are maceration (friction) and wetness underneath the tourniquent. In this report, our experience with two illustrative patients who presented with iatrogenic tourniquet associated burn is described.

No MeSH data available.


Related in: MedlinePlus