Chemical burns: A review

Ahmadi, Hootan; Durrant, Cameron; Sarraf, Khaled M; Jawad, Mohammad

doi:10.1016/j.cacc.2008.09.015

Cited by 13 publications

(14 citation statements)

References 29 publications

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“…Its lipophilic nature causes deep penetration and systemic absorption, which may lead to hemolysis and kidney, liver, and central nervous system toxicity. 1 Phenol is much more soluble in polyethylene glycol than in water. Recommended treatment, therefore, is dilute polyethylene glycol wash followed by high-flow water lavage.…”

Section: Phenolmentioning

confidence: 99%

“…1 Additionally, the wrist and hand are the most common sites of severe burns. 2 It has also been noted that chemical burns often heal more slowly than thermal burns and require surgery more frequently.…”

mentioning

confidence: 99%

“…Skin properties: The palmar skin has thick stratum corneum, which is more impermeable and therefore resistant to chemical insult than the dorsum. Laceration or breakdown of the resistant epidermis exposes the more sensitive underlying dermis 1. …”

mentioning

confidence: 99%

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Hand Chemical Burns

Robinson

Chhabra

2015

The Journal of Hand Surgery

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Section: Phenolmentioning

confidence: 99%

mentioning

confidence: 99%

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Hand Chemical Burns

Robinson

Chhabra

2015

The Journal of Hand Surgery

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“…Chemical burns constitute roughly 10.7% of all burn injuries, 2-6% of all burn-center admissions (2) and 30% of all burn-related deaths (3). The epidemiological features of chemical burn injuries vary among different countries; but they also display domestic differences in a specific country according to the geographical location, neighbouring industrial developments and even the military state of that country being at war or at peace (4).…”

Section: Incidence and Outcomesmentioning

confidence: 99%

Chemical Burn Injuries

Saraçoğlu¹,

Yılmaz²,

Saraçoğlu³

2018

Kocaeli Med J

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Kimyasal yanıklar sıklıkla koroziv maddelere maruziyet sonrasında gelişmektedirler. Tüm yanık türlerinin %10,7'sini, yanık merkezine hasta kabullerinin de %2-6'sını oluşturmaktadır. Kimyasal komponentlere bağlı hasar 6 farklı mekanizmayla ortaya çıkmaktadır. Bunlar redüksyon, oksidasyon, korozyon, protoplazmik toksinler, yakıcı kimyasallar ve kurutuculardır. Kimyasal yanık hasarının karakteristikleri arasında ciltte renk değişiklikleri ve korozyon, nadiren regüler bir yapı, gastrointestinal kanalda perforasyon, ciddi sistemik toksisite ve mortalite riski yer almaktadır. Termal yanıklarla karşılaştırıldığında yara iyileşme süreci belirgin derecede daha yavaş olup sıklıkla hastanede uzamış yatış süresiyle ilişkilidir. Ayrıca yanık hasarı genellikle kimyasal ajana uzamış maruziyet sonrasında oluşmaktadır. Beyaz fosfor yanıkları bunun iyi bir örneğidir. Progresif nekroz gelişen yanıkların patogenezinde akla getirilmelidir. Acil resusitasyon hasar yönetiminde önceliklidir. Evde oluşan kazalardaysa sıklıkla sebep sıvı amonyak ve nitrik asiddir. Kimyasal yanık hasarı tedavisinde halen altın standart yeterli miktarda su ile yaranın irrigasyonudur. Kimyasal yanık hasarı prevalansını azaltmaya amaçlı olarak koruyucu önlemlerin alınması önemlidir. Genel nüfus ve önleyici stratejilerin farkındalığını artırmak için medyanın tam desteğiyle ülke çapında kampanyalara ihtiyaç duyulmaktadır. Kamu spotları, medya organları, özel kuruluşlar, hekimler ve hastalar bu amaçla birlikte çalışmalıdırlar.

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“…The severity of the chemical burn is dictated by the substance responsible, the percentage of body surface burned, the concentration, the time since exposure, subsequent management, and regional skin properties [2]. Wound healing is considerably slower for comparability sized thermal burns.…”

Section: Introductionmentioning

confidence: 99%

How to treat a vaginal burn due to acetic acid?

et al. 2015

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Up to the present, no recommendations have been made on vaginal and cervical burns. The aim of this article was to compare our treatment with other strategies found in the literature on the outcome of vaginal strictures and to propose a protocol for the treatment of vaginal burns. A patient underwent colposcopy with 100 % acetic acid, which caused deep vaginal burns. We treated her with daily vaginal packing with Vaseline gauze for 5 days and daily irrigation with saline solution for 2 weeks. Antibiotic capsules were used for 7 days. Subsequent physiotherapy was performed for 6 months. Topical hyaluronic acid was applied, and hyaluronic vaginal capsules were introduced from 1 month onwards and for 5 months. Healing took 1 month. No vaginal synechia or stricture was found at 6 months. In a review of literature, vaginal stents, topical estrogen, systemic antibiotics, and oral non-steroidal anti-inflammatory agents have been proposed. No cases of vaginal strictures or synechiae have been reported. The treatment has to be the simplest and the less traumatizing. Vaginal packing does not prevent vaginal strictures. Simple saline irrigation with a regular pelvic examination appears to be sufficient for the treatment of vaginal burns. Topical estrogens can be interesting if there is an atrophic mucosa. At distance, topical hyaluronic acid can be used to enhance healing. Level of Evidence: Level V, therapeutic study.

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Chemical burns: A review

Cited by 13 publications

References 29 publications

Hand Chemical Burns

Hand Chemical Burns

Chemical Burn Injuries

How to treat a vaginal burn due to acetic acid?

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