Unusual both hands cryogenic burn caused by Freon gas and early treatment with hyperbaric oxygen therapy

Özkaya, Ozan; Egemen, Onur; Bingöl, Derya; Akan, Ismaíl Míthat

doi:10.1016/j.injury.2011.07.003

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Özkaya et al (2011) reported that hyperbaric oxygen therapy may successfully be used to treat cryogenic burn injuries. Hyperbaric oxygen therapy has been shown to increase the production of antimicrobial agents, reduce microbial proliferation, activate the immune system, and significantly improve the partial pressure of oxygen in reversibly damaged cells.…”

Section: Discussionmentioning

confidence: 99%

Cryogenic Refrigerant Burns: A Rare Occupational Hazard

Dash

Muthukumar

Rajkumar

et al. 2020

Workplace Health Saf

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Background Cryogenic burns induced by coolant gases used in refrigerators and air conditioners are rarely encountered, despite the wide use of these gases. To date, only a few cases have been reported in the literature. This study examined the occupational circumstances leading to such injuries, relevant injury sites, types of chemicals involved, and treatment measures. Methods This study was conducted in a tertiary burn center in India between March 2015 and March 2019. The demographic details, chemicals involved, and burn regions and characteristics were analyzed. Findings There were 15 burn cases all involving injury to the hand. All injuries were managed initially with dressings and nonoperative management. One patient required anti-edema therapy with limb elevation and fingertip debridement, while another patient required skin grafting. All patients had satisfactory hand function after treatment. Conclusions/Application to Practice Cryogenic burn injuries caused by refrigerants are rare, and their etiology varies considerably. Exposure time is the primary factor that determines burn depth and severity; hence, reducing exposure time is important in first aid. Our findings suggest that after exposure, the patient should be treated in a specialized burn center. Adequate knowledge regarding the pathophysiology of these types of burn injuries and their management is necessary; otherwise, misjudgments in the treatment plan can lead to adverse consequences.

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Section: Discussionmentioning

confidence: 99%

Cryogenic Refrigerant Burns: A Rare Occupational Hazard

Dash

Muthukumar

Rajkumar

et al. 2020

Workplace Health Saf

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A novel application for Aquacel Ag in paediatric frostbite

Ghumman

Malic

2019

Burns Open

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Microangiography to Monitor Treatment Outcomes Following Severe Frostbite Injury to the Hands

Masters

Omodt

Gayken

et al. 2017

Journal of Burn Care & Research

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Frostbite injury causes direct damage to tissues following exposure to temperatures below their freezing point causing tissue death potentially leading to serious amputations. After rewarming, a variety of treatment options have been employed to avoid amputation. This case report details the use of indocyanine green fluorescence microangiography to monitor the clinical progression of perfusion following hyperbaric oxygen therapy (HBOT) for severe frostbite injury. We present a case report of a man with deep frostbite of the bilateral hands treated with thrombolytics and HBOT. After rewarming, the patient received thrombolytics shortly after arrival and then went on to be treated with HBOT on hospital day 5. Patient's healing progress was monitored using serial microangiography. Microangiography evaluation was performed on day 6 and then weekly to track treatment progress. A more uniform brightness appears in his left hand by completion of his therapies, consistent with normal perfusion. The dark ischemic areas in the right hand receded in digits 1 to 3 and appeared normalized in the fourth digit. The patient received a total of 20 HBO treatments. After completion of therapy, the patient went on to have a partial amputation of his first, second, and third fingers on his right hand. Our case report demonstrates serial microangiography to monitor a frostbite patient's progress during HBOT and provided additional information allowing us to plan duration of treatments. Our case report describes the role that microangiography may serve in monitoring patient progress following severe frostbite injury.

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Unusual both hands cryogenic burn caused by Freon gas and early treatment with hyperbaric oxygen therapy

Cited by 3 publications

References 13 publications

Cryogenic Refrigerant Burns: A Rare Occupational Hazard

Cryogenic Refrigerant Burns: A Rare Occupational Hazard

A novel application for Aquacel Ag in paediatric frostbite

Microangiography to Monitor Treatment Outcomes Following Severe Frostbite Injury to the Hands

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