Indian journal of burns最新文献

{"title":"Accidental chemical burn injury associated with recreational thinner inhalation","authors":"Mohd Mohd Said, Mohamad Ali Mat Zain, N. Basiron","doi":"10.4103/ijb.ijb_30_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_30_21","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"92 - 94"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49421788","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}

{"title":"To determine the efficacy and safety of acetic acid gel in comparison to silver sulfadiazine cream in patients suffering from second-degree burns","authors":"Chandrashekar Chalwade, M. Pawar, Abhijeet D. Sawant","doi":"10.4103/ijb.ijb_12_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_12_21","url":null,"abstract":"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","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"52 - 56"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41329013","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}

{"title":"Burns and COVID-19: Is the synergy sinister?","authors":"P. Baba, Raheeb Shah, H. Bhat, Adfar Gul, A. Wani","doi":"10.4103/ijb.ijb_24_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_24_21","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"63 - 69"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46202843","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}

{"title":"Tips for management of postburn neck contracture","authors":"Parmod Kumar","doi":"10.4103/ijb.ijb_3_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_3_22","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"4 - 6"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42592812","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}

{"title":"Epidemiological analysis of burn patients in Hospital Melaka, Malaysia","authors":"Mohd Mohd Said, Ilyasak Hussin, I. Noran","doi":"10.4103/ijb.ijb_15_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_15_20","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"15 - 18"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45571861","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}

{"title":"Airway management in patients with neck burn contracture","authors":"N. Gupta, Tanmay Tiwari, Haider Abbas","doi":"10.4103/ijb.ijb_25_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_25_21","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"7 - 11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41457545","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}

{"title":"ARC technique – An innovative method to assess true defect in postburn contracture release","authors":"S. Sarabahi, K. Ananda Murthy, P. Arumugam, Mula Babu","doi":"10.4103/ijb.ijb_34_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_34_20","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"104 - 106"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44825061","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}

{"title":"Role of fibreoptic bronchoscopy in early diagnosis of inhalational burns in patients with facial burns","authors":"Nosheen Kanchwala, R. Mohan, Komal Tripathi, Shilpi Baranwal, Manoj K Jha, S. Bhattacharya","doi":"10.4103/ijb.ijb_6_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_6_21","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"76 - 81"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45597011","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}

{"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}

{"title":"Pediatric burn wound complicated with herpes simplex virus infection: A rare case report and literature review","authors":"M. Verma","doi":"10.4103/ijb.ijb_19_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_19_21","url":null,"abstract":"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.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"87 - 89"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47773567","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}