A bite of death: Anaesthetic challenges in frostbite.

Autor: Bansal H; Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India., Bandyopadhyay A; Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India., Sawhney C; Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Jazyk: angličtina
Zdroj: Journal of perioperative practice [J Perioper Pract] 2024 Oct; Vol. 34 (10), pp. 330-332. Date of Electronic Publication: 2024 Aug 09.
DOI: 10.1177/17504589241268657
Abstrakt: Background: Frostbite is defined as tissue damage that is sustained as a result of prolonged exposures to less than 0°C resulting in ice crystallisation, microvascular occlusion and subsequently thrombosis.
Case: A 33-year-old mountaineer with cold burn over 20% of the total body surface area with eschar formation, acute renal failure, upper limb venous thrombosis and bilateral pleural effusion. We hereby report a successful anaesthetic management of this patient undergoing debridement and escharotomy for frostbite injuries and review its perioperative concerns.
Conclusion: Frostbite injuries pose a challenge to the anaesthetic team due to the multi-systemic nature of its involvement.
Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
Databáze: MEDLINE