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Tourniquet associated chemical burn

  • Case Report
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Indian Journal of Orthopaedics Aims and scope Submit manuscript

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.

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References

  1. Dickinson JC, Bailey BN. Chemical burns beneath tourniquets. Br Med J 1988;297:1513.

    Article  CAS  Google Scholar 

  2. Nahlieli O, Baruchin AM, Levi D, Shapira Y, Yoffe B. Povidoneiodine related burns. Burns 2001;27:185–8.

    Article  CAS  Google Scholar 

  3. Handley R. Chemical burns beneath tourniquets. Br Med J 1989;298:254.

    Google Scholar 

  4. Chiang YC, Lin TS, Yeh MC. Povidone-iodine-related burn under the tourniquet of a child -.a case report and literature review. J Plast Reconstr Aesthet Surg 2011;64;412–5.

    Article  Google Scholar 

  5. Hodgkinson DJ, Irons GB, Williams TJ. Chemical burns and skin preparation solutions. Surg Gynecol Obstet 1978;147:534–6.

    PubMed  CAS  Google Scholar 

  6. Madhok R. Chemical burns beneath tourniquets. Br Med J 1989;298:254.

    Article  Google Scholar 

  7. Lowe DO, Knowles SR, Weber EA, Railton CJ, Shear NH. Povidone-iodine-induced burn: Case report and review of the literature. Pharmacotherapy 2006;26:1641–5.

    Article  Google Scholar 

  8. Okano M. Irritant contact dermatitis caused by povidone-iodine. J Am Acad Dermatol 1989;20:860.

    Article  CAS  Google Scholar 

  9. Bruner JM. Safety factors in the use of the pneumatic tourniquet for hemostasis in surgery of the hand. J Bone Joint Surg Am 1951;33:221–4.

    Article  Google Scholar 

  10. Kutty S, McElwain JP. Padding under tourniquets in tourniquet controlled surgery: Bruner’s ten rules revisited. Injury 2002;33:75.

    Article  Google Scholar 

  11. McEwen JA, Kelly DL, Jardanowski T, Inkpen K. Tourniquet safety in lower leg applications. Orthop Nurs 2002;21:55–62.

    Article  Google Scholar 

  12. Delgado-Martinez AD. Pneumatic tourniquets in extremity surgery. J Am Acad Orthop Surg 2002;10:232.

    Article  Google Scholar 

  13. Noordin S, McEwen JA, Kragh JF Jr., Eisen A, Masri BA. Surgical tourniquets in orthopaedics. J Bone Joint Surg Am 2009;91:2958–67.

    Article  Google Scholar 

  14. Wakai A, Winter DC, Street JT, Redmond PH. Pneumatic tourniquets in extremity surgery. J Am Acad Orthop Surg 2001;9:345–51.

    Article  CAS  Google Scholar 

  15. Sarkhel T, Stride V. The Tourniqu Aid: Prevention of chemical burns. Injury 2002;33:73–4.

    Article  Google Scholar 

  16. Tomlinson PJ, Harries WJ. The use of a surgical glove in the prevention of tourniquet-associated chemical burns. Ann R Coll Surg Engl 2008;90:255.

    Article  CAS  Google Scholar 

  17. Shelanski HA, Shelanski MV. PVP-iodine: History, toxicity and therapeutic uses. J Int Coll Surg 1956;25:727–34.

    PubMed  CAS  Google Scholar 

  18. Bayne D. Prevention of chemical burns. Ann R Coll Surg Engl 2008;90:715.

    Article  CAS  Google Scholar 

  19. Hubik DJ, Connors A, Cleland H. Iatrogenic chemical burns associated with tourniquet use and prep solution. ANZ J Surg 2009;79:762.

    PubMed  Google Scholar 

  20. Liu FC, Liou JT, Hui YL, Hsu JC, Yang CY, Yu HP, et al. Chemical burn caused by povidone-iodine alcohol solution–a case report. Acta Anaesthesiol Sin 2003;41:93–6.

    PubMed  Google Scholar 

  21. Nakano S, Uchiyama A, Ueyama H, Nishimura M, Tashiro C, Azuma T. Chemical burn caused by povidone-iodine. Masui 1991;40:812–5.

    PubMed  CAS  Google Scholar 

  22. Saleh KJ. An elastic stockinette under a pneumatic tourniquet protected against the development of blisters during total knee arthroplasty. J Bone Joint Surg Am 2007;89:459.

    Article  Google Scholar 

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Authors and Affiliations

  1. Korea Orthopedic Clinic, Seoul, Korea

    Hyeon-Il Jeong

  2. Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon Dong, Kangdong Ku, Seoul, Korea

    Jae-Hyuk Yang, Hyungtae Lim &  Jung-Ro Yoon

Authors
  1. Jae-Hyuk Yang
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  2. Hyungtae Lim
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  3. Jung-Ro Yoon
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  4. Hyeon-Il Jeong
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Corresponding author

Correspondence to Jung-Ro Yoon.

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Yang, JH., Lim, H., Yoon, JR. et al. Tourniquet associated chemical burn. IJOO 46, 356–359 (2012). https://doi.org/10.4103/0019-5413.96366

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  • DOI: https://doi.org/10.4103/0019-5413.96366

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