Sub eschar infilteration of epiniphrine in early excision and skin grafting to decrease blood loss in burn surgery

العناوين الأخرى

زرق (إبينيفرين)‎ تحت الخشارة في عملية الاستئصال المبكر و الترقيع الجلدي لتقليل نسبة فقدان الدم في جراحة الحروق

المؤلفون المشاركون

Hasan, Jalal Ali
Yasin, Qutaybah Abd Allah
Qadir, Ari Rahim

المصدر

Duhok Medical Journal

الناشر

جامعة دهوك كلية الطب

تاريخ النشر

2012-12-31

دولة النشر

العراق

عدد الصفحات

7

التخصصات الرئيسية

الطب البشري

الملخص الإنجليزي

Background and objectives One of the problems in primary tangential excision of bum wounds is bleeding.

To reduce bleeding, epinephrine solution used is composed of 1000 ml normal saline, with an added I ml 1/1000 aqueous epinephrine hydrochloride (1 mg epinephrine hydrochloride/1000 ml solution , 1:1000 000) has been used to infiltrate the excision area as well as donor site .

As the amount of blood loss during the operation is not known precisely, subsequent calculation depending on pre operative and post operative PCV readings, by using specific formula to calculate blood loss.

In 19 randomly selected patients, deep dermal and full-thickness burns covering 5-40% body surface were included.

Mean blood loss was 72 ml per each percent debrided and covered with skin graft, ranging from 15.6 ml for excision in the posterior trunk to 193 ml for excision of the upper limb with the hands involved.

The main advantages of this method are the reduction of blood loss, the prevention of uncontrollable profuse bleeding and decrease post operative blood transfusion

نوع البيانات

أوراق مؤتمرات

رقم السجل

BIM-831992

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