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

Other Title(s)

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

Joint Authors

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

Source

Duhok Medical Journal

Publisher

University of Duhok College of Medicine

Publication Date

2012-12-31

Country of Publication

Iraq

No. of Pages

7

Main Subjects

Medicine

English Abstract

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

Data Type

Conference Papers

Record ID

BIM-831992

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