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Chemical Burn: Diagnosis and Treatments

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Abstract

Chemical burns are caused by corrosive agents (acids and alkali) leading to tissue damage. These injuries comprise 10% of burn injuries with majority occurring due to household accidents, work accidents or even self-inflicted. The total body surface area (TBSA) involved in these injuries is usually less than thermal injuries; however, the depth and the extent of injuries could be more extensive than the thermal counterparts. In addition, special organs involvements such as eye, mucosa, or even renal and hepatic could have substantial subsequences. A review of common injuries involving acids, bases and the special considerations in decontamination and treatment of special agents are discussed in this chapter.

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References

  1. Pruitt BA Jr. The burn patient: I. Initial care. Curr Probl Surg. 1979;16(4):1–55.

    Article  PubMed  Google Scholar 

  2. Kaufman T, Ullmann Y, Har-Shai Y. Phosphorus burns: a practical approach to local treatment. J Burn Care Rehabil. 1988;9(5):474–5.

    Article  CAS  PubMed  Google Scholar 

  3. Larson DL, Abston S. Acutely burned patient. Initial care and closure of burn wound. N Y State J Med. 1970;70(12):1626–33.

    CAS  PubMed  Google Scholar 

  4. Sykes RA, Mani MM, Hiebert JM. Chemical burns: retrospective review. J Burn Care Rehabil. 1986;7(4):343–7.

    Article  CAS  PubMed  Google Scholar 

  5. Xiang H, et al. Work-related eye injuries treated in hospital emergency departments in the US. Am J Ind Med. 2005;48(1):57–62.

    Article  PubMed  Google Scholar 

  6. Morgan SJ. Chemical burns of the eye: causes and management. Br J Ophthalmol. 1987;71(11):854–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Dua HS, King AJ, Joseph A. A new classification of ocular surface burns. Br J Ophthalmol. 2001;85(11):1379–83.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Gumaste VV, Dave PB. Ingestion of corrosive substances by adults. Am J Gastroenterol. 1992;87(1):1–5.

    CAS  PubMed  Google Scholar 

  9. Poley JW, et al. Ingestion of acid and alkaline agents: outcome and prognostic value of early upper endoscopy. Gastrointest Endosc. 2004;60(3):372–7.

    Article  PubMed  Google Scholar 

  10. Osman M, et al. Responses of the murine esophageal microcirculation to acute exposure to alkali, acid, or hypochlorite. J Pediatr Surg. 2008;43(9):1672–8.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Zargar SA, et al. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc. 1991;37(2):165–9.

    Article  CAS  PubMed  Google Scholar 

  12. Mutaf O, et al. Gastroesophageal reflux: a determinant in the outcome of caustic esophageal burns. J Pediatr Surg. 1996;31(11):1494–5.

    Article  CAS  PubMed  Google Scholar 

  13. ASGE Technology Committee, et al. Drug-eluting/biodegradable stents. Gastrointest Endosc. 2011;74(5):954–8.

    Article  Google Scholar 

  14. Gunel E, et al. Effect of antioxidant therapy on collagen synthesis in corrosive esophageal burns. Pediatr Surg Int. 2002;18(1):24–7.

    Article  PubMed  Google Scholar 

  15. McGrath K, Brazer S. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2002;56(1):163–4.

    PubMed  Google Scholar 

  16. Bueno R, et al. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2001;54(3):368–72.

    Article  CAS  PubMed  Google Scholar 

  17. Mukherjee K, et al. Antegrade and retrograde endoscopy for treatment of esophageal stricture. Am Surg. 2008;74(8):686–7; discussion 688

    PubMed  Google Scholar 

  18. Jelenko C 3rd, Story J, Ellison RG Jr. Ingestion of mineral acid. Am Surg. 1974;40(2):97–104.

    PubMed  Google Scholar 

  19. Jelenko C 3rd. Chemicals that “burn”. J Trauma. 1974;14(1):65–72.

    Article  CAS  PubMed  Google Scholar 

  20. Palao R, et al. Chemical burns: pathophysiology and treatment. Burns. 2010;36(3):295–304.

    Article  CAS  PubMed  Google Scholar 

  21. Sheridan RL, et al. Emergency management of major hydrofluoric acid exposures. Burns. 1995;21(1):62–4.

    Article  CAS  PubMed  Google Scholar 

  22. Husain MT, Hasanain J, Kumar P. Sulphuric acid burns: report of a mass domestic accident. Burns. 1989;15(6):389–91.

    Article  CAS  PubMed  Google Scholar 

  23. Eldad A, et al. Phosphorous pentachloride chemical burn—a slowly healing injury. Burns. 1992;18(4):340–1.

    Article  CAS  PubMed  Google Scholar 

  24. Eldad A, Simon GA. The phosphorous burn—a preliminary comparative experimental study of various forms of treatment. Burns. 1991;17(3):198–200.

    Article  CAS  PubMed  Google Scholar 

  25. Solem LD. Emergent management of chemical burns. West J Med. 1987;147(3):308.

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Benmeir P, et al. Chemical burn due to contact with soda lime on the playground: a potential hazard for football players. Burns. 1993;19(4):358–9.

    Article  CAS  PubMed  Google Scholar 

  27. Papini RP. ‘Is all that’s blistered burned?’ … a case of kerosene contact burns. Burns. 1991;17(5):415–6.

    Article  CAS  PubMed  Google Scholar 

  28. Lin CH, Yang JY. Chemical burn with cresol intoxication and multiple organ failure. Burns. 1992;18(2):162–6.

    Article  CAS  PubMed  Google Scholar 

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Izadpanah, A. (2020). Chemical Burn: Diagnosis and Treatments. In: Jeschke, M., Kamolz, LP., Sjöberg, F., Wolf, S. (eds) Handbook of Burns Volume 1. Springer, Cham. https://doi.org/10.1007/978-3-030-18940-2_40

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  • DOI: https://doi.org/10.1007/978-3-030-18940-2_40

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18939-6

  • Online ISBN: 978-3-030-18940-2

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