EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

HIGH VOLTAGE ELECTRICAL INJURY TO UPPER LIMB: EARLY FASCIOTOMY IS PROCEDURE OF CHOICE IN LIMB SALVAGE

Nikita Gulab Rolekar* and Sunil Srivastava

ABSTRACT

Background: Electrical burns have the most catastrophic consequences of all burn injuries. High voltage electrical injuries of the extremities are at the risk of development of compartment syndrome during the first 48 h post injury. Damaged muscle and swelling within the investing fascia of the extremity may increase pressure to the point where muscle blood flow is compromised. Thus, the role and indication of an early fasciotomy for electrical burn injury was studied in this case series. Patients and methods: A retrospective analysis of 3 years from Jan 2016 to Dec 2018, 497 patients were admitted in our institute with high voltage electrical contact burn in upper limb. Out of 497patients, 350 had deep burn injury to upper limb and developed compartment syndrome, 147 patients had small patchy area of deep burn which were excluded. 322 (92%) were male and 28 (8%) were female, with age group from 8 yrs to 55yrs (mean age 36yrs). Early fasciotomy done in patient with upper limb deep electric burn with compartment syndrome. Result: Out of 497patients, 350 had deep burn injury to upper limb and developed compartment syndrome. All 350 patients were evaluated and early fasciotomy done. Out of 350 patients, we could salvage the limb in 298 (85%) patient and 52 (15%) patients had above or below elbow amputation. 212 Fasciotomy wound cover with skin graft and 86 patients had flap cover in salvage limb. Conclusion: Early fasciotomy in high voltage electrical burn in upper limb can salvage the limb and prevent amputation.

Keywords: Electric Burn, upper extremity, compartment syndrome, fasciotomy.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )