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ORIGINAL ARTICLE
Year : 2006  |  Volume : 14  |  Issue : 1  |  Page : 33-37

Electrical Burns : An anesthesiologist's concern A review.


Department of Anesthesiology,B.j. Medical College and Civil Hospita1,Ahmedabad, India

Correspondence Address:
Smita R Engineer
232A, Lane1 6, Manekbaug Society Ambawadi, Ahmedabad- 38001 5
India
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Source of Support: None, Conflict of Interest: None


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The term electrical burn is used widely to describe the variety of injuries created by supra-physiologic electrical energy interacting with living tissue. The incidence of severe morbidity or mortality is considerably high in electrical burns. This article reviews the problems faced by anesthesiologist while anesthetizing emergency patients with electrical injuries. Retrospective analysis was done in respect to anesthesia technique employed and to evaluate various important factors concerned to an anesthesiologist. Thirty, American society of Anaesthesiologist grade III/IV patients were operated for emergency fasciotomy, debridement, limb amputation or disarticulation, subclavian artery ligation surgeries. General anesthesia with intubation or GA with Total Intravenous Anaesthesia was given in 26.6% patients. Regional anesthesia, brachial plexus block in 20% patients and spinal anesthesia in 26.6% patients was given. Anesthesia related difficulties included difficult venous cannulation (8O0/0), monitor application (6O0/0), difficult airway (1 3.3%), selecting anesthetic drugs and technique used in patients having hypokalemia (60°/0), septicemic shock (1 3.3%) and acute renal failure (6.6%).


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