[Anesthetic management in a patient with head and neck burn by asphalt].

Abstract

In cases of facial burns caused by molten asphalt, examination for possible airway burns and early removal of the asphalt should be carried out to prevent chemical-induced tissue damage and infection. However, asphalt that has adhered to tissues is difficult to remove. A 35-year-old male with burns caused by molten asphalt was scheduled for emergency debridement. He had 6% body surface area burns on his face and neck. He was not able to open his eyes due to the adherence of asphalt. His respiratory condition was stable and a perioperative fiberoptic view revealed no airway burns. After awake intubation, orange peel oil was used to remove the asphalt from his face and eyes. Since orange peel oil does not contain any harmful substances, it is effective for removing asphalt without causing tissue damage.

• Authors: Nao Suzuki, Yukitoshi Niiyama, Yasuyuki Tokinaga, Michiaki Yamakage
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 62 Issue 10 Pg. 1250-2 (Oct 2013) ISSN: 0021-4892 [Print] Japan
• PMID: 24228468 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Hydrocarbons
• asphalt

Topics

• Adult
• Anesthesia, Inhalation
• Burns, Chemical (surgery)
• Craniocerebral Trauma (surgery)
• Debridement (methods)
• Humans
• Hydrocarbons
• Male
• Neck Injuries (surgery)