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- Title
THE EVALUATION OF A GOLDEN PERIOD OF FASCIOTOMY FOR HIGH VOLTAGE ELECTRICAL BURN INJURY PATIENTS WITH COMPARTMENT SYNDROME.
- Authors
A. C., Putri; J. N., Tobing; L., Hasibuan; A., Faried; J., Mose
- Abstract
Electrical burn injuries can cause various acute manifestations that require surgeons to make an early decision, such as fasciotomy for compartment syndromes. Early decompression can become a 'golden period' for limb salvation. This study evaluates the duration of burn to fasciotomy (B-F time) and amputation. A cross-sectional study was performed on medical records. Inclusion criteria were patients with high voltage electrical injuries and compartment syndrome. Exclusion criteria were patients whose extremities were already non-vital on admission and those lost to follow up. Demographic information, burn surface area and B-F time for patients amputated above the elbow (group A amputation), below the elbow (group B amputation), and no amputation (non-amputated) were investigated. More than 50% patients underwent amputation and 60% had less than 18 hours B-F time. Mean B-F time for non-amputated patients was 18 hours and for amputated patients 20.38 hours. Mean burn to amputation (B-A) time and fasciotomy to amputation (F-A) time in group B was about double compared to group A. The B-A time range of group A was 4.2-7.3 days. Our study showed 18 hours maximum to be the golden period of burn to fasciotomy. The window period of muscle injury evaluation is maximum 7 days to permit limb salvation at the lowest level possible.
- Subjects
ELECTRICAL burns; COMPARTMENT syndrome; ELECTRICAL injuries; FASCIOTOMY; BURN patients; ELECTRICITY safety
- Publication
Annals of Burns & Fire Disasters, 2023, Vol 36, Issue 1, p57
- ISSN
1592-9558
- Publication type
Article