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使用强制空气加温装置后术后出现急性水疱疹。

Acute vesicular eruption postoperatively after use of a forced-air warming device.

作者信息

Austin Brett, Walterscheid Brooke, Tarbox Michelle

机构信息

Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, Texas.

School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2021 Feb 2;34(3):414-415. doi: 10.1080/08998280.2021.1877476.

DOI:10.1080/08998280.2021.1877476
PMID:33953483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8059892/
Abstract

Thermal burn injuries are a known complication of forced-air warming devices but rarely occur when the device is used in accordance with the manufacturer's instructions. Here we present a case of a 3-year-old girl who in the immediate postoperative period was found to have prominent linear, evenly spaced vesicles and bullae in a pattern that distinctly matched the air-exit perforations of the Bair Hugger device. Clinicians should be aware of potential complications arising from even proper use of a medical device and take all necessary precautions to prevent such incidents.

摘要

热烧伤是强制空气加温设备已知的并发症,但按照制造商的说明使用该设备时很少发生。在此,我们报告一例3岁女孩的病例,该女孩在术后即刻被发现有明显的线性、间隔均匀的水疱和大疱,其形态与Bair Hugger设备的排气孔明显匹配。临床医生应意识到即使正确使用医疗设备也可能出现潜在并发症,并采取一切必要预防措施以防止此类事件发生。

相似文献

1
Acute vesicular eruption postoperatively after use of a forced-air warming device.使用强制空气加温装置后术后出现急性水疱疹。
Proc (Bayl Univ Med Cent). 2021 Feb 2;34(3):414-415. doi: 10.1080/08998280.2021.1877476.
2
Comparison of forced-air patient warming systems for perioperative use.围手术期使用的强制空气患者保暖系统的比较。
Anesthesiology. 1994 Mar;80(3):671-9. doi: 10.1097/00000542-199403000-00026.
3
Skin-surface warming: heat flux and central temperature.皮肤表面升温:热通量与中心温度
Anesthesiology. 1990 Aug;73(2):218-24.
4
Effects of a forced-air system (Bair Hugger, OR-type) on intraoperative temperature in patients with open abdominal surgery.强制空气系统(Bair Hugger,OR型)对开腹手术患者术中体温的影响。
J Anesth. 1994 Mar;8(1):25-27. doi: 10.1007/BF02482748.
5
Editorial Comment: Manufacturer's Response to Thermal Burn Associated with Intraoperative Convective Forced-Air Warming Blanket (Bair Paws™ Flex Gown System).编辑评论:制造商对与术中对流式强制空气加温毯(拜尔爪子™ Flex 手术衣系统)相关的热烧伤的回应。
A A Case Rep. 2014 Oct 1;3(7):84. doi: 10.1213/XAA.0000000000000085.
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Precautions in warming light therapy as an adjuvant to postoperative flap care.作为术后皮瓣护理辅助手段的温热光疗法中的注意事项。
Burns. 1998 Jun;24(4):374-7. doi: 10.1016/s0305-4179(98)00029-1.
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Forced-air warming design: evaluation of intake filtration, internal microbial buildup, and airborne-contamination emissions.强制空气加热设计:进气过滤、内部微生物积聚及空气传播污染物排放的评估
AANA J. 2013 Aug;81(4):275-80.
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Third-degree burns due to intraoperative use of a Bair Hugger warming device.术中使用Bair Hugger保暖装置导致的三度烧伤。
Ann Thorac Surg. 2000 Jun;69(6):1933-4. doi: 10.1016/s0003-4975(00)01322-9.
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Forced-Air Warming During Pediatric Surgery: A Randomized Comparison of a Compressible with a Noncompressible Warming System.小儿外科手术期间的强制空气加热:可压缩与不可压缩加热系统的随机比较。
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Thermal burn associated with intraoperative convective forced-air warming blanket (bair paws™ flex gown system).与术中对流式强制空气保暖毯(Bair Paws™ Flex手术衣系统)相关的热烧伤
A A Case Rep. 2014 Oct 1;3(7):81-3. doi: 10.1213/XAA.0000000000000047.

本文引用的文献

1
Distinctive cutaneous findings due to a rare complication from a warming device.一种加热设备罕见并发症导致的独特皮肤表现。
J Am Acad Dermatol. 2014 Sep;71(3):e76-7. doi: 10.1016/j.jaad.2014.02.009.
2
Thermal burn injury associated with a forced-air warming device.与强制空气加温设备相关的热烧伤
Korean J Anesthesiol. 2012 Apr;62(4):391-2. doi: 10.4097/kjae.2012.62.4.391. Epub 2012 Apr 23.
3
Third-degree burns due to intraoperative use of a Bair Hugger warming device.术中使用Bair Hugger保暖装置导致的三度烧伤。
Ann Thorac Surg. 2000 Jun;69(6):1933-4. doi: 10.1016/s0003-4975(00)01322-9.