Chlorhexidine-Gluconate-Related Burns Under a Tourniquet: A Report of Two Cases.

摘要: Pneumatic tourniquets and chlorhexidine-gluconate (CHG) solution are used in extremity surgery to provide an aseptic, bloodless surgical field. The superiority of CHG over other skin preparation solutions has been demonstrated randomized controlled trials1,2. While the complication rate from preparations is low, chemical burns can occur under a tourniquet. Previous reports have identified povidine-iodine burns, but there no documented CHG-associated cases3,4. We report two cases CHG-alcohol pneumatic tourniquet pediatric discuss possible preventative strategies. patients their families were informed that data concerning would be submitted for publication, they provided consent. Case 1. A six-year-old white girl underwent corrective osteotomy tendon transfer recurrent equinovarus clubfoot deformity. operation was performed pressure 250 mm Hg with adequate cotton padding tourniquet, occlusive barrier. 2% 70% isopropyl alcohol, inflated 100 minutes. new colorless low viscosity, which had recently acquired by hospital. patient positioned prone, proceeded uneventfully. When removed, saturated 10 cm × 15-cm indurated area on posterior aspect thigh (Fig. 1). initial diagnosis, based intraoperative consultation plastic surgeon, contact dermatitis. Besides cleansing, immediate treatment performed. blistered twenty-four hour period developed into deep partial-thickness burn. Early consideration given mechanical debridement split-thickness skin-grafting. However, burn treated nonoperatively serial silver-based dressings, healed secondarily …