• A&A practice · Oct 2023

    Case Reports

    Utilizing Cohesive Bandage to Prevent Adverse Effects of Bleomycin Sclerotherapy: A Case Report.

    • Matthew R Paluska, Arthur J Armijo, Matthew Gomory, Natalia Adderley, Ricardo J Falcon, Timothy R Petersen, Anna Fabre, and Codruta N Soneru.
    • From the College of Osteopathic Medicine, Rocky Vista University, Englewood, Colorado.
    • A A Pract. 2023 Oct 1; 17 (10): e01716e01716.

    AbstractSclerotherapy with bleomycin can cause cosmetic complications, including flagellate dermatitis and hyperpigmentation, induced or exacerbated by microtrauma to the skin. We report a case of a 9-year-old pediatric patient with congenital vascular malformations in which a cohesive bandage (eg, 3M Coban) was utilized to prevent bleomycin-induced hyperpigmentation. Postoperatively and on follow-up, there were no signs of hyperpigmentation or dermatitis in our patient. This report highlights using skin protective measures during bleomycin sclerotherapy for improved postoperative outcomes. If a patient is undergoing bleomycin sclerotherapy, consider removing adhesive where possible and using cohesive bandage to secure lines, airway instruments, and monitoring equipment.Copyright © 2023 International Anesthesia Research Society.

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