• Masui · Oct 2013

    Case Reports

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

    • Nao Suzuki, Yukitoshi Niiyama, Yasuyuki Tokinaga, and Michiaki Yamakage.
    • Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8556.
    • Masui. 2013 Oct 1;62(10):1250-2.

    AbstractIn 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.

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