Conducta anestésica de urgencia en paciente con quemaduras por corriente eléctrica de alto voltaje

Authors

  • Alina Álvarez Delgado Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río
  • Maikel Becerra Morales Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río
  • María Elena Ortega Valdés Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río
  • Denia Arencibia Cruz Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río
  • Arletis Curbelo Hernández Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río

Keywords:

Electrocution, high-voltage electrical burns, perioperative conduct, complications

Abstract

Introduction: High-voltage electrical injuries are considered as major burns because of its association with massive tissue damage. On average, the skin lesion in high voltage burns can reach 10-15 % of body surface but this visible extension, it is only a small portion of the total tissue destruction not clear (sign of the iceberg). In electrical burns, 10 % of patients die in the first 10 minutes, this death is caused by cardiac arrest due to ventricular fibrillation.
Objective: To present the clinical characteristics and perioperative conduct held in surviving patient after contact with electric current of 7620 volts (3000 amps) with electrical burns.
Case report: patient undergoing emergency surgery for fasciotomy, muscular compartment exploration and left leg amputation by high voltage electrical injury.
Conclusions: The electrical burns treatment involves two different aspects: the overall treatment and local treatment. The overall treatment is based on three pillars: maintain oxygenation, heart rate and keep rehydration. Local treatment should be performed in a sterile environment and under adequate anesthesia.

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Published

2016-01-11

How to Cite

1.
Álvarez Delgado A, Becerra Morales M, Ortega Valdés ME, Arencibia Cruz D, Curbelo Hernández A. Conducta anestésica de urgencia en paciente con quemaduras por corriente eléctrica de alto voltaje. Rev Cub Anest Rean [Internet]. 2016 Jan. 11 [cited 2024 Dec. 22];15(1). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/274

Issue

Vol. 15 No. 1 (2016): enero - abril

Section

Case reports

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