Ocular Injury due to Potassium Permanganate Granules

Conclusion: Ocular injury with the granular form of KMnO4 is rare. Its toxicity is comparable to concentrated KMnO4 solution. However, the dissolved particles that had been absorbed in the stained conjunctiva were continuously released and damaged the ocular surface more than we primarily anticipated. Awareness of this condition and prompt management yield a good treatment outcome.Case Rep Ophthalmol 2018;9:132 –137
Source: Case Reports in Ophthalmology - Category: Opthalmology Source Type: research

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Damage from extensive burn injury requires pain management that effectively treats the entire affected area. An erector plane (ESP) block has been reported to anesthetize a wide range of spinal nerves. In this time, the continuous ESP block was an effective analgesic for acute pain management for the extensive damage.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Discussion Oropharyngeal trauma is common and ranges from minor contusions to severe trauma of the head and neck. Sudden movement while having a foreign object in the mouth is a very common scenario with falls or collisions being common mechanisms. Common objects include toys, sticks, pens/pencils, chopsticks, toothbrushes, and popsicle sticks. Many of these injuries cause minimal problems such as a contusion to lips (i.e. “fat lip”). In general, the more anterior the location the more common the injury and the less likely to have a severe injury (i.e. lips). Whereas posterior structures are more protected, bu...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
The following is a guest blog post by Douglas Keene, MD Chief Medical Officer and Founder, Recordation Perioperative Information Management. Anesthesiology has traditionally been thought of as a specialty profession limited to the operating room (OR). Over the past few years however, a revolution has been underway as the industry pushes to provide higher quality care at lower costs, motivating anesthesiologists to expand their typical role. Private anesthesiology groups are becoming more involved in the overall operations of the OR to improve the quality of care delivered inside and outside the operating room as well as ke...
Source: EMR and HIPAA - Category: Information Technology Authors: Tags: EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT Anesthesia EHR Douglas Keene Perioperative EHR Recordation Source Type: blogs
Key Clinical Message Donor site pain associated with skin graft procedures is frequently intense and difficult to treat. Liposomal bupivacaine, a prolonged‐release local anesthetic indicated for single‐dose administration to produce postsurgical analgesia, may be a viable option in managing donor site pain. Donor site pain associated with skin graft procedures is frequently intense and difficult to treat. Liposomal bupivacaine, a prolonged‐release local anesthetic indicated for single‐dose administration to produce postsurgical analgesia, may be a viable option in managing donor site pain.
Source: Clinical Case Reports - Category: General Medicine Authors: Tags: Case Report Source Type: research
This article aims to identify the best strategies to guide clinical practice through a review of the past 10 years’ development in pediatric burn pain management. However, because clinical investigations remain limited in burned children, we also aim to draw attention to those areas where the data do not identify an optimal approach and further work is needed. Overall, in addition to just the traditional pharmacological approaches to pain, such as acetaminophen, benzodiazepines, and opioids, there is growing evidence to support more widespread use of regional anesthesia and novel technologies such as virtual reality....
Source: Journal of Burn Care and Research - Category: Rehabilitation Tags: Summary Article Source Type: research
Publication date: Available online 13 October 2017 Source:Burns Author(s): Christoph Hirche, Antonella Citterio, Henk Hoeksema, Ján Koller, Martina Lehner, José Ramón Martinez, Stan Monstrey, Alexandra Murray, Jan A. Plock, Frank Sander, Alexandra Schulz, Benjamin Ziegler, Ulrich Kneser Early debridement and/or eschar removal is regarded as a significant step in the treatment of deep partial and full thickness burns. It aims to control wound bioburden and allows early wound closure by conservative treatment or skin grafting. Preservation of viable dermis accompanied by early wound closure, is regarded...
Source: Burns - Category: Dermatology Source Type: research
We report 3 different cases in which ultrasound-guided percutaneous cryoneurolysis was performed to treat acute pain: 1 patient with refractory incisional pain after percutaneous nephrolithotomy; 1 patient with burns to the foot; and 1 patient with pain from iliac crest grafting. Acute pain associated with surgery or injury is a challenge to treat with local anesthetic-based regional anesthesia techniques when the anticipated pain duration exceeds a few days. Cryoneurolysis is an alternative analgesic method that utilizes extremely cold temperatures to reversibly ablate peripheral nerves and is potentially a novel method f...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
Chronic neuropathic pain after burn injury may have multiple causes, such as direct nerve injury, nerve compression, or neuroma formation, and can significantly impair quality of life and limit functional recovery. Management includes a team-based approach that involves close collaboration between occupational and physical therapists, plastic surgeons, and experts in chronic pain, from neurology, anesthesia, psychiatry, and physiatry. Carefully selected patients with an anatomic cause of chronic neuropathic pain unequivocally benefit from surgical intervention. Self-reflection and analysis yield improvement in both efficie...
Source: Clinics in Plastic Surgery - Category: Cosmetic Surgery Authors: Source Type: research
Management of burns in children in outpatients was introduced in Linkoping National Burn Centre, Sweden, 15 years ago, at the same time as a special team was introduced to manage children ’s pain and sedation during changes of dressing. Apart from reducing the costs of care [1], our aim was to curtail the duration of hospital stay with beneficial effects on the children’s wellbeing by reducing the risk of hospital-acquired infections. Burns in children in Sweden are mainly minor [2], and can be flexibly managed as outpatients, which allows for readmissions for changes of dressings under anaesthesia, or surgical...
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research
Pain and sedation management for patients undergoing burn dressing change can be challenging. Variations appear to exist in the selection of medications before and during burn dressing change. To determine if institutional variations exist in pain and sedation management for burn dressing change, an online survey was sent to ABA Burn Center nurses and physicians. Three hundred seventy-eight anonymous responses were received from nurses (72%), nurse practitioners (10%), and physicians (18%). Burn centers had adult (22%), pediatric (12%), or pediatric and adult (66%) patients. Eighty percentage of centers had>200 patients...
Source: Journal of Burn Care and Research - Category: Rehabilitation Tags: Original Articles: 2016 ABA Papers Source Type: research
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