Full-thickness burn and venous thrombosis following intravenous infusion of microwave-heated crystalloid fluids.
Use of microwave-heated crystalloid fluid has been recommended as one method of correcting hypothermia during resuscitation. We report a case of full-thickness burns and venous thrombosis after microwave-heated crystalloid was infused in the management of a ruptured aortic aneurysm. This case highlights the severity of the burn injury that can occur with infusion of heated fluids. Measuring the temperature of the fluid before the start of the infusion will avoid this complication.
Department of Vascular Surgery, Royal Prince Alfred Hospital, New South Wales, Australia.
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Sieunarine
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White
D000368:Aged; D001012:Aorta, Abdominal; D001019:Aortic Rupture / Q000601:surgery*; D002057:Burns, Chemical / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000077324:Crystalloid Solutions; D005500:Follow-Up Studies; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D007262:Infusions, Intravenous; D007552:Isotonic Solutions; D008297:Male; D008872:Microwaves; D010952:Plasma Substitutes / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D011183:Postoperative Complications / Q000503:physiopathology*; D013924:Thrombophlebitis / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy
D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D010952:Plasma Substitutes