2024
High-voltage electrotrauma: Unmasking the threat of early anaerobic infection.
BARTKOVÁ, Júlia; Filip RAŠKA; Lukáš VACEK; Christos TSAGKARIS; Břetislav LIPOVÝ et al.Základní údaje
Originální název
High-voltage electrotrauma: Unmasking the threat of early anaerobic infection.
Autoři
BARTKOVÁ, Júlia; Filip RAŠKA; Lukáš VACEK; Christos TSAGKARIS a Břetislav LIPOVÝ
Vydání
Acta chirurgiae plasticae, Praha, Mladá fronta a.s. 2024, 0001-5423
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30212 Surgery
Stát vydavatele
Česká republika
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/24:00137138
Organizační jednotka
Lékařská fakulta
EID Scopus
Klíčová slova anglicky
High-voltage electrotrauma
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 21. 2. 2025 14:22, Mgr. Tereza Miškechová
Anotace
V originále
This paper highlights a critical issue regarding burn patients, especially those with electric burns at risk of developing anaerobic infections during early hospitalization. A 33-year-old male with polytrauma, including high-voltage electrotrauma, exemplifies the severity of such cases. Following a suicide attempt involving a fall from a power line pole, the patient underwent fasciotomy and necrectomy due to compartment syndrome. Despite early microbiological findings, he faced a significant risk of anaerobic infections. Early amputation of the right forearm was necessitated by Clostridium infections, followed by further amputation of the upper right and left forearms due to progressing necrosis. Skin autografting and gradual rehabilitation of fractures ensued, leading to the healing of amputation stumps and burns after three months of hospitalization. The case underscores the challenges posed by electric burns and the critical need for prompt and effective interventions to address anaerobic infections. Traditional wound care approaches must evolve to include advanced techniques like Quantitative Wound Biopsy (QWB) for accurate diagnosis and monitoring. This comprehensive protocol is essential in managing high-voltage electrotrauma, optimizing patient outcomes, and minimizing complications associated with such severe injuries.