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Chlorhexidine burns after shoulder arthroscopy.

Thomas H Sanders¹, Samuel M Hawken

¹Department of Orthopedic Surgery, Georgetown University Hospital, Washington, DC, USA. thomashsanders@gmail.com

American Journal of Orthopedics (Belle Mead, N.J.)

|April 25, 2012

Summary

This summary is machine-generated.

Three patients developed superficial burns after shoulder arthroscopy using chlorhexidine gluconate (CHG) skin prep. Prompt treatment led to resolution, but scars remained, suggesting CHG may cause burns in specific surgical contexts.

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Area of Science:

Medical Case Reports
Dermatology
Surgical Site Infections and Complications

Background:

Chlorhexidine gluconate (CHG) is a widely used antiseptic for surgical preparation.
Shoulder arthroscopy is a common orthopedic procedure.
Skin preparation agents can sometimes cause adverse reactions.

Purpose of the Study:

To report three cases of superficial partial thickness burns following shoulder arthroscopic surgery.
To investigate the potential link between chlorhexidine skin preparation and postoperative burns.
To identify contributing factors to these adverse events.

Main Methods:

Case series reporting on three patients who developed burns post-shoulder arthroscopy.
Utilized Chloraprep (2% chlorhexidine gluconate and 70% isopropyl alcohol) for skin antisepsis.
Documented patient symptoms, clinical presentation, treatment, and outcomes.

Main Results:

All three patients experienced localized pain, erythema, and blistering on the anterior arm near the axilla.
Burns occurred immediately after surgery as anesthetic effects subsided.
Cases resolved within three months with standard wound care, but scarring was noted.

Conclusions:

Chlorhexidine skin preparation, in combination with shoulder arthroscopy-related swelling and traction, may contribute to superficial burns.
These findings highlight a potential risk associated with CHG use in specific surgical scenarios.
Further investigation into the mechanisms and prevention of such complications is warranted.