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A bite of death: Anaesthetic challenges in frostbite
Himanti Bansal1, Anjishnujit Bandyopadhyay1, Chhavi Sawhney1
1Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.
Background:
Frostbite is defined as tissue damage that is sustained as a result of prolonged exposures to less than 0°C resulting in ice crystallisation, microvascular occlusion and subsequently thrombosis.
Case:
A 33-year-old mountaineer with cold burn over 20% of the total body surface area with eschar formation, acute renal failure, upper limb venous thrombosis and bilateral pleural effusion. We hereby report a successful anaesthetic management of this patient undergoing debridement and escharotomy for frostbite injuries and review its perioperative concerns.
Conclusion:
Frostbite injuries pose a challenge to the anaesthetic team due to the multi-systemic nature of its involvement.
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