Quemadura por pegamento de cianocrilato

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Abstract

Resumen: Las quemaduras químicas representan un porcentaje muy pequeño dentro del total de las causas de quemaduras en niños. Dentro de estas, las producidas por pegamentos compuestos por cianocrilato presentan unas características que las hacen más complejas de manejar. El cianocrilato es una resina acrílica que polimeriza rápido, por lo que los pegamentos que lo contienen pueden unir dos superficies fuertemente en apenas un minuto. Presentamos el caso de una niña atendida en nuestro centro de salud por las lesiones producidas al contacto con este "superpegamento".

Translated abstract

Abstract: Chemical burns represent a very small percentage of the total of burns in children. Those produced by cyanoacrylate glue have characteristics that make them more complex in their management. Cyanoacrylate is an acrylic resin which rapidly polymerizes, so adhesives that contain it can bind two surfaces strongly in just a minute. We report the case of a girl treated at our health center for injuries caused by contact with this "superglue".

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Cyanoacrylate glue burn in a child--lessons to be learned.

T Clarke (2011)

Cyanoacrylate is the generic name for cyanoacrylate based 'fast-acting' adhesives such as methyl-2-cyanoacrylate and ethyl-2-cyanoacrylate(commonly sold under trade names like Super Glue and Krazy Glue). Other forms have been developed as medical grade glues to be non-toxic and less irritating to skin tissue. Cyanoacrylate has a multitude of uses, ranging from simple domestic applications, to those for industrial purposes. It is an acrylic resin which rapidly polymerises in the presence of water (specifically hydroxide ions), forming long, strong chains, joining the bonded surfaces together. Cyanoacrylate sets quickly, often in less than a minute and a normal bond reaches full strength in two hours and is waterproof. This case report outlines an interesting case of a full thickness burn resulting from skin in contact with cyanoacrylate glue, including highlighting several areas where the management was not appropriate. This was likely due to the novel presentation of this patient, and lack of education of staff. Although there have been cases of burns resulting from this type of glue documented in the literature, there are none of this exact nature and depth. [See figure in text]. Polymerization of methyl-2-cyanoacrylate.

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Full thickness burns caused by cyanoacrylate nail glue: A case series

Sarah Jones, Eleni Karagergou, Noemi Kelemen … (2016)

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Minor burn management: potions and lotions.

John G Harvey, Ela J Hyland, Jade Fox … (2015)

The first aid for burns is to run cold water over the burn for 20 minutes. This is effective for up to three hours after the injury. Assess the affected body surface area using the rule of nines. Consult a burn unit if more than 5% of the total body surface area is burnt in a child or if more than 10% in an adult. Extensive or deep burns and burns to special areas, such as the hands, should be referred. Chemical or electrical burns should also be assessed by a burn unit. For minor burns, antimicrobial dressings are recommended, but oral antibiotics should be avoided unless there are signs of infection. As burns are tetanus prone, check the patient's immunisation status. Burns that become infected or are slow to heal should be discussed with a burn unit. The burn unit can also provide advice if there are uncertainties about how to manage a patient.

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Author and article information

Contributors

MC García de Ribera: Role: ND

MC Gallego Peláez: Role: ND

O García Lamata: Role: ND

MM Zambrano Vera: Role: ND

FJ Correa Hernández: Role: ND

Journal

Journal ID (publisher-id): pap

Title: Pediatría Atención Primaria

Abbreviated Title: Rev Pediatr Aten Primaria

Publisher: Asociación Española de Pediatría de Atención Primaria (Madrid, Madrid, Spain )

ISSN (Print): 1139-7632

Publication date (Print and electronic): December 2016

Volume: 18

Issue: 72

Pages: 359-361

Affiliations

[6] Burgos orgnameGerencia de Atención Primaria de Burgos España

[4] orgnameHospital Clínico Universitario de Valladolid

[3] Valladolid orgnameHospital Clínico Universitario de Valladolid España

[5] Valadolid orgnameGerencia de Atención Primaria de Valladolid Este España

[1] Valladolid orgnameCentro de Salud Rondilla II España

[2] Valladolid orgnameCentro de Salud Rondilla II España

Article

Publisher ID: S1139-76322016000400016 Publisher ID: S1139-7632(16)01807200016

SO-VID: c4aa8414-ba04-4869-888d-d34d2bb5a083

License:

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Quemadura por pegamento de cianocrilato Translated title: Cyanoacrylate glue burn

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Most cited references 7

Cyanoacrylate glue burn in a child--lessons to be learned.

Full thickness burns caused by cyanoacrylate nail glue: A case series

Minor burn management: potions and lotions.

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