Navigation Links
Inhaled betadine leads to rare complication
Date:2/21/2013

Philadelphia, Pa. (February 21, 2013) - A routine step in preparing for cleft palate surgery in a child led to an unusualbut not unprecedentedcase of lung inflammation (pneumonitis), according to a report in the The Journal of Craniofacial Surgery. The journal, edited by Mutaz B. Habal, MD, FRCSC, is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

The complication resulted from accidental inhalation of povidone-iodine (PI), or Betadinean antiseptic widely used before surgery. The rare complication led to new surgical "prep" steps to reduce the chances of inhaling PI during head and neck surgery, write Drs. Kyle J. Chepla and Arun K. Gosain of University HospitalsCase Medical Center, Cleveland.

Betadine Inhlation Leads to Chemical Pneumonitis

Drs. Chepla and Gosain describe their experience with Betadine-induced pneumonitis in a seven-year-old girl undergoing surgery for a persistent cleft palate deformity. After a breathing tube was placed and anesthesia was induced, the patient underwent routine surgical prepincluding scrubbing and rinsing the nose and mouth with Betadine.

Betadine is the familiar antiseptic, orange or yellow in color, used before many types of medical and surgical procedures. In the case report, Dr. Kepla writes that he has routinely used Betadine for prep before craniofacial surgery for more than 20 years with no complications.

But in this case, shortly after rinsing the inside of the nose, the surgeons noted Betadine in the patient's breathing tube. She rapidly developed difficulty breathing, with a drop in blood oxygen levels.

The procedure was stopped and the patient was rushed to the ICU for treatment. Although the child eventually recovered completely, she required seven days of mechanical ventilation.

This patient's condition was diagnosed as chemical pneumonitisinflammation of the lungs caused by inhalation of some type of irritant. Pneumonitis most commonly results from inhalation (aspiration) of the stomach contents.

Because it is effective against a wide range of bacteria, viruses, and other pathogens, Betadine is one of the most commonly used disinfectants. It is useful in preparing for surgical procedures of the head and neck, because it does not irritate the mucosal lining. However, studies in animals have shown that Betadine can cause inflammatory damage to the lungs, if inhaled.

Prompted by their experience, Drs. Chepla and Gosain performed a comprehensive review of the medical literature to look for similar cases. The review identified three previous cases of chemical pneumonitis caused by Betadine after disinfection of the mouth. All patients recovered after a period of mechanical ventilation.

Although Betadine-induced pneumonitis appears very rare, Drs. Chepla and Gosain have modified their routines to reduce the risk of this complication. They write, "We conclude that PI is safe to use as a disinfectant before head and neck surgery, but surgeons need to be aware of the risk for PI aspiration and take the appropriate steps to prevent its passage into the tracheobronchial tree."


'/>"/>

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Inhaled Steroids Lead to Big Drop in Asthma Deaths at Texas Hospital: Study
2. Study evaluates use of inhaled saline for young children with cystic fibrosis
3. Epilepsy Leads to More Brain Abnormalities Over Time
4. How a cancer drug leads to diabetes
5. Georgetown physician leads national resveratrol study for Alzheimers disease
6. Study finds Massachusetts health reform leads to increased inpatient surgical procedures
7. Rutgers leads effort to replicate care management programs in 4 U.S. cities
8. Fun in the Kitchen and Eating 300 Calorie Meals Leads to Weight Loss for Fat Guy
9. AIUM and AUA guideline development leads to practice accreditation for urologic ultrasound
10. A Void In The Independent Pharmacy Industry Leads to Independent Rx Consulting, Powered by OurHelix
11. Protein build-up leads to neurons misfiring
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/23/2017)... ... January 23, 2017 , ... ... with the American Society of Anesthesiologists® (ASA®), the Foundation for Anesthesia Education ... of Orthopaedic Surgeons (AAOS) and the Cigna Foundation, encourages proposals supporting high ...
(Date:1/23/2017)... ... , ... “Crossing the Bar”: a moving and eloquent drama depicting the ... Bar” is the creation of published author, Charlotte Hotte, a North Carolina native, a ... inspiration of the book to her sister, Denise, wishes to acknowledge her savior, Jesus ...
(Date:1/23/2017)... ... ... “Some Infallible Characteristics of Christ”: a fascinating and entrancing novel exploring the ... of published author, Rev. Dr. Robert W. Thomas, the third of seven siblings. He ... nineteen, a pastor for over fifteen years. He is a graduate of N.C. College ...
(Date:1/22/2017)... ... January 22, 2017 , ... Zifam Pinnacle, an Australian ... world, recently met with big-name retail buyers at the January ECRM Trade Show in ... and uses the utmost safety standards in all of its creations to help create ...
(Date:1/21/2017)... ... , ... Caronlab Australia, an Australian company known for health and beauty products ... SC, where it benefited from outstanding meetings with major retail buyers. , Caron Labs ... At this trade show, the company had the chance to demonstrate its products and ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... , Jan. 23, 2017  Using Astute ... at high risk for acute kidney injury (AKI) ... by globally-recognized care guidelines significantly improved ... severe AKI more than 33 percent, according to ... the journal Intensive Care Medicine. ...
(Date:1/23/2017)... , January 23, 2017 Longer life expectancy ... in the global market for medical device technologies. BCC Research ... the Asia-Pacific region, should see strong growth due ... rising disposable incomes. Continue Reading ... ...
(Date:1/23/2017)... 2017 NeuroVive Pharmaceutical AB (Nasdaq Stockholm: ... preclinical collaboration agreement with the Children,s Hospital of ... M.D., a US key opinion leader in the mitochondrial medicine ... ... from NeuroVive,s research program, NVP015, in certain experimental disease models. ...
Breaking Medicine Technology: