PMID: 45680Nov 1, 1978

Airless paint gun injuries: an update

JACEP
R F EdlichM T Edgerton

Abstract

The airless paint gun delivers paint at pressures approximating 3,000 psi. Paint accidently injected into the skin under this pressure causes a devastating injury which is a result of the paint material, the level of bacterial contamination, and the pressure at which the paint is delivered. The time interval between injury and treatment seems a critical determinant of outcome. Decompression of the closed vascular compartments of the hand must be begun immediately to release the underlying tissue distended by the injected paint. Judicious wound debridement must be performed. Immediate antibiotic treatment is indicated in all patients. Studies seem to indicate that steroids limit the severity of inflammatory response. A regimen of hydrocortisone sodium succinate, 100 mg IV, administered immediately before surgery should be followed by a seven-day tapering course of oral prednisone starting with 40 mg on the first postoperative day. Recent safety measures and consumer warnings through the Consumer Product Safety Commission may reduce the number of airless paint gun injuries.

References

Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Santiago A Lozano-CalderónDavid Ring
Aug 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G Couzens, F D Burke
Feb 13, 2013·The Journal of Emergency Medicine·Ashika OdhavDavid B Lyon
Jun 28, 2017·The American Journal of Dermatopathology·Wendi E WohltmannBruce D Ragsdale
Dec 3, 2010·Plastic and Reconstructive Surgery·Andrew J WattJames Chang
Aug 8, 2006·Journal of Orthopaedic Trauma·Christopher J Hogan, Robert T Ruland
Oct 1, 2013·Plastic and Reconstructive Surgery·Simon L Amsdell, Warren C Hammert
Dec 21, 2004·Journal of Cutaneous Pathology·Catherine M StefanatoJag Bhawan

Citations

Mar 1, 1977·The Journal of Trauma·D B PhelpsJ A Boswick
Sep 1, 1974·American Journal of Surgery·C A GillespieR F Edlich
Jun 1, 1973·Archives of Surgery·F G WolfortH Filtzer

Related Concepts

Hand Injuries
Systemic Inflammatory Response Syndrome
Bacteriocidal Agents
Blood Vessel
Adrenal Cortex Hormones
Combined Modality Therapy
Prednisone
Anatomical Compartments
Varnish
Steroids

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