TY  - JOUR
PY  - 2018//
TI  - Burns caused by electronic vaping devices (e-cigarettes): a new classification proposal based on mechanisms
JO  - Burns: journal of the International Society for Burn Injuries
A1  - Serror, K.
A1  - Chaouat, M.
A1  - Legrand, Matthieu M.
A1  - Depret, F.
A1  - Haddad, J.
A1  - Malca, N.
A1  - Mimoun, M.
A1  - Boccara, D.
SP  - 544
EP  - 548
VL  - 44
IS  - 3
N2  - Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. <br><br>METHOD We performed a retrospective review of our institutional burn database from June 2016 to July 2017 for injuries caused by or in the context of using an e-cigarette. The patients' demographics (age, gender), burn injury mechanisms, depth, localization, surface and interventions were described. <br><br>RESULTS Ten patients suffered from burns related to the use of e-cigarettes. The burns were located at the thigh (80%) and the hand (50%) with a mean surface of 3% of TBSA. Four different mechanisms could be described: Type A: thermal burns with flames due to the phenomenon of "thermal runaway", Type B: blasts lesions secondary to the explosion, Type C: chemical alkali burns caused by spreading of the electrolyte solution and Type D: thermal burns without flames due to overheating. These different mechanisms suggest specific surgical and non-surgical management. <br><br>CONCLUSION Management of injuries sustained from e-cigarettes' explosions should be approached from the standpoint of mechanisms. Different mechanisms could be associated and should be considered in specific management.<br><br>Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0305-4179
UR  - http://dx.doi.org/10.1016/j.burns.2017.09.005
ID  - ref1
ER  -