Additionally, chemical burns can be caused by some types of chemical weapons, e.g., vesicants such as mustard gas and Lewisite, or urticants such as phosgene oxime.
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Furthermore, the chemical weapons whose use was documented by Human Rights Watch in Iraq caused painful burns that are consistent with a mustard agent, also known as a “vesicant,” or blister agent.
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Toxicities include bone marrow suppression (which is dose-limiting), gastrointestinal toxicity, potent vesicant (blister-forming) activity, and extravasation injury (forms deep ulcers).
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A total 50,965 tons of pulmonary, lachrymatory, and vesicant agents were deployed by both sides of the conflict, including chlorine, phosgene, and mustard gas.
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Conclusion: external jugular access should be considered in patients who are difficult to target and can be used for administration of drugs and potentially vesicants or hyperosmolar solutions.
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Complications occurred in 41 patients (5.6%), six of which were serious complications (0.8%): three vesical lesions (0.4%), a urethral lesion (0.13%), one (0.13%) patient required operative laparoscopy due to bleeding after surgery and one (0.13%) patient underwent exploratory laparotomy because of abdominal pain.
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