Frostbite: Current status and advancements in therapeutics

J Therm Biol. 2020 Oct:93:102716. doi: 10.1016/j.jtherbio.2020.102716. Epub 2020 Sep 4.

Abstract

Frostbite is a severe ischemic injury which occurs due to the tissue vascular damage after sub-zero temperature tissue exposure. Deep frostbite can result in necrosis and may need amputation of affected tissue. Though a serious injury, it is not very well understood, and further scientific exploration is needed. This work explores the current understanding of the pathophysiology of frostbite. We reviewed the current status of the diagnostics, the drugs, the therapies and the surgical practices for prevention and management of frostbite. Advances in nanotechnology and drug delivery had improved the therapeutic outcomes significantly. This review also explored the latest advancements and researches done for development of newer therapeutics and diagnostics for frostbite care.

Keywords: Cold injury; Frostbite; Hyperbaric oxygen therapy; Pedicled flap; Thrombolytics; Vascular damage.

Publication types

  • Review

MeSH terms

  • Amputation, Surgical / methods
  • Animals
  • Frostbite / diagnosis
  • Frostbite / etiology
  • Frostbite / therapy*
  • Humans
  • Hyperbaric Oxygenation / methods
  • Practice Guidelines as Topic
  • Thrombolytic Therapy / methods