Burns

Burns

A burn is a type of injury to flesh or skin caused by heat, electricity, chemicals, friction, or radiation. Depending on depth, burns can affect only the superficial skin as well as involving injury to deeper tissues, such as muscle or bone.

Burn Injuries

Burn injuries comprise a challenging spectrum of acute, chronic, traumatic, and surgical wounds with a wide range of anatomical locations and depth. They arise as a result of thermal, chemical or electrical insult. There are three zones of tissue damage associated with burns: coagulation, stasis and hyperemia. Management is based on the amount, depth and severity of burns and by the designations of superficial, partial- and full-thickness injuries. Burn wounds are extremely painful, frequently highly traumatic and can lead to permanent scarring, disfigurement or even death. The main objectives of their treatment are to remove devitalized tissue, promote healing, prevent wound infection and graft loss, maintain function of the affected body part, and achieve wound closure as soon as possible.

Dressing types

A variety of dressing types are used to overcome the challenges associated with burns and the scars that subsequently form. The continuing development of materials and techniques now focus not only on successfully healing wounds and reducing scarring, but also on minimizing physical trauma and discomfort during treatment.

References

  1. Silverstein, P., Meites, H., Heimbach, D., et al. Soft silicone dressing with silver versus silver sulfadiazine cream in the treatment of partial-thickness burns: a randomised controlled trial. Poster presentation at the European Wound Management Association conference, Geneva, Switzerland, 2010
  2. Bugmann, P., Taylor, S., Gyger, D. A silicone-coated nylon dressing reduces healing time in burned paediatric patients in comparison with standard sulfadiazine treatment: a prospective randomized trial. Burns 1998; 24: 7, 609-612.
  3. Gotschall, C.S., Morrison, M.I., Eichelberger, M.R. Prospective, randomized study of the efficacy of Mepitel on children with partial-thickness scalds. J Burn Care Rehabil 1998; 19: 4, 279-283.
  4. Mason, S.A., Edwards, J. The use of Mepitel One in hand burn management. Poster presentation at Wounds UK conference, Harrogate, United Kingdom 2010.
  1. Fowler, A. Atraumatic dressings for non-complex burns. Practice Nursing 2006; 17: 4, 193-196
  2. Meuleneire, F. Evaluation of a soft silicone foam dressing in the management of 2nd degree burns in paediatric patients. Poster presentation at the European Wound Management Association conference, Glasgow, United Kingdom, 2007.
  3. Morris, C., Emsley, P., Marland, E. et al. An observational study of dressing with soft silicone adhesive technology to manage the wounds of paediatric patients. Paediatr Nurs 2009; 21:3, 38-43.
Mepilex Ag
  1. Meites, H., Jett, M., Gauthier, S. et al. The examination of antimicrobial soft silicone foam with regards to partial thickness burns. Poster presentation at the 3rd Congress of the World Union of Wound Healing Societies, Toronto, Canada, 2008.
  2. Meuleneire, F. An observational study of the use of a soft silicone silver dressing on a variety of wound types. J Wound Care 2008a; 17: 12, 535-539.
  3. De Coster, L., Meuleneire, F. Case report: second degree burns treated with soft silicone-coated dressings. Poster presentation at the European Wound Management Association conference, Geneva, Switzerland, 2010 .
Mepilex
  1. Baharestani, M.M. An overview of neonatal and pediatric wound care knowledge and considerations. Ostomy Wound Management 2007; 53: 6, 34–55.
  2. Chadwick, P., Harrison, M., Morris, C., Bamford, A., Stansby, G. Avance negative pressure wound therapy system: a clinical focus. Wounds UK 2010; 6:4,114–122.*
  3. Edwards, J. Plastic surgery: a community perspective. J Community Nursing 1998; 12: 10, 22–26.
  4. Fowler, A. Atraumatic dressings for non-complex burns. Practice Nursing 2006; 17: 4, 193–196.
  5. Gotschall, C.S., Morrison, M.I., Eichelberger, M.R. Prospective, randomized study of the efficacy of Mepitel on children with partialthickness scalds. Journal of Burn Care and Rehabilitation 1998; 19: 4, 279–283.
  6. Greenwood, J.E., Dunn, K.W., Davenport, P.J. Experience with severe extensive skin blistering disease in a paediatric burns unit. Burns 2000; 26: 1, 82–87.
  7. Hollinworth, H. Pain relief. Nursing Times 2001; 97: 28, 63–66.
  8. Mannan, K., Chow, P., Lissauer, T., Godambe, S. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Acta Paediatrica 2007; 96: 10, 1536–1537.
  9. Norbury, W.B., Jeschke, M.G., Herndon, D.N. Tissue engineered fetal skin constructs for pediatric burns. Critical Care 2005; 9:6, 533–534.
  10. Burned Children's Club finds comfort in Mepitel. Nurse 2 Nurse 2004; 4: 6, 12. Papini, R. Management of burn injuries of various depths. British Medical Journal 2004; 329: 7458, 158–160.
  11. Poulakidas, S., Kowal-Vern, A. Facilitating residual wound closure after partial graft loss with vacuum assisted closure therapy. Journal of Burn Care and Research 2008; 29:4,663–665.

Burns

Brennen Skin Graft Mesher

The Brennen skin graft mesher is a non-crushing, non-carrier based instrument...

Burn Care Dressings

Mepilex<sup>&reg;</sup> Ag
Mepilex® Ag

Mepilex Ag is a foam dressing for medium exuding chronic or acute wounds...

Mepitel<sup>&reg;</sup>
Mepitel®

Mepitel is a gentle, yet effective Wound Contact Layer with the unique...

Mepitel<sup>&reg;</sup> One
Mepitel® One

Mepitel One is a gentle, yet effective Wound Contact Layer with the unique...

Mepilex<sup>&reg;</sup> Border
Mepilex® Border

Mepilex® Border is an all-in-one foam dressing proven to minimize patient...

Mepilex<sup>&reg;</sup> Border Lite
Mepilex® Border Lite

Mepilex® Border Lite is a thin all-in-one foam dressing with Safetac® technology...

Mepilex<sup>&reg;</sup> Transfer
Mepilex® Transfer

To maintain a moist wound environment, Mepilex Transfer allows the exudate...