The Journal of burn care & rehabilitation最新文献_第5页

A prospective, randomized trial of Acticoat versus silver sulfadiazine in the treatment of partial-thickness burns: which method is less painful? Acticoat与磺胺嘧啶银治疗部分烧伤的前瞻性随机试验:哪种方法疼痛更少?

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000170119.87879.ca

Robin Prater Varas, Terence O'Keeffe, Nicholas Namias, Louis R Pizano, Olga Delia Quintana, Marlene Herrero Tellachea, Qammar Rashid, C Gillon Ward

{"title":"A prospective, randomized trial of Acticoat versus silver sulfadiazine in the treatment of partial-thickness burns: which method is less painful?","authors":"Robin Prater Varas, Terence O'Keeffe, Nicholas Namias, Louis R Pizano, Olga Delia Quintana, Marlene Herrero Tellachea, Qammar Rashid, C Gillon Ward","doi":"10.1097/01.bcr.0000170119.87879.ca","DOIUrl":"https://doi.org/10.1097/01.bcr.0000170119.87879.ca","url":null,"abstract":"Despite recent improvements in analgesia, pain control during dressing changes continues to be a major challenge in patients with burns. We investigated two different dressing modalities to compare how much pain the patient experienced during and after the dressing change. Patients with partial-thickness burns that required only topical wound care were assigned randomly to treatment with Acticoat (Smith and Nephew USA, Largo, FL) or silver sulfadiazine (AgSD). The outcome variable was pain during wound care, which was measured using visual analog pain scores. The mean visual analog pain scores for the wounds treated with Acticoat or AgSD wounds were 3.2 and 7.9, respectively (P < .0001; paired Student's t-test). In 41 of the 47 paired pain score observations, the pain in the wound treated with AgSD was perceived as greater than in the wound treated with Acticoat. Burn wound care with Acticoat is less painful than burn wound care with AgSD in patients with selected partial-thickness burns.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"344-7"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000170119.87879.ca","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 55

Epidemiology of pediatric burn injuries in southern Turkey. 土耳其南部儿童烧伤的流行病学。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169899.53528.24

Akin Tarim, Tarik Zafer Nursal, Sedat Yildirim, Turgut Noyan, Gökhan Moray, Mehmet Haberal

{"title":"Epidemiology of pediatric burn injuries in southern Turkey.","authors":"Akin Tarim, Tarik Zafer Nursal, Sedat Yildirim, Turgut Noyan, Gökhan Moray, Mehmet Haberal","doi":"10.1097/01.bcr.0000169899.53528.24","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169899.53528.24","url":null,"abstract":"The aim of this study was to identify the epidemiological features of pediatric burn injuries in southern part of Turkey. In this retrospective study, 137 hospitalized pediatric patients (85 men and 52 women) who were admitted to our burn unit during a period of 3 years were analyzed. Pediatric patients were categorized into three groups: the infants and toddlers (0-2 years), early childhood (3-6 years), and late childhood (7-15 years). Epidemiological data included age, sex, location, the cause and type, and place of burn. In the first two groups, scalding (95.1% and 86.7%, respectively) was the predominant cause of burn whereas in late childhood electric burns (51.4%) were a more common occurrence. No differences were found between the groups with respect to mean TBSA and full-thickness burns. A total of 15 (10.1%) patients died during the study period. A total of 74.4% of burn injuries occurred at home, and almost all were preventable, with 16 % of the burns occurring in the autumn; however, 42% occurred in the summer. These findings will be used as a basis for developing targeted preventive programs to protect children from burns. We also consider it is necessary to educate children and their parents about the prevention of burn injuries.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"327-30"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169899.53528.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 67

Comparison of battlefield-expedient topical antimicrobial agents for the prevention of burn wound sepsis in a rat model. 战场上适宜的外用抗菌药物预防大鼠烧伤创面脓毒症的比较。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000170276.33207.b4

David S Kauvar, Eric Acheson, Joanna Reeder, Kristin Roll, David G Baer

{"title":"Comparison of battlefield-expedient topical antimicrobial agents for the prevention of burn wound sepsis in a rat model.","authors":"David S Kauvar, Eric Acheson, Joanna Reeder, Kristin Roll, David G Baer","doi":"10.1097/01.bcr.0000170276.33207.b4","DOIUrl":"https://doi.org/10.1097/01.bcr.0000170276.33207.b4","url":null,"abstract":"Topical antimicrobial therapy has the potential to limit the mortality and morbidity of contaminated battlefield injuries. Many agents available are ill-suited for use on the battlefield; however, mafenide acetate solution (MAS) has known efficacy as a burn dressing adjunct, and previous work with mafenide as a direct chemotherapeutic has shown promise. A total of 71 male Sprague-Dawley rats underwent a 20% TBSA full-thickness scald. Wounds were inoculated with a solution containing 1 x 10 colony-forming units per milliliter of Pseudomonas aeruginosa 1244 (ATCC 27317). Treatments with 10% mafenide acetate cream (MAC), 5% MAS, 5% mafenide hydrochloride solution (MHS), and 4% chlorhexidine gluconate solution (CHG) were established. Agents were applied directly to the wound daily for 10 days. Animals were monitored for 21 days and euthanized if they manifested a moribund state as a result of sepsis. Survival to study completion in the negative control group (no treatment) was 25% (3/12). Survival in the positive control group (MAC) was 100%. None of the test agent groups demonstrated significant survival over the untreated controls; MAS resulted in 5/12 (42%) survival (P = .67), CHG in 4/12 (33%) survival (P = 1.0), and MHS resulted in 2/12 (17%) survival (P = 1.0). There were no significant differences in group weights on day 1. By day 6, all test agent groups were significantly underweight compared with the MAC group. This trend resolved as underweight animals died. We did not demonstrate significant prevention of wound sepsis with these agents as we used them. These techniques should not be substituted for established burn care. Aqueous direct topical antimicrobial agents have logistical advantages over creams and dressing soaks for field use, and the search for a battlefield-expedient agent for use at or near the point of wounding should continue.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"357-61"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000170276.33207.b4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Pathophysiology of chronic nonhealing wounds. 慢性不愈合伤口的病理生理学。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169887.04973.3a

Abelardo Medina, Paul G Scott, Aziz Ghahary, Edward E Tredget

引用次数: 190

One hundred ninety-five cases of high-voltage electric injury. 195例高压电伤。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169893.25351.a9

Leopoldo C Cancio, J F Jimenez-Reyna, David J Barillo, Steven C Walker, Albert T McManus, George M Vaughan

{"title":"One hundred ninety-five cases of high-voltage electric injury.","authors":"Leopoldo C Cancio, J F Jimenez-Reyna, David J Barillo, Steven C Walker, Albert T McManus, George M Vaughan","doi":"10.1097/01.bcr.0000169893.25351.a9","DOIUrl":"https://doi.org/10.1097/01.bcr.0000169893.25351.a9","url":null,"abstract":"High-voltage electric injury (HVEI) is associated with a high incidence of extremity compartment syndrome and of major amputation. The purpose of this study was to review our experience with HVEI and to attempt to develop predictors of the need for fasciotomy and amputation in patients with HVEI. The records of the 195 patients with HVEI who were admitted to a single burn center during a 19-year period were reviewed. Evidence for muscle necrosis, to include myoglobinuria and elevated creatine phosphokinase (CPK) levels, was noted. A total 187 patients (95.9%) survived to hospital discharge. A total of 56 underwent fasciotomy within 24 h of injury; 80 patients underwent an amputation during the hospitalization. Fasciotomy was predicted by presence of myoglobinuria with an overall accuracy of 72.8%. Amputation was predicted by a logistic model incorporating myoglobinuria, undergoing a previous fasciotomy, and age, with an overall accuracy of 73.3%. HVEI was associated with high amputation risk and a low rate of mortality in patients admitted to our burn center. Patients with gross myoglobinuria are at higher risk of requiring fasciotomy and/or amputation.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 4","pages":"331-40"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000169893.25351.a9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25178769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 51

Rapid acute amiodarone-induced hepatotoxicity in a burn patient. 急性急性胺碘酮致烧伤患者肝毒性的研究。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169896.23823.c7

Ajay V Maker, Dennis P Orgill

引用次数: 6

Models of wound healing. 伤口愈合模型。

The Journal of burn care & rehabilitation Pub Date : 2005-07-01 DOI: 10.1097/01.bcr.0000169885.66639.b5

David G Greenhalgh

引用次数: 54

Pattern of dysphagia recovery after thermal burn injury. 热烧伤后吞咽困难的恢复模式。

The Journal of burn care & rehabilitation Pub Date : 2005-05-01

Cynthia McKinnon DuBose, Michael G Groher, Giselle Carnaby Mann, David W Mozingo

引用次数: 0

Reproducibility of transpulmonary thermodilution measurements in patients with burn shock and hypothermia. 烧伤休克和低温患者经肺热调节测量的可重复性。

The Journal of burn care & rehabilitation Pub Date : 2005-05-01

Charlotte Holm, Martina Mayr, Franziska Hörbrand, Julia Tegeler, Guido Henckel von Donnersmarck, Wolfgang Mühlbauer, Ulrich J Pfeiffer

{"title":"Reproducibility of transpulmonary thermodilution measurements in patients with burn shock and hypothermia.","authors":"Charlotte Holm, Martina Mayr, Franziska Hörbrand, Julia Tegeler, Guido Henckel von Donnersmarck, Wolfgang Mühlbauer, Ulrich J Pfeiffer","doi":"","DOIUrl":"","url":null,"abstract":"Thermal noise, including hypothermia and short-term variations in body temperature, has been reported to influence the accuracy and reproducibility of thermodilution measurements. This variation might theoretically limit the usefulness of this technique in patients with acute burns. We therefore sought to determine the reproducibility of hemodynamic parameters derived from arterial thermal dilution in patients with acute burns and hypothermia. This was a prospective, clinical study of 50 mechanically ventilated patients with burns involving more than 25% of the body surface area that were treated at an eight-bed intensive care burn unit in a university-affiliated hospital. A total of 750 arterial thermodilution measurements were analyzed using the COLD system. Triplicate measurements of the intrathoracic blood volume, cardiac output, total blood volume, and extravascular lung water were performed at regular intervals during the first 48 hours after the thermal injury. Reproducibility was assessed by the coefficient of variation of the triplicate measurements. The correlation of variation was less than 10% at all measurement times for cardiac output, intrathoracic blood volume, and total blood volume. For the extravascular lung water, the coefficient of variation ranged from 9.5% to 12.9%. A maximum of 12.9% was found at 48 hours after burn. No correlation was found between body core temperature and the reproducibility of intrathoracic blood volume index (r = 0.145), cardiac index (r = 0.217), or extravascular lung water index (r = 0.167). The parameters derived from arterial thermodilution show a clinically sufficient reproducibility in patients with acute burns associated with thermal instability.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 3","pages":"260-5"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25097818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burn injuries in patients with dementia. 痴呆患者的烧伤。

The Journal of burn care & rehabilitation Pub Date : 2005-05-01

Paul Silverstein

引用次数: 0