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Electrical burns: A retrospective analysis across a 5-year period

LUZ, D. P.; MILLAN, L. S.; ALESSI, M. S.; UGUETTO, W. F.; PAGGIARO, A.; GOMEZ, D. S.; FERREIRA, M. C.
Fonte: ELSEVIER SCI LTD Publicador: ELSEVIER SCI LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.97%
This study aims to review the experience, at an institution, with patients who suffered electrical burns and study the peculiar characteristics of this type of burn as well as its complications and epidemiological aspects. The study includes medical records of patients with electrical burns who were admitted to the Burn Unit of Hospital das Clinicas in Sao Paulo, Brazil, from November 2001 to October 2006. They were classified into four categories: high voltage (>= 1000 V), low voltage (<1000 V), `flash burn` (in which there is no electrical current flow through the body of the patient) and burns caused by lightning. The complications were more severe and common in the high-voltage group, while longer hospital stays and more complex surgical procedures due to the greater depth of burns were also observed in this group. High-voltage burns are mainly labour-/occupation-related. The majority of the patients were young men at the beginning of their professional lives. This factor generates an important socio-economic impact due to the high incidence of sequelae, resulting in amputations, rendering them unable to maintain their occupations. (C) 2009 Elsevier Ltd and ISBI. All rights reserved.

"Ser-mãe-no-mundo com o filho que sofreu queimaduras: um estudo compreensivo" ; "To be-a-mother-in-the world with a child victim of burns: a comprehensive study"

Ferreira, Lúcia Aparecida
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 12/04/2006 PT
Relevância na Pesquisa
36.95%
Trata-se de uma pesquisa qualitativa, na linha fenomenológica, realizada com mães de crianças que sofreram queimaduras e foram internadas na Unidade de Queimados, do Hospital das Clínicas, da Faculdade de Medicina de Ribeirão Preto, da Universidade de São Paulo (UQ-HCFMRP – USP). Teve por objetivo compreender e interpretar à luz da psicologia fenomenológica o que é ser-mãe-no-mundo com um filho que sofreu queimaduras. Foram convidadas 10 (dez) mães de crianças que estiveram internadas na UQ-HCFMRP – USP, de janeiro a dezembro de 2004; sendo que destas, apenas oito consentiram em participar da pesquisa. Destas oito mães que participaram da pesquisa, utilizaram-se os seguintes critérios de inclusão: ter um filho queimado internado na Unidade de Queimados; a mãe estar acompanhando o filho, e a criança se encontrar na fase mediata ou de recuperação. Os dados foram obtidos através da entrevista fenomenológica, a partir de uma questão norteadora: "Gostaria que você descrevesse como é ser-mãe-no-mundo com o filho que sofreu queimaduras”. A Análise Fenomenológica foi baseada nas orientações de estudo desta linha. Foram identificadas seis categorias temáticas: Lembranças do momento do acidente (Temporalidade); Procedimentos adotados após o acidente (Temporalidade e Solicitude); Manifestações de sentimentos (Afetividade); A mãe fala de si: preocupações e questionamentos (Preocupações); A mãe fala do comportamento da criança (Ser-com); Refere-se ao hospital...

Caracterização e comparação de alterações miofuncionais em pacientes com queimadura de segundo e terceiro grau em face e cervical; Characterization and comparison of miofunctional changes in patients with second and third degree burns to the face and neck

Magnani, Dicarla Motta
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 05/12/2014 PT
Relevância na Pesquisa
36.97%
INTRODUÇÃO: Sequelas de queimaduras na morfologia e mobilidade das estruturas motoras orais e nas funções orofaciais como mastigação, deglutição e fala não são incomuns em pacientes que sofreram queimaduras graves na região de cabeça e pescoço. O objetivo deste estudo foi analisar as características dos movimentos motores orais e da mímica facial em pacientes com queimaduras de cabeça e pescoço. MÉTODOS: Estudo transversal descritivo observacional, realizado com pacientes que sofreram queimaduras na cabeça e pescoço e que foram encaminhados para a Divisão de Funções da Face - Queimados de um hospital público brasileiro, entre janeiro de 2013 e dezembro de 2013, para avaliação e reabilitação. Somente pacientes com queimaduras de segundo grau (superficial e profunda) e queimaduras de terceiro grau em face e pescoço foram incluídos no estudo. Os pacientes foram submetidos à avaliação clínica, que incluiu: avaliação motora oral (postura, posição e mobilidade dos órgãos motoras orais e desempenho durante a mastigação e deglutição); avaliação da amplitude mandibular; avaliação da mímica facial. Para fins de caracterização, os pacientes foram divididos em dois grupos: G1 - pacientes com queimaduras de segundo grau superficial; G2 - pacientes com queimaduras de segundo grau profunda e terceiro grau. RESULTADOS: A amostra final do estudo foi composta por 40 pacientes: G1 com 19 indivíduos e G2 com 21 indivíduos. A análise estatística indicou que as contraturas e cicatrizes hipertróficas tem impacto negativo sobre o sistema miofuncional orofacial. A pontuação global obtida para avaliação clínica dos órgãos motores orofaciais indicou que tanto os pacientes de segundo grau como de terceiro grau apresentaram déficits relacionados à postura...

Acute Dorsal Hand Burns in Children

Argirova, M.; Hadzhiyski, O.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
37.03%
Hand burns in children, whether isolated or part of massive burns, require special attention. A crucial element in this respect is the preservation and full restoration of hand function. Most cases of severe sequelae after burns are associated with hand burns. From January 2002 to November 2004, 125 children with hand burns and other body burns were treated at the Centre of Burns and Plastic Surgery in Sofia, Bulgaria. This review presents our experience with 71 children with 89 burned hands in the region of the dorsal surface of the hand. Forty-nine hands had isolated dorsal surface burns, and 40 had combined burns, i.e. both dorsal and volar. Of all the hands treated, 69 had superficial burns, which epithelialized spontaneously. Twenty hands with deep dermal and full-thickness burns were subjected to sheet autografting. The review includes many details of the systematic approach to this type of burns. Optimal recovery of hand function can be achieved by accurate planning of treatment. Tracking of long-term results is also included in the general plan of behaviour in this type of burn. Our approach is conservative for superficial burns and active - with early excision and prompt closure with sheet autograft or, in extensive burns...

Burns in Malawi

Virich, G.; Lavy, C.B.D.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.97%
Objective: To describe burns seen at the largest hospital in Malawi. Methods: In a prospective study conducted at Queen Elizabeth Central Hospital, Blantyre, Malawi, a series of twelve accidental burns was analysed over a four-week period. Results: Hot water was the commonest source of burns (6 out of 12). Open-fire and petroleum lamp accidents were the commonest cause of burns among epileptic patients. Males were affected more than females (male:female ratio = 8:4). Most burns were superficial (11 out of 12). One patient had deep burns requiring grafting. All patients were treated with topical silver sulphadiazine and a combination antibiotic regime. Children aged six yr or under were a major subgroup at risk of suffering burns (7 out of 12) and only one patient was aged over 30 yr. Lack of anti-epileptic medication resulted in potentially avoidable burns in four epileptic patients. Conclusions: There is a need for cheap preventive health promotion measures as well as the provision of simple resources as most burns encountered can be managed effectively by simple measures.

Carpal Tunnel Syndrome Following Burns

Hassan, Z.; Mullins, R.F.; Alam, B.; Mian, M.A.H.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
37.01%
The commonest cause of carpal tunnel syndrome (CTS) is a congenital predisposition - the carpal tunnel is simply narrower in some people than in others. The development of CTS due to various burn causes has never been reported. This study describes some demographic features of all reported CTS cases following different types of burn in patients admitted to our burns centre in the USA. A retrospective case study was carried out to identify CTS following different types of burns among the patients admitted between January 2001 and January 2006. A descriptive data analysis was carried out to observe CTS following hand burns. There were 36 CTS cases in 28 patients presenting various kinds of burns in the upper extremities. The mean age of the CTS patients was 52 years (SD, 10.51 yr) and 79% were male. Of these, 57% had sustained thermal burns, 32% electrical burns, and the remainder had scalds or chemical burns. More patients (56%) had second-degree burns than third-degree burns and all but one of the patients with electrical burns had second-degree burns. This observation demonstrates that there were a considerable number of CTS cases following thermal burn injury compared to previous reporting. This study also suggests the need of a prospective study to examine the association between burns in the upper extremities and the likelihood of their progression to CTS and whether any specific type of burn is more likely to result in CTS.

Head and Neck Burns: Acute and Late Reconstruction.Data of Burn Injury Management in 2007

Belba, G.; Gedeshi, I.; Isaraj, S.; Filaj, V.; Kola, N.; Belba, M.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
37%
Modern burn care is based on operative wound management. The evidence is clear that prompt excision and closure can be lifesaving for patients even with large burns. Facial burns that are full-thickness need grafting. Deep dermal facial burns need surgery in the third week post-burn. Deep burns to the eyelids should be excised and grafted early in order to prevent cicatricial ectropion and corneal exposure. Following healing from burns, the reconstruction of severe deformities and scars of the face, head, and neck confronts the surgeon with some of the most challenging problems in reconstructive surgery. Our purpose is to provide some retrospective data on acute and late reconstruction of head and neck burns in 2007. Eighty-one patients are considered who were operated on in the Burns and Plastic Surgery Service of the University Hospital Centre in Tirana, Albania, suffering from burns and also from burn deformities in the head and neck regions. A description is given of the different types of operative techniques used for head and neck reconstruction as also of developmental aspects of burned face deformities (physical and psychological) and of their correction. In all, 246 patients with burns and burn deformities were subjected to surgery in 2007. Of these we have extracted 81 cases in which the pathology concerned the head and the neck...

Mass Burns Disaster in Abule-egba, Lagos, Nigeria from a Petroleum Pipeline Explosion Fire

Fadeyibi, I.O.; Omosebi, D.T.; Jewo, P.I.; Ademiluyi, S.A.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.95%
The aim of this paper is to review the basic principles of triage in mass burns disasters and discuss the experience of the Lagos State University Teaching Hospital (LASUTH), Ikeja, Nigeria, in the December 2006 disaster at Abule-Egba, Lagos, Nigeria. It is hoped that the experience gained will help in the planning for and management of similar disasters in the developing countries with limited facilities. Burn injury has been described as the severest form of trauma and its management is very challenging as it is often accompanied by numerous pathophysiological changes. Successful management requires expert management by well-trained personnel in equipped and dedicated centres. In mass disasters the total number of victims may exceed the capability of the facility and its staff and a system for sorting out the patients and caring for those that will benefit from the facilities available needs to be developed. Other patients will either be sent to other medical facilities for further treatment or discharged after initial care for future follow-up. Documented experiences in the management of mass burns disasters from petroleum pipeline explosions from developing countries are rare. However, petroleum pipeline explosions, especially in the Lagos area of Nigeria...

An Aetiological Survey of Burns in Abusers of Various Kinds of Drugs Admitted to the Tabriz Sina Hospital Burns Ward in Iran

Maghsoudi, H.; Raghifar, R.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.93%
A five-year prospective study (March 2003-March 2008) of burn victims hospitalized in a major burns centre in Iran was conducted in order to survey the aetiology and outcome of burns in patients who were drug addicts. Three hundred and thirty patients addicted to drugs were identified and stratified by age, sex, burn size, presence or absence of inhalation injury, kinds of abuse agents, and cause of burn. The mean patient age was 27.9 yr, and the male:female ratio was 7.6:1. There were 60 deaths overall (18.18%), the majority (47) among patients with flame burns. The mortality rate was significantly higher in multi-drug abusers than in single-drug abusers. Except for burn incidence, there were no significant differences between males and females. The mean burn size, 30.9%, was significantly larger in non-survivors than in survivors (57.8% versus 27.8%; p < 0.001). Inhalation injuries were strongly associated with large burns, and were present in all flame-burn fatalities. Flame burns were the most common type of burns in drug-addicted patients: incorrect use of a lighter and match and falling onto a brazier were the most common causes of flames. There were 11 deaths related to electrical injuries. Large burn size was the strongest predictor of mortality followed by the presence of inhalation injury. The most common agent of abuse was opium...

Workplace-related burns

Mian, M.A.H.; Mullins, R.F.; Alam, B.; Brandigi, C.; Friedman, B.C.; Shaver, J.R.; Hassan, Z.
Fonte: Euro-Mediterranean Council for Burns and Fire Disasters - MBC Publicador: Euro-Mediterranean Council for Burns and Fire Disasters - MBC
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.93%
Introduction. The key element of a safe workplace for employees is the maintenance of fire safety. Thermal, chemical, and electrical burns are common types of burns at the workplace. This study assessed the epidemiology of work-related burn injuries on the basis of the workers treated in a regional burn centre. Methods. Two years’ retrospective data (2005-2006) from the Trauma Registry of the American College of Surgeons of the Joseph M. Still Burn Center at Doctors Hospital in Augusta, Georgia, were collected and analysed. Results. During the time period studied, 2510 adult patients with acute burns were admitted; 384 cases (15%) were work-related. The average age of the patients was 37 yr (range, 15-72 yr). Males constituted the majority (90%) of workrelated burn injury admissions. The racial distribution was in accordance with the Centre’s admission census. Industrial plant explosions accounted for the highest number of work-related burns and, relatively, a significant number of patients had chemical burns. The average length of hospital stay was 5.54 days. Only three patients did not have health insurance and four patients (1%) died. Conclusion. Burn injuries at the workplace predominantly occur among young male workers, and the study has shown that chemical burns are relatively frequent. This study functions as the basis for the evaluation of work-related burns and identification of the causes of these injuries to formulate adequate safety measures...

Epidemiology and outcome of burns at the Saud Al Babtain Burns, Plastic Surgery and Reconstructive Center, Kuwait: our experience over five years (from 2006 to 2010)

Khashaba, H.A.; Al-Fadhli, A.N.; Al-Tarrah, K.S.; Wilson, Y.T.; Moiemen, N.
Fonte: Euro-Mediterranean Council for Burns and Fire Disasters - MBC Publicador: Euro-Mediterranean Council for Burns and Fire Disasters - MBC
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.93%
Aim To determine the epidemiology and clinical presentation, and any contributing factors responsible for burns and outcome of care in Kuwait over the 5-yr period January 2006 to December 2010. Patients and methods. The study reviewed 1702 burn patients admitted over the study period to the Saud Al Babtain Burns, Plastic and Reconstructive Surgery Center, Kuwait. Patient characteristics, including age, sex, type of burn, nationality, total body surface area (TBSA) burn, hospital stay in days, and mortality were recorded. Results. Seventy-one per cent of the 1702 burn patients admitted were males; 540 were children. The majority of patients (64%) had less than 15% TBSA burns and only 14% had more than 50% TBSA burns. Flame burns were the most common cause of burn injuries (60%), followed by scalds (29%). Scalds were most common in children. The mortality rate was 5.75%. Flame burn was the leading cause of mortality. Lethal dose 50 (% TBSA at which a certain group has a 50% chance of survival) for adults (16-40 yr) and for the elderly (>65 yr) was 76.5% and 41.8% TBSA respectively. Conclusion. Burn injury is an important public health concern and is associated with high morbidity and mortality. Flame and scald burns are commonly a result of domestic and occupational accidents and they are preventable. Effective initial resuscitation...

Electrical burns: The trend and risk factors in the Ghanaian population

Agbenorku, P.; Agbenorku, E.; Akpaloo, J.; Obeng, G.; Agbley, D.
Fonte: Euro-Mediterranean Council for Burns and Fire Disasters - MBC Publicador: Euro-Mediterranean Council for Burns and Fire Disasters - MBC
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.97%
The usefulness of electricity in daily life offers several advantages which cannot be underestimated. Electricity is needed by industries for manufacturing and also in homes for lighting, cooking, washing, etc. However, electricity can cause severe life-threatening complications. This study investigates the trend and mortality risk factors of electrical burn injuries at the Burns Intensive Care Unit (BICU) of the Komfo Anokye Teaching Hospital (KATH), Ghana. The Burns Registry at KATH BICU containing information on patients who were admitted for electrical burns was used. Data on the sex, age, occupation, cause of injury, Total Body Surface Area burned (TBSA) and outcome of admissions was obtained. GraphPad version 5 was used for the analysis. There were 13 (2.7%) electrical burns, suffered by 11 males (84.6%) and 2 females (15.4%) out of a total 487 BICU admissions over a 4-year period (July 1, 2009 – June 30, 2013); the mean age of the electrical burn victims was 37.8 years (range = 22–56); the TBSA ranged from 5.0% - 98.0%. Mortality risk factors identified were high voltage electrical burns, older age (P=0.0250) and TBSA>20% (P=0.048). Four cases (30.8%) were transferred to the Main Burns Ward (Ward D2C); 6 cases (46.1%) were discharged home; 3 patients (23.1%) died; all deaths were recorded in persons who had high voltage electrical burns. Electrical burns can be severe and can cause death. Even though the current study showed that a small population was affected by electrical burns...

The importance of immediate cooling - a case series of childhood burns in Vietnam

Nguyen, N.; Gun, R.; Sparnon, A.; Ryan, P.
Fonte: Elsevier Sci Ltd Publicador: Elsevier Sci Ltd
Tipo: Artigo de Revista Científica
Publicado em //2002 EN
Relevância na Pesquisa
36.97%
Numerous experimental studies have shown several benefits of treating burns by the immediate application of cool water. In this study of 695 children with burns, treated in the National Burn Institute (NBI), Hanoi, Vietnam, patients were assessed on admission according to first aid measures at the time of injury, i.e. the removal of the cause and immediate cooling with cold water. A total of 33% of the children who had had immediate cooling of the burn with water had deep burns, compared with 49% of the children who had not had immediate cooling. The prevalence ratio of deep burns was thus 0.68 (95% confidence interval (CI) 0.55–0.85); that is, there was an estimated reduction of 32% in the need for skin grafting, a reduction which was statistically significant. After adjusting for the effect of cooling the burn, removal of the causal agent reduced the odds of requiring skin grafting, but the reduction was not statistically significant. It is concluded that early cooling will prevent a significant percentage of superficial burns from progressing to deep burns. This will not only reduce the probability that skin grafting and expensive treatment will be required, but will reduce the risk of other consequences of deep burns, which may be fatal. Public health programs to promote immediate cooling of burns with cool water are at least as important as subsequent medical and surgical treatment in determining the outcome of burns in children.; Nhu Lam Nguyen...

Breast burns are not benign: Long-term outcomes of burns to the breast in pre-pubertal girls

Foley, P.; Jeeves, A.; Davey, R.; Sparnon, A.
Fonte: Elsevier Sci Ltd Publicador: Elsevier Sci Ltd
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
36.95%
Chest burns in pre-pubescent girl are commonly seen in paediatric burn units. These patients are at risk of significant long-term problems with scarring and breast development requiring reconstructive surgery many years after the initial burn. Admissions to our unit over a 20-year period were reviewed to determine the frequency of these burns. Patients whose burns required surgical debridement and split skin grafting, and who would now be post-pubertal were included in the study. We attempted to trace and contact these patients and were able to find 13 out of 22 patients, of whom 11 agreed to participate. The mechanism of injury in six was scalds and the other five had flame burns. Mean age of patients with scald was 18 months and for flame burns 4 years 8 months. These women required a variety of reconstructive procedures to improve breast appearance including contracture releases, dermabrasion, breast augmentation and contralateral breast reduction. Girls burned as young children require follow-up and appropriate referral long after the burn to ensure good cosmetic results are achieved during and after puberty.; P. Foley, A. Jeeves, R.B. Davey, A.L. Sparnon

The lived experience of nursing severe burns injury patients: a phenomenological inquiry

Kornhaber, Rachel Anne
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2009
Relevância na Pesquisa
37.08%
Little nursing research has focused on nurses’ experiences of nursing severe burns injury patients. This study has provided a gateway to explore, describe and document the experience of nursing severe burns injury patients. This thereby adds to the existing body of nursing knowledge upon which the nursing care of patients with severe burns injury can be made in an informative manner with confidence. This descriptive phenomenological study describes the lived experiences of seven full time registered nurses that care for patients who have sustained a severe burns injury. The descriptive phenomenology of Husserl and the methodological interpretations of Colaizzi underpin this study. Purposeful sampling was utilised to select participants who work in a severe burns injury unit in New South Wales, Australia. The use of in-depth interviews was used to generate data about the participants’ personal and professional experiences’ of nursing severe burns injury patients. The interviews were transcribed verbatim, analysed and described using a descriptive phenomenological methodology. Twenty eight cluster themes emerged from the participants’ experiences which were further merged into nine emergent themes that depicted the experiences of nurses caring for severe burns injury patients which formed the basis of the findings reported. Participants described burns nursing as both physically and emotionally demanding yet rewarding. It was shown that burns nurses have a resilient nature with the ability to cope with the challenges of burns nursing. Participant nurses described how they emotionally detached and became hardened to the devastation of a severe burns injury. The unique bond that formed between burns nurses and their patients’ demonstrated a relationship embedded in trust and understanding that allowed the nurse to continue caring for burns patients for extended periods. Commitment and dedication were found to be fundamental elements for nursing burns patients. Participant nurses were found to feel emotionally exhausted...

Ultrasound assessed thickness of burn scars in association with laser Doppler imaging determined depth of burns in paediatric patients

Wang, X.Q.; Mill, J.; Kravchuk, O.; Kimble, R.
Fonte: Elsevier Sci Ltd Publicador: Elsevier Sci Ltd
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
36.99%
This study describes the ultrasound assessment of burn scars in paediatric patients and the association of these scar thickness with laser Doppler imaging (LDI) determined burn depth. A total of 60 ultrasound scar assessments were conducted on 33 scars from 21 paediatric burn patients at 3, 6 and 9 months after-burn. The mean of peak scar thickness was 0.39±0.032cm, with the thickest at 6 months (0.40±0.036cm). There were 17 scald burn scars (0.34±0.045cm), 4 contact burn scars (0.61±0.092cm), and 10 flame burn scars (0.42±0.058cm). Each group of scars followed normal distributions. Twenty-three scars had original burns successfully scanned by LDI and various depths of burns were presented by different colours according to blood perfusion units (PU), with dark blue <125, light blue 125–250, and green 250–440PU. The thickness of these scars was significantly different between the predominant colours of burns, with the thinnest scars for green coloured burns and the thickest for dark blue coloured burns. Within light blue burns, grafted burns healed with significantly thinner scars than non-grafted burns. This study indicates that LDI can be used for predicting the risk of hypertrophic scarring and for guiding burn care. To our knowledge...

Silver absorption on burns after application of Acticoat™: data from pediatric patients and a porcine burn model; Silver absorption on burns after application of Acticoat(TM): data from pediatric patients and a porcine burn model

Wang, X.Q.; Kempf, M.; Mott, J.; Chang, H.E.; Francis, R.; Liu, P.Y.; Cuttle, L.; Olszowy, H.; Kravchuk, O.; Mill, J.; Kimble, R.
Fonte: Mosby Inc Publicador: Mosby Inc
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.95%
Silver dressings have been widely used to successfully prevent burn wound infection and sepsis. However, a few case studies have reported the functional abnormality and failure of vital organs, possibly caused by silver deposits. The aim of this study was to investigate the serum silver level in the pediatric burn population and also in several internal organs in a porcine burn model after the application of Acticoat. A total of 125 blood samples were collected from 46 pediatric burn patients. Thirty-six patients with a mean of 13.4% TBSA burns had a mean peak serum silver level of 114 microg/L, whereas 10 patients with a mean of 1.85% TBSA burns had an undetectable level of silver (<5.4 microg/L). Overall, serum silver levels were closely related to burn sizes. However, the highest serum silver was 735 microg/L in a 15-month-old toddler with 10% TBSA burns and the second highest was 367 microg/L in a 3-year old with 28% TBSA burns. In a porcine model with 2% TBSA burns, the mean peak silver level was 38 microg/L at 2 to 3 weeks after application of Acticoat and was then significantly reduced to an almost undetectable level at 6 weeks. Of a total of four pigs, silver was detected in all four livers (1.413 microg/g) and all four hearts (0.342 microg/g)...

Paediatric Burns in Sulaimani, Iraq

Kadir, A.R.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.97%
Burns are the most frequent injury among paediatric patients. The injury, treatment, and rehabilitation process affect children not only physiologically but also psychologically. In this prospective study of burn victims aged 12 yr and less hospitalized in our burns centre (Emergency Hospital) between July 2001 and August 2005, three age groups were considered (0-12 months, 1-6 yr, and 7-12 yr), distinguished on the basis of children's predominant activity and behaviour. The study reports on the characteristics of burn injuries in children hospitalized in the Emergency Hospital at the burns centre in Sulaimani, Iraq. In the period of study, 3550 children with burn injuries were treated in our burns centre (in-patients and out-patients), made up 44% (3550/8000) of all burn victims treated in our burns centre in that period. The children's mean age was 4.03 ± 1.62 yr. The male/female ratio was 1:1.1 (1725/1825). Scald burns, accounting for 79.4% of the cases, were the commonest injuries in the study, compared with 20.6% non-scald burns. Most of the injuries happened in the home (74.7%). The trunk was affected in 78.6% of all patients studied. Meal times (especially dinner, 6-9 p.m., and lunch 11 a.m.-2 p.m) clearly had the highest number of accidents. There were more paediatric burns in the colder months (38.2% in winter). Surgery was performed in 553 patients (15.6%). In the five years studied...

Isolated Chemical Burns to the Genitalia

Abdel-Razek, S.M.
Fonte: Mediterranean Council for Burns and Fire Disasters Publicador: Mediterranean Council for Burns and Fire Disasters
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.97%
Perineal or genital burns are mostly part of large body surface injuries, and isolated burns to the genitalia are not common. Nevertheless, they are of major concern to the patient and clinician. Highly concentrated solutions of sulphuric acid are available to unclog drains. We have noted a substantial number of both accidental and intentional cutaneous burns caused by these agents and we therefore conducted a study on the incidence and treatment of isolated chemical burns in the genitalia. The study was performed in the Burns Unit, King Saud Hospital, Al-Qassim, Kingdom Saudi Arabia, from April 2001 to December 2004. During this period we received 12 patients with isolated chemical burns in the genitalia, representing 3.4% of all cases of burns treated between 2001 and 2004 (350 patients with different causes and variable percentages of burns). Of these 12 patients, 11 were males and one female. The patients' ages ranged from 9 to 75 yr. The mean burn size was 2% of the total body surface area. The cause of the burn injury was sulphuric acid, which is famous in this area for water closet cleaning. Eight patients (66.7%) required skin grafting, one healed with minimal scarring, and three (25%) healed with minimal contractures treated with multiple Z-plasty. We concluded that conservative management of perineal and genital chemical burns was recommended until the demarcation zone became clear. Split-thickness skin grafts were durable...

Quemaduras de cuero cabelludo. Serie de casos y revisión de la literatura; Scalp burns. Experience in 11 cases

Mangelsdorff G., Günther; Piñeros B., José Luis; Calderón O., Wilfredo; Léniz M., Patricio; Enríquez C., Estefanía; Pereira C., Nicolás
Fonte: Universidade do Chile Publicador: Universidade do Chile
Tipo: Artículo de revista
ES
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Background: The scalp is the most external and important barrier of the skull and brain. Its burns are often caused by high voltage injuries, fi re, liquid or other heat sources. Aim: To report a series of cases of scalp burns seen during the last 10 years. Material and Methods: Retrospective review of medical records of patients that required hospital admission with a main diagnosis of scalp burn. Results: There were 2.266 consultations for head burns. Of these, 34 patients consulted with scalp burns and 11 were hospitalized. Four were due to electrical burns and four due to fi re. As treatment in one case, a free fl ap was used but failed and required local advancement fl aps. For the management of sequelae, expanders and then local advancement fl aps were used. Conclusions: Only a small proportion of patients presenting with head burns, had scalp burns. Most were treated as outpatients and did not require further action. The four patients with electrical burns required more aggressive treatments. For the management the sequelae, expanders and local advancement fl aps were used.