Showing papers in "Burns in 2018"

TL;DR: VR is a complementary drug strategy that has proven beneficial results in the treatment of burn patients and is associated with increased enjoyment and the reduction of pain, anxiety and stress during dressing changes and also during physical rehabilitation and physiotherapy.

TL;DR: In this paper, the authors reviewed the use of WhatsApp to facilitate paediatric burn injury consultations to a regional burn centre in a developing country, where burn care continues to be thwarted by administrative apathy, poor resource allocation and lack of attention to medical and nursing education at all levels.

TL;DR: The current status of research into skin xenotransplantation for burns is summarized, with special emphasis on developments in genetic engineering of pigs to protect the graft from immunological injury.

TL;DR: Application of S. cerevisiae with a bi-phase biological dressing (CH-S) improved the morphological and biomechanical characteristics of the healing burned wounds in rats and the results were comparable to the positive control.

TL;DR: Quantitative and qualitative results from both patient and provider perspectives consistently supported the feasibility and utility of applying low-cost VR technology in this outpatient burn clinic setting.

TL;DR: SJS and TEN are a spectrum of severe mucocutaneous reactions that have unclear treatment recommendations within the literature and within the authors' Level 1 hospital and information gleaned from this research will help educate physicians involved in the treatment and management of patients with these diagnoses.

TL;DR: The results did not support verapamil's capability in treatment of keloid nor hypertrophic scars.

TL;DR: Despite similar country socioeconomic characteristics there was significant variability in burn demographics, timing, and disability, Nevertheless, being geographically and economically disadvantaged predict lack of access to burn care.

TL;DR: It is suggested that hypnosis reduces pain intensity and anxiety ratings in adults undergoing burn wound care, however, clinical recommendations are still premature.

TL;DR: The burn-excise-autograft model using split-thickness autograft meshed and expanded to 1:1.5 or 1:4, resulted in thick, raised scars similar in appearance and structure to human hypertrophic scars.

TL;DR: Evidence comparing excision modalities for acute burns is sparse, and although early excision with a knife is still often considered best practice, there is no tool choice consensus or robust comparison with alternate, possibly superior, tools.

TL;DR: There is a gap in the psychological care for burn survivors and their caregivers around issues of parental guilt and blame, ruminations of guilt and shame as well as body image, according to this systematic review.

TL;DR: Intubation should be considered for patients displaying the Denver criteria, which includes full thickness facial burns, stridor, respiratory distress, swelling on laryngoscopy, upper airway trauma, altered mentation, hypoxia/hypercarbia, hemodynamic instability, suspected smoke inhalation, and singed facial hair.

TL;DR: The current study demonstrates the impact of pediatric burn injury on the family level, and shows simultaneous existence of within-family interrelatedness of traumatic stress and an influence of parents' own symptoms on their perception of child symptoms.

TL;DR: A number of strategies in both diagnosis and treatment of II that have support in the published literature are identified, including the role of bronchoscopy, permissive hypercapnia, nebulized heparin and hydroxycobalamin.

TL;DR: ECMO is a viable therapy that can be utilized successfully as a rescue modality when conventional interventions are unsuccessful and this is the lowest mortality rate reported to date in burn patients with ARDS place on ECMO.

TL;DR: Recovery from burn injury is complex and the most important facets of recovery change over time, so future research should focus on developing treatments to help patients adjust to post-burn appearance in the early post-discharge period and mental health interventions may be effective as patients progress in recovery.

TL;DR: Self-reported distress in a small group of children (n=18) older than 5 years indicated a significant reduction in distress after live music therapy, suggesting older children might be more responsive to this intervention.

TL;DR: The study findings suggest that persistent care should be provided for burn survivors even after discharge, and the effect of social participation on body image, and vice versa, seems to be relatively constant and steady.

TL;DR: It is suggested that the microbial cellulose dressing is a better first choice for treatment of partial thickness burns than silver sulphadiazine cream, and this is good for both the patients and the health care system.

TL;DR: Progress has been made to update the conventional one day/%TBSA to better aid health care providers in giving appropriate outcomes for patients and their families and to supply intensive care units with valuable data to assess quality of care and to improve patient prognosis.

TL;DR: Image analysis indicated biocompatible CMHA-S treatment resulted in significant decreases in the areas of corneal opacity at 48h, 96h, and on day 14 postoperatively, and a significant increase in re-epithelialization was seen 14days post injury.

TL;DR: Treatment needs for patients after burn and non-burn trauma for a prolonged period after discharge is identified and elevated rates of DM admissions after injury compared to the non-injured cohort over the duration of the study are identified.

TL;DR: V-ECMO is a useful rescue intervention in patients with burns related severe respiratory failure and patients in this institution benefit from having both burns and ECMO centres with major expertise in the field under one roof, although more cases are needed to draw more robust conclusions.

TL;DR: Patients with burn scars have higher levels of pre-existing psychological difficulties, carry a greater number of scars and experience more symptoms, and a lack of support once they have been discharged by their healthcare provider is identified.

TL;DR: Using a brass rod thermal injury model it is shown that in contrast to the lab mouse, Mus musculus, the spiny mouse regenerates all the tissues injured - skeletal muscle, dermis, hairs, sebaceous glands such that the skin is externally indistinguishable from its original appearance.

TL;DR: This quality improvement project aimed to reduce the incidence of perioperative hypothermia to below 10% of cases in patients with major burn (Total Body Surface Area [TBSA] >15%), within a one year period.

TL;DR: It is demonstrated that Frailty Score can be used to independently predict in-hospital and one-year mortality for thermal burns of any size in the elderly admitted as an in-patient to a burns unit and can be employed in combination with the modified Baux score to improve mortality prediction.

TL;DR: Excision and intralesional 5-FU/TAC is an effective treatment for keloid formation on the ears according to a comparison of frequency of efficacy in both groups.