Management of paediatric burns

BMJ ◽  
2010 ◽  
Vol 341 (aug25 1) ◽  
pp. c4485-c4485
Author(s):  
A. W. N. Reid ◽  
J. Akhtar ◽  
O. P. Shelley
Keyword(s):  
Paediatric Burns

312 Retrospective Analysis of Long-Term Scarring Outcomes in Paediatric Burns Patients

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Mistry
Keyword(s):  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Burn Patients ◽  
Burn Scar ◽  
Common Presentation ◽  
Paediatric Burns ◽  
Significant Difference ◽  
Patient Reported

Abstract Introduction Paediatric burns are a common presentation to a plastic surgery unit. The long-term scar outcomes in paediatric burns patients are relatively unknown as most are discharged after 6 weeks follow up. We aimed to determine whether the long-term scarring outcomes are significantly different in those who had surgical treatment with Versajetâ debridement and Biobraneâ, versus those treated conservatively with non-adherent dressings, in a cohort of paediatric burns patients. Method The parents of all paediatric burns patients admitted to Stoke Mandeville Hospital from October 2014 to September 2017 were contacted by telephone to fill in the Brisbane Burn Scar Impact Profile (BBSIP), a patient reported outcome measure specifically aimed at children. The results from the questionnaires underwent statistical analysis to see if there was a significant difference in questionnaire scores between children treated surgically versus those treated conservatively. Results A total of 107 children were admitted in the timeframe, responses were received from 34 patients with 13 having been treated surgically and 21 having been treated conservatively. In all 58 questions that make up the BBSIP, there was no statistically significant difference observed in the scores of those treated surgically versus those treated conservatively. For 31 questions on the BBSIP, the lowest score indicating the best outcome was observed in all patients in both groups. Conclusions We found no statistically significant difference in the long-term scar outcomes as assessed by the BBSIP in paediatric burn patients treated with Versajetâ debridement and Biobraneâ, versus those treated conservatively with non-adherent dressings.

Quantitative and qualitative study in keratinocytes from foreskin in children: Perspective application in paediatric burns

Burns ◽  
2010 ◽  
Vol 36 (8) ◽  
pp. 1277-1282 ◽  
Author(s):  
J.N. Mcheik ◽  
C. Barrault ◽  
F.X. Bernard ◽  
G. Levard
Keyword(s):  
Qualitative Study ◽  
Paediatric Burns

Mortality in paediatric burns at the Women’s and Children’s Hospital (WCH), Adelaide, South Australia: 1960–2017

Burns ◽  
2020 ◽  
Vol 46 (1) ◽  
pp. 207-212
Author(s):  
Hsu Phie Chong ◽  
Linda Quinn ◽  
Rebecca Cooksey ◽  
Darren Molony ◽  
Amy Jeeves ◽  
...  
Keyword(s):  
South Australia ◽  
Children's Hospital ◽  
Paediatric Burns ◽  
Children’S Hospital

A Practical Guide to Paediatric Burns

2007 ◽  
Vol 18 (1) ◽  
pp. 95-95
Author(s):  
John P. Keneally
Keyword(s):  
Practical Guide ◽  
Paediatric Burns

A 6-year review of paediatric burns in the West of Ireland

2010 ◽  
Vol 34 (2) ◽  
pp. 71-74
Author(s):  
Hussain Mumtaz ◽  
Syed Abuzar Mashhadi ◽  
Peter J. Sloane ◽  
Padraic J. Regan ◽  
Jack McCann
Keyword(s):  
The West ◽  
Paediatric Burns ◽  
West Of Ireland

scholarly journals Epidemiology of isolated foot burns in children presenting to a Queensland paediatric burns centre— a two-year study in warmer climate

2017 ◽  
Vol 5 ◽  
Author(s):  
Florence Ngu ◽  
Bhaveshkumar Patel ◽  
Craig McBride
Keyword(s):  
Retrospective Review ◽  
Skin Grafting ◽  
Common Mechanism ◽  
Mechanism Of Injury ◽  
European Studies ◽  
Chemical Burns ◽  
Chi Square ◽  
Paediatric Burns ◽  
Scar Management ◽  
Parametric Analyses

Abstract Background European studies of paediatric foot burns report scalds as the leading cause. Mechanisms of injury are different in warmer climates. We sought to characterize the mechanisms and outcomes of isolated foot burns in our population. Methods Retrospective review of a prospectively collected database of all children aged 0–15 years presenting to a Queensland paediatric burns centre over a 26-month period. Non-parametric analyses such as the Mann-Whitney U and Pearson Chi-square were used. Results There were 218 children with foot burns treated over a period of 2 years and 2 months of which 214 had complete records. There were significantly more boys than girls (n = 134, 62.6% cf. n = 80, 37.4%, p < 0.0001). The leading mechanism of injury was a contact burn accounting for 63.1% (n = 135) followed by scalds (23.8%, n = 51). Friction, flame and chemical burns were a minority but were significantly deeper (p = 0.03) and significantly more likely to require grafting (p = 0.04) and scar management (p < 0.0001) compared to contact and scald burns. Conclusions In our population, contact burns are the most common mechanism of injury causing burns to the feet. The leading aetiology is campfire burns, which account for one-third of all burns to the feet. Prevention campaigns targeted at this population could significantly reduce the burden of morbidity from these burns. Friction, flame and chemical burns constitute a minority of patients but are deeper and more likely to require skin grafting and scar management.

Haemofiltration in the Management of Severe Paediatric Burns – Experience in a UK Burns Centre and Systematic Review

2021 ◽  
Author(s):  
Michael Rice ◽  
Ibrahim Ibrahim ◽  
Mohamed Ismail Aly
Keyword(s):  
Systematic Review ◽  
Metabolic Acidosis ◽  
Acute Injury ◽  
Secondary Complications ◽  
Paediatric Burns ◽  
Life Threatening ◽  
Age Range ◽  
And Control ◽  
Renal Support

Abstract Paediatric burns are life-threatening injuries due to the acute injury and secondary complications. In acute phase burns, hypovolaemia and vasoconstriction cause renal impairment. Sepsis and multi-organ failure compound the problem resulting in morbidity and mortality. This paper outlines 5 years’ experience using haemofiltration in major paediatric burns, and a review of the current literature.Retrospective patient data collection was undertaken identifying relevant paediatric burns undergoing Continuous Veno-Venous Haemofiltration. Data were analysed to identify demographics, indication, duration of therapy, and outcomes. A systematic review was also performed using PRISMA principles. PubMed, Science Direct and OVID databases were explored and relevant papers were included.From January 2015-December 2019, haemofiltration was utilised in 5 cases. Age range 3-15 years (mean: 12), 4 males / 1 female, mean weight 56kg (12-125kg). TBSA 21-61% (mean: 37.6%), mechanism of injury was scald-60%, flame-40%. Overall survival was 100%. 3 patients were filtered for a brief period during the first 24 hours to correct metabolic acidosis and control temperature. 2 patients required prolonged therapy. All patients recovered without further long term renal support. A total of 3814 papers were identified for systematic review. 3 were considered relevant for inclusion.This paper reflects the benefits of haemofiltration in the management of severe paediatric burns. Renal replacement therapy is useful in managing metabolic acidosis, temperature control and renal failure. The current literature supports judicious use on a patient-by-patient basis. Given the lack of evidence in the literature, further studies are required to establish guidelines for the use of haemofiltration in paediatric burns.

The treatment of paediatric burns with concentrated surfactant gel technology: a case series

2020 ◽  
Vol 29 (Sup6) ◽  
pp. S12-S17
Author(s):  
Timothy P Pittinger ◽  
Danielle Curran ◽  
Michel HE Hermans
Keyword(s):  
Antimicrobial Agent ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Ease Of Use ◽  
Anatomical Location ◽  
Paediatric Patients ◽  
Number Of Patients ◽  
Paediatric Burns ◽  
Different Types ◽  
Topical Antimicrobial

Objective: To assess the safety and efficacy of a surfactant-based technology for the management of burns. Method: In a retrospective review, paediatric patients with different types of burns were treated with the gel technology. In some patients, the treatment was combined with a topical antimicrobial agent. Primary objectives of the review were the assessment of healing, healing times and ease of use of the material. Results: The wounds of 15 paediatric patients with different types of burns, particularly with regard to depth and anatomical location, were evaluated using a retrospective chart review. It was found that the surfactant gel technology, with or without the topical antimicrobial agent, assisted in autolytic debridement, and that time to re-epithelialisation was short and within the range of those obtained with other established treatments. Conclusion: The number of patients and wounds in this evaluation is small but the study indicates that the gel technology provides a safe and effective way to treat smaller burns in paediatric patients.

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