scholarly journals Hydrosurgery-System® in Burn Surgery – Indications and Applications

Skin Grafts ◽  
10.5772/51851 ◽  
2013 ◽  
Author(s):  
Thomas Rappl
Keyword(s):  
Burn Surgery

633 Use of an ICU Rounding Tool Enhances Critical Care Learning for Trainees on a Burn Surgery Rotation

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S172-S173
Author(s):  
Lauren B Nosanov ◽  
Kaitlyn Libraro ◽  
Jamie Heffernan ◽  
Philip H Chang ◽  
Abraham Houng ◽  
...  
Keyword(s):  
Intensive Care ◽  
Ease Of Use ◽  
Convenience Sample ◽  
Team Members ◽  
Sepsis Risk ◽  
Burn Surgery ◽  
Ventilator Management ◽  
Patient Assessments ◽  
Continued Use ◽  
Additional Feedback

Abstract Introduction An institutional Burn Intensive Care Unit (ICU) Rounding Tool was implemented for both quality improvement data collection and trainee education. Forms are completed by trainee team members daily for all critically ill patients prior to teaching rounds. Gathered data are structured to facilitate evaluation of patient volume status, sepsis risk and ventilator management. The forms are then used to guide discussion among students, residents, mid-level providers, fellows, attending surgeons and other members of the multi-disciplinary rounding team. We conducted a series of interviews with trainees regarding their user experience to assess the tool’s educational utility. Methods A convenience sample of residents who had recently completed their Burn Surgery rotation were interviewed in a structured format. Questions focused on the form’s ease of use and comprehensibility. Emphasis was placed on the extent to which it stimulates learning while rounding. Additional feedback was sought for the purpose of improving the tool for continued use. Results Participants were post-graduate year one or two resident physicians training in General Surgery, Urology, Emergency Medicine or Anesthesia. Prior experience and comfort with ICU level care ranged from very little to moderate. All interviewees found the tool helpful in their patient assessments, though the current layout of the form was a frustration for many. Overall, they unanimously found the forms beneficial for preparation of patient presentations and felt that utilization during rounds facilitated learning. Conclusions Interviews with trainees on their burn surgery rotation demonstrate that implementation of an ICU Rounding Tool has provided educational benefit, particularly for those less experienced in intensive care. Feedback from this cohort will be used to improve the tool’s usability. Our next steps will include a more formal survey of all trainees involved since the inception of this project.

scholarly journals The renaissance man of burn surgery

2017 ◽  
Vol 83 (5) ◽  
pp. 765-773
Author(s):  
Karel D. Capek ◽  
Guillermo Foncerrada ◽  
R. Patrick Clayton ◽  
Michaela Sljivich ◽  
Charles D. Voigt ◽  
...  
Keyword(s):  
Burn Surgery ◽  
Renaissance Man

scholarly journals FOLLOW UP STUDY OVER A PERIOD OF SIX MONTHS WITH RESPECT TO REHABILITATION AND RECURRENCE AFTER BURN SURGICAL PROCEDURES.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yashpal Ramole ◽  
Badri Patel ◽  
M. C. Songara ◽  
Ishant Chaurasia
Keyword(s):  
General Surgery ◽  
Range Of Movement ◽  
Rehabilitation Protocol ◽  
Full Extent ◽  
Medical College ◽  
Follow Up Study ◽  
Burn Surgery ◽  
Gandhi Medical College ◽  
Score Range

The study was conducted in the Department of General Surgery, Gandhi Medical College, Bhopal over the period of one & half year. Evaluation started with History and clinical examination including range of movement of joints. Scar was scored as per Clinical Assessment Score. Range of movement was measured using goniometer. Although most patients came for follow up and were compliant with the rehabilitation protocol, their compliance needs to be re-evaluated at every follow up and they should be encouraged to follow the advices strictly. Also they must be counseled that contracture may not be corrected to the full extent despite best of treatment and compliance with rehabilitation protocol but a good level of improvement can be achieved. Keywords: Burn, Surgery, Rehabilitation & Recurrence.

scholarly journals On the issue of tangential necrectomy in burn surgery (literature review)

2020 ◽  
pp. 24-35
Author(s):  
E. V. Zinoviev ◽  
V. V. Soloshenko ◽  
A. S. Kourov ◽  
S. G. Shapovalov
Keyword(s):  
Literature Survey ◽  
Burn Injuries ◽  
Evidence Based ◽  
Electronic Library ◽  
Postoperative Wound ◽  
Burn Victims ◽  
Pubmed Database ◽  
Burn Surgery ◽  
Excised Tissues ◽  
Convincing Data

Relevance. Treatment of choice for patients with deep burns is early surgery, i.e. necrectomy with simultaneous plastic closure of the postoperative defect. However, technical implementation of necrectomy is still under debate.Intention. To assess current scientific views on the use of tangential necrectomy in the surgical treatment of burn victims.Methodology. A literature survey was carried out using PubMed database, the Google Academy search engine, and also resources of the Scientific electronic library (eLIBRARY.ru).Results and Discussion. The analysis allows us to conclude that at present tangential necrectomy for burn injuries is not generally approved. There is no convincing data on its indications, acceptable areas of simultaneously excised tissues and ex cision depth are not determined, the technique for performing tangential necrectomy using an electrodermatome has not been developed. There is no information on effective methods for closing postoperative defects using tangential excision of a scab.Conclusion. Thus, tangential necrectomy indications as well as acceptable areas of simultaneously dissected tissues and the depth of excision, tangential necrectomy technique via electrodermatome for closing postoperative wound defects need evidence-based justification.

scholarly journals Perspective on Contemporary Burn Surgery and Burn Care in Sweden

2003 ◽  
Vol 92 (4) ◽  
pp. 281-286 ◽  
Author(s):  
D. Jergovic ◽  
P.A. Danielsson
Keyword(s):  
Burn Care ◽  
Burn Surgery

715 Early Ambulation for Enhanced Recovery After Burn Surgery: A Systematic Review and Meta-analysis

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S189-S189
Author(s):  
Tomer Lagziel ◽  
Margarita Ramos ◽  
Kevin M Klifto ◽  
Stella Steal ◽  
Julie Caffrey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Statistical Significance ◽  
Burn Patients ◽  
Early Ambulation ◽  
Lengths Of Stay ◽  
Operative Care ◽  
Burn Surgery ◽  
Operative Recovery

Abstract Introduction Accurate models are a fundamental prognostic tool for risk stratification, therapy guidance, resource allocation, and comparative effectiveness research. Enhanced recovery after surgery protocols are developed to increase early post-operative recovery rates in surgical patients. Due to the unique nature of burn injuries and post-operative care, there is a need to develop a protocol unique to burn surgery, enhanced recovery after burn surgery. Methods The PubMed, Embase, Cochrane, and Web of Science databases were systematically searched. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) and Cochrane guidelines were strictly followed throughout the study. Search terms were utilized to capture the relevant studies relating to early ambulation of adult burn patients (>18 years of age) and their post-surgical outcomes such as graft take, time to discharge, pain levels, VTEs, and length-of-stay. Results Thirteen of 888 studies retrieved from the search query were eligible for systematic review and meta-analysis. Patients with delayed ambulation, after 5 or more days were found to have increased pain levels at rest (p=0.02) and when ambulating (p=0.08). One study found an increased infection rate in late ambulatory patients (p=0.22). Most results from studies did not have significant data that was relevant to our extraction. For example, only one study assessed pain levels and only three studies notes zero venous thromboembolisms (without statistical significance). Conclusions Limited evidence exists relating to thromboembolic events and time-to-ambulation in post-operative burn patients. There are no significant differences in the number of events between early and late ambulation groups. Early ambulation should be included as part of the ERABS protocol for lower risks of hospital-acquired infections due to shorter lengths-of-stay. Decreased associated pain levels could lead to decreased risk for opioid dependence. Due to limited literature references, these conclusions are immature and more studies should be performed in order to develop more accurate and effective protocols. Applicability of Research to Practice Burn surgery recovery patients are unique. Therefore, specialized protocols must be developed to enhance their post-operative care.

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