Dressings for superficial and partial thickness burns

Wasiak, Jason; Cleland, Heather; Campbell, Fiona

doi:10.1002/14651858.cd002106.pub2

Cited by 67 publications

(122 citation statements)

References 8 publications

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…19 Nevertheless, there has been an increase in the development of silver-containing dressings for the management of both chronic and acute wounds. 20 The use of topical negative pressure therapy for wound care has become widespread since 1997, when published work demonstrated that VAC assisted in completion of wound closure and enhanced formation of granulation tissue in the wound bed. 21 The development of negative pressure wound therapy has continued to expand to optimize patient care, and in 2008 a silver-impregnated sponge used in conjunction with the VAC device (V.A.C.…”

Section: Discussionmentioning

confidence: 99%

Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient

LaRiviere

Goldin

Avansino

2011

The Journal of the American College of Certified Wound Speciali

View full text Add to dashboard Cite

Silver-containing topical agents are used to help prevent infectious complications in wound therapy. Toxicity from topical silver agent exposure was initially reported in 1975 and was clinically characterized by granulocytopenia. Currently, the data regarding potential toxicity associated with silver-impregnated devices are limited. A 23-year-old patient receiving chemotherapy for acute lymphoblastic leukemia presented with necrotizing fasciitis of the abdominal wall and scrotum from a Crohn disease-related psoas-enteric fistula. Surgical debridement of the soft-tissue and abdominal musculature was performed to the peritoneum. Silver-containing foam sponges and wound vacuumassisted closure were applied directly to the peritoneum 2 weeks after initial debridement. Subsequently, the patient developed leukopenia, and workup revealed the serum silver level was 4 times normal level. Silver-impregnated sponges were discontinued and silver-free sponges and wound vacuum-assisted closure therapy resumed, followed by leukopenia resolution. Silver toxicity associated with routine application of silver-impregnated sponges has not been previously reported.

show abstract

Section: Discussionmentioning

confidence: 99%

Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient

LaRiviere

Goldin

Avansino

2011

The Journal of the American College of Certified Wound Speciali

View full text Add to dashboard Cite

show abstract

“…In the first study, honey is evaluated for wound healing [1], and in the other, different dressings are studied for their healing properties [2]. Doctors and consumers are increasingly demanding more separation between marketing campaign to sustain products, superstition, myth remedies and evidence.…”

Section: The Methodsologist's Point Of Viewmentioning

confidence: 99%

“…Another Cochrane review analysed a total of 26 randomised controlled trials that evaluated whether any type of dressing from the many now commercially available is more effective in promoting healing and minimising discomfort and infection for patients with superficial and partial thickness burns [2]. A number of dressings appear to have some benefits over other products in burn management, and this benefit relates to time to wound healing, the number of dressing changes and the level of pain experienced.…”

Section: Best Among the Commercial Dressingsmentioning

confidence: 99%

Commercial dressings for burns versus sweet ancient remedy

et al. 2008

View full text Add to dashboard Cite

“…Durante los últimos años, se han publicado avances importantes aplicables a una nueva GPC, destacando revisiones sistemáticas y meta análi-sis sobre la calidad metodológica de los estudios randomizados realizados en pacientes quemados 25 , manejo tópico de las quemaduras [26][27][28][29] , nutrición 30,31 y rehabilitación 32 ; además de GPC acerca de manejo de catástrofes 33,34 , manejo prehospitalario 35 , resucitación 36 , manejo de quemaduras intermedias 37 , criterios diagnósticos de sepsis 38 , uso de terapia antibiótica 39 , nutrición 40,41 , ventilación mecánica en pacientes quemados 42,43 y diagnóstico y manejo de neumonía asociada a ventilador mecánico 44 . Esperamos que nuestro trabajo sea tomado como un aporte al mejoramiento continuo de las GPC más que una crítica a las mismas.…”

Section: Importancia De Recomendaciones Mbeunclassified

Análisis crítico de guía clínica GES gran quemado versión 2007

et al. 2011

Rev Chil Cir

View full text Add to dashboard Cite

Critical appraisal of clinical guidelineObjective: Critical appraisal of the clinical practice guideline (CPG) "Gran Quemado-Extensive Burn Patients"(2007 issue) corresponding to "Garantías Explícitas en Salud-Explicit Health Guarantees" (GES). Material and Methods: The CPG was evaluated using the previously validated AGREE instrument. This instrument evaluates a series of items organized in 6 domains, that capture different dimensions of the guidelines quality comparing the scores obtained with a maximum theoretical score. The CPG was evaluated by three independent and masked authors applying the AGREE instrument. Results: Stratifi ed by domain, in the "scope and purpose" domain there was an 88.9% of compliance; in "stakeholder involvement" 47.9%; in the "rigour of development" 47.6%; in "clarity and presentation" 79.2%; in "applicability" 30.6% and 75% in the "editorial independence" domain; reaching a 44.9% fi nal score of compliance. Conclusions: The score obtained was below 50% of the optimum for a CPG. The detailed analysis by domain makes evident the areas that may be subject of improvement, so as to optimize the applicability of the CPG and therefore guarantee better health care and treatment results for all burn patients benefi ting from the "Explicit Health Guarantees".Key words: Critical appraisal, practice guidelines, quality assessment, evidence based medicine, AGREE, burn. ResumenObjetivo: Evaluar críticamente la guía de práctica clínica (GPC) de Gran Quemado correspondiente a las Garantías Explícitas en Salud (GES) versión 2007. Material y Método: La evaluación se realizó con el instrumento AGREE el cual ha sido previamente validado. El instrumento AGREE evalúa una serie de ítems en 6 dominios entregando un puntaje específi co que se compara con un máximo teórico. Tres autores Rev.

show abstract

Dressings for superficial and partial thickness burns

Abstract: Issue 3. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.

Cited by 67 publications

References 8 publications

Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient

Silver Toxicity With the Use of Silver-Impregnated Dressing and Wound Vacuum-Assisted Closure in an Immunocompromised Patient

Commercial dressings for burns versus sweet ancient remedy

Análisis crítico de guía clínica GES gran quemado versión 2007

Contact Info

Product

Resources

About