Gore-tex bags versus traditional hand bandaging: A comparison of range of motion, sensation and function in healthy subjects

Snell, Jan R.; Glassey, Nicole; Westwater-Wood, Sarah; Mockett, SP; Raynor, Kathleen

doi:10.1016/j.burns.2009.10.003

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…Gore-tex bags are semipermeable, reusable, and theoretically provide a superior healing environment to polythene, with less maceration. Gore-tex bags were compared with traditional nonadherent individual finger dressings and bandages and were associated with a better range of motion of digits and sensory scores, but lower scores for comfort 16 …”

Section: Resultsmentioning

confidence: 99%

“…Eight randomized controlled trials, [10][11][12][13][14][15][16][17] 2 systematic reviews, 18,19 and 1 evidence-based guideline 20 were identified as part of the initial search strategy (Table 1; additionally, in the excluded hand burns articles, there were 10 randomized controlled trials [21][22][23][24][25][26][27][28][29][30] and 6 systematic reviews or meta-analyses [31][32][33][34][35][36] ). The most common study designs were case series (75 articles) followed by retrospective cohort, review articles, and cross-sectional studies.…”

Section: Resultsmentioning

confidence: 99%

“…Gore-tex bags were compared with traditional nonadherent individual finger dressings and bandages and were associated with a better range of motion of digits and sensory scores, but lower scores for comfort. 16 Silver sulfadiazine ointments such as Flamazine (Smith & Nephew) can penetrate to the deeper layer of burns and therefore are appropriate for dressing of deep dermal or full-thickness burns, and a regimen is described for use in combination with Mepitel One (Mölnlycke Healthcare, Gothenburg, Sweden) dressings for hand burns to minimize pain during dressing changes. 128 Daily cleansing and application of silver sulfadiazine ointment forms the basis of management in some centers, 50 although silver-impregnated dressings are now available, which allow for a reduced frequency of dressing while maintaining broad antimicrobial effects.…”

Section: Dressingsmentioning

confidence: 99%

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Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Dressingsmentioning

confidence: 99%

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Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Hand burn management: minimising pain and trauma at dressing change

Edwards

Mason

2013

Br J Nurs

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The aim of wound management in hand burn injuries is to restore function and prevent problem scars, so a key consideration in wound healing is the removal of dressings without causing pain and further trauma as well as preserving function. Conventionally, wound dressings such as paraffin gauze were used for burn injuries, but this led to pain and trauma on removal, as well as drying out. This study looks at the use of Mepitel® One on hand burns; this dressing incorporates all the benefits of Mepitel, however, it only has Safetac technology on the wound contact side, allowing easy handling and application.

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