Versajet® hydrosurgery system for the debridement of paediatric burns

Kimble, Roy M.; Mott, Jonathan; Joethy, Jehan

doi:10.1016/j.burns.2007.08.018

Cited by 22 publications

(18 citation statements)

References 2 publications

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“…Suprathel ® was applied to the wound after administrating oral analgesics in the outpatient department or under general anesthesia (propofol, fentanyl) in the operating theatre within 48 h after injury. The burn wounds were cleaned by rinsing and superficial debridement of loose skin remnants and blisters or by using a Versajet ® hydrosurgery system for surgical wound debridement [10]. Thereafter, a Suprathel ® film was cut to adequate dimensions to cover the complete burned area, whereupon a multilayer Vaseline gauze dressing was applied to keep the Suprathel ® separated from the outer absorbing dressings.…”

Section: Methodsmentioning

confidence: 99%

Usability and effectiveness of Suprathel® in partial thickness burns in children

Rashaan

Krijnen

Allema

et al. 2016

Eur J Trauma Emerg Surg

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PurposeEvaluation of usability and effectiveness of Suprathel® in the treatment of partial thickness burns in children.MethodsA prospective, observational study to evaluate adherence of Suprathel® to the wound bed, reepithelialization time, grafting, wound colonization and infection, pain, dressing changes, length of hospital stay (LOS) and scar formation.ResultsTwenty-one children (median age 2.4 years, range 5 months–14 years) with a median total body surface area (TBSA) of 4 % (range 1–18) were included. Median LOS was 10 days (range 3–20). Median outer layer dressing changes was 3 (range 1–14). Suprathel® was only adherent in wounds debrided with Versajet®. Median reepithelialization time was 13 days (range 7–29). Three patients needed a split skin graft. There were 7 (33 %) patients with wound colonization before application of Suprathel®. This increased to 12 (57 %) patients during treatment. One patient developed a wound infection. Median visual analog scale (VAS) scores for background and procedural pain in patients >7 years were 3.2 (range 2–5) and 3.5 (range 2–5), respectively. In younger patients, median background and procedural COMFORT-B scores were 13.8 (range 10–23) and 14.8 (range 13–23, p = 0.03), respectively. Patient and Observer Scar Assessment Scale (POSAS) scores were favorable after 3 and 6 months post burn.ConclusionsSuprathel® provides potential advantages regarding pain and scar formation, but extensive wound debridement is needed to achieve adequate adherence.

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Section: Methodsmentioning

confidence: 99%

Usability and effectiveness of Suprathel® in partial thickness burns in children

Rashaan

Krijnen

Allema

et al. 2016

Eur J Trauma Emerg Surg

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“…The aim of excision has been to remove the zones of necrosis and stasis beyond the level where the dermal vessels have been thrombosed . At the same time, viable dermis should be preserved to optimise the functional and cosmetic result . In full thickness burns, all of the dermis has to be removed until a bed of viable, well‐vascularised fat, fascia or muscle remains .…”

Section: Wound Debridementmentioning

confidence: 99%

“…In full thickness burns, all of the dermis has to be removed until a bed of viable, well‐vascularised fat, fascia or muscle remains . Traditionally, it has been believed that partial thickness burns should be debrided to a healthy base with copious, fine punctate bleeding, but recent experience under tourniquet control and with hydrosurgery has cast some doubt on this concept …”

Section: Wound Debridementmentioning

confidence: 99%

“…The Versajet (Smith and Nephew, Melbourne, Victoria, Australia) hydrosurgery system produces a high‐pressure jet of sterile saline, directed tangentially to the burn wound surface, while simultaneously suctioning debris using the principle of the Venturi effect (Fig. ) . Postulated benefits include improved precision, versatility and ease of use, especially on the face and around digits .…”

Section: Wound Debridementmentioning

confidence: 99%

“…) . Postulated benefits include improved precision, versatility and ease of use, especially on the face and around digits . Versajet has been proposed to be more effective in dermal preservation as it provides an immediate assessment of the dermal plane as a result of continuous washing and aspiration .…”

Section: Wound Debridementmentioning

confidence: 99%

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Medical management of paediatric burn injuries: Best practice part 2

D'Cruz

Martin

Holland

2013

J Paediatrics Child Health

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Burns remain a leading cause of injury in the paediatric population in Australia despite efforts in prevention. Advances in surgical management include novel debridement methods and blood conserving techniques. Patients with severe burns (>20%) remain significantly more complex to manage as a result of extensive alterations in metabolic processes. There appears increasing evidence to support the use of pharmacological modulators of the hyper-metabolic state in these patients. The management of a child with burns involves acute, subacute and long-term planning. This holistic approach seems optimally co-ordinated by a Burns Unit in which each discipline required to provide care to these children in order to achieve optimal outcomes is represented.

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