Chapter 4 E-materials
Author profiles
Appendix 4.1 Dressings
| Superficial burns | ||
| Dressings | Classification | How it works |
| Bactigras | Antimicrobial agent/low-adherent dressings | Used for the prevention of infection (wide range of Gram-positive/Gram-negative bacteria) |
| Mepitel | Non-adherent to low-adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Siltex | Non-adherent dressing | Soft silicone used as primary wound dressing |
| Flamazine | Antimicrobial cream (contains silver sulfadiazine1%) | Prevention and treatment of wound infections at the site of burns |
| Glucan Pro Creams | Moisturising cream | Aid to skin recovery, assist pain management, moisture retention and itch relief |
| Inadine | Antimicrobial agent/low-adherent dressing | Indicated for prophylaxis and treatment of infection |
| DuoDERM | Hydrocolloid, semipermeable dressing | Used in the treatment of lightly exuding burn wound. Produced moist conditions under the dressings that promote epithelialisation without causing maceration |
| Trimovate | Steroid, antibiotic and antifungal | Helps reduce swelling and irritation. Fights certain bacterial and fungal infections of the skin |
| Allevyn | Adherent/foam dressing | Used for moderate to highly exuding wound |
| Betadine | Antiseptic solution (10% water) | Used to prevent wound infection |
| Partial-thickness burns | ||
| Dressings | Classifications | How it works |
| Flamazine | Antimicrobial cream (contains silver sulfadiazine1%) | Prevention and treatment of wound infections at the site of burns |
| Flammacerium | Antimicrobial cream (unlicensed medicine) | Prevention and treatment of infections of severe burns. Promotes rapid formation of eschar which provides mechanical protection for the healing wound |
| Trimovate | Steroid, antibiotic and antifungal | Helps reduce swelling and irritation. Fights certain bacterial and fungal infections of the skin |
| Granugel | Hydrocolloid gel | Creates moist healing environment, helps to promote natural autolytic process of debridement |
| Inadine | Antimicrobial agent/low-adherent dressing | Indicated for prophylaxis and treatment of infection |
| Mepitel | Non-adherent to low-adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Acticoat | Antimicrobial barrier/low-adherent (silver coated) | Exhibits pronounced antibacterial activity against wide range of Gram-positive and Gram-negative bacteria and also effective against strains of yeasts and fungi |
| Biobrane | Adherent/semipermeable biosynthetic silicone dressing (derived from pigs) | Controls water vapour loss and provides a flexible adherent covering for the wound surface allowing joint movement and early ambulation and minimises the proliferation of bacteria on the wound surface by minimising dead space |
| E Z Derm | Biosynthetic wound dressing | Acts as temporary protective wound barrier that allows natural healing process to continue undisturbed |
| Tegapore | Low-adherence dressing | Allows the passage of exudates from the wound to a secondary absorbent dressing of choice |
| Full-thickness burns | ||
| Dressings | Classification | How it works |
| Bactigras | Antimicrobial agent/low-adherent dressings | Used as a primary wound dressing for the prevention of infection (wide range of Gram-positive/Gram-negative bacteria) |
| Mepitel | Non-adherent to low adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Siltex | Non-adherent dressing | Soft silicone used as primary wound dressing |
| Flamazine | Antimicrobial cream (contains silver sulfadiazine1%) | Prevention and treatment of wound infections at the site of burns |
| Flammacerium | Antimicrobial cream (unlicensed medicine) | Prevention and treatment of infections of severe burns. Promotes rapid formation of eschar which provides mechanical protection for the healing wound |
| Granugel | Hydrocolloid gel | Creates moist healing environment, helps to promote natural autolytic process of debridement |
| Tegapore | Low-adherence dressing | Allows the passage of exudates from the wound to a secondary absorbent dressing of choice |
| Skin graft | ||
| Dressings | Classification | How it works |
| Tegapore | Low-adherence dressing | Allows the passage of exudates from the wound to a secondary absorbent dressing of choice |
| Bactigras | Antimicrobial agent/low-adherent dressings | Used as a primary wound dressing for the prevention of infection (wide range of Gram-positive/Gram-negative bacteria) |
| Mepitel | Non-adherent to low-adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Acticoat | Antimicrobial barrier/low-adherent (silver coated) | Exhibits pronounced antibacterial activity against wide range of Gram-positive and Gram-negative bacteria and also effective against strains of yeasts and fungi |
| Betadine | Antiseptic solution (10% water) | Used to prevent wound infection |
| Tegapore | Low-adherence dressing | Primary wound dressing. Allow the passage of exudates from the wound to a secondary absorbent dressing of choice |
| Bactigras | Antimicrobial agent/low-adherent dressings | Used as a primary wound dressing for the prevention of infection (wide range of Gram-positive/Gram-negative bacteria) |
| Mepitel | Non-adherent to low-adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Non-invasive scar management | ||
| Dressings | Classification | How it works |
| Dermatix | Topical silicone gel | Effectively treats and reduces scarring. It is clinically tested and proven to soften, flatten and smoothe scars, relieving the itching and discomfort |
| Mepiform | Self-adhesive soft silicone dressing (waterproof dressing) | Designed for the management of both old and new hypertrophic and keloid scars. Facilitates application and retention of the dressing to intact skin, but does not cause epidermal stripping or pain on removal |
| Burns reconstruction + negative-pressure therapy (Vac/Vista therapy) | ||
| Dressings | Classification | How it works |
| Mepitel | Non-adherent to low-adherent dressing | Soft silicone used as primary wound dressing. Easy to remove with minimum pain and without damaging delicate new tissue |
| Duoderm | Hydrocolloid, semipermeable dressing | Used as a primary dressing applied to the surrounding wound surface to protect skin from maceration during therapy |
| Opsite | Semipermeable film adhesive dressing | Provides a sealed environment to the dressing during negative-pressure therapy |
| Matriderm | Collagen elastin matrix for dermal regeneration (obtained from bovine dermis) | A dermal substitute to improve the quality of the reconstructed skin, to reduce scarring and prevent wound contraction |
| Integra | Single layer/bilayer membrane system used a template for dermal regeneration | Facilitates formation of dermis and upon vascularisation, skin graft (epidermis) is placed over. Cells grow and form a mature epidermis thereby closing the wound and resulting in a functional dermis and epidermis |
Joy Baria, Burns Nurse SMH September, 2010.
Case Study 4.1
HPC
• The injury was sustained when his clothes ignited from a bonfire.
• The flames were extinguished by a neighbour.
• The patient presented to A&E with burns to his chest, abdomen, both upper limbs and hands.
• No other first aid as administered and he was taken by ambulance to the A&E department of the nearest hospital with a burns unit.
Objective assessment on admission to the burns unit
• No additional injuries were found.
• Burns were assessed as 40% TBSA full-thickness burns and documented using a Lund Browder chart.
• Circumferential burns to both upper limbs required fasciotomies.
• Patient was commenced on fluid resuscitation and a NG feed.
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