Greenwood John E, Clausen Jill, Kavanagh Sheila
Burns Unit, Royal Adelaide Hospital, North Terrace, Adelaide 5000, South Australia.
Eplasty. 2009 Jun 26;9:e25.
To present some of our experience with Biobrane (a total of 703 patients in 7 years) in a range of uses in burn practice and to illustrate the caveats that we have found applicable in maintaining our success with this versatile material.
Retrospective analysis of theatre records, medical notes, and photography database to categorize our experience with Biobrane. Thorough assessment of our surgical and nursing protocols (both literature and experience influenced) to identify caveats for successful use.
Pivotal steps are revealed in wound selection, wound preparation, material application, dressing, and subsequent nursing care that have led to overwhelming success in definitive management of superficial partial thickness to middermal burns (ensuring pain relief, allowing early mobilization, tolerance of dressing changes and therapy, and earlier hospital discharge). Its many uses in a broad range of common burn situations are demonstrated and tips provided to achieve best outcome.
Biobrane is not a panacea but it is extremely versatile. The different potential uses have learning curves, and suggestions are provided to flatten these.
介绍我们在7年中对703例患者使用生物膜的一些经验，这些经验涵盖了烧伤治疗中的一系列应用，并阐述我们发现在成功使用这种多功能材料时适用的注意事项。
回顾性分析手术记录、病历和摄影数据库，以对我们使用生物膜的经验进行分类。全面评估我们受文献和经验影响的手术及护理方案，以确定成功使用的注意事项。
在伤口选择、伤口处理、材料应用、包扎及后续护理中揭示了关键步骤，这些步骤在浅Ⅱ度至中厚皮烧伤的确定性治疗中取得了巨大成功（确保缓解疼痛、允许早期活动、耐受换药和治疗以及提前出院）。展示了其在广泛的常见烧伤情况中的多种用途，并提供了实现最佳效果的提示。
生物膜并非万灵药，但它用途极为广泛。不同的潜在用途存在学习曲线，并提供了使这些曲线变平缓的建议。
