Ridel P, Perrot P, Truffandier M V, Bellier-Waast F, Duteille F
Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France.
Ann Chir Plast Esthet. 2015 Apr;60(2):117-22. doi: 10.1016/j.anplas.2014.11.001. Epub 2014 Nov 7.
Occlusive dressings for second-degree hand burns in children must prevent infection and promote healing. For good management of analgesia, these treatments often require children to be hospitalized. Our goal was to find an alternative to conventional care protocol that would reduce the number of dressings and therefore the length of hospitalization. We report our experience with the use of Aquacel(®) Burn.
Non-randomized monocentric prospective study was conducted from 2012 to 2014. The glove was used in the operating room within 72hours after the burn in children younger than 15 years old with isolated superficial to deep 2nd degree hand burns. Once the glove was perfectly stuck to the burn, the children could go back home. We saw them 10 to 12 days after the accident to be sure there was no indication of skin graft.
Twenty gloves were used in 16 children aged from 16 months to 13 years. The average length of stay (ALOS) was five days to put the glove on and one day to remove it. Four hands were grafted.
Once we get used to the product, Aquacel(®) Burn gloves have reduced the ALOS before skin graft in cases of isolated hand burns in children.
儿童手部二度烧伤的封闭敷料必须预防感染并促进愈合。为了有效管理镇痛，这些治疗通常需要儿童住院。我们的目标是找到一种替代传统护理方案的方法，以减少换药次数，从而缩短住院时间。我们报告了使用藻酸盐烧伤贴（Aquacel(®) Burn）的经验。
2012年至2014年进行了非随机单中心前瞻性研究。对于15岁以下孤立的浅至深二度手部烧伤儿童，在烧伤后72小时内在手术室使用该手套。一旦手套完美贴合烧伤部位，儿童即可回家。事故发生后10至12天我们对他们进行观察，以确保没有植皮的迹象。
16名年龄在16个月至13岁的儿童使用了20只手套。戴上手套的平均住院时间为5天，取下手套的时间为1天。4只手进行了植皮。
一旦我们熟悉了该产品，藻酸盐烧伤贴（Aquacel(®) Burn）手套在儿童孤立手部烧伤的情况下减少了植皮前的平均住院时间。
