McBride Craig A, Patel Bhaveshkumar, Kimble Roy M, Stockton Kellie A
Pegg Leditschke Children's Burns Centre, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Centre for Children's Burns and Trauma Research, Queensland Children's Medical Research Institute, University of Queensland, Brisbane, Queensland, Australia.
J Paediatr Child Health. 2021 Jan;57(1):58-63. doi: 10.1111/jpc.15117. Epub 2020 Aug 8.
Children's burns care in Australasia is performed by paediatric surgeons and by plastic surgeons. The aim was to determine practices regarding the donor site wound (DSW), and to explore any differences by training scheme or nature of unit (paediatric vs. mixed).
Online survey of Australasian burns surgeons.
Forty surgeons responded. 23/40 paediatric surgeons, 23/40 worked in a stand-alone children's burns unit. All used powered dermatomes. Alginates were the most common DSW dressing. Idealised dressings favour patient factors over cost. Plastic, and mixed-practice, surgeons use a broader range of dermatome settings in children >1 year. Mixed practice surgeons use thicker settings. All surgeons see pain as a common DSW problem. Paediatric surgeons recognise itch as a problem.
While there are differences related to training scheme and the mix of patients being treated, there is a broader commonality of practice.
在澳大拉西亚，儿童烧伤护理由小儿外科医生和整形外科医生负责。本研究旨在确定供皮区伤口（DSW）的处理方法，并探讨不同培训方案或科室性质（小儿科与综合科室）之间的差异。
对澳大拉西亚烧伤外科医生进行在线调查。
40位外科医生回复了调查。40名小儿外科医生中有23名在独立的儿童烧伤科室工作。所有医生都使用电动取皮刀。藻酸盐是最常用的DSW敷料。理想的敷料更注重患者因素而非成本。整形外科医生和综合科室的医生在1岁以上儿童中使用更广泛的取皮刀设置。综合科室的医生使用更厚的设置。所有医生都认为疼痛是DSW常见问题。小儿外科医生认识到瘙痒也是一个问题。
虽然在培训方案和所治疗患者类型方面存在差异，但在实践中有更广泛的共性。
