The Journal of burn care & rehabilitation
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J Burn Care Rehabil · Jul 1995
Arch bar stabilization of endotracheal tubes in children with facial burns.
Endotracheal tube stabilization in children with facial burns can be difficult. Several methods rely on straps or complex devices that apply undesirable pressure to the face, potentially destroying skin grafts and making wound care difficult. Techniques that rely on a single wire or suture can be unreliable. ⋯ Christopher's Hospital for Children. Wound care and successful skin grafting were performed without difficulty. No complications related to the arch bars occurred.
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A scald burn is a superficial to mid second-degree burn with a viable dermis beneath the blisters and a good blood flow. However, the burn may be incapacitating because of pain and fluid and heat loss. Biobrane adheres very well to this depth of burn and mechanically and biochemically closes the wound. We have used Biobrane on scald burns for the last 5 years and have found it to be an excellent method of treating superficial second-degree burns.
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Biobrane (standard adherence) and Biobrane L (light adherence) were compared for their degree of adherence to donor site wounds on rabbits at 1, 4, 7, and 9 days. Biobrane, which has more nylon fabric exposed to the wound surface, had significantly greater adherence levels to the wound at all time periods when compared with Biobrane L, which has less nylon fabric exposed to the wound.
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Biologic dressings remain the gold standard for temporary wound coverage and closure and as a skin substitute. However, increasing interest has resulted in numerous synthetic wound dressings and skin substitutes modeled after biologic dressings. ⋯ Collagen is incorporated in both the silicone and nylon components. The purpose of this conference is to evaluate the effectiveness of Biobrane as a wound dressing with the 15 years of clinical experience used to define the best indications for its present use.