The Journal of burn care & rehabilitation
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Burn-related pain is often severe and intermittently excruciating for months after the initial injury as the result of the multiple procedures these patients must undergo. Procedure-related pain is often undertreated, especially in children. Pain management should be integrated into the patient's overall care plan. ⋯ General anesthesia should be considered, especially in children, when patients are to undergo extremely painful procedures. Patients need not experience severe pain after burn injury. Pain management, especially during very painful procedures, should be an integrated part of patients care and high-quality pain management to improve patient outcome.
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J Burn Care Rehabil · May 1995
Pediatric considerations in the use of Biobrane in burn wound management.
Biobrane offers a number of advantages as a wound dressing for children. It does not require the use of surgical instruments, noisy distractions, painful manipulation of the wound, or regimented daily dressing changes. Biobrane does offer the pediatric patient with burns immediate comfort and protection and enhances patient compliance and parental satisfaction.
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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.