摘要:

Partial- or full-thickness perioral facial burns may lead to a contracture of the tissues surrounding the oral commissures that results in microstomia. The current investigators have used the microstomia prevention appliance (MPA) exclusively in the management of commissure burns at the University of Iowa Burn Center since 1972. To assess the effectiveness of the MPA, a retrospective chart review was conducted. The- study population consisted of 85 patients admitted to the center between 1974 and 1986 who had incurred burns to the perioral region or to the lower two thirds of the face. The chart analysis of 83 patients revealed that, with diligent and persistent use of the MPA, only one patient required surgical repair for the development of microstomia. The MPA has proved effective in decreasing the need for reconstructive procedures and in preventing the occurrence of microstomia.

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

To evaluate the long-term sequelae of early surgical management compared with conservative therapy, a retrospective review from January 1976 to December 1984 was undertaken. Through inspection of burn diagrams, 395 patients were identified with burns involving the foot. From 1976 through 1980,109 patients were managed in a conservative fashion with topical antimicrobial therapy and delayed debridement and grafting; 36 of these patients with severe burns were managed with skeletal suspension. Between 1981 and 1984,136 patients were treated with earlier surgical debridement and grafting; during this period, skeletal suspension was rarely used. No statistical difference was found in mortality, amputations, incidence of open wounds, development of contractures, or number of patients requiring reconstructive procedures between conservative and early excision therapy except in those children treated with skeletal suspension. Thus in burns involving the feet in children, early excision and grafting does not alter the resultant morbidity compared with conservative burn management.

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The Committee on Organization and Delivery of Burn Care of the American Burn Association conducted a survey among hum care facilities to determine the extent of interest in development and maintenance of computerized patient registries. Initial questionnaires were mailed to 178 hum care facilities. Responses were obtained from 112 (62.9%). Eighty-seven (77%) of the responders indicated that they have some form of registry. Thirty-five of these registries were in the form of handwritten logbooks, while 43 were personal computers with a wide variety of hardware and software. Uses of these registries include patient census and reports (64% of responders), clinical research (62%), patient care (61%), and, less common, quality assurance and education. Twentyfive facilities stated that they do not maintain a registry, but 22 (88%) of them indicated interest in developing one. It seems unlikely that a single system could be designed to fill the needs of all facilities, nor is it likely that existing registries can be “networked” successfully. This is due not only to the diversity of data in the existing registries, but also to the important differences in the way basic terminology is used in different facilities. For burn care facilities interested in developing their own registry, a selected list of successful representative registries is provided.

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Burn units/centers are under increasing pressure to improve resource utilization because of decreasing financial support for hospitals in general and low reimbursement for burn patients specifically. After review of occupancy and admission profiles, three strategies were implemented at the North Carolina Jaycee Burn Center to improve utilization: (1) an outreach program to attract additional burn patient referrals; (2) admission of routine plastic surgery patients to the burn center acute beds; and (3) admission of off-service 1CU patients to critical care beds, depending upon availability. These strategics, especially admission of off-service ICU patients, led to an increased patient census despite an unchanged number of burn admissions and a decrease in the number of burn patient days because of earlier discharge. Policies for control of nonburn patients were essential, as were programs to educate nurses in management of other critically ill patients. These measures resulted in increased utilization and commitment of additional personnel to the burn center.

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

For this presentation, the author selected a few highlights and summarized some of his main interests drawn from 25 years' experience as a surgeon in the Department of Plastic Surgery at Hokkaido University. The four major topics addressed are (1) kinetics and the effect of antibacterial agents and other drugs on the burn wound; (2) study of inhalation injuries and anticoagulant therapy in severe burns; (3) wound healing and the effects of artificial skin substitutes; and (4) reconstructive surgery in burned patients.

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1988

数据来源: OVID