Burn dressings - Revision history

Ostermayer: /* Types */

2025-05-13T21:48:47Z

Types

← Older revision		Revision as of 21:48, 13 May 2025
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	\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 L sterile water		\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 L sterile water
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	\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life		\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life<ref>Speck, William T., and Herbert S. Rosenkranz. "In vitro study on the effects of silver sulfadiazine on bilirubin binding." Chemotherapy 21.2 (1975): 61-66.</ref>
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	\| Sulfamylon (Mafenide) \|\| Full thickness burns with eschar (including leathery eschar); deep cartilage burns (ears, nose); alternate to Silvadene in marked leukopenia; sulfamylon liquid (5% soln) for wetting heavily contaminated meshed skin grafts or excised but not grafted areas (not for eschar) \|\| Penetrates eschar, significantly reduces pseudomonas. Painful 20 minutes after application. NOT a sulfa drug, ok in sulfa allergy. May cause metabolic acidosis. CONTRAINDICATIONS: 1) Hypersensitivity reaction, 2) Near the eyes, 3) Large burns in children - causes hyperpnea via inhibition of carbonic anhydrase		\| Sulfamylon (Mafenide) \|\| Full thickness burns with eschar (including leathery eschar); deep cartilage burns (ears, nose); alternate to Silvadene in marked leukopenia; sulfamylon liquid (5% soln) for wetting heavily contaminated meshed skin grafts or excised but not grafted areas (not for eschar) \|\| Penetrates eschar, significantly reduces pseudomonas. Painful 20 minutes after application. NOT a sulfa drug, ok in sulfa allergy. May cause metabolic acidosis. CONTRAINDICATIONS: 1) Hypersensitivity reaction, 2) Near the eyes, 3) Large burns in children - causes hyperpnea via inhibition of carbonic anhydrase

Rossdonaldson1: /* See Also */

2019-02-09T17:47:02Z

Neil.m.young: Reverted edits by Neil.m.young (talk) to last revision by ClaireLewis

2017-03-01T16:18:41Z

Reverted edits by Neil.m.young (talk) to last revision by ClaireLewis

← Older revision		Revision as of 16:18, 1 March 2017
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	\| Sloppy (5% Mafenide acetate) \|\| Used for new grafts \|\| With fine mesh gauze covered with sloppy moistened burn pads; wet downs as needed		\| Sloppy (5% Mafenide acetate) \|\| Used for new grafts \|\| With fine mesh gauze covered with sloppy moistened burn pads; wet downs as needed
	\|-		\|-
	\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 ~~left~~ sterile water		\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 L sterile water
	\|-		\|-
	\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life		\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life

Neil.m.young: Text replacement - " L " to " left "

2017-02-28T00:20:10Z

Text replacement - " L " to " left "

← Older revision		Revision as of 00:20, 28 February 2017
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	\| Sloppy (5% Mafenide acetate) \|\| Used for new grafts \|\| With fine mesh gauze covered with sloppy moistened burn pads; wet downs as needed		\| Sloppy (5% Mafenide acetate) \|\| Used for new grafts \|\| With fine mesh gauze covered with sloppy moistened burn pads; wet downs as needed
	\|-		\|-
	\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 L sterile water		\| Burows (Domboros, Aluminum acetate) \|\| Gram-negative bacilli (pseudomonas) \|\| Creates acidic, drying environment due to its hyperosmolar features; Somewhat toxic to tissues, but more important for skin grafts to take. Fine mesh gauze are covered with Burows moistened burn pads; 2 packets dissolved in 1 left sterile water
	\|-		\|-
	\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life		\| Silvadene (silver sulfadiazine) \|\| Full thickness burns. Post traumatic wound infection or cellulitis. \|\| Nonpainful with antibacterial spectrum similiar to Sulfamylon. Does not penetrate dry, leathery eschar. Some gram-negative resistant Enterobacter. Neutropenia may occur within 24-48 hrs. CONTRAINDICATED: 1) Partial thickness which may heal (Silvadene inhibits keratinocytes), 2) Sulfa allergy, 3) Causes kernicterus - pregnant women approaching term, premature infants, newbborns during first 2 months of life

ClaireLewis: /* Background */

2016-09-07T15:52:41Z

Background

← Older revision		Revision as of 15:52, 7 September 2016
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	==Background==		==Background==
	*For facial burns that are superficial partial thickness, consider bactroban if concern for impetigo or infection; otherwise glucanpro (oat beta glucan) works for clean wounds		*For facial burns that are superficial partial thickness, consider bactroban if concern for impetigo or infection; otherwise glucanpro (oat beta glucan) works for clean wounds
	*Use bacitracin ophthalmic around eyes		*Use [[bacitracin]] ophthalmic around eyes

	==Types==		==Types==

Ostermayer: Text replacement - " pts" to " patients"

2016-06-21T16:49:11Z

Text replacement - " pts" to " patients"

← Older revision		Revision as of 16:49, 21 June 2016
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	\| Scarlet red \|\| Rarely used now. Barrier dressing to prevent desiccation of underlying wound \|\| Must be clean wound since it has no antibacterial activity (as opposed to Xeroform)		\| Scarlet red \|\| Rarely used now. Barrier dressing to prevent desiccation of underlying wound \|\| Must be clean wound since it has no antibacterial activity (as opposed to Xeroform)
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	\| Xenograft (pigskin) \|\| Biologic dressing that protects wounds free of eschar, wounds awaiting epithelial migration for closure, or wounds needing application of autograft \|\| Examine daily and removed if evidence of fluid accumulation or purulent material underneath; may be changed q48-72 hrs. Generally ~~pts~~ develop antibodies to graft after 7-10 days		\| Xenograft (pigskin) \|\| Biologic dressing that protects wounds free of eschar, wounds awaiting epithelial migration for closure, or wounds needing application of autograft \|\| Examine daily and removed if evidence of fluid accumulation or purulent material underneath; may be changed q48-72 hrs. Generally patients develop antibodies to graft after 7-10 days
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	\| Allograft (cadaver) \|\| Temporary closure of wounds free of eschar, awaiting autograft; May be used to cover fragile autograft \|\| Viable for up to 5 days after harvesting; must be stored in biologic refrigerator at 4 degrees C		\| Allograft (cadaver) \|\| Temporary closure of wounds free of eschar, awaiting autograft; May be used to cover fragile autograft \|\| Viable for up to 5 days after harvesting; must be stored in biologic refrigerator at 4 degrees C

Ostermayer: Text replacement - "Category:Derm" to "Category:Dermatology"

2016-03-22T13:13:29Z

Text replacement - "Category:Derm" to "Category:Dermatology"

← Older revision		Revision as of 13:13, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Derm~~]]		[[Category:Dermatology]]
	[[Category:Trauma]]		[[Category:Trauma]]

Neil.m.young: link added

2015-06-12T19:02:52Z

link added

← Older revision		Revision as of 19:02, 12 June 2015
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	\|}		\|}

	===~~Sources~~===		==See Also==
			[[Burns]]

			==References==
	<references/>		<references/>

	[[Category:Derm]]		[[Category:Derm]]
	[[Category:Trauma]]		[[Category:Trauma]]

Rossdonaldson1 at 16:48, 10 January 2015

2015-01-10T16:48:44Z

← Older revision		Revision as of 16:48, 10 January 2015
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	==~~Burn Dressings~~==		==Background==
	*For facial burns that are superficial partial thickness, consider bactroban if concern for impetigo or infection; otherwise glucanpro (oat beta glucan) works for clean wounds		*For facial burns that are superficial partial thickness, consider bactroban if concern for impetigo or infection; otherwise glucanpro (oat beta glucan) works for clean wounds
	*Use bacitracin ophthalmic around eyes		*Use bacitracin ophthalmic around eyes

			==Types==
	{\| class="wikitable"		{\| class="wikitable"
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	[[Category:Derm]]		[[Category:Derm]]
	[[Category:Trauma]]		[[Category:Trauma]]
	~~[[Category:Featured]]~~

Ostermayer at 15:58, 18 September 2014

2014-09-18T15:58:01Z

← Older revision		Revision as of 15:58, 18 September 2014
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	[[Category:Derm]]		[[Category:Derm]]
	[[Category:Trauma]]		[[Category:Trauma]]
			[[Category:Featured]]

← Older revision		Revision as of 17:47, 9 February 2019
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	==See Also==		==See Also==
	[[Burns]]		*[[Burns]]

	==References==		==References==