Burns : journal of the International Society for Burn Injuries
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Nutrition practice in burn injury requires a multifaceted approach aimed at providing metabolic support during a heightened inflammatory state, while accommodating surgical and medical needs of the patient. Nutritional assessment and determination of nutrient requirements is challenging, particularly given the metabolic disarray that frequently accompanies inflammation. ⋯ Today the use of glutamine, arginine, essential fatty acids, and other nutritional factors for their effects on immunity and cell regulation is becoming more common, although the evidence is often lagging. An exciting dichotomy exits, forcing nutrition support specialists to make responsible choices while remaining open to new potential helpful therapeutic options.
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Debridement of linear burns especially on the trunk and abdomen can be challenging. Some currently used methods are technically difficult and potentially hazardous to the surgeon or the assistant. ⋯ A pair of strong towel clips can be used to grasp the area of the burn at either end producing a tenting effect and therefore facilitating debridement of difficult areas. This technique provides a simple, precise and safe method of linear burn debridement.
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Current recommendations state that pressure garments should be worn for up to 2 years for hypertrophic burn scars. Thermo-physiological properties of pressure garments were assessed by the thermo-physiological tests and a comparison of the fabric with a sportwool which is a single-jersey knitted fabric was performed. In this novel technique, it was aimed to determine the exact pressure of pressure garments on the applied body part. ⋯ Grid printed fabric samples were prepared with an interval of 2 cm in width direction to be used for the calculation of mean pressure on a Mannequin Leg. The resultant mean pressure calculated experimentally on Mannequin Leg as 24 mmHg was compared to the optimum pressure of 20 mmHg. It was observed that the two values were not statistically significantly different.