Burns : journal of the International Society for Burn Injuries
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To document incidence of pruritus and the presence of predisposing factors after small burns and their (subjective) impact on daily life. ⋯ Recovery from small burns is associated with a high incidence of pruritus, which has substantial impact on daily life. It is difficult to identify patients at risk at the time of injury, as baseline demographic and injury related parameters only play a minor role. Future studies are needed to assess the effect of prevention and treatment and to define predictors for the incidence of pruritus.
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To date there is no published literature on the dangers of hair removal wax burns. This case review illustrates the steady influx of patients presenting to Royal North Shore Hospital (RNSH) with hair removal wax burns. ⋯ All sustained burns under 5% total body surface area (TBSA) and two required debriding and split skin grafting (SSG). The mechanism of the burns was re-heating the hair removal wax in the microwave for too long.
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The multiple Y-V plasty is often used in the release of burn scar contracture bands. Although there are established views regarding its design, no attempts have yet been made to describe the mathematical principles upon which it is based. An understanding of the mathematics, however, should incur a greater ability to "fine tune" or "tailor" the outcome. ⋯ This equation illustrates that (a) neither the angles of the Ys nor the number of triangles in the design play a role in the ultimate length gained and (b) the distance of advancement of the individual triangular flaps is the sole determinant of final length.
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Randomized Controlled Trial
Early enteral feeding for burned patients--an effective method which should be encouraged in developing countries.
A randomized control trial was conducted to investigate impact of early enteral feeding on immune, metabolic aspects and outcomes of 82 severe burned patients admitting to National Institute of Burns, Hanoi, Vietnam from November 2003 to November 2004. Fourty-one patients were in early enteral group and 41 patients were in total parenteral nutrition group. Blood samples were collected at admission and 7th day postburn to determine plasma level of IgG, IgM, insulin, corrtisol and blood absolute number of TCD4, TCD8. ⋯ Overall complication decreased in the enteral nutrition group in comparison with parenteral group. Finally, mortality was significantly lower in early enteral nutrition group as compared to the parenteral group (14.65% and 36.58%, respectively). In conclusion, early enteral nutrition after burn has positive effects on immune and metabolic function, and reduces complication as well as death rate.