Burns : journal of the International Society for Burn Injuries
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Recent evidence indicates that early removal of eschar by tangential debridement can promote healing. Laser debridement can be used for debridement of areas that prove challenging for debridement using tangential excision. In particular, irradiation with an ArF excimer laser ablates desiccated eschar and is self-terminating, preserving hydrated or viable tissue. ⋯ Data from a pilot study demonstrates that ArF excimer laser irradiation removes burn eschar and promotes healing at 10days after burn. ArF excimer laser debridement is self-terminating and preserves underlying and adjacent perfused tissue. Potentially, this modality would be ideal for the complex curvilinear structures of the body.
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the effectiveness and cost-effectiveness of burns first-aid educational interventions given to caregivers of children. ⋯ There is a paucity of high quality research in this field and considerable heterogeneity across the included studies. Delivery and content of interventions varied. However, studies showed a positive effect on knowledge. No study evaluated the direct effect of the intervention on first aid administration. High quality clinical trials are needed.
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Randomized Controlled Trial
The clinical utility of extracorporeal shock wave therapy for burn pruritus: A prospective, randomized, single-blind study.
To investigate the effect and mechanisms of extracorporeal shock wave therapy (ESWT) on burn scar pruritus. ⋯ ESWT is a non-invasive modality that significantly reduced burn-associated pruritus.
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Randomized Controlled Trial Comparative Study
Outcomes of post burn flexion contracture release under tourniquet versus tumescent technique in children.
To compare the clinical outcomes of release of flexion contractures after burn of the hand in children using tourniquet or tumescent technique in terms of operative time, postoperative pain score, and percentage of graft take. ⋯ We found that the use of the tumescent technique for the release of flexion contracture resulted in better graft take, lower pain scores, and lesser consumption of analgesic than the use of tourniquet.