Tratamento de queimadura de segundo grau superficial em face e pescoço com heparina tópica: estudo comparativo, prospectivo e randomizado

Teles, Guilherme Gurgel do Amaral; Bastos, José Antônio Veloso; AmAry, AnTônio; Rufatto, Luis Antônio; Ritty, Roberta Souza; Broglio, Luis Alberto Pinotti; Souza, Luciano Sales de

doi:10.1590/s1983-51752012000300009

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…In another study, conducted with 20 patients, researchers reported that in those who used collagenase (10 patients), the healing time was shorter than in those who used topical heparin (ten patients) 26 ; sodium heparin, which is known for its anticoagulant action 38 . Researchers have pointed out that the effect of parenteral sodium heparin has been studied on thermal injuries in animals and in humans, with favorable effects 26 .…”

Section: Discussionmentioning

confidence: 99%

Therapy for patients with burns - an integrating review

Carboni

Santos²,

Júnior

et al. 2019

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: to identify, through an integrative review, national studies published over the last ten years highlighting products and therapies used in burns. METHODS: integrative research with studies published in the last ten years. Including clinical studies describing the use of the already established or innovative therapies in burns and the results obtained, published in national journals in the last ten years. Excluding articles published before 2007 and those that did not present results regarding the use of products in burns. RESULTS: ten articles that met the inclusion criteria were selected. Collagenase, 1% silver sulfadiazine, and porous cellulose membrane were some of the therapies cited. CONCLUSION: the casuistry was low; however, the good results obtained with porous cellulose membrane and silver nanocrystalline dressing are highlighted, since they were used in a larger number of patients in the studies evaluated.

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Section: Discussionmentioning

confidence: 99%

Therapy for patients with burns - an integrating review

Carboni

Santos²,

Júnior

et al. 2019

Rev. Assoc. Med. Bras.

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“…Controversially, Teles et al, 2012 4 reported that that Heparin can be applied safely in the treatment of second degree burns of face and neck, however its beneficial effects need to be proven. Although he said that the heparin group used less non-opioids analgesics than the collagenase group.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Effect of Topical Heparin on the Treatment of Facial Burn

Hamza

Salim

Rizk

2020

Al-Azhar International Medical Journal

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Background: Burn is a complex disease process; visible disfigurement caused by burns translates into an altered pattern of socialization which can have serious psychological ramifications. Objectives:The aim of this work was to evaluate the efficacy of topical heparin on the treatment of facial burn regarding pain relief, antibiotic requirements and healing time.Patients and Methods: This is a prospective controlled random study. That included 40 patients, 15-60 years of age, males and females having acute thermal burn up to 20% TBSA including the face, They were subjected either to dressing with topical heparin or topical anti-microbial creams. This study was done at the burn unit and clinic of the department of plastic and Burn surgery at Al-Azhar University Hospitals and El Salalm Specialized Hospital. Results:The use of heparin in burns has been shown to maintain blood circulation, relieve pain, limit inflammation, re-vascularize ischemic tissue, enhance granulation, regulate collagen, and reduce scarring and contractures. The patients dressed with topical heparin suffered less pain and required less analgesics and fewer antibiotics, no-hard dressings, and less secondary procedures; early returned home and work with little psychological ramifications, costs also were lower than in the control group. Conclusion:Our study showed that in patients with facial burns of thermal etiology, the use of topical heparin significantly reduces pain and edema, enhances faster healing and epithelialization and requires less antibiotics

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“…Saliba et al [23] studied and popularized the use of heparin in the management of burn wounds with interesting results, and Teles et al [24] performed a comparative prospective, randomized study of heparin and collagenase. The results demonstrated heparin alone was not effective in decreasing healing time or reducing the use of opioids, and did not reduce infection rate significantly between the groups.…”

Section: Facial Burn Wound Managementmentioning

confidence: 99%

Management of facial burns: an update

Abubakar¹,

Ibrahim²

2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review This article reviews literature on the recent progress made on management of facial burns. The discussion focuses on those aspects of the management in which recent studies brought new ideas, and reviews some that failed to change practices in the management of facial burns. Recent findings Recent innovations and models have been proposed in an attempt to reduce the incidence of unnecessary intubations in patients with burns to the face and with suspected inhalational injury. However, the decision to secure the airway is still a challenging one. A new escharotomy method based on facial subunits principles has been described, while the practice of early tangential excision is still debated in the literature. Tarsorrhaphy without occluding the eyes has also been described in the management of peri-oral burns. Self-retaining and expandable stents for the nose have also been demonstrated to be effective in preventing nasal stenosis. 3D printed face masks have been more recently developed to improve the current wound-care methods used in facial scar management. Summary This article highlights recent developments in the management of facial burns in areas such as acute facial burn care, subsequent wound care and facial scar management. It highlights areas wherein progress has been made, as well as the need for further studies in certain areas.

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Tratamento de queimadura de segundo grau superficial em face e pescoço com heparina tópica: estudo comparativo, prospectivo e randomizado

Cited by 4 publications

References 4 publications

Therapy for patients with burns - an integrating review

Therapy for patients with burns - an integrating review

Evaluation of the Effect of Topical Heparin on the Treatment of Facial Burn

Management of facial burns: an update

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