The treatment of hand burns

Kamolz, Lars‐Peter; Kitzinger, Hugo B.; Karle, B.; Frey, Manfred

doi:10.1016/j.burns.2008.08.004

Cited by 98 publications

(53 citation statements)

References 74 publications

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“…Em geral, uma incisão por dedo é suficiente. Caso esse procedimento seja realizado de forma tardia, pode haver problemas circulatórios, lesões nervosas, necrose muscular e perda funcional [2,15,16].…”

Section: Escarotomiaunclassified

“…Todos os pacientes avaliados nesse estudo tiveram, como tratamento imediato após o diagnóstico, a descompressão cirúrgica do túnel do carpo. Portanto, além das consequências diretas do trauma de queimadura sobre a mão, existe uma chance aumentada de aprisionamento dos nervos das mãos, especialmente do nervo mediano no túnel do carpo, em decorrência do edema excessivo [1,2,19,20]. [1,16].…”

Section: Abertura Do Túnel Do Carpounclassified

“…Por vezes, podem-se realizar leves ressecções do tecido com anestesia local e sem a aplicação de enxertia cutânea imediata, para apressar a eliminação do tecido necrótico. A gaze parafinada é um curativo que proporciona a mobilização máxima da mão, acelera a epitelização e evita a dor provocada pela aderência ao ferimento de espessura parcial superficial (aquele que acomete a epiderme e a camada superficial da derme) [1,2].…”

Section: Agentes Tópicosunclassified

“…Segundo Kamolz et al [2], as queimaduras que envolvem a mão estão presentes em mais de 80% de todos os casos registrados de queimaduras. Elas são mais comumente vistas em crianças e homens da classe trabalhadora, sendo assim fundamental a reabilitação das funções e da aparência desse membro, com objetivo de reinserção profissional e social do paciente na sociedade [1][2][3][4].…”

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Atendimento inicial às queimaduras de mão: revisão da literatura

Silva

Ferdinando

Garbin

et al. 2015

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. RESUMOObjetivos: Abordar, por meio de uma revisão da literatura, o manejo das queimaduras de mão, com ênfase nos cuidados iniciais. Métodos: No período entre fevereiro e julho de 2015, foram revisados 30 artigos selecionados nas bases de dados MedLine/PubMed, LILACS, SciELO e Google Acadêmico, inclusos tanto os de língua inglesa quanto portuguesa, publicados nos últimos 10 anos e que correspondessem aos seguintes descritores: queimadura de mão; ferimento de mão; tratamento agudo; tratamento primário; e seus correspondentes em inglês. Resultados: É apresentada a classificação das queimaduras conforme a profundidade, extensão e fatores agravantes. São abordadas as condutas iniciais que evitam complicações como mão em garra, síndrome compartimental e infecções. Os procedimentos iniciais incluem curativos oclusivos, escarotomia, fasciotomia, abertura do túnel do carpo, seguidos por curativos com agentes antimicrobianos tópicos, desbridamento e enxertos. São discutidos aspectos controversos sobre o momento mais indicado para a intervenção cirúrgica, caso esta seja necessária. Conclusões: A correta abordagem inicial da queimadura de mão poderá evitar sequelas irreversíveis. O manejo adequado na queimadura de mão inclui desde a avaliação clinica inicial da área queimada por um médico generalista à realização de condutas precoces com o objetivo de evitar a perda de função do membro e futuras reconstruções desnecessárias. A elevada incidência desse tipo de queimadura também acentua a relevância de uma conduta adequada. DESCRITORES: mãos; ferimentos e lesões; queimaduras; tratamento primário. ABSTRACT Aims:To address, through a literature review, the management of hand burns, with emphasis on the initial care. Methods: Between February and July 2015, 30 articles selected in the databases Medline/PubMed, LILACS, SciELO and Google Scholar were reviewed. Both the English and Portuguese languages were included in the search. Selected articles were published in the last 10 years and matched the following descriptors: hand burn; hand injury; acute treatment; primary treatment; and their counterparts in Portuguese. Results: Classification of burns is displayed, including depth, extent and aggravating factors. The initial management that avoid complications such as claw hand, compartment syndrome and infection is addressed. Early procedures include occlusive dressings, escharotomy, fasciotomy, and carpal tunnel opening, followed by dressings with topical antimicrobial agents, debridement and grafting. Controversial aspects are discussed on the most appropriate time for surgical intervention, if it is necessary. Conclusions: The correct early approach to hand burns can prevent irreversible consequences. The appropriate management on hand burns includes since the initial clinical evaluation of the burned ...

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Section: Escarotomiaunclassified

Section: Abertura Do Túnel Do Carpounclassified

Section: Agentes Tópicosunclassified

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Atendimento inicial às queimaduras de mão: revisão da literatura

Silva

Ferdinando

Garbin

et al. 2015

Sci Med

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“…[2] Loss of hand function has a detrimental impact on the physical and psychosocial functioning. [1] Hand burns although small in total burn surface area (TBSA), required treatment at a burns facility to ensure restoration of function and minimize potential scarring.…”

Section: Introductionmentioning

confidence: 99%

AQUACEL^® Ag BURN glove and silver sulfadiazine for the treatment of partial thickness hand burns: A retrospective review

et al. 2016

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Background: Loss of hand function has a detrimental impact on the physical and psychosocial functioning of those with hand burns. Of prime importance is the maintenance of range of movement (ROM). Subsequently, an ideal hand dressing needs to allow for full ROM, be comfortable, and facilitate healing. However, hand burns present complex challenges for burn clinicians with the dressing of choice remaining controversial. Patients and Methods: This retrospective review was undertaken to determine the effectiveness of the AQUACEL ® Ag BURN glove as compared to silver sulfadiazine (SSD; standard care) in patients with partial thickness hand burns. The average total body surface area % was 14.6% with an average age of 37 years. Eight hands were dressed with an AQUACEL ® Ag BURN glove and eight were dressed with SSD. Results: Pain scores were reduced in those with the glove compared to those who were treated with SSD dressing. Mobility of the hand with the glove was reduced compared to the patients treated with SSD. The glove cost including outer dressings was $330 US, this is compared to $432 US for the SSD dressing based on the average reepithelization rate of 15 days, and translates into a financial saving of approximately $100 US per patient and further reduces workload and resources. Conclusion: The use of a hydrofiber silver impregnated glove for partial thickness hand burns, has clinical significance in the outpatient setting reducing the need for hospitalization, and the amount of dressing changes required.

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Development of nursing care guideline for burned hands

et al. 2020

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Aim To develop an evidence‐based guideline to care for hand‐burned patients. Design An integrative review. Method The search was conducted of EMBASE, PubMed, Web of Science, SCOPUS, Clinical Key, Iranmedex, Magiran, Scientific Information Database (SID), Cochran, CINAHL and Google Scholar databases from January 2000–August 2019. Following the formation of the research team, two researchers independently selected the eligible studies. The initial search resulted in 2,230 records; ultimately, 40 articles were identified to be the review after screening the records based on the study's inclusion and exclusion criteria. Quality of selected studies was evaluated with the MMAT method. Results Data syntheses of selected studies, coded by highlighting the relevant parts of the text, and assigning code words to these areas were done. Following this, a constant comparison was used to develop categories by combining codes. Finally, hand burns nursing care guideline was developed by categorizing descriptive themes in two main phases. Conclusion This review results have shown that evidence‐based guidelines present high‐quality recommendations for the healthcare team, which improves the quality of clinical care. Due to a lack of established guidelines in our context, it seems to be helpful to use evidence‐based guidelines in managing burned hands.

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The treatment of hand burns

Cited by 98 publications

References 74 publications

Atendimento inicial às queimaduras de mão: revisão da literatura

Atendimento inicial às queimaduras de mão: revisão da literatura

AQUACEL^® Ag BURN glove and silver sulfadiazine for the treatment of partial thickness hand burns: A retrospective review

Development of nursing care guideline for burned hands

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The treatment of hand burns

Cited by 98 publications

References 74 publications

Atendimento inicial às queimaduras de mão: revisão da literatura

Atendimento inicial às queimaduras de mão: revisão da literatura

AQUACEL® Ag BURN glove and silver sulfadiazine for the treatment of partial thickness hand burns: A retrospective review

Development of nursing care guideline for burned hands

Contact Info

Product

Resources

About

AQUACEL^® Ag BURN glove and silver sulfadiazine for the treatment of partial thickness hand burns: A retrospective review