D) CLINICAL USE OF
BIOBRANE
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Rules for
Use
- select appropriate wounds
- remove all non-viable dirt
and debris
- apply biobrane under
modest tension: secure to surrounding non burned skin, or to
itself with circumferential burn
- apply gentle gauze
pressure dressing
- immobilize 24-36 hrs flat
surface, 48 hrs over joint
- change outer gauze
dressings as needed until plasma leak stops
- aspirate fluid or on
bubbles
- increasing exudate: must
remove biobrane in that area:
- switch to topical agent
- can apply sulfamylon
solution to surface if early infection suspected
- wait till biobrane appears
opaque and dry appearing before removing. If you encounter pain or
bleeding, stop and wait several more days
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PROCESS
OF APPLICATION
Attached product to
surrounding unburned skin with steri-strips
Apply soft compression
and immobilize, especially over joints
Change gauze dressing
until plasma leakage stops. Then can leave open. Note, excellent adherence over
moving part
For hand burns, select
the appropriate size of glove dressing, immobilize until adherent, then allow as
much movement as possible. Note the excellent flexibility. Pain control for hand
burns is also excellent.
BIOBRANE WITH EXUDATE
BENEATH
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| Observation:
Purulent looking exudate present under biobrane dressing behind thumb.
Concern:
Possible early infection or a deeper burn
Treatment:
1) Remove biobrane in all
areas of exudate
2) Treat like a deeper burn
with either bacitracin (or triple mix) or if wound looks white, use
silver sulfadiazine dressings.
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BIOBRANE REMOVAL
When healed biobrane
turns whitish and dry in appearance Gently peel off then that wound with
moisturizer If small area still open, treat with bacitracin or Neosporin (triple
mix)
MANAGEMENT OF
SUPERFICIAL PARTIAL THICKNESS BURNS
SCALD BURNS
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Properties
- adherence
- impermeable to bacteria
- pain control
- durability
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SCALD BURN TO CHEST
AND NECK: ADULT
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Procedure
- pain control
- thorough debridement
- biobrane placement
- cover with compression
dressing
- assess, remove any fluid
- discharge to home care
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SCALD BURN TO CHEST
Admission View
Placement Biobrane
(large sheet) with compression applied. Discharged to return in 24 hrs.
24 hrs: Well adhered
minimal pain, no fluid
Flash Flame to Hand
(Use of Biobrane gloves)
Biobrane gloves applied
which allow for mobility during healing
Compression dressing
applied for 24 hours to obtain adherence
Day 8: Ready to be
removed
Biobrane over joint
Day 21: Excellent Result
