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AUTHORS:
Robert
H. Demling, M.D. Leslie
DeSanti R.N.,
Dennis P. Orgill, M.D. Ph.D.
MANAGEMENT OF THE
SUPERFICIAL BURN TO THE FOOT (BIOBRANE)
Scald burn to foot
debrided with biobrane applied followed by immobilization and discharge
Note ease of
examination of wound beneath; excellent adherence with no exudate
Healed Day 10: note
dry opaque appearance to Biobrane indicating healing. Biobrane being removed.
Removal three weeks
later
SUPERFICIAL BURNS TO
THIGHS IN YOUNG WOMAN
Burns extremity painful on
admission. Blisters removed using narcotics. Biobrane applied and covered with
soft dressing. Pain resolved quickly and patient able to walk. Treated as
outpatient with first visit 24 hrs post burn. Patient walking without difficulty
with minimal pain
Right thigh at 24
hours, Biobrane adhered, No fluid collection, no pain
Left thigh at 24 hrs,
Biobrane adhered, No fluid, no pain
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| Both
thighs - Day 12: Biobrane appearing opaque indicating healed beneath |
Left thigh - Day 12:
Biobrane removed, begin moisturizer
Day 12: Biobrane
being removed, Fewer areas not yet healed, keep Biobrane on these areas
Superficial-Mid Dermal Burn
(Variable Healing of a Burn)
Because many burns
are not homogeneous, healing time will vary under a skin substitute.
Day 10
Burn to lower leg
covered with Biobrane; now day 10 Note some areas dry (healed) and some areas
are still wet (open). A wet appearance which is normal must be distinguished
from a fluid or exudate collection which may require removal of the skin
substitute in that area.
Day 14: Note more of the
Biobrane has been removed with healing
USE IN CHILDREN
SCALD BURN
Admission
2 days post burn, Excellent
adhesion on neck and chest
4 days post burn,
NOTE: increasing opacity reflecting healing: No Exudate
Scald burn Day 4
Minimal pain: Can
treat open
Scald Burn day 4,
Excellent adherence: Can treat open
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