Early non-excisional debridement of paediatric burns under general anaesthesia reduces time to re-epithelialisation and risk of skin graft

Reported advantages of early excision for larger burn injuries include reduced morbidity, mortality, and hospital length of stay for adult burn patients. However, a paucity of evidence supports the best option for paediatric burns and the advantages of non-excisional (mechanical) debridement. Proced...

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Veröffentlicht in:	Scientific reports 2021-12, Vol.11 (1), p.23753-23753, Article 23753
Hauptverfasser:	Griffin, Bronwyn, Bairagi, Anjana, Jones, Lee, Dettrick, Zoe, Holbert, Maleea, Kimble, Roy
Format:	Artikel
Sprache:	eng
Schlagworte:	692/699/578 692/700 692/700/1720/3187 Age Factors Analgesia Anesthesia Anesthesia, General Burn patients Burns Burns - etiology Burns - therapy Child Child, Preschool Children Debridement Debridement - methods Disease Management Emergency medical care Emergency medical services General anesthesia Humanities and Social Sciences Humans Infant Ketamine Morbidity multidisciplinary Pain perception Pediatrics Plastic surgery Re-Epithelialization Science Science (multidisciplinary) Skin Skin & tissue grafts Skin Transplantation Survival analysis Time Factors Wounds
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Zusammenfassung:	Reported advantages of early excision for larger burn injuries include reduced morbidity, mortality, and hospital length of stay for adult burn patients. However, a paucity of evidence supports the best option for paediatric burns and the advantages of non-excisional (mechanical) debridement. Procedural sedation and analgesia in the emergency department is a popular alternative to debridement in operating theatres under general anaesthesia. This study aims to evaluate the association between early (
ISSN:	2045-2322 2045-2322
DOI:	10.1038/s41598-021-03141-x