Efficacy of Versiva(R)XC (ConvaTec, UK) Dressing in Treatment of Pediatric Hand Burn

PURPOSE: Effective management of pediatric hand burn is a considerable challenge for clinicians. Traditional dressings may result in significant pain, wound dryness, weak adhesive strength, and increase necessity for dressing change. Versiva(R)XC is combined dressing materials of hydrocolloid, hydrofiber, a polyurethane foam. Authors have used Versiva(R)XC in treatment of pediatric hand burns, and we experienced that maintenance of dressing is comfortable and decrease patient's discomfort. METHODS: Study enrolled 9 patients of mean age 3.6 years with second degree pediatric hand burn, Versiva(R)XC dressing initially applied after bullae aspiration and saline gauze dressing. After admission, we daily changed the dressing in first two or three days and had an interval of two or three days depending on the degree of exudate from the wound. RESULTS: The mean day of application was 6.3 days. None of patients required surgery and healed with no other complication of scar contracture and hypertrophic scar formation. CONCLUSION: The dressing with Versiva(R)XC was effective method because of decreased pain, easy dressing change, more comfort, and decreased hospital day.

Efficacy of Versiva(R) (Convatec, UK) Dressing in Treatment of Pediatric Facial and Neck Burn

PURPOSE: Yearly many children attend hospital with burns. Most of them are injured to face and neck. In palliative ways, dressing with vaseline gauze, it is thick and tight to absorb the exdute and maintain, but patients are inconvinient in eating and speaking. Especially, in pediatric face and neck burn patients, cooperation is impossible, so there is increased risk of secondary infection by wound exposure and physician should make dressing more frequently. In case of using dressing material, it is not far different in palliative dressing, we should use a tape or elastic bandage to keep wound surface and dressing material in contact. Versiva(R) is combination dressing materials of hydrocolloid, hydrofiber, a polyurethane foam. Authors have used Versiva(R) in a treatment of pediatric face and neck burn, and we experienced that maintenance of dressing is convenient and nutrition supply is easy through oral feeding. METHODS: Between from 2006 January until 2008 December, we performed dressings with Versiva(R) in 20 pediatric second degree face and neck burn patients. Until postburn 2 nd or 3 rd day, we exchanged dressing daily, and after this, exchanged in 2~3 days according to amount of exudate. RESULTS: Versiva(R) had enough absorbing capacity and adhesive strength at the same time. With this slight and thin dressing material, there was considerable decrease in discomfort of patient, frequency of secondary infection and keeping dressing were convenient. Oral feeding was easy due to waterproof surface of the Versiva(R). In comparison with effort and time in palliative dressing, there was a significant reduction of labor force. CONCLUSION: In Treatment of pediatric second degree face and neck burn patient, Versiva(R) dressing was effective method because of decreased hospital day, convinience, labor reduction, decreased patient discomfort, easy to oral feeding.