RESUMO
New silver-containing dressings developed in recent years have brought new and powerful means for the prevention and treatment of wound infection, which promote development and progress of wound therapy. There are many kinds of silver-containing dressings, however, misunderstanding and even misapplication exist in how to choose and use these dressings. Based on literature evidence, we propose this national expert consensus on clinical application of silver-containing dressings, particularly in terms of kinds and mechanisms, indications, contraindications, rational selections in different wounds, and cautions in the clinical application of silver-containing dressings. This consensus would be helpful for medical and nursing personnel to use silver-containing dressings in wound repair field in clinic correctly and professionally.
Assuntos
Humanos , Administração Tópica , Bandagens , Queimaduras , Terapêutica , Consenso , Compostos de Prata , Usos Terapêuticos , Infecção da Ferida Cirúrgica , Cicatrização , Infecção dos Ferimentos , TerapêuticaRESUMO
Collagen, as the main structural protein in human body, plays an important role in the wound healing process. Due to their inherent hemostatic characteristics, good biocompatibility, low immunogenicity, as well as controllable biodegradability, collagen-based materials have attracted much attention. In this article, we mainly introduce the characteristics of collagen-based wound biomaterials and the application mechanism as scaffold and wound dressing. And the standard and unified experts' consensus formed on the clinical indications, recommended applications, contraindications, and matters needing attention. The consensus wound help clinicians and patients to recognize collagen-based wound biomaterials correctly and use them rationally.
Assuntos
Humanos , Bandagens , Materiais Biocompatíveis , Colágeno , Consenso , CicatrizaçãoRESUMO
Inhalation injury is caused by inhalation of heat, toxic or irritating gases which lead to respiratory and pulmonary parenchyma damage. At present, the clinical understanding about it is still limited and lack of effective diagnosis and treatment standard. Based on the experience of diagnosis and treatment of domestic inhalation injury, combined with reports of international researches, criteria (expert consensus) for inhalation injury were systematically discussed from pathological and pathophysiological changes, clinical diagnosis and evaluation, and clinical treatment, which provides reference for clinical diagnosis and treatment of patients inflicted with inhalation injury.
Assuntos
Humanos , Queimaduras por Inalação , Consenso , Pulmão , Lesão por Inalação de Fumaça , Diagnóstico , TerapêuticaRESUMO
As a newly developed technique for hemodynamic monitoring, pulse contour cardiac output (PiCCO) monitoring takes great advantages in guiding shock resuscitation and fluid administration. PiCCO has been used more and more in burn patients in recent years, however there is no clinic consensus on how to apply PiCCO monitoring, understand the significance of PiCCO monitored parameters, and guide the treatment using PiCCO monitored parameters in patients with severe burns. Based on the current literature and the experts' clinical experience, (2018 ) is now issued by the Burn and Trauma Branch of Chinese Geriatrics Society, aiming to provide practical guidance for its usage in clinic.
Assuntos
Humanos , Queimaduras , Terapêutica , Débito Cardíaco , Consenso , Hidratação , Hemodinâmica , Monitorização Fisiológica , Métodos , Padrões de Referência , Ressuscitação , Choque , TerapêuticaRESUMO
Airway edema, stenosis, obstruction and even asphyxia are easy to occur in patients with extensive burn, deep burn of head, face, and neck area, inhalation injuries, etc., which threaten life. Timely tracheotomy and intubation is an important treatment measure, but lack of knowledge and improper handling in some hospitals resulted in airway obstruction. The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn. The Burn and Trauma Branch of Chinese Geriatrics Society organized some experts in China to discuss the indications, timing, methods, extubation, and precautions of tracheotomy and intubation for burn patients. The (2018 ) .
Assuntos
Humanos , Obstrução das Vias Respiratórias , Unidades de Queimados , Queimaduras , Terapêutica , China , Consenso , Intubação Intratraqueal , Métodos , Guias de Prática Clínica como Assunto , Padrões de Referência , Lesão por Inalação de Fumaça , Terapêutica , Traqueotomia , MétodosRESUMO
There is no national referral criteria for burns in China till now, which brings inconvenience and confusion. Based on the oversea experiences and the actual situation in China, many famous experts on burns discussed and developed this Chinese burn referral criteria (2018 version). We hope these referral criteria will be helpful in clinical practice in burn field and can be improved continuously during application.
Assuntos
Humanos , Unidades de Queimados , Padrões de Referência , Queimaduras , Terapêutica , China , Guias de Prática Clínica como Assunto , Padrões de Referência , Encaminhamento e Consulta , Padrões de ReferênciaRESUMO
New silver-containing dressings developed in recent years have brought new and powerful means for the prevention and treatment of wound infection, which promote development and progress of wound therapy. There are many kinds of silver-containing dressings, however, misunderstanding and even misapplication exist in how to choose and use these dressings. Based on literature evidence, we propose this national expert consensus on clinical application of silver-containing dressings, particularly in terms of kinds and mechanisms, indications, contraindications, rational selections in different wounds, and cautions in the clinical application of silver-containing dressings. This consensus would be helpful for medical and nursing personnels to use silver-containing dressings in wound repair field in clinic correctly and professionally.
Assuntos
Humanos , Administração Tópica , Bandagens , Queimaduras , Terapêutica , Consenso , Compostos de Prata , Usos Terapêuticos , Infecção da Ferida Cirúrgica , Infecção dos Ferimentos , TerapêuticaRESUMO
Collagen, as the main structural protein in human body, plays an important role in the wound healing process. Due to their inherent hemostatic characteristics, good biocompatibility, low immunogenicity, as well as controllable biodegradability, collagen-based materials have attracted much attention. In this article, we mainly introduce the characteristics of collagen-based wound biomaterials and the application mechanism as scaffold and wound dressing. And the standard and unified experts' consensus formed on the clinical indications, recommended applications, contraindications, and matters needing attention. The consensus wound help clinicians and patients to recognize collagen-based wound biomaterials correctly and use them rationally.
Assuntos
Animais , Humanos , Bandagens , Materiais Biocompatíveis , Colágeno , Consenso , CicatrizaçãoRESUMO
Inhalation injury is caused by inhalation of heat, toxic or irritating gases which lead to respiratory and pulmonary parenchyma damage. At present, the clinical understanding about it is still limited and lack of effective diagnosis and treatment standard. Based on the experience of diagnosis and treatment of domestic inhalation injury, combined with reports of international researches, criteria (expert consensus) for inhalation injury were systematically discussed from pathological and pathophysiological changes, clinical diagnosis and evaluation, and clinical treatment, which provides reference for clinical diagnosis and treatment of patients inflicted with inhalation injury.
Assuntos
Humanos , Queimaduras por Inalação , Consenso , Pulmão , Guias de Prática Clínica como Assunto , Lesão por Inalação de Fumaça , Diagnóstico , TerapêuticaRESUMO
As a newly developed technique for hemodynamic monitoring, pulse contour cardiac output (PiCCO) monitoring takes great advantages in guiding shock resuscitation and fluid administration. PiCCO has been used more and more in burn patients in recent years, however there is no clinic consensus on how to apply PiCCO monitoring, understand the significance of PiCCO monitored parameters, and guide the treatment using PiCCO monitored parameters in patients with severe burns. Based on the current literatures and the experts' clinical experience, (2018 ) is now issued by the Burn and Trauma Branch of Chinese Geriatrics Society, aiming to provide practical guidance for its usage in clinic.
Assuntos
Humanos , Queimaduras , Terapêutica , Débito Cardíaco , Consenso , Hidratação , Hemodinâmica , Monitorização Fisiológica , Métodos , Padrões de Referência , Ressuscitação , Choque , TerapêuticaRESUMO
Airway edema, stenosis, obstruction and even asphyxia are easy to occur in patients with extensive burn, deep burn of head, face, and neck area, inhalation injuries, etc., which threaten life. Timely tracheotomy and intubation is an important treatment measure, but lack of knowledge and improper handling in some hospitals resulted in airway obstruction. The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn. The Chinese Geriatrics Society organized some experts in China to discuss the indications, timing, methods, extubation, and precautions of tracheotomy and intubation for burn patients. The (2018 ) .
Assuntos
Feminino , Humanos , Obstrução das Vias Respiratórias , Queimaduras , Terapêutica , China , Consenso , Edema , Tratamento de Emergência , Intubação , Pescoço , Guias de Prática Clínica como Assunto , Padrões de Referência , Padrões de Referência , TraqueotomiaRESUMO
There is no national referral criteria for burns in China till now, which brings inconvenience and confusion. Based on the oversea experiences and the actual situation in China, many famous experts in burns discussed and developed this (2018 ). We hope these referral criteria will be helpful in clinical practice of burns and can be improved continuously through application.