Citation

Ridel P, Perrot P, Truffandier MV, Bellier-Waast F, Duteille F. Ann. Chir. Plast. Esthet. 2014; 60(2): 117-122.

Vernacular Title

Brûlures des mains de l'enfant et gants Aquacel(®) Burn, une alternative aux hospitalisations prolongées. À propos de 20 cas.

Affiliation

Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address: franck.duteille@chu-nantes.fr.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.anplas.2014.11.001

PMID

25465124

Abstract

AIM OF THE STUDY: Occlusive dressings for second-degree hand burns in children must prevent infection and promote healing. For good management of analgesia, these treatments often require children to be hospitalized. Our goal was to find an alternative to conventional care protocol that would reduce the number of dressings and therefore the length of hospitalization. We report our experience with the use of Aquacel(®) Burn. PATIENTS AND METHOD: Non-randomized monocentric prospective study was conducted from 2012 to 2014. The glove was used in the operating room within 72hours after the burn in children younger than 15 years old with isolated superficial to deep 2nd degree hand burns. Once the glove was perfectly stuck to the burn, the children could go back home. We saw them 10 to 12 days after the accident to be sure there was no indication of skin graft.

RESULTS: Twenty gloves were used in 16 children aged from 16 months to 13 years. The average length of stay (ALOS) was five days to put the glove on and one day to remove it. Four hands were grafted.

CONCLUSION: Once we get used to the product, Aquacel(®) Burn gloves have reduced the ALOS before skin graft in cases of isolated hand burns in children.

Language: fr