Aquacel ag® in paediatric burns - a prospective audit

P Lohana1, T S Potokar

  • 1The Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, Wales, United Kingdom.

Insights

Aquacel Ag® dressing offers a safe and effective option for pediatric burn wound care, promoting healing and reducing pain. While non-adherence was noted, its ease of use and infrequent changes were beneficial.

Area of Science:

  • Wound healing
  • Dermatology
  • Pediatric surgery

Background:

  • Paediatric burns require effective wound management strategies.
  • Aquacel Ag® is a silver-impregnated hydrofibre dressing known for its antimicrobial properties and potential benefits in burn care.
  • Previous literature suggests Aquacel Ag® promotes re-epithelialization in partial-thickness burns.

Purpose of the Study:

  • To evaluate the clinical use and patient outcomes associated with Aquacel Ag® dressing in paediatric burn management.
  • To assess the efficacy, safety, and comfort of Aquacel Ag® in a pediatric population.
  • To document healing times and dressing change frequency for Aquacel Ag® in this cohort.

Main Methods:

  • A prospective audit was conducted between January and July 2005.
  • The study involved paediatric patients with burns treated with Aquacel Ag® dressing.
  • Data collected included healing time, dressing adherence, pain levels, and ease of application.

Main Results:

  • Satisfactory healing times were observed.
  • Patients required an average of three to four outer dressing changes, indicating less frequent primary dressing changes.
  • Reduced pain during dressing changes and ease of application were noted in most patients.
  • Non-adherence to the wound was identified as a challenge.

Conclusions:

  • Aquacel Ag® appears to be a safe, effective, and comfortable dressing for paediatric burn management.
  • The dressing facilitates an appropriate wound environment for healing.
  • Further comparative studies are needed to benchmark Aquacel Ag® against other burn dressings.

Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Clinical Applications of Epidermal Stem Cells01:19

Clinical Applications of Epidermal Stem Cells

Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own EpiSCs...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Respiratory Failure-IV01:23

Acute Respiratory Failure-IV

Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...