Temporary skin substitutes for burn patients: a nursing perspective

The conversion of an open wound to a closed wound is the primary focus in caring for the burned patient. When there are inadequate amounts of noninjured skin to cover the open wound, alternative methods for wound coverage are indicated. Temporary skin substitutes are materials designed to be placed on an open wound to temporarily restore an impaired barrier. These materials may be left on until the wound is healed or until replaced by the patient's own skin. Results of a nationwide survey are reported which identify the various products available for use as skin substitutes. Skin substitutes discussed are pigskin, allograft, and Biobrane. OpSite, Xeroform, and scarlet red are also included. The properties, indications for use, and application procedures for these skin substitutes are described.