Document Detail


Skin grafting of full thickness burns under local anaesthesia with EMLA cream.
MedLine Citation:
PMID:  9677030     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two elderly patients with 6 and 4 per cent total body surface area (TBSA) full thickness burns were entirely skin grafted solely under topical anaesthesia with EMLA cream. Both patients had several concurrent illnesses. The risk of general or regional anaesthesia for their general condition was much greater than the risk of unhealed burn wounds which substantially impaired the patients' quality of life. The surgical procedures were painless to both patients. The taking of the skin grafts and the healing of the donor sites were uneventful. It seems that the late skin grafting of full thickness burns up to 10 per cent TBSA may be accomplished solely under the topical anaesthesia with EMLA cream and thus avoiding the general or spinal anaesthesia in a high risk group of thermally injured patients.
Authors:
T F Janezic
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  24     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-09-21     Completed Date:  1998-09-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  259-63     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery and Burns, Clinical Centre, Ljubjana, Slovenia.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Home*
Aged
Aged, 80 and over
Anesthesia, Local / methods*
Anesthetics, Local / administration & dosage*
Burns / pathology,  surgery*
Female
Follow-Up Studies
Humans
Lidocaine / administration & dosage*
Ointments
Prilocaine / administration & dosage*
Skin Transplantation* / methods
Wound Healing
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 0/EMLA; 0/Ointments; 137-58-6/Lidocaine; 721-50-6/Prilocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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