Pain in skin graft donor area Re-epithelialization in skin graft donor area
Conditions
Interventions
Group a - accomplishment in 30 patients, dressing in partial donor area of partial skin graft with polyurethane foam with ibuprofen, maintained until wound healing
Group b - accomplishment in 30 patie
Drug
Device
Procedure/surgery
Sponsors
Unidade de Queimados da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo-UQHCFMRP-USP
Unidade de Queimados da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo-UQHCFMRP-USP
Eligibility
Inclusion criteria
Inclusion criteria: Age greater than 10 years; patients submitted to partial skin grafting of 0.2 mm, removed from the thigh region with Aesculap® brand of electric dermatome.
Exclusion criteria
Exclusion criteria: known allergy to the components of the dressing; cognitive disorder; sensorial losses in donor areas; sedated patients or children under 10 years or with little understanding of the objectives of the studies and communication; need to modify the type of bandage during the study period; use of another model of an electric dermatome device for removal of skin; removal of skin in a thickness other than 0.2 mm; patients previously submitted to local anesthetic blocks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain evaluation Data on pain will be obtained by means of rating scales use of validated pain for use in adult patients (EVA) made by professional assistant of the patient within 48 hours, in the seventh and tenth day, and the patient should not have been submitted to local anesthetic blockades. At each questioning of pain, the objectives and functioning of the pain scale will be explained. | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of reepithelialization and infection The partial thickness skin graft donor area will be considered completely re-epithelialized (restored) when about 95% of the wound is healed. This analysis will be done by means of photographs and clinical evaluation by an experienced UQ professional. The re-epithelialization area can be measured by use of Image-J software. The appearance of the donor area will be analyzed on the first, seventh and tenth postoperative days, with signs of infection (border hyperemia, increase or change in local secretion pattern, presence of odor suggestive of infection). After the seventh day, an emollient (essential fatty acids) will be applied to facilitate the removal of the cellulose fiber mesh.;Evaluation of the exchange of dressing The patients included in study group A and B will have a dressing change performed every 7 days, according to the manufacturer's instructions. Patients included in the C-control study group will not have the same dressing change sequence as groups A and B. The justification for this is that the rayon dressing soaked in saline after an average of 6 hours is dry and firmly adhered to the bed, making it impossible to exchange, since it would cause more pain, local bleeding and damage to the healing process of the donor area of the participants. | — |
Countries
Brazil
Contacts
Public ContactHenrique Coraspe Gonçalves
Unidade de Queimados da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo-UQHCFMRP-USP
Outcome results
None listed