- Pre-Operative routines should follow
normal burn center protocols. This may include the use
of systematic broad spectrum targeted antibiotics.
- Pre-Operative control of contamination
may include the use of topical agents such as silver
impregnated dressings
- Preparation of the site to be excised
should follow normal burn center protocols. This may
include the use of povidone iodine or chlorhexidine
gluconate.
- Early and complete excision (typically
within 24 to 72 hours) of injury should be performed
- If complete excision is not
possible, a bacterial barrier must be created to separate
the unexcised, contaminated area from INTEGRA® Template
Operating Room Supplies
In addition to standard
OR supplies, the following supplies should be available
in the OR:
- Extra back table to hold 3
rinse basins, and at least 6 liters of sterile saline
solution for rinsing alcohol from the INTEGRA® Template
(an additional 4 liters will be needed for each additional
1-2 sheets)
- Extra electrocautery instrumentation
(e.g., bovie, double plug, bipolar) for pinpoint coagulation,
sterile elastic net dressings (i.e., Stretchnet)
- Antimicrobial agents/dressings
(e.g., Acticoat* silver impregnated dressing, Sulfamylon
Solution 5%, silver nitrate solution 0.5%)
- Compression dressings/wraps
- "Non-crushing" Mesher (if planning to
mesh INTEGRA® Template 1:1)
- Splints and braces
*Acticoat is a trademark of Smith & Nephew.
