- 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.
