Elsevier

Biomaterials

Volume 6, Issue 6, November 1985, Pages 369-377
Biomaterials

Review
Principles of burn dressings

https://doi.org/10.1016/0142-9612(85)90095-XGet rights and content

Abstract

Throughout history burn wounds have been treated by covering with dressings of many different materials. The successful application of a burn dressing remains an objective for biomaterial development. This paper examines how the burn wound differs from other skin injuries, the requirements of the ideal burn wound dressing, and reviews the type of dressings available. The dressings in common use in the treatment of burns are compared with the ‘ideal’ dressing, in so far as it can be defined.

References (105)

  • C.L. Kien et al.

    Whole body protein synthesis and breakdown rates in children before and after reconstructive surgery of the skin

    Metabolism

    (1978)
  • B.C. MacMillan

    Indicaton for early excision

    Surg. Clin. N Amer.

    (1970)
  • J.H. Seashore et al.

    Treatment of gastroschisis and omphalocele with biologic dressings

    J. Pediatr. Surg.

    (1975)
  • R.N. Matthews et al.

    Wound healing using amniotic membranes

    Br. J. Plast. Surg.

    (1981)
  • J.D. Trelford et al.

    The amnion in surgery, past and present

    Am. J. Obstet. Gynecol.

    (1979)
  • N.S. Levine et al.

    Comparison of coarse mesh gauze with biologic dressings on granulating wounds

    Am. J. Surg.

    (1976)
  • R.F. Oliver et al.

    Incorporation of stored cell-free dermal collagen allografts into skin wounds: a short term study

    Brit. J. Plast. Surg.

    (1977)
  • N.E. O'Connor et al.

    Grafting of burns with cultured epithelium prepared from autologous epidermal cells

    Lancet

    (1981)
  • J. Lendrum et al.

    A new dressing for burns. Enclosure in a plasticised polyvinyl chloride sheet

    Burns

    (1976)
  • P.L.G. Townsend

    The quest for a cheap and painless donor-site dressing

    Burns

    (1976)
  • W.H. Reid

    Care of the burned hand

    The Hand

    (1974)
  • P.J. Davenport et al.

    A prospective comparison of two split skin graft donor site dressings

    Burns

    (1977)
  • G.B. Park

    Burn wound coverings — a review

    Biomat. Med. Dev. Art. Org.

    (1978)
  • A.D. Schwope et al.

    Development of a synthetic burn covering

    Trans. Am. Soc. Art. Int. Org.

    (1974)
  • R.H. Bartlett

    Skin substitutes

    J. Trauma

    (1981)
  • I.V. Yannas et al.

    Design of artificial skin. I. Basic design principles

    J. Biomed. Mater. Res.

    (1980)
  • S.D. Lin et al.

    A synthetic skin (IP-758) for closure of wounds covering 50% of a rat's body surface area

    Trans. Am. Soc. Art. Int. Org.

    (1981)
  • M. Chvapil

    Considerations on manufacturing principles of a synthetic burn dressing: a review

    J. Biomed. Mater, fies.

    (1982)
  • J.S. Cason

    Treatment of Burns

    (1981)
  • B.E. Zawacki

    The natural history of reversible burn injury

    Surg. Gynec. Obstet.

    (1974)
  • R. Ross

    Wound healing

    Sci. Am.

    (1969)
  • J.A. Schilling

    Wound healing

    Physiol. Rev.

    (1968)
  • W. Van Winkle

    The fibroblast in wound healing

    Surg. Gynec. Obstet.

    (1967)
  • W. Van Winkle

    Wound contraction

    Surg. Gynec. Obstet.

    (1967)
  • W. Van Winkle

    The epithelium in wound healing

    Surg. Gynec. Obstet.

    (1968)
  • E.E. Peacock et al.

    Wound Repair

    (1976)
  • R.M.H. McMinn

    Wound healing

  • D.L. Larson et al.

    Pathological aspects of skin healing in burns

  • W.F. McManus et al.

    Burn wound infection

    J. Trauma

    (1981)
  • Tully, A.E., Evans, J.H. and Reid, W.H., The microstructure of hypertrophic scar tissue and changes induced by pressure...
  • C.W. Kischer et al.

    Collagen and mucopolysaccharides in the hypertrophie scar

    Conn. Tiss. Res.

    (1974)
  • K. Perkins et al.

    Silicone gel: a new treatment for burn scars and contractures

    Burns

    (1982)
  • J.A. Moncrief

    Topical antibacterial treatment of the burn wound

  • B.A. Pruitt et al.

    Characteristics and uses of biologic dressings and skin substitutes

    Arch. Surg.

    (1984)
  • C.L. Kien et al.

    Increased rates of whole body protein synthesis and breakdown in children recovering from burns

    Ann. Surg.

    (1978)
  • C.L. Kien et al.

    Whole body protein synthesis in relation to basal energy expenditure in healthy children and in children recovering from burn injury

    Pediatr. Res.

    (1978)
  • C.F. Roe et al.

    Water and heat exchange in third degree burns

    Surgery

    (1964)
  • F.T. Caldwell

    Energy metabolism following thermal burns

    Arch. Surg.

    (1976)
  • J.W.L. Davies

    Physiological Responses to Burning Injury

    (1982)
  • F.T. Caldwell et al.

    The effect of occlusive dressings on the energy metabolism of severely burned children

    Ann. Surg.

    (1981)
  • Cited by (105)

    • Photopolymerized silk fibroin gel for advanced burn wound care

      2023, International Journal of Biological Macromolecules
    • Silver sulfadiazine loaded core-shell airbrushed nanofibers for burn wound healing application

      2022, International Journal of Pharmaceutics
      Citation Excerpt :

      With asymmetrical tissue insult, septicemia and predisposed immunosuppression, thermal injuries are the most devastating and visible trauma with the highest morbidity and mortality rate. The clinical management of burn injuries depends on the degree of burn, i.e., first, second and third-degree, where wound dressing and self-healing are most common (Quinn et al., 1985). As a superficial treatment, wound dressing significantly impacts skin regeneration and acts as a barrier against microbial attack (Shoba et al., 2017).

    • Preparation of Centella asiatica loaded gelatin/chitosan/nonwoven fabric composite hydrogel wound dressing with antibacterial property

      2021, International Journal of Biological Macromolecules
      Citation Excerpt :

      Insufficient care and repair of the wound may lead to infecting, other pathological reactions, and even death [4]. Meanwhile, maintains high humidity at the wound site, thereby accelerating the formation of granulation and epithelialization [4,5]. Therefore, an ideal wound dressing should meet the following requirements: it can effectively prevent the invasion of bacteria, has a strong liquid absorption capacity, and promotes the rapid healing of wounds.

    • Burgeoning hydrogel technology in burn wound care: A comprehensive meta-analysis

      2021, European Polymer Journal
      Citation Excerpt :

      Mainly fluid balance in burn injury is vital as a significant loss of water from the body due to exudation and evaporation will decrease body temperature and increase metabolic rate. Other dressing properties include ease of application and removal and proper adherence because empty spaces can create pockets for the spread of bacteria [43]. Numerous wound dressing materials are available.

    View all citing articles on Scopus
    View full text