Surgical Management of the Burn Wound and Use of Skin Substitutes

Contents Introduction e61 Payer Policies: Problems and Solutions e61 Medicare e61 Nongovernment Payers e62 Every Burn Patient is Unique e62 Burn Care: A National Resource e62 Wound Classification: Burns as Acute Wounds e62 Burns vs Chronic Wounds e62 Types of Burns e63 Burn Depth and Classification e63 Skin Diagram e64 First-Degree (Superficial or Epidermal) Burns e64 Second-Degree (Partial-Thickness) Burns e64 Third-Degree (Full-Thickness) Burns e64 Overview of Daily Evaluation and Management e64 Burn Wound Care e64 Care of Operated and Nonoperated Wounds e64 Evaluation and Management: Critical Care Services e65 Care of Unrelated Conditions e65 Surgical Treatment of Burns e65 Escharotomy e65 Subsequent Surgical Excision of Burn Wound e66 Debridement of Burn Wounds e66 Excision of Burn Wounds e66 Single-and Multiple-Stage Excision and Grafting e66 Single-Stage Excision and Grafting e66 Multiple-Stage Excision and Grafting e68 Case Study: Acute Care of Burn Wounds e69 Burn Wound Coverage e70 Skin Substitutes and Skin Replacements e70