Probleemstelling: Een laserbehandeling bij de donkere huidtypes hebben een hoger risico op complicaties, zoals hyperpigmentatie en brandwonden. Door een overvloed aan melanine in de epidermis is het verschil tussen huid en haar niet goed zichtbaar. Tot op heden zijn er veel onduidelijkheden in de huidtherapeutische …

INTRODUCTION: It is difficult to adjust fluid balance adequately in patients with severe burns due to various physical changes. B-type natriuretic peptide (BNP) is emerging as a potential marker of hydration state. Proteinuria is used as a predictor of outcome in severe illness and might correlate to …

BACKGROUND: Burn survivors are frequently faced with disfiguring scars. Various techniques exist to improve scar appearance, such as laser treatment and dermabrasion. Next to that, surgical reconstruction, such as scar excision is an option. This randomized controlled trial investigates whether a larger …

OBJECTIVE: To determine the value of training for the Emergency Management of Severe Burns (EMSB) for medical and nursing staff working in emergency care as measured by their performance in a simulated burn incident online program. METHODS: An Internet-based questionnaire, which included a simulated …

Het probleem dat is onderzocht in dit onderzoek betreft oppervlakkige en diep tweedegraads brandwonden. Het doel is de meest effectieve behandelmethode te kiezen uit de onderzochte interventies, zilver sulfadiazine en honing. De vraagstelling die hieruit is geformuleerd; 'Welke behandeling, met zilver …

Probleemstelling: Patiënten met meer dan 20% verbranding hebben niet genoeg aan orale voeding. Dit wordt aangevuld met enterale of parenterale voeding. Patiënten die in de eerste 48 uur na verbranding een speciaal dieet hebben gekregen, hebben een verbeterde wondgenezing en een korter verblijf in het …

In patients with extensive burns several causes may underliehypoxic respiratory failure and bilateral infiltrates on the chestX-ray in the first week afterburn: cardiogenic pulmonaryedema as a result of congestive heart failure, pneumonia and/or adult respiratory distress syndrome (ARDS). In particular, …

Laser Doppler perfusion imaging (LDPI) has been proven to be a useful tool in predicting the burn wound outcome in an early stage. A major disadvantage of scanning beam LDPI devices is their slow scanning speed, leading to patient discomfort and imaging artifacts. We have developed the Twente Optical …

Thermal injury destroys the physical skin barrier that normally prevents invasion of microorganisms. This and concomitant depression of local and systemic host cellular and humoral immune responses are important factors that contribute to colonization and infection of the burn wound. One of the most …

BACKGROUND: Itching (pruritus) following burns is a well-known clinical problem. However, there are no long-term prospective studies that document the course and the extent of the problem. Studies on risk factors are anecdotal. OBJECTIVES: To study self-reported itching in a multicentre cohort among …