1. 2.2.6. How many times are required everyday for eschar incision and attenuation technique on the deep burns wound treated with MEBT/MEBO and is anesthesia needed during that practice?
    • 2010/10/25 11:36:42
    Repeated tension-relieving incision and eschar attenuation are required for deep burns wound in early stage. Because the engorgement and exudation of the wound have great variations (with progressive engorgement sometimes) during the first 3 days after burns, dynamic observation and prompt treatment are required to perform another attenuation whenever high local tension, extremities coldness and poor blood circulation are observed. The principle of eschar incision and attenuation technique is no pains, no bleeding, no dryness and no damage to the normal tissue, meanwhile achieving the result of tension relieving, drainage, circulation improvement and necrosis discharge.
    All types of deep burns wounds require tension-relieving eschar incision and attenuation technique. The nerve endings (pain receptor) on the deep burns wounds are already necrotic, patients lose the sense of pains and thus no anesthesia is needed. eschar incision and attenuation technique is not recommended on wounds with sense of pains. However, eschar incision and attenuation on uncooperative patients such as children and patients with psychosis or epilepsia can be performed with (basic) anesthesia.