Critical Review of Burn Depth Assessment Techniques: Part I. Historical Review

The assessment of burn depth, and as such, the estimation of whether a burn wound is expected to heal on its own within 21 days, is one of the most important roles of the burn surgeon. A false-positive assessment and the patient faces needless surgery, a false-negative one and the patient faces incr...

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Published in:	Journal of burn care & research Vol. 30; no. 6; pp. 937 - 947
Main Authors:	JASKILLE, Amin D, SHUPP, Jeffrey W, JORDAN, Marion H, JENG, James C
Format:	Journal Article
Language:	English
Published:	Philadelphia, PA Lippincott Williams & Wilkins 01-11-2009
Subjects:	Biological and medical sciences Biopsy - history Burns Burns - classification Burns - pathology Burns - therapy Decision Making Dermatology Diagnostic Imaging - history False Negative Reactions False Positive Reactions History, 20th Century Humans Laser-Doppler Flowmetry - history Medical sciences Photometry - history Prognosis Skin Transplantation - history Staining and Labeling - history Trauma Severity Indices Traumas. Diseases due to physical agents Burn Skin disease Technique Bibliographic review
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Abstract	The assessment of burn depth, and as such, the estimation of whether a burn wound is expected to heal on its own within 21 days, is one of the most important roles of the burn surgeon. A false-positive assessment and the patient faces needless surgery, a false-negative one and the patient faces increased length of stay, risks contracture, and hypertrophic scar formation. Although many clinical signs can aid in this determination, accurate assessment of burn depth is possible only 64 to 76% of the time, even for experienced burn surgeons. Through the years, a variety of tools have become available, all attempting to improve clinical accuracy. Part 1 of this two-part article reviews the literature supporting the different adjuvants to clinical decision making is, providing a historical perspective that serves as a framework for part 2, a critical assessment of laser Doppler imaging.
AbstractList	The assessment of burn depth, and as such, the estimation of whether a burn wound is expected to heal on its own within 21 days, is one of the most important roles of the burn surgeon. A false-positive assessment and the patient faces needless surgery, a false-negative one and the patient faces increased length of stay, risks contracture, and hypertrophic scar formation. Although many clinical signs can aid in this determination, accurate assessment of burn depth is possible only 64 to 76% of the time, even for experienced burn surgeons. Through the years, a variety of tools have become available, all attempting to improve clinical accuracy. Part 1 of this two-part article reviews the literature supporting the different adjuvants to clinical decision making is, providing a historical perspective that serves as a framework for part 2, a critical assessment of laser Doppler imaging.
Author	JORDAN, Marion H SHUPP, Jeffrey W JASKILLE, Amin D JENG, James C
Author_xml	– sequence: 1 givenname: Amin D surname: JASKILLE fullname: JASKILLE, Amin D organization: Burn Center, Department of Surgery Washington Hospital Center, United States – sequence: 2 givenname: Jeffrey W surname: SHUPP fullname: SHUPP, Jeffrey W organization: Burn Center, Department of Surgery Washington Hospital Center, United States – sequence: 3 givenname: Marion H surname: JORDAN fullname: JORDAN, Marion H organization: Burn Center, Department of Surgery Washington Hospital Center, United States – sequence: 4 givenname: James C surname: JENG fullname: JENG, James C organization: Burn Center, Department of Surgery Washington Hospital Center, United States
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Snippet	The assessment of burn depth, and as such, the estimation of whether a burn wound is expected to heal on its own within 21 days, is one of the most important...
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SubjectTerms	Biological and medical sciences Biopsy - history Burns Burns - classification Burns - pathology Burns - therapy Decision Making Dermatology Diagnostic Imaging - history False Negative Reactions False Positive Reactions History, 20th Century Humans Laser-Doppler Flowmetry - history Medical sciences Photometry - history Prognosis Skin Transplantation - history Staining and Labeling - history Trauma Severity Indices Traumas. Diseases due to physical agents
Title	Critical Review of Burn Depth Assessment Techniques: Part I. Historical Review
URI	https://www.ncbi.nlm.nih.gov/pubmed/19898102 https://search.proquest.com/docview/734130311
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