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10.1186/s12895-016-0045-2 http://scihub22266oqcxt.onion/10.1186/s12895-016-0045-2 C4920996!4920996!27342276     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMC+Dermatol 2016 ; 16 (ä): ä Nephropedia Template TP {{tp|p=27342276|t=2016. Enzymatic debridement for the treatment of severely burned upper extremities ? early single center experiences |pdf=|usr=}}{{27342276}} gab.com Text Enzymatic debridement for the treatment of severely burned upper extremities early single center experiences JO: BMC Dermatol http://www.kidney.de/pget.php?&tw=1&pmid=27342276 #FOAvip Background: Severe burns of hands and arms are complex and challenging injuries. The Standard of care (SOC) ? necrosectomy with skin grafting ? is often associated with poor functional or aesthetic outcome. Enzymatic debridement (ED) is considered one promising alternative but, until recently, results proved to be highly variable. Methods: Between 04/2014 and 04/2015, 16 patients with deep partial- to full-thickness burns of the upper extremities underwent enzymatic debridement (ED) in our Burn Center and were evaluated for extent of additional surgery, wound healing, pain management and functional parameters. Results: Following ED, no further surgical intervention was required in 53.8 % of the study population. In patients who required surgical treatment, the the skin-grafted area could be reduced by 37.0 % when compared to initial assessment. Time from injury to ED was 24.4 h and patients were able to start physical therapy after 2.0 days but suffered from prolonged wound closure (28.0 days). Regionally administered anesthesia proved to be superior to pain medication alone as pain levels and consumed morphine-equivalent were lower. Post-demission follow-up showed good functional results and pain levels with low scores in two self-report questionnaires (DASH, PRWE-G) but 3 patients reported increased susceptibility to shear stress. Based on these early experiences, we developed a 3-step algorithm for consecutive patients allowing appropriate and individualized treatment selection. Conclusions: We see a potential benefit for ED in the treatment of severely burned hands and forearms but further investigations and proper prospective, randomized controlled trials are needed to statistically support any outlined assumptions. Electronic supplementary material: The online version of this article (doi:10.1186/s12895-016-0045-2) contains supplementary material, which is available to authorized users. Twit Text FOAVip Enzymatic debridement for the treatment of severely burned upper extremities early single center experiences ????BMC Dermatol http://www.kidney.de/pget.php?&tw=1&pmid=27342276 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27342276 #FOAvip English Wikipedia <ref>{{Cite pmid|27342276}}</ref> Enzymatic debridement for the treatment of severely burned upper extremities ? early single center experiences #MMPMID27342276 Cordts T; Horter J; Vogelpohl J; Kremer T; Kneser U; Hernekamp JF BMC Dermatol 2016[]; 16 (ä): ä PMID27342276show ga Background: Severe burns of hands and arms are complex and challenging injuries. The Standard of care (SOC) ? necrosectomy with skin grafting ? is often associated with poor functional or aesthetic outcome. Enzymatic debridement (ED) is considered one promising alternative but, until recently, results proved to be highly variable. Methods: Between 04/2014 and 04/2015, 16 patients with deep partial- to full-thickness burns of the upper extremities underwent enzymatic debridement (ED) in our Burn Center and were evaluated for extent of additional surgery, wound healing, pain management and functional parameters. Results: Following ED, no further surgical intervention was required in 53.8 % of the study population. In patients who required surgical treatment, the the skin-grafted area could be reduced by 37.0 % when compared to initial assessment. Time from injury to ED was 24.4 h and patients were able to start physical therapy after 2.0 days but suffered from prolonged wound closure (28.0 days). Regionally administered anesthesia proved to be superior to pain medication alone as pain levels and consumed morphine-equivalent were lower. Post-demission follow-up showed good functional results and pain levels with low scores in two self-report questionnaires (DASH, PRWE-G) but 3 patients reported increased susceptibility to shear stress. Based on these early experiences, we developed a 3-step algorithm for consecutive patients allowing appropriate and individualized treatment selection. Conclusions: We see a potential benefit for ED in the treatment of severely burned hands and forearms but further investigations and proper prospective, randomized controlled trials are needed to statistically support any outlined assumptions. Electronic supplementary material: The online version of this article (doi:10.1186/s12895-016-0045-2) contains supplementary material, which is available to authorized users. äEnzymatic debridement for the treatment of severely burned upper extre(epmc).pdf DeepDyve Pubget Overpricing