A patient with a burn injury can be treated in any hospital but severe cases as well as children need to be transferred to a burning center. There are also special criteria to follow, who need to be transferred. A burn is an injury of the skin, which protects us from infection or other outside dangerous agents.
We will concentrate on Silver Nitrate treatment and the results achieved. Then I will take a look on local and early surgical treatment in Plastic and Reconstructive Surgery Department of Arad County Clinical Hospital, to find out benefits of Nikolsky-Batman method used in this hospital. We will treat patients with burns withSilver Nitrate treatment. Number of patients will be about 100. Results will be presented in conclusion.
Table of Contents
CHAPTER I
1.1. Background
1.2. Burns
1.3. Patophysiologic procesess of burns
1.4. Classification of burns
1.5. Open and closed methods
1.6. Local burn treatment with Dermazin cream
1.7. Early surgical treatment of burns
1.8. Local burn treatment with silver nitrate
1.8.1. Nikolsky-Batman method
1.8.2. Closed method with Silver Nitrate
1.8.3. Silver nitrate pharmacodynamics
1.8.4. Disadvantages of burn treatment with silver nitrate
CHAPTER II
2.1. Motivation
2.2. Research questions and methods
2.2.1 Research Question
2.2.2 Methodology of research
2.2.3 Research prosess
2.2.4 Methods of statistical processing
2.3 Results from experimental research
2.3.1 Experiments of applying of silver nitrate onto human skin
2.3.2 Method of silver nitrate application in the burn treatment
2.3.3 Statistical study
2.3.4 Effectiveness of clinical picture of the burn treatment with Silver nitrate
CONCLUSION
REFERENCES
Appendix
Case I
Case II
Case III
Research Objectives and Topics
The primary objective of this thesis is to evaluate the clinical efficacy, cost-effectiveness, and safety of the Nikolsky-Batman method (using silver nitrate) compared to modern alternative burn treatments. The study aims to determine the benefits and contraindications of this specific coagulating technique while addressing patient outcomes regarding healing rates, pain levels, and scarring.
- Clinical evaluation of local burn management with silver nitrate versus modern dressings.
- Economic analysis of treatment costs and hospital resource utilization.
- Histological and microbiological assessment of wound regeneration and infection control.
- Comparative analysis of patient recovery experiences between different treatment protocols.
Excerpt from the Book
1.10.1. Nikolsky-Batman method
It is one of so called coagulating types of burn treatment. Here we will consider main aspects of local burn treatment with 5% solution of silver nitrate. This method has main focus in our study. We chose most used method, which is called Nikolsky-Batman. Let´s see this type of the treatment in details.
If treatment of the face by the Nikolsky-Batman method is performed within the next few hours after the burn, until the surface has been infected, the scars are much thinner than with the open method, that is, the cosmetic result is better.
In some cases, treatment with full success can be performed even on the 2nd or 3rd day after the burn; although in these terms the surface is partially infected, but after treatment with ethyl alcohol, tannin and Silver Nitrate (lapis), most of it heals under the crust. Sometimes after treatment of the face and head in the first days there comes a sharp swelling, which passes independently after 2-3 days.
After arriving patient receive, all anti-shock measures, he is given a warm soapy bath, which cleans the skin from contamination and simultaneously heats the patient. Then the patient is transferred to the operating room, where, under ether anesthesia, the wounds are treated as follows. A piece of gauze moistened with alcohol (in the absence of alcohol we use a warm 0.25% solution of ammonia or saline solution), the burned surface is cleaned of peeled epidermis and blisters. The latter, if necessary, are cut with scissors and removed with tweezers. Especially carefully, it is necessary to remove the epidermis at the edges of the blisters so that there are no detached pockets left. With a burn on the head, the hair should be shaved off. Then 5% solution of Taninum applied to burn surface, and then rub the surface of the burn with a 5% Silver Nitrate solution with another cotton wool. The surface quickly blackens, after a short time it becomes dry and crusted. A patient without a bandage is placed under a frame with bulbs, covered with a blanket, as is done with the open method.
Summary of Chapters
CHAPTER I: Provides a comprehensive overview of burn pathophysiology, classification systems, and an investigation of current local treatment methods, including the technical aspects of the Nikolsky-Batman approach.
CHAPTER II: Details the practical clinical research conducted at the Arad County Clinical Hospital, comparing treatment groups, statistical outcomes, and the economic efficiency of silver nitrate applications.
Keywords
Silver nitrate, Nikolsky-Batman method, burn treatment, plastic surgery, wound healing, clinical study, skin regeneration, cost-effectiveness, coagulating technique, burn pathophysiology, antibacterial therapy, Nikolsky-Batman advantages.
Frequently Asked Questions
What is the primary focus of this thesis?
The work focuses on the clinical and economic evaluation of the Nikolsky-Batman method for local burn treatment using a 5% silver nitrate solution, comparing its effectiveness against modern standard treatments.
What are the central themes discussed in this study?
The study examines burn classification, wound regeneration processes, the role of silver nitrate in creating protective crusts, and a comparative cost analysis between traditional and modern wound care.
What is the main research question of the work?
The research seeks to identify the specific benefits and contraindications of using silver nitrate for burn treatment, evaluating whether it meets modern medical standards, is cost-effective, and minimizes pain and scarring.
Which scientific methods are applied in this research?
The author uses a clinical case study approach involving 100 patients, combined with statistical processing (using Statistica 6.0 software and the Kraskell-Wallace criterion) and cytological/histological analysis of wound biopsies.
What is covered in the main body of the work?
The main body covers the theoretical background of burn management, the methodology of clinical research, detailed treatment protocols, and the presentation of experimental results concerning healing rates and economic parameters.
Which keywords best characterize this research?
Key terms include silver nitrate, Nikolsky-Batman method, burn treatment, wound healing, clinical study, skin regeneration, and cost-effectiveness.
Why does the Nikolsky-Batman method result in thinner scars compared to other methods?
The study notes that the method facilitates the creation of a stable protective crust that prevents fluid loss and infection, providing a sterile environment that promotes better epithelialization and reduces the risk of purulent inflammation.
What economic advantage does the use of silver nitrate offer?
The research concludes that the Nikolsky-Batman method is significantly more cost-effective (over 40% cheaper in the study's context) because it requires no bandages, uses lower-cost materials, and reduces the overall length of treatment compared to standard antimicrobial creams.
- Citation du texte
- Ivan Zaryanov (Auteur), 2018, Clinical Burn Treatment with Silver Nitrate, Munich, GRIN Verlag, https://www.grin.com/document/437763
