Biobrane has become an indispensible dressing with three established indications in acute burns care at our institution: (1) as\nthe definitive dressing of superficial partial thickness facial burns, (2) after tangential excision of deep burns when autograft or\ncadaver skin is unavailable, and (3) for graft reduction. This paper details our initial experience of Biobrane for the management\nof superficial partial thickness facial burns in children and the protocol that was compiled for its optimal use. A retrospective\nanalysis of theatre records, case notes and photographs was performed to evaluate our experience with Biobrane over a one-year\nperiod. Endpoints included length of stay, analgesic requirements, time to application of Biobrane, healing times, and aesthetic\nresults. Historical controls were used to compare the results with our previous standard of care. 87 patients with superficial partial\nthickness burns of the face had Biobrane applied during this period. By adhering to the protocol we were able to demonstrate\nsignificant reductions in hospital stay, healing time, analgesic requirements, nursing care, with excellent cosmetic results. The\nprotocol is widely accepted by all involved in the optimal management of these patients, including parents, anaesthetists, and\nnursing staff.
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