References

Allerton F. Protect Me. Companion. 2018; 11:8-9 https://doi.org/10.22233/20412495.1118.8

Bell S. Negative pressure wound therapy: application, indications and is there more we could use it for?. The Veterinary Nurse. 2016; 7:(8)458-463 https://doi.org/10.12968/vetn.2016.7.8.458

Bell S. An overview of debridement techniques. The Veterinary Nurse. 2018; 9:(6)294-301 https://doi.org/10.12968/vetn.2018.9.6.294

Chan DL. Nutritional requirements of the critically ill patient. Clin Tech Small Anim Pract. 2004; 19:(1)1-5 https://doi.org/10.1053/s1096-2867(03)00079-3

Chen Z, Wang S, Yu B, Li A. A comparison study between early enteral nutrition and parenteral nutrition in severe burn patients. Burns. 2007; 33:(6)708-712 https://doi.org/10.1016/j.burns.2006.10.380

Cuttle L, Kempf M, Kravchuk O, Phillips GE, Mill J, Wang X-Q, Kimble RM. The optimal temperature of first aid treatment for partial thickness burn injuries. Wound Repair Regen. 2008; 16:(5)626-634 https://doi.org/10.1111/j.1524-475x.2008.00413.x

Dai T, Huang YY, Sharma SK, Hashmi JT, Kurup DB, Hamblin MR. Topical antimicrobials for burn wound infections. Recent Pat Antiinfect Drug Discov. 2010; 5:(2)124-51 https://doi.org/10.2174/157489110791233522

Davis S, Harding A, Gil J, Parajon F, Valdes J, Solis M, Higa A. Effectiveness of a polyhexanide irrigation solution on methicillin-resistant Staphylococcus aureus biofilms in a porcine wound model. Int Wound J. 2017; 14:(6)937-944 https://doi.org/10.1111/iwj.12734

DeSanti L. Pathophysiology and current management of burn injury. Advance Skin Wound Care. 2005; 18:(6)323-334 https://doi.org/10.1097/00129334-200507000-00013

Epstein ME, Rodan I, Griffenhagen G, Kadrlik J, Petty MC, Robertson SA, Simpson W. AAHA/AAFP pain management guidelines for dogs and cats. Journal of Feline Medicine and Surgery. 2015; 17:(3)251-272 https://doi.org/10.1177/1098612x15572062

Fitzgerald KT, Flood AA. Smoke Inhalation. Clin Tech Small Anim Pract. 2006; 21:(4)205-214 https://doi.org/10.1053/j.ctsap.2006.10.009

Holton L, Pawson P, Nolan A, Reid J, Scott EM. Development of a behaviour-based scale to measure acute pain in dogs. Vet Rec. 2001; 148:(17)525-531 https://doi.org/10.1136/vr.148.17.525

Honari S. Topical therapies and antimicrobials in the management of burn wounds. Crit Care Nurs Clin North Am. 2004; 16:(1)1-11 https://doi.org/10.1016/j.ccell.2003.09.008

Huang C-Y, Choong M-Y, Li T-S. Cleansing of wounds by tap water? An evidence-based systemic analysis. Int Wound J. 2013; 12:(4)493-494 https://doi.org/10.1111/iwj.12113

Hunt GB, Tisdall PLC, Liptak JM, Beck JA, Swinney GR, Malik R. Skin-fold advancement flaps for closing large proximal limb and trunk defects in dogs and cats. Veterinary Surgery. 2001; 30:(5)440-448 https://doi.org/10.1053/jvet.2001.25868

Jeschke M, Finnerty C, Norbury W, Mlcak R, Przkora R, Herndon D. Burn size determines the inflammatory and hypermetabolic response. Shock. 2006; 25 https://doi.org/10.1097/00024382-200606001-00262

Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers. 2020; 6 https://doi.org/10.1038/s41572-020-0145-5

Khansa I, Schoenbrunner AR, Kraft CT, Janis JE. Silver in wound care—friend or foe?. Plast Reconstr Surg Glob Open. 2019; 7:(8) https://doi.org/10.1097/gox.0000000000002390

Keck M, Herndon DH, Kamolz LP, Frey M, Jeschke MG. Pathophysiology of burns. Wien Med Wochenschr. 2009; 159:327-336 https://doi.org/10.1007/s10354-009-0651-2

Krug E, Berg L, Lee C Evidence-based recommendations for the use of negative pressure wound therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus. Injury. 2011; 42:S1-12 https://doi.org/10.1016/S0020-1383(11)00041-6

Langemo DK, Hanson D, Anderson J, Thompson P, Hunter S. Use of honey for wound healing. Adv Skin Wound Care. 2009; 22:(3)113-118 https://doi.org/10.1097/01.asw.0000305460.87058.42

Lillieborg S, Aanderud L. EMLA anaesthetic cream for debridement of burns: a study of plasma concentrations of lidocaine and prilocaine and a review of the literature. Int J Burns Trauma. 2017; 7:(6)88-97

Low D, Aldridge P. Biofilms and surgical site infections. Companion Animal. 2022; 27:(3)40-46 https://doi.org/10.12968/coan.2021.0065

Mlcak RP, Suman OE, Herndon DN. Respiratory management of inhalation injury. Burns. 2007; 33:(1)2-13 https://doi.org/10.1016/j.burns.2006.07.007

O'Dwyer L, Aldridge P. The use of negative pressure wound therapy in veterinary wound care. The Veterinary Nurse. 2014; 5:(1)26-29 https://doi.org/10.12968/vetn.2014.5.1.26

Ong YS, Samuel M, Song C. Meta-analysis of early excision of burns. Burns. 2006; 32:(2)145-150 https://doi.org/10.1016/j.burns.2005.09.005

Orgill DP. Excision and Skin Grafting of Thermal Burns. New Engl J Med. 2009; 360:(9)893-901 https://doi.org/10.1056/nejmct0804451

Pavletic MM. Atlas of small animal wound management and reconstructive surgery, 4th edn. Hoboken: Wiley Blackwell; 2018

Pavletic MM, Trout NJ. Bullet, bite, and burn wounds in dogs and cats. Vet Clin North Am Small Anim Pract. 2006; 36:(4)873-893 https://doi.org/10.1016/j.cvsm.2006.02.005

Pedersen JL, Callesen T, Møiniche S, Kehlet H. Analgesic and anti-inflammatory effects of lignocaine-prilocaine (EMLA) cream in human burn injury. Br J Anaesth. 1996; 76:(6)806-810 https://doi.org/10.1093/bja/76.6.806

Pitt KA, Stanley BJ. Negative pressure wound therapy: experience in 45 dogs. Veterinary Surgery. 2014; 43:(4)380-387 https://doi.org/10.1111/j.1532-950x.2014.12155.x

Prittie J, Barton L. Route of nutrient delivery. Clin Tech Small Anim Pract. 2004; 19:(1)6-8 https://doi.org/10.1053/s1096-2867(03)00078-1

Ramos G, Cornistein W, Cerino GT, Nacif G. Systemic antimicrobial prophylaxis in burn patients: systematic review. Journal of Hospital Infection. 2017; 97:(2)105-114 https://doi.org/10.1016/j.jhin.2017.06.015

Remedios AM, Bauer MS, Bowen CVA, Fowler JD. Axial pattern skin flaps in cats. Frontiers in Microsurgery. 1991; 12:(2)125-129 https://doi.org/10.1002/micr.1920120213

Richardson P, Mustard L. The management of pain in the burns unit. Burns. 2009; 35:(7)921-936 https://doi.org/10.1016/j.burns.2009.03.003

Riggs J, Jennings JLF, Friend EJ, Halfacree Z, Nelissen P, Holmes MA, Demetriou JL. Outcome of full-thickness skin grafts used to close skin defects involving the distal aspects of the limbs in cats and dogs: 52 cases (2005-2012). Journal Am Vet Med Assoc. 2015; 247:(9)1042-1047 https://doi.org/10.2460/javma.247.9.1042

Roes C, Calladine L, Morris C. Biofilm management using monofilament fibre debridement technology: outcomes and clinician and patient satisfaction. J Wound Care. 2019; 28:(9)608-622

Schultz G, Woo K, Weir D, Yang Q. Effectiveness of a monofilament wound debridement pad at removing biofilm and slough: ex vivo and clinical performance. J Wound Care. 2018; 27:(2)80-90 https://doi.org/10.12968/jowc.2018.27.2.80

Scott DW, Griffin CE, Miller WH. Chapter 16: Environmental skin diseases.US: W B Saunders; 2001

Sheridan RL, Weber JM, Pasternack MS, Tompkins RG. Antibiotic prophylaxis for group A streptococcal burn wound infection is not necessary. J Trauma. 2001; 51:(2)352-355 https://doi.org/10.1097/00005373-200108000-00022

Silver GM, Klein MB, Herndon DN, Gamelli RL, Gibran NS, Altstein L Standard operating procedures for the clinical management of patients enrolled in a prospective study of inflammation and the host response to thermal injury. J Burn Care Res. 2007; 28:(2)222-230 https://doi.org/10.1097/bcr.0b013e318031aa44

Silverstein DC, Hopper K. Small animal critical care medicine.St. Louis, Missouri: Elsevier; 2015

Stanley BJ, Pitt KA, Weder CD, Fritz MC, Hauptman JG, Steficek BA. Effects of negative pressure wound therapy on healing of free full-thickness skin grafts in dogs. Veterinary Surgery. 2013; 42:(5)511-522 https://doi.org/10.1111/j.1532-950x.2013.12005.x

Summer GJ, Puntillo KA, Miaskowski C, Green PG, Levine JD. Burn injury pain: the continuing challenge. The Journal of Pain. 2007; 8:(7)533-548 https://doi.org/10.1016/j.jpain.2007.02.426

Totty JP, Bua N, Smith GE, Harwood AE, Carradice D, Wallace T, Chetter IC. Dialkylcarbamoyl chloride (DACC)-coated dressings in the management and prevention of wound infection: a systematic review. J Wound Care. 2017; 26:(3)107-114 https://doi.org/10.12968/jowc.2017.26.3.107

Vaughn L, Beckel N. Severe burn injury, burn shock, and smoke inhalation injury in small animals. part 1: Burn classification and pathophysiology. J Vet Emerg Crit Care. 2012; 22:(2)179-186 https://doi.org/10.1111/j.1476-4431.2012.00727.x

Warden GD. Burn shock resuscitation. World Journal of Surgery. 1992; 16:(1)16-23 https://doi.org/10.1007/bf02067109

Yuan J, Wu C, Holland AJA, Harvey JG, Martin HCO, La Hei ER Assessment of cooling on an acute scald burn injury in a porcine model. J Burn Care Res. 2007; 28:(3)514-520 https://doi.org/10.1097/bcr.0b013e318053db13

Williams JM, Moores A. BSAVA manual of canine and feline wound management and reconstruction, 2nd edn. Gloucester: British Small Animal Veterinary Association; 2009

Worsley A, Vassileva K, Tsui J, Song W, Good L. Polyhexamethylene biguanide: polyurethane blend nanofibrous membranes for wound infection control. Polymers. 2019; 11:(5) https://doi.org/10.3390/polym11050915

Understanding the approach to animals with thermal burns

02 November 2022
10 mins read
Volume 13 · Issue 9
Figure 1. Thermal burn to the ventrum of a dog caused by jumping into a hot bath, showing a superficial partial-thickness burn. The dog's head is to the top of the image.
Table 1. Classification of burns by tissue injury

Abstract

Thermal burn injuries represent a spectrum of superficial to deep epidermal and dermal injury sustained after exposure to a liquid, solid or gaseous heat source. Severe thermal burns result in both local damage and systemic effects. In systemically compromised animals, managing major body system abnormalities takes priority over surgically managing the thermal burn. General principles of wound management are relevant to animals with thermal burns. The surgical approach will vary according to individual wound and patient factors. Adjunctive therapies, such as negative pressure wound therapy, are touched on. Further research into thermal burns in veterinary cases is warranted.

Burn injuries are infrequently seen in small animal practice and can represent a challenge to nurse and treat. Burns can be sustained from heat, cold, chemical, electrical, and radiation sources. A thermal burn is defined as skin damage through contact exposure to extremes of temperature from a liquid, solid, or gaseous heat source. This includes excessively hot and cold temperatures. In practice, thermal burns are most commonly encountered because of injury from open flames, hot liquids and inappropriate use of heat pads (Jenkins, 2018).

Direct thermal damage causes immediate cell death, evident in the central portion of the burn wound (Vaughn and Beckel, 2012). Surrounding this portion is a zone of ischaemia, which can be preserved if managed appropriately. Finally, the outermost zone is characterised by vasodilation and an increased blood supply and inflammatory response (Jeschke et al, 2020). Burns are classified according to the depth of tissue injury (Table 1, Figures 13).

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