ACTA FAC MED NAISS 2021;38(4):334-342

Original article

UDC:616-001.17-089-083
DOI:10.5937/afmnai38-31741

 

Common Mistakes in the Choice of Topical Agents for Emergency Care of
Burns (Experimental Study)

 

Roman Chornopyshchuk1, Vasy Nagaichuk1, Oleksandr Nazarchuk2,
Svetlana Sidorenko3, Olena Urvan4

 

1Department of General Surgery, National Pirogov Memorial Medical University, Vinnytsya, Ukraine
2Department of Microbiology, National Pirogov Memorial Medical University, Vinnytsya, Ukraine
3Department of Neurological, Musculoskeletal and Oncologic Rehabilitation, Rehabilitation Center,
Bad Ragaz, Switzerland
4Main Department of General Pathology with Histological Researches, Municipal Non-profit Enterprise
“Vinnytsya Regional Pathological and Anatomical Bureau Vinnytsya Regional Council”, Vinnytsya, Ukraine



          

SUMMARY
           

              

                

                

               

                 The aim of the research was a histological study of the tissue structure of experimental animals with burns in dynamics using various topical agents after the injury.

                Experimental simulation of burn injuries was performed on 40 rats, which were divided into the main and control groups. Depending on the nature of care provided, the animals of the main group were divided into subgroups: in the 1st subgroup a uniform layer of sunflower oil was applied, in the 2nd subgroup dexpanthenol was sprayed, in the 3rd subgroup prompt neutralization of traumatic action was performed with a gauze napkin soaked in water. Animals from the control group were not treated. The examination involved a histological study.

                The results confirmed the negative impact of applying oil to the burnt area as a means of first aid, which caused more pronounced degenerative changes of the dermis and its structures with the involvement of hypodermis in the pathological process, prolonging the duration of healing. As for the use of dexpanthenol spray for burn injuries, the histological changes of tissues did not differ much from those in animals of the control group, which did not receive any care. At the same time, histological findings of the tissues of animals treated with moistened wipes was characterized by less pronounced pathological changes.

                Histological analysis of tissue changes of the burnt area in dynamics objectively proved the effectiveness of water as the main pathogenetic element of emergency care in an experiment.

 

Key words: burn injuries, first aid, heat removal, warm water