出版社:German Medical Science GMS Publishing House, Düsseldorf
摘要:In life-threatening situations, such as infected burn wounds, lesions must quickly be induced to cover and heal by promptly reacting with systemic stabilization, debridement, and adequate wound antisepsis using polihexanide- or octenidine-based preparations. It is imperative that the microbiological tests be conducted with tissue samples, because the causal pathogens are chiefly found in the tissue itself and not on the surface; only in this way can a relevant antibiogram be generated. All interventions require the substitution of blood and all components which promote healing. Uncontrolled wound healing and scar formation must be avoided, in order to prevent subsequent interventions. So-called pain memory must be avoided by consistent, adequate pain therapy.