Baharestani MM
Ostomy/wound management. Date of publication 2007 Jun 1;volume 53(6):34-6, 38, 40, passim.
1. Ostomy Wound Manage. 2007 Jun;53(6):34-6, 38, 40, passim.
An overview of neonatal and pediatric wound care knowledge and considerations.
Baharestani MM(1).
Author information:
(1)Wound Healing, Long Island Jewish Medical Center, Schneider Children's
Hospital, New Hyde Park, New York 11040, USA. mbahares@nshs.edu
Despite significant technological advances in the care of premature neonates and
chronically ill children, the knowledge and evidence base for the management of
this population's wound care lag far behind its adult counterpart. Updating
antiquated care regimens is an uphill battle. This review of the literature
seeks to illuminate key anatomical/structural differences in neonatal skin with
particular attention paid to percutaneous absorption and tolerance of adhesives.
The article also presents anatomically and physiologically based recommendations
for the selection of prevention and treatment modalities, including specific
dressing types, appropriate dressing change and securement procedures, and pain
management. Commonly encountered wound types (epidermal stripping; surgical
wounds; extravasation and thermal injuries; chemical burns; pressure ulcers;
diaper dermatitis; and wounds secondary to congenital conditions) are discussed.
Opportunities for research abound and are considered.
PMID: 17586871 [Indexed for MEDLINE]
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