title: Managing burn wounds with SMARTPORE Technology polyurethane foam: two case reports.
abstract: BACKGROUND
  Successful wound healing depends on various factors, including exudate control, prevention of microbial contaminants, and moisture balance. We report two cases of managing burn wounds with SMARTPORE Technology polyurethane foam dressing.
  
  
  METHODS
  In Case 1, a 2-year-old Asian girl presented with a delayed (11 days) wound on her right leg. She sustained a thermal injury from a hot iron that was left idle on the floor. Clinical inspection revealed an infected wound with overlying eschar that traversed her knee joint. As her parents refused surgical debridement under general anesthesia, hydrotherapy and wound dressing using SMARTPORE Technology Polyurethane foam were used. Despite the delay in presentation of this linear thermal pediatric burn injury that crossed the knee joint, the patient's response to treatment and its outcome were highly encouraging. She was cooperative and tolerated each dressing change without the need of supplemental analgesia. Her wound was healed by 24 days post-admission. In Case 2, a 25-year-old Asian man presented with a mixed thickness thermal flame burn on his left leg. On examination, the injury was a mix of deep and superficial partial thickness burn, comprising approximately 3% of his total body surface area. SMARTPORE Technology polyurethane foam was used on his wound; his response to the treatment was very encouraging as the dressing facilitated physiotherapy and mobility. The patient rated the pain during dressing change as 2 on a scale of 10 and his pain score remained the same in every subsequent change. His wound showed evidence of epithelialization by day 7 post-burn. There were no adverse events reported.
  
  
  CONCLUSIONS
  Managing burn wounds with SMARTPORE Technology polyurethane foam resulted in reduced pain during dressing changes and the successful healing of partial and mixed thickness wounds. The use of SMARTPORE Technology polyurethane foam dressings showed encouraging results and requires further research as a desirable management option in burn wounds.
authors.affiliation: Head of Plastic & Reconstructive Surgery, Burns and Wound Care, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Kuala Lumpur, Malaysia. farrahhani@gmail.com.
authors.forename: Farrah-Hani
authors.initials: FH
authors.lastname: Imran
authors.affiliation: Burns Unit, UKMMC, Kuala Lumpur, Malaysia.
authors.forename: Rahamah
authors.initials: R
authors.lastname: Karim
authors.affiliation: Burns Unit, UKMMC, Kuala Lumpur, Malaysia.
authors.forename: Noor Hidayah
authors.initials: NH
authors.lastname: Maat
mesh_terms: D000328:Adult; D001458:Bandages; D002056:Burns / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000628:therapy*; D008297:Male; D011140:Polyurethanes; D016896:Treatment Outcome; D014945:Wound Healing; D014946:Wound Infection / Q000628:therapy*
chemical_list: D011140:Polyurethanes; C028279:polyurethane foam
keywords: Atraumatic dressing removal; Burn wounds; Case report; Exudate; Exudating wound; SMARTPORE Technology polyurethane foam; Wound dressing