Cerium Nitrate Treatment in the Management of Burns. (Record no. 6446)

MARC details
000 -LEADER
fixed length control field 02958nam a22004097a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210628s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2162-1918
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1089/wound.2020.1330 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34015965
245 ## - TITLE STATEMENT
Title Cerium Nitrate Treatment in the Management of Burns.
251 ## - Source
Source Advances in Wound Care. 2021 May 20
252 ## - Abbreviated Source
Abbreviated source Adv Wound Care (New Rochelle). 2021 May 20
253 ## - Journal Name
Journal name Advances in wound care
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2021 May 20
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2021-06-28
520 ## - SUMMARY, ETC.
Abstract CRITICAL ISSUES: CN+SSD cream is not approved by the FDA, and its efficacy in clinical trials has been challenging to demonstrate. One reason is that CN changes the eschar visibly, introducing unavoidable bias. Also, the market and patient population is small and burn wound presentation is highly variable.
520 ## - SUMMARY, ETC.
Abstract FUTURE DIRECTIONS: For use in settings where the once- or twice-daily CN+SSD cream dressing changes are least feasible (low-income, military, and mass casualty settings), it may be possible to develop a solid dressing containing cerium and silver that requires infrequent dressing changes. For future clinical studies, the trial design most suited to comparing silver-containing dressings with and without cerium may be paired difference of matched intra-patient wounds.
520 ## - SUMMARY, ETC.
Abstract SIGNIFICANCE: The standard of care for deep burn wounds is eschar excision and autologous skin grafting within the first post-burn days. However, when this is not practical due to medical reasons, unavailable surgical facilities, or lack of donor sites or other coverage, surgeons have used topical cerium nitrate (CN) in a cream with silver sulfadiazine (SSD) for over four decades to convert the eschar into a pliable and protective crust that facilitates the postponement or staging of eschar excision and grafting. CN+SSD treatment is reported to reduce dressing changes, improve patient comfort, and reduce bacterial burden, with unaffected epithelialization and few complications. Recent Advances: CN aqueous solution applied topically alone or with solid silver dressings in animal models has mitigated wound injury progression, wound microbial burden, and systemic immune dysfunction.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Firefighters' Burn and Surgical Research Laboratory
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Department MedStar General Surgery Residency
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Burn Services
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Medline publication type Journal Article
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Local Authors Deldar, Romina
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Moffatt, Lauren T
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shupp, Jeffrey W
790 ## - Authors
All authors D'Arpa P, Deldar R, Leung K, Moffatt L, Shupp J
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1089/wound.2020.1330">https://dx.doi.org/10.1089/wound.2020.1330</a>
Public note https://dx.doi.org/10.1089/wound.2020.1330
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 06/28/2021   34015965 34015965 06/28/2021 06/28/2021 Journal Article

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