Treating pain on skin graft donor sites: Review and clinical recommendations

@article{Sinha2017TreatingPO,
  title={Treating pain on skin graft donor sites: Review and clinical recommendations},
  author={Sarthak Sinha and Amanda J Schreiner and Jeff Biernaskie and Duncan Nickerson and Vincent A Gabriel},
  journal={Journal of Trauma and Acute Care Surgery},
  year={2017},
  volume={83},
  pages={954–964}
}
ABSTRACT Split-thickness skin grafting is the most common reconstructive procedure in managing burn injuries. Harvesting split-thickness skin creates a new partial thickness wound referred to as the donor site. Pain at the donor site is reported to be one of the most distressing symptoms during the early postoperative period. Here, we (a) identify strategies for managing donor site pain, (b) assess the quality of individual studies, and (c) formulate evidence-based recommendations based on the… Expand
35 Citations
Evaluation of Donor Site Pain After Fractional Autologous Full-Thickness Skin Grafting
TLDR
This study evidenced that this device manages to harvest FTSGs with minimal associated pain, and future research will need to evaluate other aspects of the procedure as well as long-term outcomes at the donor and recipient areas. Expand
Split-thickness skin graft donor-site morbidity: A systematic literature review.
TLDR
Widespread variations were noted in STSG donor-site outcomes likely due to inconsistencies in the definition of outcomes and utilization of various assessment tools. Expand
Evaluation of Liposomal Bupivacaine at Split Thickness Skin Graft Donor Sites Through a Randomized, Controlled Trial.
TLDR
There is no statistical benefit to the use of liposomal bupivacaine for infiltration at STSG donor sites compared to standard of care with respect to pain control, opioid use, or length of stay when evaluated in a randomized, controlled fashion. Expand
Ultrasound-guided Fascia Iliaca Plane Block for the treatment of donor site pain in the burn injured patient: a randomized control trial.
TLDR
It is demonstrated that regional anaesthesia was an effective way to reduce pain scores and requirement for additional analgesics during the postoperative phase. Expand
Intraoperative liposomal bupivacaine for skin graft donor site analgesia: A retrospective cohort study.
  • C. Artz, M. Ward, +5 authors S. Kahn
  • Medicine
  • Burns : journal of the International Society for Burn Injuries
  • 2020
TLDR
Patients who received liposomal bupivacaine reported less postoperative donor site pain and found the donor site to be less bothersome without major complications, suggesting Liposome bupvacaine may be a safe and promising agent for prolonging postoperative analgesia and minimizing donor sitePain. Expand
Regional Anesthetic Blocks for Donor Site Pain in Burn Patients: A Meta-Analysis on Efficacy, Outcomes, and Cost
Background: Skin graft donor site pain significantly affects pain management, narcotic use, and hospital length of stay. This study is intended to evaluate the efficacy of regional anesthesia in theExpand
Management of skin graft donor site in pediatric patients with tumescent technique and AQUACEL® Ag foam dressing
TLDR
A technique to simplify wound care for split thickness skin graft donor sites that allows the primary dressing to stay in place long enough for epithelialization to take place results in patient comfort and care giver convenience. Expand
Outcome of honey dressing on pain relief and re-epithelization of donor site wound of split thickness skin graft.
TLDR
Honey dressing is useful and effective on split thickness skin graft donor site in terms of pain relief and re-epithelization and was effectively controlled with the use of honey dressing. Expand
Use of oxidized regenerated cellulose (ORC)/collagen/silver-ORC dressings to help manage skin graft donor site wounds
TLDR
Data from this study suggest that ORC/C/Ag-ORC dressings could become a more effective alternative for the management of donor site wounds, especially in patients with known risk factors for wound healing. Expand
Comparison of the effectiveness of Ropivacaine soaked vs bupivacaine soaked dressing for pain relief at split thickness skin graft donor site.
TLDR
Ropivacaine soaked dressing showed significantly better outcome than bupvacaine-soaked dressing at the donor site among patients requiring split thickness skin grafting after burns and tissue loss. Expand
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References

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TLDR
The available evidence suggests that moist dressings are superior in terms of pain, and more methodologically sound randomized controlled trials are needed to determine the best split-thickness skin graft donor-site dressing. Expand
Dressing the Split-Thickness Skin Graft Donor Site: A Randomized Clinical Trial
TLDR
The authors’ results support the use of Aquacel in the treatment of split-thickness skin graft donor sites, which has a low cost per unit, is user friendly, gives short healing time, and minimizes patient discomfort. Expand
Split-thickness skin graft donor site care: A quantitative synthesis of the research
TLDR
A review of 33 studies found transparent film to be the best dressing for the care of STSG donor site wounds and minimal cost when compared with other dressings. Expand
Ice Application to Minimize Pain in the Split-Thickness Skin Graft Donor Site
TLDR
Ice can be safely used in patients for whom donor site pain is the primary concern, with advantages such as ease of application, low cost (almost free), and a significant decrease in pain in the donor site. Expand
A Clinical Study Comparing Helicoll with Scarlet Red and OpSite in the Treatment of Split Thickness Skin Graft Donor Sites—A Randomized Controlled Trial
TLDR
It is indicated that Helicoll, as a donor site dressing, is successful in providing pain-free mobility with a measurable healing rate. Expand
Honey Dressing Accelerates Split-Thickness Skin Graft Donor Site Healing
TLDR
Evaluating the effect of honey on skin graft donor sites found that honey-impregnated gauze causes less pain and heals donor sites wounds faster with good cosmetic result. Expand
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TLDR
The purpose of this study was to describe the experience of patients with split thickness skin grafts to help guide future investigations related to skin regeneration and an interpretive description qualitative methodology was employed. Expand
Split‐thickness skin graft donor site management: a randomized controlled trial comparing polyurethane with calcium alginate dressings
TLDR
Allevyn™ was shown to be associated with increase demands on nursing time, increased cost of dressing products, medical consumables and wastes, and patient satisfaction levels in this trial. Expand
Prospective Randomized Controlled Trial: Fibrin Sealant Reduces Split Skin Graft Donor-Site Pain
TLDR
Patients whose split skin graft donor sites were dressed with fibrin sealant plus self-adhesive fabric dressing experienced significantly less pain and incapacity than patients with self- adhesive fabric dressings alone, allowing a more rapid return to normal activity. Expand
An Alternative Method to Minimize Pain in the Split-Thickness Skin Graft Donor Site
TLDR
The principal goal of the technique described in this article is to eliminate donor-site pain by harvesting the graft from the flap that is insensate after the elevation by using flap skin as a potential graft donor site for patients in whom reduction of donor- site morbidity is of primary concern. Expand
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