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“Heparin
is the very best therapy for first 7 days.
Heparin is affordable, relieves burn pain and enhances healing without scars and contractures! |
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Dr. Chona Thomas MD,
FRCS, FACS Plastic Surgeon, Head of Department of Surgery and Plastic Surgery, Muscat, Oman
Dr C. Thomas and 20 doctors in the National Burns Centre, Khoula Hospital, Muscat, Sultanate of Oman have used the Heparin in Burns Protocol starting in 2003 on 125 +/- burned patients per year, a total of over 700 patients:
FRCS, FACS Plastic Surgeon, Head of Department of Surgery and Plastic Surgery, Muscat, Oman
Dr C. Thomas and 20 doctors in the National Burns Centre, Khoula Hospital, Muscat, Sultanate of Oman have used the Heparin in Burns Protocol starting in 2003 on 125 +/- burned patients per year, a total of over 700 patients:
- 50% children
and 50% adults, involving females more than males because incidence
of domestic burns is considerably higher than other types of burns.
- Age range
3 months to 60 years.
- We use
heparin administered only topically.
- Heparin
improves care and reduces procedures.
- Cost
is difficult to assess, even though heparin is cheaper it requires more
nursing care as we use topical application three times a day, whereas
dressing with 1% Silver Sulphadiazine needs only daily application.
However, the end result at time of discharge is considerably and appreciable
better with heparin therapy than with 1% Silver Sulphadiazine therapy.
- Our group
of 20 doctors and 40 nurses are all convinced by the beneficial effects
of heparin such as
(1) excellent healing of the burn patients,
(2) depth of the burn wound may be reduced,
(3) analgesic property of heparin is a great beneficial factor for the children. Since they are very comfortable with heparin therapy, and are not complaining of pain, the administration of the analgesics and sedatives are considerably reduced,
(4) Proven beyond doubt that heparin therapy is a great help in the first and second degree burns. In the past, we were performing skin grafting for the second degree burns also in order to reduce the hypertrophic scar formation. By the regular topical application of heparin to the second degree burns, surgical intervention such as skin grafting is not required and the quality of the scar is considered as excellent.”
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