Blinded Comparative Review of Lubricants Commonly Used for Split-Thickness Skin Graft Harvest

Journal of Burn Care & Research : Official Publication of the American Burn Association
Allison R BeckettSteven A Kahn

Abstract

Lubricating agents facilitate effective harvesting of split-thickness skin grafts. Multiple agents, including water-based gel, mineral oil, glycerin, and poloxamer 188, have been utilized in this capacity. The agent selected is typically at the discretion of the provider and institution, as a single "ideal" lubricant remains to be objectively established. Furthermore, a recent discontinuation of Shur-Clens® Skin Wound Cleanser1 (a wound cleansing solution consisting of the surfactant poloxamer 188) has prompted the search for a suitable substitute for many providers. The purpose of this study is to directly compare five lubricants (including a novel surgical lubricant-based solution) to select a preferred agent. Four practitioners blindly tested five lubricants while harvesting a split-thickness skin graft on a porcine skin model (glycerin, mineral oil, saline, poloxamer 188, and a novel lubricant solution created with surgical lube and sterile water). The results were recorded on a Likert scale where 1 indicated poor performance and 5 indicated excellent performance. Data were pooled, and means were compared with analysis of variance and post hoc Tukey test. The cost of each lubricating solution was also reported. Mean scores ...Continue Reading

References

Nov 15, 2011·Journal of Burn Care & Research : Official Publication of the American Burn Association·Timm O EngelhardtUlrich M Rieger
Nov 8, 2012·Annals of the Royal College of Surgeons of England·J N Rodrigues, P M Geary
Sep 3, 2016·Journal of Interdisciplinary Nanomedicine·Ernest A AzzopardiIain S Whitaker

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