maxwell@marshall.edu
Contributor
these burns are getting the best of me.....
Procedure:
Debridement with biobrane to 200 cm2 of rt hand and wrist
excisional debridement with primary closure of 100 cm2 of 3rd degree burns to abdomen and back
after excellent level of general anesthesia was achieved the patient was placed in the right lateral decubitus position. the left hip and lower back as well as the abdomen and right upper extremity were prepped and drapped with betadine. i addressed the hand first. 2nd degree blisters were completely debrided off of all fingers and the hand. the area was then sscrubbed thoroughtly with a scrub brush, tangentially to exacerbate bleeding. bleeding was controlled with saline epinephrine soaked lap sponges and the hand was thorought ly dried and the size large biobrane glove was stretched over the hand and held in place under stretch at the wrist with staples. .....the ellipsis were drawn around the skin transversely at both the lower back as well as the abdomen. these areas were then excised with a 10 blade. bovie cautery was used to carry these burns which were quite deep and into the fat down throught into the subcutaneous tissue and upon adequate excision over the burn. scarpa's was reapproximated using interrupted 3-0 vicryl sutures and both skin incisions were closed using vertical matress sutures of 4-0 ethilon.....
I am so confussed with the burn codes... 16020 - 16030.
Procedure:
Debridement with biobrane to 200 cm2 of rt hand and wrist
excisional debridement with primary closure of 100 cm2 of 3rd degree burns to abdomen and back
after excellent level of general anesthesia was achieved the patient was placed in the right lateral decubitus position. the left hip and lower back as well as the abdomen and right upper extremity were prepped and drapped with betadine. i addressed the hand first. 2nd degree blisters were completely debrided off of all fingers and the hand. the area was then sscrubbed thoroughtly with a scrub brush, tangentially to exacerbate bleeding. bleeding was controlled with saline epinephrine soaked lap sponges and the hand was thorought ly dried and the size large biobrane glove was stretched over the hand and held in place under stretch at the wrist with staples. .....the ellipsis were drawn around the skin transversely at both the lower back as well as the abdomen. these areas were then excised with a 10 blade. bovie cautery was used to carry these burns which were quite deep and into the fat down throught into the subcutaneous tissue and upon adequate excision over the burn. scarpa's was reapproximated using interrupted 3-0 vicryl sutures and both skin incisions were closed using vertical matress sutures of 4-0 ethilon.....
I am so confussed with the burn codes... 16020 - 16030.