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Instantaneous Specific Burn Debridement With an Enzymatic Debriding Agent

A New Resource for the Treatment of Burns

Salmerón-González, Enrique, MD; García-Vilariño, Elena, MD; Pérez-del-Caz, M. Dolores, MD; Sánchez-García, Alberto, MD; Valverde-Navarro, Alfonso A., PhD

doi: 10.1097/PSN.0000000000000250
Departments: Wound Care Department
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Nexobrid is a new resource for debridement that has emerged in recent years and is gaining relevance in the treatment of all kinds of thermal injuries. This product is an ointment (formed with a mixture of pineapple-derived enzymes enriched with bromelain) that is directly applied over the burn. With a single application, it performs a burned tissue-specific debridement in less than 4 hr, leaving a vital and completely debrided wound bed. In this article, we describe our experience with this product, and through a representative case, we explain the management of these patients in our Burns unit in consonance with national and international consensus.

Enrique Salmerón-González, MD, is a plastic surgeon, Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain.

Elena García-Vilariño, MD, is a plastic surgeon, Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain.

M. Dolores Pérez-del-Caz, MD, is Head of the Department, Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain.

Alberto Sánchez-García, MD, is a plastic surgeon, Department of Plastic Surgery and Burns, University and Polytechnic Hospital La Fe, Valencia, Spain.

Alfonso A. Valverde-Navarro, PhD, is a director, Department of Human Anatomy and Embryology, University of Valencia, Valencia, Spain.

Address correspondence to Enrique Salmerón-González, MD, 25 Francia Ave, Stairs 2, Appt #25, 9th Floor, Valencia 46013, Comunidad Valenciana, Spain (e-mail: enrikes900@gmail.com).

None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.

Copyright © 2019 by American Society of Plastic Surgical Nurses