Name of the Procedure:

Compression Burn Garment, Upper Trunk to Waist Including Arm Openings (Vest)

• Common Name: Custom Compression Vest
• Technical Term: Compression burn garment

Summary

A custom compression vest is a specially designed garment used to apply pressure to burned skin areas, particularly on the upper trunk, waist, and arm openings. It helps in reducing scarring and improving skin healing post-burn injury.

Purpose

• Medical Conditions Addressed: Burn injuries requiring pressure therapy.
• Goals/Outcomes: Minimize scarring, reduce itchiness and pain, and promote even skin healing.

Indications

• Patients with hypertrophic scars and keloids from burn injuries.
• Individuals experiencing uneven skin graft take.
• Those in need of pressure therapy for improved healing post-burn.

Preparation

• No specific fasting or medication adjustments required.
• Measurements and skin assessments to custom fit the garment.
• Consultation to determine the appropriate fabric and pressure level.

Procedure Description

1. Measurement: Healthcare provider takes precise measurements of the patient’s upper trunk, waist, and arm openings.
2. Fabrication: A custom compression vest is fabricated according to the measurements.
3. Fitting: The patient returns to ensure the vest fits properly and adjustments are made if necessary.
4. Instruction: The patient is instructed on how to wear and care for the garment.

Tools/Equipment:

• Measuring tape
• Custom fabrication tools

No anesthesia or sedation is required.

Duration

The fitting session typically takes about 30-60 minutes. Fabrication time varies but usually takes a few weeks.

Setting

• Outpatient clinic or specialized medical equipment facility.

Personnel

• Certified Prosthetist-Orthotist (CPO)
• Healthcare provider specialized in burn care

Risks and Complications

• Common Risks: Skin irritation, discomfort from pressure.
• Rare Risks: Allergic reaction to fabric, restricted movement.

Benefits

• Expected Benefits: Reduced scar formation, improved skin texture and appearance, less pain and itchiness.
• Timeline: Benefits typically observed over several months of consistent use.

Recovery

• Post-Procedure Care: Regular cleaning of the vest as instructed, ensuring proper fit over time.
• Recovery Time: Continuous use for several months; adjustments as necessary.
• Follow-Up: Regular follow-up appointments to monitor skin healing and adjust the garment.

Alternatives

• Silicone gel sheets: Less invasive but may not provide adequate pressure.
• Surgery: More invasive and comes with its own risks.
• Pros and Cons: Compression garments are non-invasive and can be used long-term, whereas surgery is a single-event treatment but involves a more complex recovery.

Patient Experience

• During Procedure: Measurement and fitting process are painless.
• Post-Procedure: Initial discomfort as patient adjusts to wearing the vest, but generally well-tolerated. Regular use and proper fit significantly enhance patient comfort over time.
• Pain Management: Minimal pain, managed through adjustments and soft, breathable materials for the vest.