Eschar Formation and Separation:
Eschar is the formation of thick, tight damaged tissue followed by loosing of the damaged tissue from the healthy tissue with daily debridement, the use of enzymes, or surgery.
Sometimes eschar becomes very tight and constricting in a burned area. This tightening may cut off the circulation. A topical medication (enzymatic debrider) may be applied to help loosen the eschar. However, if this medication does not loosen the eschar enough to restore circulation, an escharotomy is performed. This is an incision made through eschar to relieve pressure and increase the circulation of blood to the injured area. There is little or no pain with this incision due to the nerve endings being destroyed.
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