Rcbn skin bank by Dr. Sunil Keswani, National Burns Centre, Airoli

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  • Rcbn skin bank by Dr. Sunil Keswani, National Burns Centre, Airoli

    1. 1. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com RCBN SKIN BANK , National Burns Centre,AIROLI Website- www.skindonation.in Skin Donation Helpline: 022 2779 3333
    2. 2. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    3. 3. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Skin banking is a facility where the skin is collected from eligible donor, processed as per international protocols and stored in the skin bank at 4-80 Celsius up to 3years.
    4. 4. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com    In case of extensive burns, the protective barrier- skin is burnt. Leading to infection, in most cases it becomes fatal. Patients can be saved if we have enough skin in Skin bank.
    5. 5. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com      The estimated annual burn incidence in India is approximately 6-7 million per year. Nearly 1 to 1.5 lac people get crippled and require multiple surgeries and prolonged rehabilitation Seventy percent of the burn victims are in most productive age group of 15 to 40 years . most of the patients belong to poor socioeconomic strata. Source: Indian J Plast Surg. 2010 September; 43(Suppl): S6–S10.
    6. 6. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com       Acts as the most effective dressing. Acts as a barrier to infection & the rate of infection is reduced significantly. Lesser hospital stay. Cost of treatment goes down. Reduced pain. Increased survival rate.
    7. 7. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com       Burns >30% BSA Adult Burns >10% BSA Children Deep Burns Chemical Burns Electrical Burns Radiation Burns
    8. 8. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com 1. 2. 3. 4. 5. 6. 7. 8. SETTING UP THE NECESSARY INFRASTRUCTURES AND EQUIPMENTS. RECRUITING MANPOWER. CREATING AWARENESS ABOUT SKIN DONATION. RETRIEVAL. PROCESSING. STORAGE. QUALITY MANAGEMENT SYSTEM FOR CONSISTENT QUALITY. MEDICAL DOCUMENTATION.
    9. 9. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com ORIGIN OF SKIN BANKING CONCEPT    The concept of Skin Bank was originated in India by Late Dr.Manohar H. Keswani out of dire need to save patients with critical burns who were dying because of lack of HOMOGRAFT . In 1972, first skin bank was established at Wadia children's hospital in Mumbai by Dr. Manohar H Keswani,which was 1st of its kind in India. Exactly 35 yrs later in 2007, second skin bank in Mumbai was established at National Burn Centre.
    10. 10. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  In 2008 Rotary Club of Bombay-North in collaboration with Euro Skin Bank and Rotary Club of Leiden joined hands to make a state-of-the-art Skin Banking facility at National Burns Centre.  The Dream became a Reality on 21St Nov.2009 with the Inauguration of The Skin Bank by the Director of Euro Skin Bank Dr.Welsly Bodha.
    11. 11. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com ST INAUGURATION OF SKIN BANK ON 21 NOVEMBER 2009
    12. 12. CONTRIBUTORS Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com RotaRy Club of boMbay noRth (Dr. Satya Agarwala) euRo skin bank (Dr. Welsly Bodha) RotaRy Club of leiden (Mr. Wolf Ondracek) • national buRns CentRe aiRoli, navi MuMbai
    13. 13. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Changing Room Cold Room (Outer View) Skin Processing Room Cold Room (Inner View)
    14. 14. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Shaking incubator Biosafety cabinet Centrifuge Sealer Hot air oven
    15. 15. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com PROCEDURE OF SKIN BANKING COLLECTION OF BLOOD SAMPLE FOR FOLLOWING TESTS     HIV HBsAg HCV VDRL
    16. 16. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  Body is cleaned with Betadine scrub Skin Harvesting with the help of Dermatome Liquid paraffin is applied Body is dressed after harvesting
    17. 17. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Skin Processing 85% glycerol is added to skin sample Trimming the skin sample skin is stored at 4-80 Celcius
    18. 18. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com DOCUMENTATION • Donor registration and verification. • Serological investigation and verification after death. • Documentation of different phases of skin processing in the skin bank. • Documentation of recipient names, hospitals and doctors concerned. • Record of rejected skin during processing in case any serological or microbiological test report is positive .
    19. 19. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  India with such a huge population will have no dearth of skin in its SKIN BANKS and a large number of precious lives would be saved if people would come forward in large numbers for SKIN DONATION.
    20. 20. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com ESTABLISHMENT OF A NUMBER OF SKIN COLLECTION CENTRES IN AND AROUND MUMBAI •1st skin collection centre has been set up in BSES hospital, Andheri. •2nd skin collection centre set up in Naval hospital INS ashwini, Mumbai. •3rd Skin Collection Centre has been set up at Bhakti Vedanta Hospital Mumbai. ESTABLISHMENT OF SKIN BANK IN DIFFERENT PARTS OF INDIA • 1st Skin bank has been set up at Surya hospital, Pune
    21. 21. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com  To become the nodal centre and centre of excellence and establish a network of skin banks in four zones of India in next five years.  To carry out mass awareness campaign to popularize the concept of skin banking in India.  To promote research in developing indigenous cost-effective dermal substitutes and scar management.
    22. 22. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com   North india- Dayanand medical College Ludhiana- Dr. Sanjeev South Zone- St. John Medical College, Bangalore- Rtn. Manohar Uppal Menda  South Zone- Rotary Club of Chennai , Chennai- Dr. Nikhil Singhi  East ZoneDas Sum Hospital, Bhubaneswar- Dr. Jayant Kumar
    23. 23. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com In India it is not that the people are afraid about skin donation or they do not want to donate their skin. It is because they are not aware about the concept of SKIN DONATION So, in the coming year, Skin Donation is our thrust area. We are going to organizing seminars, camps and lectures to create awareness about Skin donation. DONATE SKIN AND SAVE A LIFE
    24. 24. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com AWARENESS •Awareness by using newspapers, Magazines and journals •Conducting lectures in school, colleges and institutes. •Community Awareness Programme for Skin Donation. social worker conducting school education programme •With the help of NGO’s. •By organizing Seminars on Skin Donation. •Awareness by promoting the burns victims to share their trauma in front of the public (Burn survivor community). Students attending seminar on Skin donation
    25. 25. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Poster to be put in newspaper and residential societies Table top poster and pledge forms to be kept in hospitals, offices, gyms and public places
    26. 26. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com STANDEES TO BE PUT ON DISPLAY IN HOSPITALS AND MALLS
    27. 27. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com PLEDGE FORM TO BE KEPT AT PUBLIC PLACES Kangaroo Pouch Outer View Inner View
    28. 28. Cards for the Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com kangaroo pouch for the Pledge Magnetic Sticker to be displayed on Fridge as reminder Pledge Form to be filled and returned to National burns Centre Form Pocket Card for the skin donor
    29. 29. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com SKIN BANK DATA PERIOD- YR-2012-2013
    30. 30. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Monthly Collection of Skin (from Jan- August 2012) Average Number of Donations per month (from Jan- August) -7 Month Collection by BSES Hospital 3 Total Collection January Collection By NBC 0 February 4 4 8 March April 5 1 1 3 6 4 May June 8 5 3 1 11 6 July 4 2 6 August September 9 7 2 0 11 7 TOTAL 43 19 62 3
    31. 31. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Skin Procurement and Usage data from Jan- August 2012 Distribution of Donor Skin to different parts of India (Jan-Sept 2012) Sl. No Month Amount of Skin procured (sq.cm) 1 January 3866 900 2 February 18181 1400 3 March 14385 3015 4 April 8382 5001 5 6 May June 25601 8851 0 1000 7 July 11359 1000 8 August 29333 9819 9 September 18477 1,38,435 Total Amount of Skin used (sq.cm) Number of patients treated at NBC Number of patients treated outside NBC Skin Used For Research 0 900 0 1400 0 3015 1 0 0 0 0 1000 0 1000 1 821 1792 0 0 0 0 0 0 0 02 0 23927 2 2 1792 14929 Distribution of Donor Skin to different parts of India (Jan-August 2012) 1 2 April 2012 August 2012 Baby Memorial Hospital Ltd., Kerala Saint Johns Hospital, Bangalore
    32. 32. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Monthly Collection of Skin(from Jan- August 2013) Average Number of Donations per month (from Jan- Sept.) - 18 Month Collection By NBC Collection by BSES Hospital Total Collection January 8 8 16 February 6 6 12 March 9 5 14 April 12 7 19 May 6 8 14 June 13 5 18 July 8 4 12 August 6 2 8 September 18 6 24 TOTAL 86 51 161
    33. 33. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Skin Procurement and Usage data from Jan- Sept. 2013 Sl. No Month Amount of Skin procured (sq.cm) Amount of Skin used (sq.cm) 1 January 26556 5385 2 February 19361 1276 3 March 15543 12117 4 April 27989 34829 5 May 24900 48279 6 June 31229 19488 7 July 18792 10513 8 August 16287 47237 9 September 30447 Total 1,80,657 Number of Number of patients treated at patients treated NBC outside NBC 2 31338 3 0 3 11 15 8 5 15 11 1,79,124 71 19 1 2 3 4 1 0 1 5
    34. 34. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Distribution of Donor Skin to different parts of India (Jan-Sept. 2013) Sl. No Month Name of Hospital taken donor skin from RCBN Skin Bank 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 January 2013 January 2013 February 2013 March 2013 March 2013 April 2013 April 2013 April 2013 May 2013 May 2013 May 2013 May 2013 June 2013 July 2013 August 2013 Sept 2013 Sept 2013 Sept 2013 Amrita Institute of Medical Sciences , Cochin, Kerala Jubilee Mission Medical College , Thrissur, Kerala Jubilee Mission Medical College Hospital, Kerala Aditya Birla Memorial Hospital, Pune Saint Johns Hospital, Bangalore KEM Hospital, Mumbai Jubilee Mission Medical College Hospital, Thrissur, Kerala. Saint Johns Hospital, Bangalore Saint Johns Hospital, Bangalore Jubilee Mission Medical College Hospital, Thrissur, Kerala. Saint Johns Hospital ,Bangalore Bombay Hospital, Mumbai Saint Johns Hospital, Bangalore Nil Asian Heart Hospital, Bandra, Mumbai Shalby Hospital, Ahmedabad KEM Hospital Mumbai Jubilee Mission Medical College Hospital, Thrissur,Kerala 19 20 Sept 2013 Sept 2013 KEM Hospital Mumbai Kokilaben Dhirubhai hospital Mumbai
    35. 35. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Comparative study of Monthly Collection of Skin Period- Jan- Sept. 2012 & Jan- Sept. 2013) Month Collection By Collection By Collection by NBC in 2012 NBC in 2013 BSES Hospital in 2012 January 0 8 3 Februar 4 6 4 y March 5 9 1 April 1 12 3 May 8 6 3 June 5 13 1 July 4 8 2 August 9 6 2 Septem 7 18 0 ber TOTAL 43 86 19 Collection by BSES Hospital in 2013 8 6 Total Collection in 2012 3 8 Total Collection 5 7 8 5 4 2 6 6 4 11 6 6 11 7 14 19 14 18 12 8 24 51 62 137 16 12
    36. 36. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com CLINICAL USE OF HOMOGRAFT
    37. 37. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    38. 38. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    39. 39. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    40. 40. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    41. 41. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    42. 42. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    43. 43. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    44. 44. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    45. 45. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    46. 46. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    47. 47. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    48. 48. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    49. 49. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    50. 50. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Pre-Op wound Application of Homograft Day 3 Complete healing Day 21
    51. 51. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    52. 52. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
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    60. 60. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    61. 61. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    62. 62. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
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    66. 66. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com
    67. 67. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com Skin Donation Helpline: 022 2779 3333
    68. 68. Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, nbcairoli@gmail.com www.skindonation.in www.burns-india.com

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