I was just wondering what everyones experience was with this syndrome. Although I no longer work in burns in the time I was there we had 7 caasses in one year!!!
It seemed to me that we could NOT achieve good pain relief no matter what we did. We were, however using Silver Nitrate as a wound dressing.
Just discharged a SJS pt that none of us thought could possibly make it!!! What a wonderful feeling! Anyway, in our unit we've been using acticoat or a similar product, "silverlon." These are terrific for many reasons, not the least of which is the fact that they eliminate the need for those painful daily or q shift drsg changes. Just need to moisten with sterile H2O prn. The antimicrobial properties of these products is another plus. Just make sure you don't use saline as this will neutralize the silver, thus negating the antimicrobial action. As far as pain relief is concerned, in our unit these pts are usually on Fentanyl and Versed gtts. Hope this helps!
Last edit by cimersrn on Mar 15, '04