Povidone Burn

prmenrs, RN · Jan 28, 2010

Wash off the B-dine off as soon as possible. Just used some warmed sterile water.

dawngloves, BSN, RN · Jan 29, 2010

Wash off the B-dine off as soon as possible. Just used some warmed sterile water.

:up: :up:

TiffyRN, BSN, PhD · Jan 29, 2010

I've only worked in one NICU and I was told that povidine-iodine "burns" neonates if left on their skin. This was very different for me as I was used to "painting" adults with the stuff and letting it just wear off. We clean any of the stuff off the infants as soon as possible. I've never personally seen a burn from it but I'm not going to risk it.

dawngloves, BSN, RN · Jan 30, 2010

I've never personally seen a burn from it but I'm not going to risk it.

I have. It looks painful. :crying2:

dawnebeth · Jan 30, 2010

We hate the stuff in our unit and wash it off as soon as possible after surgery. We rarely use anything but mild soap on the babies--not alcohol, not benzoine. The 2 percent clorhexidine (I'm a terrible speller) is used for most washing of the skin before line insertions and sticks with saline wipes to wash it off.

prmenrs, RN · Jan 30, 2010

Another issue w/B-dine is that premie skin can absorb some of the Iodine which is not that good for the baby's thyroid.

prmenrs, RN · Jan 30, 2010

Another thing to be careful w/is Xerofoam. It contains Bismuth, and is a big favorite of the surgeons. But, again, the kids can absorb it, w/? who knows what effect.

It's easy to forget how "transmissable" fetal skin is.

dawnebeth · Jan 30, 2010

Another issue w/B-dine is that premie skin can absorb some of the Iodine which is not that good for the baby's thyroid.

Exactly. We have a nurse, Carolyn Lund, at our hospital who has written many articles on preemie skin issues, and this was one of the first ones I recall hearing about. We haven't used iodine on our preemies in over twenty years. Unfortunately, the surgeons don't always follow our protocols!

Julie Basilio · Jan 31, 2010

Yeah, you are all right, washing it off is the best remedy. And yes surgeon are stubborn with regards to these matters. We have one case of burn in our unit. right after the surgery, burn and blisters are already noted. what we did is we treated it as a burn... Applied Mebo ointment.thanks God! patient improved dramatically.