raytay

Initially we usually change ties with every dressing change - twice a day. Our patients use primary silvadene to the face, unless grafted then they have sulfamylon soln with exudrys. If they are grafted all over the face they will sometimes anchor the tube to the jaw then no ties are needed. Our patients are rarely nasally intubated. They are typically intubated about 3 to 4 weeks & then trach. We have our own respiratory therapists designated to our unit. They handle the cuffs, only peds under 8 are not cuffed ett. We both take turns suctioning patients. I love caring for burns! Bring on the questions.

We use trach ties x 2. Place cloth tape around ett, not silk, with all the secretions silk will fall right off. Tie one tie in knot x2 to ett and wrap around head over ears and tie. Second tie also goes around ett x2 & then bring around head under ears & tie. Hope this helps! We change as needed with dressing changes. In beginning of burn injury pretty often due to facial swelling.

We used to use silver nitrate & then the reps brought us a material called acticoat. It is nice to use on tens pts because then it stays on for 3 days. We have been using it for about 3 yrs. We use the same types of meds that we use with regular burns. Anywhere from 10-20 mg of MSO4, 5-10mg iv or internasal versed. Maybe some lortab & ativan. Priscilla