Guest guest Posted September 11, 2006 Report Share Posted September 11, 2006 I have not seen this reaction to silver in the past. I guess it is possible that there was an allergic reaction. I've also seen that silver dressings will stain the skin if moistened with Saline. Is this possibly what happened? If you look around 3m, they have a silver mesh dressing that will not do this. They will also show you pictures of skin staining when Acticoat (I believe) is used with saline. -Chris Benfield, P.T. Director of Rehabilitation RiverWoods 3201 River Road burg, PA 17837 Direct: Main: Fax: email: .Benfield@... Web: www.albrightcare.org <http://www.albrightcare.org/> ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of caroltonrehab Sent: Monday, September 11, 2006 2:28 PM To: PTManager Subject: Wound care Hi, we have a pt who seems to have had a reaction to a silver dressing to his finger which has a very small open area and the surrounding skin is very cracked. He has pain and throbbing to the end of his finger. The silver dressing was applied and the whole tip of his finger turned black with discoloration. Has anyone else seen this type of reaction to a silver dressing. Thank You for any input, Shari France,PT Rehab Director \ Carolton Rehab Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 12, 2006 Report Share Posted September 12, 2006 Hello Shari, It is not uncommon to see discoloration of gray/black after a silver dressing application. The fact that his finger tissue was cracked may have enhanced the response. It was be wise to contact the manufacturer to report the incident. Pam Unger The Center for Advanced Wound Care Reading, PA Wound care Hi, we have a pt who seems to have had a reaction to a silver dressing to his finger which has a very small open area and the surrounding skin is very cracked. He has pain and throbbing to the end of his finger. The silver dressing was applied and the whole tip of his finger turned black with discoloration. Has anyone else seen this type of reaction to a silver dressing. Thank You for any input, Shari France,PT Rehab Director \ Carolton Rehab Please identify yourself, your discipline and your location in all messages to PTManager. Sick of working for someone else? Tired of fighting against POPTS? Ready to quit the corporate nonsense of large organizations? Visit www.InHomeRehab.com. PTManager encourages participation in your professional association. Join APTA, AOTA or ASHA and participate now! Please identify yourself, your discipline and your location in all messages to PTManager. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2006 Report Share Posted November 8, 2006 Over the past many years, whirlpools have fallen out of favor for many reasons--cost being one. That being said pulsed lavage is also quite expensive compared to reimbursement. Other options to consider are simple 35 ml syringe and 19-20 gauge angiocatheter tips, Pressurized saline in a can, etc which provide 6-8 psi. (Enough pressure to remove most bacteria from the wound surface without causing trauma to the new capillaries). If you chose pulsed lavage, which is a nice product, do review recent studies on contamination of surrounding surfaces. Also, if cost is not a factor review MIST a low dose ultrasound device. There are a couple of recent RCT studies that are very favorable. For products, educational info. etc try _www.advancingthepractice.org_ (http://www.advancingthepractice.org) it is a good place to start. Newton, PT,DPT,OCS,CWS In a message dated 11/8/2006 3:15:43 P.M. Central Standard Time, don.martin@... writes: Our clinic's Dermatology department is looking at some different options for wound cleaning and debridement. The wounds they deal with most often are pressure ulcers and diabetic ulcers. In particular, they are interested in whether they should consider changing from whirlpool treatments to some type of pulsed lavage. Any and all input will be appreciated, including mention of specific pulsed lavage units that you have found to work well. thanks. Don , PT PT Coordinator MeritCare Bemidji Minnesota Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 8, 2006 Report Share Posted November 8, 2006 Our clinic's Dermatology department is looking at some different options for wound cleaning and debridement. The wounds they deal with most often are pressure ulcers and diabetic ulcers. In particular, they are interested in whether they should consider changing from whirlpool treatments to some type of pulsed lavage. Any and all input will be appreciated, including mention of specific pulsed lavage units that you have found to work well. thanks. Don , PT PT Coordinator MeritCare Bemidji Minnesota This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 9, 2006 Report Share Posted November 9, 2006 One system I used (at an earlier location then I am now) was the MIST system. It is interesting in that it is a non-contact ultrasonic debrider. Initial expense can be high though. I really liked the system. It was easy to use and you could see effects fairly quickly. It is also relatively gental for the pt. You can get more information at: http://www.celleration.com/products.htm Ben , DPT Center for Wound Healing and Hyperbaric Medicine Idaho Elks Rehab Hospital Idaho > > Our clinic's Dermatology department is looking at some different > options for wound cleaning and debridement. The wounds they deal > with most often are pressure ulcers and diabetic ulcers. In > particular, they are interested in whether they should consider > changing from whirlpool treatments to some type of pulsed lavage. > Any and all input will be appreciated, including mention of specific > pulsed lavage units that you have found to work well. thanks. > > Don , PT > PT Coordinator > MeritCare Bemidji > Minnesota > > > This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your computer. > > > Quote Link to comment Share on other sites More sharing options...
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