August 1966


Author Affiliations

10909 W Jefferson River Rouge, Mich

Arch Surg. 1966;93(2):370. doi:10.1001/archsurg.1966.01330020162029

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To the Editor:  The recent interest in the use of silver nitrate in burns prompts me to mention briefly a recent experience.A young laborer sustained a circumferential third-degree burn to his right lower leg. The initial local treatment consisted of continuous moist compresses by wrapping the extremity in moistened sterile diapers and then in plastic. The diapers were changed every three hours. They were saturated with 0.5% silver nitrate for 12 hours and then with a solution of normal saline containing 1 million units of penicillin-G per liter of the solution for the next 12 hours. The patient was given a hexachlorophene (pHisoHex) bath twice daily when changing the solutions. Sharp debridement and skin grafts were carried out as usual; no silver nitrate solution was used postoperatively. There was a 100% take of the graft. The eschar was friable and easily removed, and in some areas grafts were applied

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