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Advanced Antimicrobial Burn Care Dressing Protocols

Silverlon® Burn Dressings Burn Protocols

The Silverlon® Advantage     Silverlon’s® Technology Effective bactericidal and fungicidal activity through sustained silver ion release    No reported microbial resistance    Extended wear times    No nanocrystalline staining or incremental bioburden

Silverlon® Burn Dressings - Indications & Guidelines For Use

Product Description
Silverlon® Burn Contact Dressings are broad spectrum 7 day use antimicrobial barrier dressings. The surface of the nylon-based dressing is plated with pure metallic silver, which is the source of the antimicrobial silver ion. The silver ions disassociate from the surface of the dressing in the presence of moisture. Silver ion release rates are maintained by maintaining the moisture content of the burn dressing.

Indications

Partial and Full-thickness Wounds		Traumatic Wounds
1st and 2nd Degree Burns		Surgical Wounds
Donor and Graft Sites		Dehisced Wounds
Acute Wounds		Pressure Ulcers
Lacerations		Diabetic Ulcers
Abrasions		Venous Ulcers
For external use only.

Contra-Indications:

Silverlon® should not be used on patients with known sensitivity to nylon or silver.

General Guidelines For Use

• All Silverlon® Wound and Burn Dressings are designed for up to 7 day use. Where protocols dictate more frequent wound inspection, the dressings may be taken down daily and Silverlon® reapplied by rinsing the surface of the dressing with sterile water to remove excess exudate and cellular debris.
  
  
• Wet dressing with sterile or clean water.
  
  
• Apply directly to the wound bed overlapping the wound margins by 1 to 2 cm. Avoid use of petroleum based ointments or creams under the Silverlon® dressing.
  
  
• Optimal silver ion release rates from the surface of the Silverlon® dressing is achieved by keeping the Silverlon® dressing moist and free from excessive exudate buildup. Periodically check the edges of the dressing to insure that proper moisture levels are being maintained. Add water when necessary.
  
  
• Cover the Silverlon® burn dressing with a secondary dressing of choice.
  
  
• Caution: Remove Silverlon® prior to MRI procedures. The Silverlon® burn dressing may be reapplied if it is not covered with excessive exudate or cellular debris. Rinse as necessary to remove exudate and reapply.
  
  
• When removing the Silverlon® burn dressing, check to see if it is dry or is sticking to the wound bed. If sticking occurs, saturate the dressing with water and wait until it can be easily removed by gently lifting the corners.

STSG Donor Sites
     The Silverlon® Burn Contact Dressing, properly moistened with sterile water, are applied directly to donor sites and covered with moistened gauze or other moisture donating cover dressing. If covered with gauze, periodic re-moistening with sterile water may be needed to maintain proper moisture levels. The cover dressing should maintain moisture while re-moistening approximately every (8-12 hrs.) with sterile water at the Silverlon® wound interface. The Silverlon® Burn Contact and cover dressing is secured in place with tubular stretch knit, compressive wrap, tape or equivalent. Silverlon® Burn Contact Dressing may be left in place for up to 7 days.

STSG Graft Sites
     The Silverlon® Burn Contact Dressing or Compressive Burn Wrap, properly moistened with sterile water, are applied directly to the graft site and covered with moistened gauze or other moisture donating cover dressing. If covered with gauze, periodic re-moistening (8-12 hrs.) with sterile water may be needed to maintain moisture levels. The cover dressing should maintain the proper moisture levels at the Silverlon® wound interface. A non adhering wound contact dressing such as Dermanent, Tegapore, Silon TSR or Mepitel may be placed between the wound surface and the Silverlon® Burn Contact if desired. The Silverlon® Burn Contact and cover dressing is secured in place with tubular stretch knit, compressive wrap, tape or equivalent. The Silverlon® Burn Contact Dressing may be left in place for up to 7 days use.

First Degree Digit and Hand Burns
     The Silverlon® Burn Glove, properly moistened with sterile water, is designed for direct application to the area of injury. The ends of the glove fingers may be cut to appropriate length. A roll gauze, surgical latex glove (if the patient does not have a latex allergy) or elastic roll gauze is placed over the Silverlon® Burn Glove. If covered with gauze, periodic re-moistening with sterile water may be needed to maintain moisture levels. It is best to size the elastomeric surgical glove one size larger than the size that the patient would normally wear, providing a comfortable fit over the Silverlon® Burn Glove. The Silverlon® Burn Glove is removed when the erythema resolves or up to 21 days.

Second and Third Degree Digit and Hand Burns
     There are three options for burned hands and digits. The first option involves fabricating a digit wrap from the Silverlon® Burn Contact dressing and individually wrapping each digit. The hand itself may be wrapped with a Silverlon® Burn Wrap 4 x 66 inches by cutting a section of the wrap that is approximately 4 inches by 33 inches and individually wrapping the palmar and dorsal aspects of the hand. The second option is to use the Silverlon® Digit Tubular Stretch Knit dressing by placing the tubular material over the affected digits and the hand with the wrap as described above. The third option is to apply the Silverlon® Burn Glove to the affected area. In each option, the Silverlon® fabric is moistened with sterile water, covered with moistened roll gauze or elastic gauze rolls and held in place with a compressive wrap or tubular stretch knit. If covered with gauze, periodic re-moistening (8-12 hrs.) with sterile water may be needed to maintain proper moisture levels. The dressings may be taken down daily and the wounds carefully examined. The Silverlon® Dressing can be reapplied if it is not covered with excessive exudate and cellular debris. If covered with exudate and cellular debris, under sterile conditions, the Silverlon® Dressing can be rinsed with sterile water and re-applied up to 7 days use.

First Degree Burns
     The Silverlon® Burn Contact Dressing, properly moistened with sterile water, are designed for direct application to the area of injury and covered with moistened gauze or other moisture donating cover dressing. If covered with gauze, periodic re-moistening (8-12 hrs.) with sterile water may be needed to maintain proper moisture levels. The cover dressing should maintain moisture levels at the Silverlon® wound interface. The Silverlon® Burn Contact and cover dressing are secured in place with tubular stretch knit, compressive wrap, tape or equivalent. The Silverlon® Burn Contact Dressing may be left in until the erythema resolves or up to 21 days.

Superficial and Deep Partial Thickness and Full Thickness Burns & Wounds
     The Silverlon® Burn Contact Dressing or Silverlon® Burn Wrap, properly moistened with sterile water, are applied directly to superficial and deep partial thickness and full thickness burns or wounds. The Silverlon® Dressing is covered with moistened gauze or other moisture donating cover dressing. If covered with gauze, periodic re-moistening (8-12 hrs.) with sterile water may be needed to maintain moisture levels. The cover dressing should maintain moisture levels at the Silverlon® wound interface. The Silverlon® Dressing and cover dressing is secured in place with tubular stretch knit, compressive wrap, tape or equivalent. The dressings may be taken down daily to examine wounds. The Silverlon® dressing can be reapplied if it is not covered with excessive exudate and cellular debris. If covered with excessive exudate or cellular debris, under sterile conditions, the Silverlon® dressing can be rinsed with sterile water and re-applied up to 7 days use. The Silverlon® Dressing is covered with roll gauze, elastic gauze and held in place with tubular stretch knit, compressive wrap (coban, ace wrap) or equivalent.

Use with Dermal Reconstruction Dressings (Integra®, Dermagraft®)
     The Silverlon® Burn Contact Dressing or Silverlon® Burn Wrap, properly moistened with sterile water, are applied directly over dermal reconstruction dressing, is covered with gauze or moisture donating cover dressing. If covered with gauze, periodic re-moistening with sterile water may be needed to maintain proper moisture levels. The dressings may be taken down daily to examine the condition of the dermal reconstruction dressing or left in place for up to 7 days. The Silverlon® dressing can be reapplied if it is not covered with excessive exudate and cellular debris. If covered with exudate and cellular debris, under sterile conditions, the Silverlon® can be rinsed with sterile water and re-applied. The Silverlon® Dressing is covered with elastic gauze, tubular stretch knit, or equivalent.

Use with Negative Pressure Wound Therapy
     Argentum Medical, LLC developed a 7 day Antimicrobial Negative Pressure contact dressing (NPD) with dual flow ports designed specifically for use with Negative Pressure Wound Therapy. The Silverlon® NPD is sized 1 to 2 cm larger than the treatment area and is placed directly onto the skin graft or wound bed. The Silverlon® NPD is then covered by the foam/drape or filler/film dressing per the manufacturer’s protocol. One Silverlon® NPD dressing and foam /filler kit may be used and left in place for up to 7 days. If graft or wound inspection is necessary prior to 7 days use, Silverlon® NPD may be lifted off wound, rinsed and re-positioned back unto wound, covering it with a new foam/filler kit, for up to 7 day use.

Ag-Burn™ Glove - Directions for Home Use

Supplies Needed

1. Gauze – Kerlix® or its equivalent, tubular stretch knit, or compressive wrap dressings.
2. If wound is not draining, substituting a latex glove over wet Silverlon is acceptable.
3. Clean water for daily rinsing or soaking.
4. Optional, for heavily exudating wounds, wound cleansers may be considered , such as Shur – Clens®, Saf – Clens®, Curasol®, Dermagran®, or Biolex®.

Daily Care

1. The glove may be worn while bathing and showering.
2. Remove and discard outer gauze and cover dressing.
3. Soak gloved hand at room temperature in clean water for 5 to 15 minutes, or in bath.
4. Gently remove glove, if any sticking occurs see warning instructions below.
5. Rinse the inside of the glove thoroughly with clean water and reapply to hand while wet, keeping seams to the outside.
6. Apply fresh gauze, tubular stretch knit, compressive wrap dressings or latex glove.
7. Moisten outer cover dressings every 8 – 12 hours. In dry climates or conditions moistening more often may be required. If latex glove is used directly over the Silverlon glove, add water between the latex glove and Silverlon, let excess water drain out.

General Considerations During Use

1. Daily soaking and/or spraying with wound cleansers removes exudate and cellular debris, and maybe necessary for optimal product performance.
2. Cleansers such as : Shur-Clens®, Saf – Clens®, Curasol®, Dermagran®, and Biolex® maybe used, and may increase the efficiency of cellular debris removal and extend the life of the glove.
3. Remove Silverlon® prior to MRI procedures.

Additional Instructions

Do not remove glove while dry or when glove is sticking. If sticking occurs, soak gloved hand for 10 minutes or more until glove can easily be removed. Repeat soaking if necessary.

If problems occur, including swelling, severe redness or sharply increased pain, contact your physician.

Specific Burn Protocols and Dressing Applications:

Silverlon® Burn Contact Dressing Technology, Indications and General Guidelines for Use Silverlon® Pad Dressing Application and Protocol Silverlon® Donor Site Dressing Guidelines for Use Silverlon® Roll with Integra® or STSG Application and Protocol Silverlon® Tubular Stretch Knit (TSK) Digit Application Technique

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All of the Silverlon® Wound Care, Burn Care, and Surgical Products listed on this website are FDA Cleared. Copyright © 1998-2008 Argentum Medical, LLC. All Rights Reserved.

Silverlon® is Manufactured in the USA