Monday, January 19, 2009

G-Tube ISSUES! Continued...

Mikan woke up with more bleeding from his granulation tissue, not just seeping, but bleeding. Those pink dressings aren't doing a thing. We are going to the ENT to most likely use some silver nitrate on his trach granuloma. Should I ask for her to do the same for his g-tube? Is this too much pain? Can you use silver nitrate on open wounds? Could he get a local anesthetic first? Does anyone have any experience with this?

5 comments:

Michelle and Sean said...

Maggie had just a tiny granulation tissue around her trach. They said that they could just leave or use the silver nitrate. They ended up just using the silver nitrate on it and she didn't cry or anything. He said that it would only hurt her if it was on her skin not the tissue. I'm not sure about open wounds though. Sorry if this doesn't really help. Good luck!

Mrs. Milanowski said...

(From Benj)
Local anesthetic: most likely they will need to give him a shot to administer this and it would cause pain as well. A topical could be applied, but that might not be effective and on an open wound it might sting as well.
Silver Nitrate: he's not sure if you can use it on an open wound, but thinks that you cannot

Emily said...

Hey Jenna and John

Yes, you can use silver nitrate on an open wound. They use it in the burn unit all the time. The answer comes from a physician assistant (me) and a nurse practitioner. Hope all is going well.

Emily Beyler-Lierman

John Gensic said...

Thanks! We are going to the ENT today to get a granuloma silver nitrated, so we are hoping they will just add a little more to the g-tube! :)

Ann said...

You are going to think this is weird, but in addition to using the pink spongy dressing, we use a mini-pad (yes, a feminine hygiene product). The mini-pad is designed to draw moisture into the pad (and thus, away from the skin). We cut the pad in a small circle the same size as the pink pad, put it on the pink pad and place the mini-pad side down against the skin. We've been doing this for ... oh, at least 9 years and it works great to keep Jack's skin mostly dry and healthy. Good luck!