Evaluation of a Silver Collagen based amorphous gel for the use of Treatment of a Deep Partial Thickness Burn

Burns, over the evolution of wound care have been treated with sharp or mechanical debridement and silver sulfodiazine dressings.  This approach can be particularly painful for patients with partial thickness burns.  This study follows a 75 year old female with severe CAD, renal insufficiency, osteoarthritis, and arterial insufficiency who sustained a deep partial thickness burn post splint application for a fractured left distal femur.  Her expedience in healing as well as decreased pain with the use of a hydrolyzed bovine collagen based silver gel was followed.  The wound was initially chemically debrided for 11 days.  On day 12, May 29, 2008,  the silver collagen based gel was initiated.  Her wound was cleansed with sterile water.  The gel was applied followed by an ionic silver contact layer and sterile water moistened 4 x 4's.  Her periwound was protected using a medical grade cynoacrylate.  Her pain was followed on a numbers scale (1 being the least, 10 being the worst pain imaginable).  On the initiation day, her wound measured 11.8 x 11.2 x .2cm and her pain was reported as a 10 at the burn site. Within a few minutes of application her pain was reported as a 5.  On June 14, 2008 her wound measured 10.1 x 9.8 x .1cm and her pain was reported as a 4.  On July 12, 2008, her wound measured 5.4 x 5.6 x .1 cm and her pain was reported as a 3.  On August 4, 2008, the wound measured 1.2 x 1.1 x .1cm and her pain was a 1.  On August 15, 2008 her wound was healed.  Her narcotic usage declined from every 4 hours to every 6 hours over the last 47 days to every 8 hours during the last two weeks of healing.  The wound healed expeditiously and adjunt pain mangement was achieved.