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RE: [RC] furacin and wounds - Susan E. Garlinghouse, DVM

> I've used a mixture of 2 parts betadine, one part peroxide sprayed or squirted on twice a day. Every other day I take a clean cloth and swipe the >wound once--not hard--any scabs that come off come off, anything that doesn't come off isn't ready to and I leave alone. This has worked well even >on large flap wounds, no infection and no scarring. It doesn't seem to hurt. I learned it from a nurse on a burn unit who said it's how they treat burned >people.


Personally, I’m not a big fan of peroxide on equine tissue except maybe sometimes on abscessed soles.  That solution is more indicated for tissue that’s already devitalized/dead and needs to be debrided (as you describe with removing scabs and such).  For tissue that’s just newly dirty, but more or less healthy, I was taught in vet school not to use anything on an open wound that you wouldn’t be willing to put into your eye---obviously pretty darn mild.  Thus the very dilute betadine and salty water solution for cleaning and disinfecting virtually anything.  If it’s too strong to put into your eyes, then it’s going to be irritating to the tissue and defeating your purposes to one extent or another.  At least that’s the theory I was taught and happily go by, your mileage may vary.


 The very best ‘gold standard’ to resolve wounds is with an alginate biodressing that occludes contaminants but keeps the wound moist.  The most recent of the wound management texts also recommend keeping healing wounds moist, clean, largely undisturbed and with a bit of pressure.  If you already have an area that looks like it’s turning into proud flesh, then I apply a generous amount of triamcinolone (long-acting steroid) cream mixed with chlorhexidine cream under a telfa, sheet cotton, vetrap and elastikon, and leave it alone for about a week until the next bandage change.  If the proud flesh extends above the level of the surrounding skin, it gets carefully carved back down with a sterile scalpel to sea level again.  If the granulation tissue is minimal, I only very gently dab at wounds during bandage changes to clean off dead tissue that’s already unattached.  All that was taught to me by Mike Peralez, DVM, pretty much the undisputed king of wound care outside of universities-where-the-really-smart-people-live, at least in my book, and it works like magic.  We’d get an awful lot of lowly, ill-bred glee out of being presented with nasty, ugly proud flesh wounds that had resisted traditional treatments for the previous six months, and then getting them cleaned up in about 2-3 weeks.  There’s not much in equine practice more fun than carving down proud flesh and getting it all tucked away properly, but I might just be under-medicated and a little twisted or something.  Not to say it’s the only method, but it’s a pretty good one.



Susan Garlinghouse, DVM


[RC] furacin and wounds, Heidi Vanderbilt