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There are occasions in the clinical management of burns suitable for early excision
when the accurate diagnosis of burn depth may be extremely difficult. In the initial
treatment of crush wounds, ‘degloving’ injuries, and ‘closed’ avulsion injuries, there
may be also serious doubt about the viability of the skin which cannot be resolved
by conventional means. In both types of case, provided there is no interference with
the arterial or capillary inflow, the intravenous injection of a suitable dye can
resolve this diagnostic dilemma. Although the use of a 20 per cent solution of fluorescein
given intravenously is a most useful ‘screening’ test, the injection of Disulphine
Blue gives a pattern of skin staining which is clear to the naked eye, easily photographed
for record purposes, and which can be used in the operating theatre. The technique
has been proved to be without any toxic or untoward effects in man.
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References
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- Observations on the Use of an Intravenous Dye Injection Technique in the Clinical Assessment of Tissue Viability.in: Ch.M. Thesis. University of Leeds, 1959
- A New Technique in the Clinical Assessment of Burns.Trans. Ass. ind. med. Offrs. 1961; 11: 22
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© 1970 Published by Elsevier Inc.
