KCI V.A.C. SIMPLACE DRESSING Anwendungsanweisungen Seite 7

protect Tendons, Ligaments and Nerves: Tendons, ligaments and nerves should be protected
to avoid direct contact with V.A.C. Foam Dressings. These structures may be covered with natural
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tissue, meshed non-adherent material or bio-engineered tissue to help minimize risk of desiccation
or injury.
foam placement: Always use V.A.C.
Dressings from sterile packages that have not been
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opened or damaged. Do not place any foam dressing into blind / unexplored tunnels. The V.A.C.
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WhiteFoam Dressing may be more appropriate for use with explored tunnels. Do not force foam
dressings into any area of the wound, as this may damage tissue, alter the delivery of negative
pressure or hinder exudate and foam removal. Always count the total number of pieces of foam
used in the wound. document the foam quantity and dressing change date on the V.A.C.
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drape / 3m™ Tegaderm™ dressing or foam Quantity Label if available, and in the
patient's chart.
V.A.C. foam dressings are radiolucent, not detectable on X-ray.
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foam removal: V.A.C. Foam Dressings are not bioabsorbable. Always count the total
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number of pieces of foam removed from the wound and ensure the same number
of foam pieces are removed as were placed. Foam left in the wound for greater than the
recommended time period may foster ingrowth of tissue into the foam, create difficulty in
removing foam from the wound or lead to infection or other adverse events. If dressing adheres
to wound consider introducing sterile water or normal saline into the dressing, waiting 15 - 30
minutes, then gently removing the dressing from the wound. Regardless of treatment modality,
disruption of the new granulation tissue during any dressing change may result in bleeding at the
wound site. Minor bleeding may be observed and considered expected. However, patients with
increased risk of bleeding, as described on page 4, have a potential for more serious bleeding
from the wound site. As a precautionary step, consider using V.A.C. WhiteFoam or wide-mesh
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non-adherent material underneath the V.A.C. GranuFoam™ Dressing to help minimize the
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potential for bleeding at dressing removal in these patients. If significant bleeding develops,
immediately discontinue the use of the V.A.C. Therapy System, take measures to
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stop the bleeding, and do not remove the foam dressing until the treating physician
or surgeon is consulted. do not resume the use of the V.A.C. Therapy System until
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adequate hemostasis has been achieved and the patient is not at risk for continued
bleeding.
Keep V.A.C. Therapy on: Never leave a V.A.C. Dressing in place without active V.A.C.
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Therapy for more than two hours. If therapy is off for more than two hours, remove the old
dressing and irrigate the wound. Either apply a new V.A.C. Dressing from an unopened sterile
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package and restart V.A.C.
® Therapy, or apply an alternative dressing at the direction of the
treating physician.
Acrylic Adhesive: The V.A.C. Drape / 3M™ Tegaderm™ Dressing has an acrylic adhesive
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coating, which may present a risk of an adverse reaction in patients who are allergic or
hypersensitive to acrylic adhesives. If a patient has a known allergy or hypersensitivity to
such adhesives, do not use the V.A.C. Therapy System. If any signs of allergic reaction or
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hypersensitivity develop, such as redness, swelling, rash, urticaria or significant pruritus,
discontinue use and consult a physician immediately. If bronchospasm or more serious signs of
allergic reaction appear, seek immediate medical assistance.
defibrillation: Remove the V.A.C.
Dressing if defibrillation is required in the area of dressing
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placement. Failure to remove the dressing may inhibit transmission of electrical energy and / or
patient resuscitation.
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