KCI V.A.C. Therapy System Anwendungsanweisungen Seite 13

V.A.C. drESSING rEmoVAL
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2. Gently remove an existing V.A.C.
a. Raise the tubing connectors above the level of the therapy unit.
b. Close clamp on the dressing tubing.
c. Disconnect canister tubing from dressing tubing.
d. Allow the therapy unit to pull the exudate in the canister tube into the canister, then
close the clamp on the canister tubing.
e. Press THERAPY ON / OFF to deactivate the V.A.C.
to allow foam to decompress.
f. To remove the drape from the skin, gently stretch the drape horizontally to release
adhesive from the skin. Do not peel vertically.
g. Gently remove foam from the wound.
wArNING: refer to foam removal section under warnings.
h. Discard disposables according to institutional or state regulations.
NoTE: If dressing adheres to wound, consider introducing sterile water or normal saline
into the dressing, waiting 15 to 30 minutes, then gently removing the dressing from the
wound. Consider placing a single layer, wide-meshed, non-adherent material prior to
placement of the V.A.C.
more frequent dressing changes. For V.A.C. GranuFoam Silver
Precautions for V.A.C. GranuFoam Silver
information.
If the patient complains of discomfort during the dressing change, consider
premedication, the use of a non-adherent interposed layer before foam placement, using
V.A.C. WhiteFoam to dress the wound, or managing the discomfort as prescribed by the
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treating physician. Refer to the Pain Management section of the V.A.C.
Guidelines for specific recommendations.
3. Debride all necrotic, non-viable tissue, including bone, eschar or hardened slough, as
prescribed by physician.
4. Perform thorough wound and periwound area cleaning per physician order or institution
protocol prior to each dressing application.
5. Ensure adequate hemostasis has been achieved (refer to warnings, Bleeding section,
Hemostasis, Anticoagulants and platelet Aggregation Inhibitors).
6. Prior to foam placement, protect vessels and organs (refer to warnings, Bleeding section,
protect Vessels and organs).
7. Sharp edges or bone fragments must be eliminated from wound area or covered (refer to
warnings, Bleeding section, Sharp Edges).
8. Clean and dry periwound skin.
9. Consider use of a skin preparation product to protect periwound skin. Do not allow foam
to overlap onto intact skin. Protect fragile / friable periwound skin with additional V.A.C.
Drape, hydrocolloid, or other transparent film.
Dressing according to the following procedure:
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Foam Dressing to potentially reduce future adherence, or consider
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Therapy Unit. Wait 15 to 30 seconds
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Dressing, refer to Additional
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Dressing, Protective Layer section for more
Therapy Clinical
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