KCI V.A.C. Therapy System Anwendungsanweisungen Seite 9

Spinal Cord Injury: In the event a patient experiences autonomic dysreflexia (sudden changes
in blood pressure or heart rate in response to stimulation of the sympathetic nervous system),
discontinue V.A.C. Therapy to help minimize sensory stimulation and seek immediate medical
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assistance.
Bradycardia: To minimize the risk of bradycardia, V.A.C.
to the vagus nerve.
Enteric fistulas: Wounds with enteric fistulas require special precautions to optimize V.A.C.
Therapy. Refer to the V.A.C.
recommended if enteric fistula effluent management or containment is the sole goal of therapy.
protect periwound Skin: 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.
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Multiple layers of V.A.C.
which may increase the risk of maceration.
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If any signs of irritation or sensitivity to the drape, foam, or tubing assembly appear,
discontinue use and consult a physician.
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To avoid trauma to the periwound skin, do not pull or stretch the drape over the foam
dressing during drape application.
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Extra caution should be used for patients with neuropathic etiologies or circulatory
compromise.
Circumferential dressing Application: Avoid use of circumferential dressings except in the
presence of anasarca or excessively weeping extremities, where a circumferential drape technique
may be necessary to establish and maintain a seal. Consider using multiple small pieces of V.A.C.
Drape rather than one continuous piece to minimize the risk of decreased distal circulation.
Extreme care should be taken not to stretch or pull the drape when securing it, but let it attach
loosely and stabilize the edges with an elastic wrap, if necessary. When using circumferential
drape applications, it is crucial to systematically and recurrently palpate distal pulses and assess
distal circulatory status. If circulatory compromise is suspected, discontinue therapy, remove
dressing, and contact a treating physician.
V.A.C. Therapy unit pressure Excursions: In rare instances, tubing blockages with the V.A.C.
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Therapy Unit may result in brief vacuum excursions to more than 250 mmHg negative pressure.
Resolve alarm conditions immediately. Refer to the Therapy Unit User Guide or Manual or contact
your KCI representative for additional information.
Therapy Clinical Guidelines for more detail. V.A.C.
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Drape may decrease the moisture vapor transmission rate,
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Therapy must not be placed in proximity
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Therapy is not
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