KCI V.A.C. VIA Gebrauchsanweisung Seite 11

complications. Some signs of infection are fever, tenderness, redness, swelling, itching, rash, increased
warmth in the wound or periwound area, purulent discharge, or strong odor. Infection can be serious,
and can lead to complications such as pain, discomfort, fever, gangrene, toxic shock, septic shock and/or
fatal injury. Some signs or complications of systemic infection are nausea, vomiting, diarrhea, headache,
dizziness, fainting, sore throat with swelling of the mucus membranes, disorientation, high fever, refractory
and/or orthostatic hypotension, or erythroderma (a sunburn-like rash). If there are any signs of the onset of
systemic infection or advancing infection at the wound site, contact a physician immediately to determine if
V.A.C. Therapy should be discontinued. For wound infections relating to blood vessels, please also refer to
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the section titled Infected Blood Vessels.
Osteomyelitis: The V.A.C.
Consideration should be given to thorough debridement of all necrotic, non-viable tissue, including infected
bone (if necessary), and appropriate antibiotic therapy.
Protect Tendons, Ligaments and Nerves: Tendons, ligaments and nerves should be protected to avoid
direct contact with V.A.C.
non-adherent material, or bio-engineered tissue to help minimize risk of desiccation or injury.
Foam Placement: Always use V.A.C.
damaged. Do not place any foam dressing into blind/unexplored tunnels. The V.A.C.
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 and document that number
on the foam quantity label and in the patient's chart. Document the dressing change date on the foam
quantity label.
Foam Removal: V.A.C.
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pieces removed from the wound and ensure the same number of foam pieces was removed as was 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 significant bleeding develops, immediately discontinue the use of the V.A.C.
take measures to 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.
been achieved, and the patient is not at risk for continued bleeding.
Keep V.A.C. Therapy On: Never leave a V.A.C.
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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.
or apply an alternative dressing at the direction of the treating clinician.
Acrylic Adhesive: The V.A.C.
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.
allergic reaction or 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.
Failure to remove the dressing may inhibit transmission of electrical energy and/or patient resuscitation.
Magnetic Resonance Imaging (MRI) -Therapy Unit: The V.A.C.
take the V.A.C.Via Unit into the MR environment.
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Magnetic Resonance Imaging (MRI) -V.A.C.
the patient with minimal risk in an MR environment, assuming that use of the V.A.C.
interrupted for more than two hours (refer to Keep V.A.C.
Hyperbaric Oxygen Therapy (HBO): Do not take the V.A.C.
chamber. V.A.C. Therapy Unit are not designed for this environment, and should be considered a fire
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hazard. After disconnecting the V.A.C.
HBO compatible material during the hyperbaric treatment, or (ii) cover the unclamped end of the V.A.C.
Tubing with moist cotton gauze. For HBO therapy, the V.A.C.
V.A.C. Dressing in place without active V.A.C.
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V.A.C. Therapy On section above.
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System should NOT be initiated on a wound with untreated osteomyelitis.
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Foam Dressings. These structures may be covered with natural tissue, meshed
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® Dressings from sterile packages that have not been opened or
Foam Dressings are not bioabsorbable. Always count the total number of foam
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Dressing from an unopened sterile package and restart V.A.C.
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Advanced Drape has an acrylic adhesive coating, which may present a risk
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Dressing if defibrillation is required in the area of dressing placement.
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Therapy Unit, either (i) replace the V.A.C.
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Therapy for more than two hours; please refer to the Keep
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Therapy System until adequate hemostasis has
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Dressing in place without active V.A.C.
Therapy System. If any signs of
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Therapy Unit is MR Unsafe. Do not
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Dressings: V.A.C.
Dressings can typically remain on
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Therapy On above).
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Therapy Unit into a hyperbaric oxygen
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Tubing must not be clamped. Never leave a
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3
WhiteFoam Dressing
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Therapy System,
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Therapy for
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Therapy;
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Therapy System is not
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Dressing with another
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