KCI V.A.C Manual De Instrucciones página 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 / 3M™ Tegaderm™ Dressing, hydrocolloid or other transparent film.
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Multiple layers of V.A.C.
vapor transmission rate, which may increase the risk of maceration.
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If any signs of irritation or sensitivity to the V.A.C.
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
V.A.C. drape / 3m™ Tegaderm™ dressing over the foam dressing during V.A.C.
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Drape / 3M™ Tegaderm™ Dressing 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 V.A.C.
/ 3M™ Tegaderm™ Dressing technique may be necessary to establish and maintain a seal.
Consider using multiple small pieces of V.A.C.
one continuous piece to minimize the risk of decreased distal circulation. Extreme care should
be taken not to stretch or pull the V.A.C.
it, but let it attach loosely and stabilize the edges with an elastic wrap, if necessary. When
using circumferential V.A.C.
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 / 3M™ Tegaderm™ Dressing may decrease the moisture
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® Drape / 3M™ Tegaderm™ Dressing rather than
Drape / 3M™ Tegaderm™ Dressing when securing
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Drape / 3M™ Tegaderm™ Dressing applications, it is crucial to
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Therapy must not be placed in proximity
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Drape / 3M™ Tegaderm™ Dressing,
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Therapy is not
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Drape
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