Hartmann VivanoTec Manual página 6

VivanoTec Port_GA_060 255/0 11.04.11 09:18 Seite 7
5.) Apply the VivanoTec
Port so that the centre
of the port is precisely
above the prepared
hole in the film
dressing.
6.) Then connect the
drainage tube to the
canister tube of the
VivanoTec negative
pressure therapy
system and commence
the therapy in
accordance with the
user manual.
Monitoring the wound:
In order to guarantee reliable therapy, the wound
dressing has to be checked frequently, whereby the
imperviousness of the wound dressing and the wound
margins as well as the exudate must be checked for
signs of infection. In the event of signs of an infection,
the treating physician must be informed immediately.
Dressing change:
Each time the dressing is changed the wound must be
thoroughly cleansed in accordance with the physician's
instructions and applicable hygiene standards. If the
patient complains of pain while the dressing is being
changed, premedication, the use of a non-adhering
wound contact layer or the administration of a local
anaesthetic should be considered.
The dressing must be changed at regular intervals of
48 hours. In the case of infected wounds, the dressing
should be changed at intervals of 12 to 24 hours. On
removing the foam material, it must be ensured that
all the pieces of foam that have been introduced are
removed.
All manuals and user guides at all-guides.com
Adhesion of the dressing to the wound:
If the wound dressing adheres to the wound, saline
solution can be added to the foam material. After a
contact time of 15 – 30 minutes, the dressing should
then be carefully removed from the wound. In the
case of wounds with a known tendency to adhesion,
the use of a non-adhering wound contact layer should
be considered.
Contraindications
Contraindications are present in patients with malig-
nant tumour wounds, non-enteric and unexamined
fistulas, osteomyelitis or necrotic tissue. VivanoMed
Foam must not be applied directly over exposed
nerves, anastomosis points, blood vessels or organs.
Special precautions
Special precautions are indicated in patients with
acute bleeding, coagulation disorders and patients
being treated with anticoagulants. The 800 ml
container should not be used here. In the event of
sudden or intensified bleeding, the treatment must be
discontinued immediately. In these cases the treating
physician must be informed and appropriate
haemostatic measures taken.
Special precautions under medical supervision are also
indicted in the case of:
Circumferential dressings
Use in the vicinity of the vagus nerve
Patients who are to undergo the following
therapies: MRI, hyperbaric oxygen therapy,
defibrillation
In general terms the weight and general condition of
the patient should be taken into consideration when
carrying out treatment with negative pressure therapy.
Blood vessels and organs must be adequately
protected by means of fascias, tissues or other types
of protective layers placed above them. Special
precautions must be taken in the case of infected,
weakened, irradiated or sutured blood vessels or
organs.
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