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10. Press the dressing down firmly around the entire wound to ensure
that the draining is sealed. (see illustration D)
11. Secure the drain tubing to the body using adhesive tape. Rotate
sites for drain to reduce risk of skin breakdown.
12. Before connecting the drain tubing to the suction tubing, slide
the pinch clamp onto the drain tubing. This will allow you to retain
the negative pressure if the patient must be disconnected from
suction.
13. Connect the drain tubing to the suction tubing using the 'Christ-
mas Tree' connector. Connect suction tubing to Medela canister.
14. Set Vario aspirator to constant suction between -60 to -80mmHg
(-8 to -11kPa) or as directed by physician. When suction is
applied, the dressing should contract noticeably. If the dressing does
not contract, the system may not be closed. Inspect the dres-
sing and reseal if necessary. If problem persists, troubleshoot in
accordance with the checklist below. If neccessary, replace
dressing.
15. Dressing changes are recommended every 48 hours unless
otherwise directed by physician. Replace the wound dressing
every 12 hours if the wound is infected (> 105 CFU), until the
bacterial load has been reduced.
16. Routinely check that the vacuum level is set as prescribed and
that the dressing is properly sealed. Check more often as
needed.
Important things to remember:
a
Check dressing periodically for leaks
a
Refer to dressing change instructions
as advised by medical professional
a
Check the patient constantly and examine
the pain status for fever, redness, increased
warmth, swelling or similar complaints,
which may occur with NPWT.
D
Air leak checklist:
a
Seal (loose)
a
Connectors (unfastened)
a
Tubing (kinked)
a
Pump settings (below desired setting)
a
Canister (lid not sealed; cracked)
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