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In the presence of persistent infection or deterioration, or in wounds exhibiting no clinical progress towards healing (i.e. odour continues or becomes apparent), perform a thorough patient and wound reassessment (including microbiological investigations), discontinue VAC therapy and change treatment.
Fill wound with enough foam so that when vacuum is applied, the height of the foam is close to the top of the wound margins. Note number of foam pieces placed in wound. This is critical if foam is inserted into cavities. Cut and apply transparent drape material to cover the foam and wound.
A small amount of drainage is expected in the cannister. If the cannister fills in 1‐2 days, notify your physician. If there is no drainage from the wound, and the Wound V.A.C is turned on the dressing is compressed. The Wound V.A.C. is working to pull the wound edges together and increase the rate of healing.
You cannot bathe or swim with a wound VAC dressing. If the dressing is underwater for long, it may loosen, or the wound may get infected. You can, however, disconnect the pump long enough to shower. If an alarm sounds on the pump, there may be a leak in the dressing.
Average period of the application of vacuum-assisted wound closure was 11.6 days (715 days). Results of vacuum-assisted wound closure can be regarded as satisfactory when cases are selected properly. This system has three different effect mechanisms. Firstly, it increases local blood flow on the wound bed.
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4:19 5:37 3M V.A.C. Dressing Basic Application using 3M - YouTube YouTube Start of suggested clip End of suggested clip You do not need to cut into the foam. Apply the pad which has a central disc and a surrounding outerMoreYou do not need to cut into the foam. Apply the pad which has a central disc and a surrounding outer adhesive skirt remove both backing layers 1 and 2 to expose the adhesive. Place pad opening in
A foam or gauze dressing is put directly on the wound. An adhesive film covers and seals the dressing and wound. A drainage tube leads from under the adhesive film and connects to a portable vacuum pump. This pump removes air pressure over the wound.
The pressure setting can be kept low (5075 mmHg) particularly for painful chronic wounds. Higher pressures (150 mmHg plus) are used for large cavity and exhudative wounds.

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