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KCI Operating Procedures - Vanderbilt University

Therapy Clinical GuidelinesRA Reference Source for CliniciansJanuary 2005 IndexPatient Selection Criteria ..4 Indications ..4 Contraindications ..4 Precautions ..4 Care and Safety Tips ..4 Optimizing Therapy ..5 Wound Healing Progression with Effective Therapy.. Therapy Unit and Dressing Application Recommended Guidelines ..7 Choosing the Foam ..7 Recommended Guidelines for Foam Use ..7 Applying the Dressings ..8 Applying the Therapy Unit ..9 Dressing Removal ..10 Canister and Y-Connector Change ..10 Follow-up on Dressing Integrity ..11 Disconnecting from Unit ..11 General Dressing Tips ..12 Maintaining a Seal ..12 Circumferential Drape Application ..12 Treating Multiple Wounds ..12 Y Connecting ..12 Bridging ..13 Fecal Incontinence ..13 Tunneling ..13 Wound Undermining ..14 Dressing Small Wounds.

• Keep therapy on:Never leave subatmospheric pressure off for more than 2 hours per 24 hour period. Remove V.A.C.® dressing if subatmospheric pressure is terminated or is off for more than 2 hours in a 24 hour period. • Dressing changes:Perform aggressive wound cleaning per physician order prior to dressing application.

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