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3 Cards in this Set
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Negative pressure wound therapy |
Technique for preventing hematoma formation or serum collection post op as an alternative to post op skin grafting with bolstered dressings Termed vacuum-assisted closure (VAC) Uses negative pressure to eliminate fluid collections to increase oxygen tension and to decrease contamination Postulated to increase perfusion, nutrientbdelivery and rate of granulation and decrease bacterial levels in the wound tissue |
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VAC dressing |
Insertion of a sterile sponge in the wpund bed connected to the negative pressure device Pump settings are adjusted based on specific wound characteristics Acute wouds- 125 mm Hg with 5 minute on 2 minute off cycle Mesh, skin grafts - 50 to 75mm HG non adhesive layer is placed between the graft and sponge, with VAC treatment commencing after 5 days |
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What are the reported complications with VAC |
Pressure from evaculation tubing Maceration of skin caused by occlusive dressing Growth of granulation tissue into the foam dressing Pain |
