Berlin Heart EXCOR Pediatric VAD, Manual, Page: 146 / 250

Chapter 11 Wound care and treatment
Material required (with biventricular
access)
:
• Sterile dressing tray
• Disinfectant i.e. 2% chlorhexidine
solution
• Clean gloves
• Mask
• Sterile gloves and towel
• Metalline
®
drain compress
• 2X2 gauze, 4X4 gauze
• Adhesive dressing (i.e. Mepore
®
)
• Adhesive remover
• Non sting barrier film sticks
• Abdominal pads
• Tape
• Tubular bandage (i.e. Burnnet )
Fig. 11-1 Materials for dressing change
How often to change the dressing
If the wound is dry and not infected:
• POD 1- once a day
• POD 11-28 every second day, if the wound is dry and not infected
• POD>28 twice a week, if the wound is dry and not infected
If the wound shows signs of infection: clean wound and change dressing twice a day
11.1 Removing the old dressings
INSTRUCTION
1. Unpack all the material required to dress the wound and place this within
reach on a sterile sheet.
2. Put on disposable gloves, remove old dressings.
3. Take off the disposable gloves, put on the sterile gloves.
4. Remove old dressing using no-touch technique.
5. Examine the places where the cannulae pass through the skin and if changes
are apparent take appropriate measures if necessary.
6. Use adhesive remover to remove any adhesive dressing.
IMPORTANT: adhesive remover (depending on contents) might damage can­
nula and the pump, use only on skin.
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