6
A meticulous homeostasis should be established prior to the application of Vcare
®
system. The care provider should ensure that no exposed blood vessels, nerves,
areas with fresh vascular anastomosis and internal organs are in direct contact with
the vacuum system.
Ulcerated malignant wounds are contraindicated for treatment by Vcare
®
system
as vacuum treatment may accelerate tumor growth within the wound cavity (with
exception of palliative care to enhance quality of life).
Note: Treatment of long standing unhealed wounds should be evaluated for possible
malignancy (by biopsy of ulcers) prior to RNPT.
Vcare
®
system is contraindicated for treatment of non-enteric unexplored fistulas.
Exploration of a fistula and determinations of its extensions and content should
precede Vcare
®
application.
The use of Vcare
®
system is contraindicated in apparent anaerobic infection.
Vcare
®
system is restricted to small and medium size burns, as treatment of wide
partial-thickness and deep burns may lead to extensive extra-cellular fluid loss and
electrolyte imbalance by the applied suction.
Vcare
®
system may be ineffective or contraindicated in case of:
Necrotic tissue with eschar
Areas where adhesive tape application is limited (dense hairy areas, mucus
membranes, and
joints that
cannot
be fixated.
General Guidelines
Always use the lowest effective negative pressure.
Safety measures regarding the use of Vcare
®
system should always be
considered and implemented.
Conservatively debride necrotic tissue prior to the use of vacuum treatment with
the Vcare
®
system.
Evaluate the need for initiation and cessation of systemic antibiotic treatment in
conjunction with the Vcare
®
system.
Summary of Contents for Vcare a Series
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