Medical Vcare a Series, Руководство пользователя

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11
Intended use
– type of
wound Pressure
range
(mmHg)
Operation
mode
frequency
range (on/off
min) Rate of Dressing
change (every- x days)
Remarks*
Trauma
Acute
infection
04-024
2-2- 3/1
0-3
Stop active bleeding before starting vacuum
treatment. Watch for active bleeding. Do not
apply on blood vessels or internal organs.
Apply lowest pressure possible in range.
Increase pressure and frequency of dressing
change for treatment of infected traumatic
wounds. Apply non-adhesive antimicrobial
dressing to the wound below the sponge.
Intermittent mode is preferable.
Chronic
04-04 2-510-2
2-4
Chronic Wounds- Decubitus ulcers
Acute
infection
04-024
2-2- 3/1 1-3
Conservatively debride necrotic tissue prior to
application of Vcare

®
system. Start
treatment with greater vacuum in intermittent
mode when wounds are heavily infected.
Reduce pressure as the wound becomes
cleaner. Consider combined systemic
antibiotic treatment.
Chronic
04-04 2-510-2
2-4
Peripheral Vascular disease- Diabetic Foot
Acute
infection
60
–120
(intermittent
use only!)
2-310-2
1-2
Correlate vacuum treatment with measured
Ankle-brachial pressure ratio. Use lowest
pressure possible in range. Extremely greater
negative pressure (140
–100 mmHg) may be
applied for a few days for treating heavily
infected wounds, applying a 2/1 ratio of
intermittent mode and frequent dressing
changes. Reduce pressure as soon as the
wound becomes cleaner. Evaluate distal
perfusion.
Chronic 60
–80 2-510-2
5-2
Burns
Acute 60
–80
3
–5/1–2
1-3
Limit application to small to medium sized
deep burns. Restrict surface area to be
treated according to the amount of fluid
discharge from the wound. Stop treatment If
excessive fluid is drained. Watch for acute
bleeding. Determine and correct electrolyte
imbalance, evaluate need for replacement
therapy and systemic antibiotic treatment.
Conservatively debride eschar.
Sub acute 60-120 3
–5/1–2
1-3
Infected burn 60-140 2-5/1-2 1-2
Skin Graft
Skin Graft 50
–80
Continuous
for 3
–4 days
followed by
intermittent
mode 6
–4/1–2
4-7
Stop active bleeding before starting treatment.
Use lowest pressure possible in range. Apply
non- adherent, antimicrobial dressing (spacer)
to cover the skin graft below sponge. Mesh
skin graft