What is NPWT system?
INTRODUCTION. Negative pressure wound therapy (NPWT), also called vacuum-assisted wound closure, refers to wound dressing systems that continuously or intermittently apply subatmospheric pressure to the system, which provides a positive pressure to the surface of a wound.
What kind of dressing do you use on a wound vac?
A wound vacuum system has several parts. A foam or gauze dressing is put directly on the wound. An adhesive film covers and seals the dressing and wound. A drainage tube leads from under the adhesive film and connects to a portable vacuum pump.
Which wounds are most appropriate for NPWT?
Your doctor may recommend NPWT if you have a burn, pressure ulcer, diabetic ulcer, chronic (long-lasting) wound, or injury. This therapy can help your wound heal faster and with fewer infections. NPWT is a good choice for some patients, but not all.
How do you do a vacuum dressing?
This is a clean procedure, rather than an aseptic one. Place shaped foam into wound. Fill wound with enough foam so that when vacuum is applied, the height of the foam is close to the top of the wound margins. Note number of foam pieces placed in wound.
How do you seal a wound vac?
Clean the wound and thoroughly dry the skin around it Place a foam or gauze dressing (bandage) directly on the wound. Cover this dressing with a clear film that seals to the skin around the wound Insert a tube into a small opening in the clear film and connect the other end to a vacuum pump.
How long does a VAC dressing stay on?
Length of Wound Vac Treatment For those who are wondering how long a wound vac needs to stay on, most healthcare professionals recommend changing the dressing every 48 to 72 hours or at least three times a week. If the wound is infected, it may require the dressing to be changed more often.
When do you put white foam on a wound vac?
White foam dressings are far less porous and are commonly used to fill tunnels and shallow undermining areas. White foam is also commonly used in the wound bed where there is exposed bone, tendon or surgical hardware.
When is NPWT contraindicated?
Necrotic tissue with eschar/ dry wounds: If a dry, necrotic eschar is covering the wound, or if there is a large amount of necrotic tissue present, NPWT is not appropriate.
How do I use NPWT?
What are the steps in applying NPWT?
- Pre-medicate the patient for pain as needed and as prescribed.
- Prepare the wound by:
- Cut foam dressing to size and place into the wound.
- Trim clear occlusive dressing to size, peel back one side of Layer 1 and place adhesive side down over wound. (