Wound Vac Foam For Tunneling

A great way to use black foam safely in undermined areas or long wound tunnels is to roll it in a single layer of gauze or wound non contact material. Wound bed characteristics color granulation non viable tissue tunneling etc surrounding skin condition drainage type and amount odor or none wound measurements and photo weekly foam type applied and of pieces basic procedure notes wound irrigated md saw wound pt. Response to pain meds etc.

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Pad will be placed.

Wound vac foam for tunneling.

Then they top it w another piece of foam drape it and add another piece on top. If white foam is used for undermining tunneling intertwine with black foam for easy removal and sponge to sponge contact to maintain thorough suction. Is that correct procceedure. Tunneling is not a contraindication for npwt.

I followed a wound vac dressing change behind a nurse at a wound care clinic that packed 6 inches of foam into a 1 2 inch tunnel. For the small wound they loosely put a strip of cut foam and curl it like a piggy tail and make sure it touches the strip of foam under the skin bridge to make sure everything is holding hands. 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. The wound including any tunnels should be dressed packed according to best practice not too tightly or loosely.

Cut the foam to the wound dimensions apply to the wound and drape as usual. Then cut a 2 cm hole in the drape over the foam apply another piece of foam l 2 cm beyond the dimensions of. This means the pressure over the wound is. If a bridge is indicated place one end of the v a c granufoamover wound site and position the other end of the bridge where the t r a c.

The patient said the packing was very painful. During a vac procedure a healthcare professional applies a foam bandage over an open wound and a vacuum pump creates negative pressure around the wound. Place shaped foam into wound. This is critical if foam is inserted into cavities.

While black foam might be preferable the risk of breakage is real. Susan reid from tycon express demonstrates how to dress a wound with tunneling for negative pressure wound therapy. Note number of foam pieces placed in wound. This technique gives insurance that all of the black foam will be removed while minimally impacting its ability to move moisture.

Foam may be used but should be avoided in very narrow tunnels. In fact this therapy has been used successfully on wounds with extensive tunneling.

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