KCI V.A.C Manual De Instrucciones página 6

Vascular Surgical wounds of the Lower Extremities: Regardless of treatment modality, wound
complications from peripheral vascular surgery, especially those situated in the groin, are not
uncommon, and have the potential for severe consequences, including significant blood loss from
vessel rupture.
Groin wound infections can be increasingly difficult to treat because of the multiple comorbidities
of patients undergoing vascular surgery and the wide array of resistant bacterial organisms in
health care institutions. The skin in the groin is a major reservoir of bacteria. Surgical site infections
are common in the groin area. Vascular graft infections are a serious concern and demand close
attention because of the potential for complications.
V.A.C. Therapy can be used as an adjunct to the management of vascular groin infections and
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dehiscence, after surgical exploration, irrigation and debridement and targeted antibiotic therapy.
The patient should be closely monitored for bleeding in a care setting deemed appropriate by the
treating physician.
Please refer to the V.A.C.
Surgical Wounds of the Lower Extremities.
Infected wounds: Infected wounds should be monitored closely and may require more frequent
dressing changes than non-infected wounds, dependent upon factors such as wound conditions
and treatment goals. Refer to dressing application instructions (found in V.A.C.
for details regarding dressing change frequency. As with any wound treatment, clinicians and
patients / caregivers should frequently monitor the patient's wound, periwound tissue and exudate
for signs of infection, worsening infection or other complications. Some signs of infection are
fever, tenderness, redness, swelling, itching, rash, increased warmth in the wound or periwound
area, purulent discharge or strong odor. Infection can be serious, and can lead to complications
such as pain, discomfort, fever, gangrene, toxic shock, septic shock and / or fatal injury. Some
signs or complications of systemic infection are nausea, vomiting, diarrhea, headache, dizziness,
fainting, sore throat with swelling of the mucus membranes, disorientation, high fever, refractory
and / or orthostatic hypotension or erythroderma (a sunburn-like rash). If there are any signs
of the onset of systemic infection or advancing infection at the wound site, contact the
treating physician immediately to determine if V.A.C.
For wound infections relating to blood vessels, please also refer to the section titled Infected
Blood Vessels.
Infected wounds with V.A.C. Granufoam Silver
V.A.C. GranuFoam Silver
infection treatment regimens. V.A.C. GranuFoam Silver
to bacterial penetration.
osteomyelitis: V.A.C.
osteomyelitis. Consideration should be given to thorough debridement of all necrotic, non-viable
tissue, including infected bone (if necessary) and appropriate antibiotic therapy. Protect intact
bone with a single layer of non-adherent material.
Therapy Clinical Guidelines for more information on managing Vascular
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Dressing is not intended to replace the use of systemic therapy or other
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Therapy should NOT be initiated on a wound with untreated
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Therapy should be discontinued.
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dressing: In the event of clinical infection,
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Dressing may be used to provide a barrier
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® Dressing cartons)