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Medical Forum / Diseases and Disorders / Arthritis / November 2005Wound VAC Answer
DH said they used a 'film like saran wrap' on his tummy and put the adherent sealer on that. NO tape whatsoever and then used the 'girdle mesh' to hold that all in place. The mesh was a PITA at night as it would slip down while he was sleeping. Neither of us can remember the name of what the 'saran wrap' was called and we don't have any left in the house. Sorry. Butterfly The saran wrap is called OPSITE. it is flexible and sticks right to the wound and skin. Then helps to keep white cells in the wound area to start healing...good stuff. Plus used on IV sites to keep the needle area clean and in place. It comes in different sized for different things. IS this what you are talking about? Or are you talking about something else for wounds? YOU might want to try KERLIX for coverage instead of mesh, it might stay up better for him. I used to work in would management with patients, this is what we used... IS this what you mean or talking about?? janers Neither of those are what they are using on me. One item is called Tegasorb Thin which is the one we are using and the other alternative that would not allow for a good seal was called DuoDerm. The adhesive on both of them is made for more sensitive skin. The Tagaderm drape dressing is too hard on my skin. I will say that the nurse with the wound vac manufacturer told me that using Purell skin sanitizer was a great adhesive remover and boy was she ever right! I put it on the Tegasorb Thin and it releases the adhesive like magic plus it doesn't leave an oily residue like the other adhesive removers I have. The material my dr uses for IV sites is also called Tagaderm. What is the Kerlix for? This is my first time with the wound vac. I now have it on both legs. DianeW Sorry forgot the Kerlix issue LOL. Kerlix is a soft gauze that sometimes stretches . It is softer and easier to manage than the wrap bandages kling. Both are good but kerlix is much more softer easier to put on and mold to wound and absorbs a little better. Wound like on the foot, or for that matter anywhere, sometimes it is easier to wrap that around on TOP of a dressing like opsite, or tagaderm, NOT tight just enough to catch the seepage the dressing underneath might not hold.. janers >I used to work in would management with patients, this is what we used... Another wound care nurse, wonderful! Although retired I am still doing wound care on my husband's aunt who keeps bumping into furniture and getting horrendous skin tears. I finally managed to stop her going to Emergency and let me use various forms of moist wound care. I was lucky enough to get free samples from the place I purchase medical supplies for my husband, so I have foams and Tegaderm and films, etc. Are you an ET? --- Joan Rn with experience in critical care, IV therapy, wound management, repiratory vents and a few other things. Experience pays. I too used a lot of wet dry dressings and used the tagaderm Diana mentioned. Each case is different end funny thing is each doctor is different in his or her preferences. Most of the time the Nurse over ranked because of experience LOL, in USING the dressing ..... I am also retired after 30 plus years but keep up with liscense, JUST in case. Tis good to keep UP with current trends.. What about you? janers >Rn with experience in critical care, IV therapy, wound management, >repiratory vents and a few other things. Experience pays. [quoted text clipped - 3 lines] >different in his or her preferences. Most of the time the Nurse over >ranked because of experience LOL, in USING the dressing ..... Yes, I find most doctors still use gauze and various *anti-bacterial* ointments. When I started as an ET nurse I first had to convince the nurses with whom I worked, then the doctors. When they saw results..... of course there are always those who, well..... you know. :-) >I am also retired after 30 plus years but keep up with liscense, JUST in >case. >Tis good to keep UP with current trends.. > >What about you? Worked many areas just as you, Recovery Room, taught OBS nursing, worked psych, many years NICU, then took the ET course and did would and ostomy care at a childrens' hospital until retirement and disability nearly five years ago. Still a member of the ET Association so get the information, journal and free samples of new stuff from the company reps. I hope to go to the annual conference next year which is in Ottawa, 60 miles from here. I suppose this is really off topic now, but, heck no, someone DID ask. I never had a chance to work with the VAC but my successor does now and then. I have seen it used on an adult with a huge hip ulcer. Awesome. Hope it works well for those here. --- Joan Thank you for the name. He is completely healed as he had the surgery early this year and was healed by the end of July. I was trying to help Diane with her questions. Butterfly > The saran wrap is called OPSITE. it is flexible and sticks right to the > wound and skin. Then helps to keep white cells in the wound area to start [quoted text clipped - 15 lines] > IS this what you mean or talking about?? > janers I'm glad both of you are here cause I've got another question. Can you get a blood clot from wound vac use? this morning I woke up with an achiness around the ankle in my left leg (first with the wound vac and worst wound) the pain has moved up the side of my leg to behind my knee and along side the knee. My leg is more swollen than the other but not red or hot to the touch but does feel "heavy" I don't have a fever or any other signs of infection. I am on coumadin but haven't had an INR test in about 3 weeks. I'm usually pretty stable with my numbers. I'm a little alarmed that I can feel the pain thru my duragesic pain patch. I'm not sure what to do other than go to the ER which is not something I want to do on a weekend. What do you two think? DianeW >I'm glad both of you are here cause I've got another question. Can you >get a blood clot from wound vac use? this morning I woke up with an [quoted text clipped - 8 lines] >I'm not sure what to do other than go to the ER which is not something >I want to do on a weekend. What do you two think? Diane, I defer to Janers on this one. I have only seen the wound VAC in use, never used it as most of the kids I cared for did not have the type of wound that needed it. I do not know what the pain my be from, could be several causes, but if in doubt please seek a medical opinion. Sounds like something someone needs to see in order to diagnose. Good luck. >DianeW --- Joan |
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