Tips to Reduce Discomfort at V.A.C. Dressing Changes

Chest Wall Defect With an Extensively Encroached Heart and Severely Impaired Cardiac Function

Abstract: A chest wall defect that penetrates deep into the heart is rare, but life threatening. Reconstructing a defect such as this presents challenges regarding timing and surgical approach. The patient in the present case had a chest wall defect with an extensively encroached heart and severely impaired cardiac function as a result of radiation injury af […]

Use of Equine Derived Pericardium as a Biological Cover To Promote Closure of a Wound With Associated Scleroderma and Raynaud’s

Abstract: A 39-year-old man with previously undiagnosed scleroderma was admitted to the UCSD Medical Center with bilateral, limb-threatening necrotic lower extremity ulcers extending to underlying fascia and muscle. Rather than amputate the extremities, the patient requested alternative treatment and underwent extensive tissue debridement followed by placeme […]

Daptomycin for the Treatment of Osteomyelitis Associated With a Diabetic Foot Ulcer

Abstract: This report describes a case of Staphylococcus aureus osteomyelitis associated with a chronic foot ulcer that was successfully treated with surgical debridement and 6 weeks of daptomycin therapy. Daptomycin was chosen because of its excellent activity against the causative organism and the patient’s history of penicillin allergy. Its tolerability a […]

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Does Patient Age Influence First Ray Procedure Selection?

These authors offer a closer look at hallux abducto valgus and the impact of age on treatment decisions in adolescents and elderly patients. read more

Performing A Tibio-Talo Calcaneal Fusion After Two Post-ORIF Nonunions

This author discusses using a tibio-talo calcaneal fusion with an intramedullary rod in a distal tibia-fibula fracture in a patient who had sustained two nonunions following open reduction internal fixation. read more

Current And Emerging Insights On Hammertoe Correction

Given the risks and patient concerns associated with K-wire fixation, these authors discuss the use of emerging hammertoe implants, absorbable pins and cannulated screws, and share a couple of illuminating case studies. read more

A Guide To Compression Dressings For Venous Ulcers

Given the relatively common incidence of venous insufficiency and the high likelihood of recurrence with venous leg ulcers, these authors offer a thorough review of the literature and share their insights on compression modalities ranging from inelastic (short stretch) bandages to intermittent pneumatic compression therapy. read more

Alternatives In Fixation For Osteoporotic Bone

Given the decreased bone mineral density and poorer bone healing potential in people with osteoporosis, achieving adequate fixation can be challenging for osteotomies or arthrodesis procedures in this patient population. Accordingly, these authors review the literature and assess a range of fixation options including traditional plate fixation, cannulated sc […]

Recognizing And Treating Lower Extremity Gout

Given the increased prevalence of gout and how gout affects the lower extremity, the author discusses current concepts in diagnosis and treatment, and provides an illuminating case study. read more

Understanding The Biomechanical Effects Of The Evans Calcaneal Osteotomy

Reviewing the evolution of the Evans calcaneal osteotomy, this author discusses the impact on biomechanics, shares insights from the literature on osteotomy placement and bone graft size, and offers pearls on minimizing the risk of common complications. read more

Clarifying The Scope Of Practice In Texas

As the President of the Texas Podiatric Medical Association (TPMA), I want to respond to your December 2011 cover story, “Scope of Practice Update: Where Things Stand,” as it relates to Texas. I hope to clarify some misinformation and inaccurate facts that could have a negative effect on Texas if left unchallenged. read more

February 2012

The American Medical Association (AMA) is opposing the Conditions of Participation of the Centers for Medicare and Medicaid (CMS) that would allow podiatrists to hold leadership positions at hospitals. read more

Tips to Reduce Discomfort at V.A.C. Dressing Changes

October 1, 2008 — Matthew Livingston R.N. C.W.S.

A. Instill 1% lidocaine into the tubing and foam 30 minutes prior to removing

the foam from the wound bed.

B. give pain medication orally or parenterally minutes prior to removal of the

dressing.

C. Use adhesive remover to lift the drape to reduce tape burn.

D. Consider lining the upward edges with Mepitel (MoInlycke Health Care)

Posted in NPWT - VAC Education. Tags: NPWT Pain, pain with VAC dressing changes, Reduce VAC Pain, VAC Pain. Leave a Comment »

Disclaimer

Care has been taken by the authors of this blog to confirm the accuracy of the information presented in describing generally accepted practices. None of the authors give any guarantee or warranty as to the accuracy of the information nor accept any liability, with respect to loss, damage, injury or expense arising from any errors, omission, currency, or completeness of this blog publication . These blog publications are not binding and their use should be flexible to accommodate patient needs. Application of this information in a particular situation remains the professional responsibility of the practitioner. The reader, moreover, is urged to check the package insert for each drug and dressing for any change in indications and dosages and for added warnings and precautions.

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Tips to Reduce Discomfort at V.A.C. Dressing Changes

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Tips to Reduce Discomfort at V.A.C. Dressing Changes

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