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Small wounds with T.R.A.C. Pad ® : For wounds that are smaller in dimension than the<br />
T.R.A.C. Pad ® , a special dressing application is required to carefully protect the periwound tissue.<br />
1. Prepare the wound per physician orders.<br />
2. Cut the foam to fit into the wound cavity<br />
V.A.C. ® foam<br />
drape<br />
3. Cut the drape to fit over the wound cavity as well as 4 - 5<br />
inches around the wound.<br />
4. Cut a 2 cm hole in the center of the drape prior to placement<br />
over the foam. Apply the drape with the hole directly over the<br />
foam.<br />
V.A.C. ® foam<br />
5. Cut another piece of foam large enough to extend 1 - 2 cm<br />
beyond the T.R.A.C. Pad ® and lay directly over the hole in the<br />
drape.<br />
Larger piece of<br />
V.A.C. ® foam<br />
6. Apply the T.R.A.C. Pad ® to the larger piece of foam. Initiate<br />
therapy.<br />
T.R.A.C. Pad ®<br />
Optimizing Wound Approximation<br />
Acute or traumatic pathologies such as compartment syndromes often require tissue decompression<br />
through a fasciotomy procedure, which may ultimately allow for tertiary or delayed<br />
primary closure. Initial dressing applications should include gently placing the foam into the<br />
wound and utilizing higher pressure settings to encourage removal of excessive debris.<br />
Subsequent dressing applications should include cutting the foam 1 - 2 cm smaller to<br />
encourage wound contraction allowing controlled re-approximation of the wound edges.<br />
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