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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 />

15

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