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Vivano®Med – opatrunek z pianki poliuretanowej do stosowania z podciśnieniową terapią leczenia ran Vivano

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Vivano®Med to skuteczny i niewywołujący podrażnień opatrunek z pianki poliuretanowej (PU), który jest przeznaczony do stosowania w terapii podciśnieniowej. Stosuje się go na uszkodzoną tkankę w celu wspomagania leczenia rany przez ziarninowanie, m.in. w przypadku ran przewlekłych, czy też ostrych.

Mikroporowate, hipoalergiczne opatrunki Vivano®Med Foam są niezwykle elastyczne, co pozwala dopasować je do nieregularnych kształtów rany.

Ze względu na otwartą, porowatą strukturę opatrunku ciśnienie może być dostarczone równomiernie na całej powierzchni rany, umożliwiając efektywną terapię.

Jak działa opatrunek Vivano®Med?

Opatrunek piankowy do terapii podciśnieniowej jest przeznaczony do przekazywania podciśnienia do łożyska rany oraz usuwania wydzielin z rany.

Na jakie rany można stosować opatrunek Vivano®Med?

System Vivano®Med Foam jest stosowany na uszkodzoną tkankę w celu wspomagania leczenia rany przez ziarninowanie. Opatrunek piankowy Vivano®Med Foam może być stosowany na nienaruszoną skórę oraz rany gojące się przez rychłozrost, jeśli do rany zostanie przyłożona odpowiednia warstwa kontaktowa uniemożliwiająca bezpośredni kontakt ze znajdującą się poniżej strukturą.

Leczenie za pomocą opatrunku piankowego Vivano®Med Foam w połączeniu z systemem Vivano® jest wskazane w następujących typach ran:

  • rany przewlekłe,
  • rany ostre,
  • rany pourazowe,
  • rany, które się rozeszły,
  • rany zakażone,
  • owrzodzenia (np. owrzodzenia odleżynowe lub cukrzycowe),
  • przeszczepy,
  • oparzenia pośredniej grubości skóry,
  • rany pooperacyjne (wyłącznie z odpowiednią warstwą kontaktową, np. silikonową siatką Atrauman® Silicone).

Przeciwwskazania w stosowaniu

Przeciwwskazania do stosowania systemu Vivano®:

  • rany spowodowane nowotworami złośliwymi,
  • przetoki inne niż jelitowe/niezbadane,
  • nieleczone zapalenie szpiku,
  • tkanka martwicza.

Czy opatrunek można przycinać?

Opatrunki Vivano®Med Foam są dostępne w różnych rozmiarach i mogą być docięte zarówno na szerokość, jak i na grubość w zależności od kształtu rany.

Jak założyć opatrunek?

1. Przed pierwszym założeniem opatrunku i po każdej jego zmianie rana musi zostać dokładnie oczyszczona i przygotowana zgodnie z zaleceniami lekarza.

 

 

 

2. Korzystając z jałowych nożyczek lub skalpela, należy przyciąć opatrunek piankowy Vivano®Med Foam, aby dopasować go do wielkości i kształtu rany.

3. Umieścić opatrunek piankowy w ranie.

 

 

 

 

4. W celu szczelnego pokrycia rany wypełnionej opatrunkiem piankowym Vivano®Med Foam opatrunek z folii Hydrofilm® powinien pokrywać około 5 cm zdrowej skóry wokół rany. W razie konieczności opatrunek z folii można przyciąć do odpowiedniego kształtu.

5. Nałożyć i uformować opatrunek z folii zgodnie z wydrukowanymi wskazówkami, aby uzyskać szczelne pokrycie.

6. Na środku opatrunku z folii wybrać miejsce, na którym zostanie umieszczony Vivano®Tec Port i wyciąć tam otwór o wymiarach ok. 2 × 4 cm. Należy przy tym uważać, aby nie przedziurawić opatrunku piankowego.

7. Umieścić Vivano®Tec Port w taki sposób, aby jego środek znajdował się dokładnie nad otworem wyciętym w opatrunku
z folii.

 

8. Połączyć dren odprowadzający z drenem zbiornika systemu Vivano® i rozpocząć terapię.

Jak często należy zmieniać opatrunek?

Opatrunek należy zmieniać regularnie, zwykle w odstępach co 48 do 72 godzin. W przypadku ran zakażonych opatrunek musi być zmieniany co 12 do 24 godzin (lub częściej, jeżeli to konieczne).

Skuteczność opatrunku Vivano®Med – case study

 

Zastosowanie systemu Vivano® w leczeniu pooperacyjnej rany stopy powikłanej stanem zapalnym kości i szpiku kości piętowej u pacjenta z cukrzycą typu 2.
Opis przypadku:
Pacjent w wieku 73 lat cierpiący na cukrzycę typu 2 został w trybie pilnym przyjęty do szpitala z powodu głębokiej ropowicy na podeszwie prawej stopy. Owrzodzenie to było pochodzenia neuroniedokrwiennego. Badania naczyniowe potwierdziły okluzję naczyń tętniczych kończyny dolnej i makroangiopatię cukrzycową.

Rana wykazywała słabe ziarninowanie, część jej brzegów miała charakter martwiczy wraz z oznakami zapalenia kości i szpiku kości piętowej.

Cel leczenia: zachowanie prawej stopy i jej funkcjonalności. Przeprowadzony został zabieg endowaskularny (angioplastyka balonikowa z rewaskularyzacją tylnej tętnicy piszczelowej i przywróceniem łuku podeszwowego poprzez boczną tętnicę podeszwową). Pacjent otrzymywał leki przeciwzakrzepowe i antybiotyki. W 12 dniu hospitalizacji wykonano hydro-chirurgiczną nekrektomię rany.

Po zabiegu zastosowano podciśnieniowe leczenie rany z użyciem systemu Vivano®Tec w trybie ciągłym, przy podciśnieniu ustawionym na 120-125 mmHg.

Opatrunek był zmieniany co 48 godzin (4-krotnie), a następnie co 72 godziny (6-krotnie). Objętość drenowanego wysięku wynosiła średnio 60 ml/dobę. Pozytywny proces gojenia uwidocznił się już na trzeci dzień stosowania NPWT. Rana była całkowicie przygotowana do zamknięcia po 38 dniach od pierwotnej nekrektomii.

Ze względu na współistniejące zapalenie kości i szpiku wykonano resekcję kości piętowej, a następnie przeszczep skóry na wszystkich, spowodowanych raną ubytkach stopy.

Przebieg okresu pooperacyjnego nie wykazał żadnych powikłań i po 14 dniach od plastycznego zamknięcia rany pacjent został wypisany.

Wnioski z leczenia:

Pacjent spędził w szpitalu 64 dni. Niniejszy przypadek kliniczny podkreśla pomyślne i efektywne leczenie złożonej rany za pomocą systemu Vivano®. Zastosowanie leczenia podciśnieniowego we wczesnych etapach po nekrektomii stworzyło warunki wymagane dla optymalnego leczenia i regeneracji rany, korzystne w jej przygotowaniu do zamknięcia i późniejszej rehabilitacji pacjenta.

Jakie rodzaje opatrunku Vivano®Med są dostępne i ile kosztują?

Zestawy opatrunkowe Vivano®Med dostępne są w różnych rozmiarach.

Vivano®Med Mały zestaw opatrunkowy S

Zawartość zestawu:

1x opatrunek piankowy Vivano®Med Foam S
10 x 7,5 x 3,3 cm (D x S x W),
1x Vivano®Tec Port,
3x Hydrofilm® 15 x 20 cm.

Vivano®Med Średni zestaw opatrunkowy M

Zawartość zestawu:

1x opatrunek piankowy Vivano®Med Foam M
18 x 12,5 x 3,3 cm (D x S x W),
1x Vivano®Tec Port,
2x Hydrofilm® 20 x 30 cm.

Vivano®Med Duży zestaw opatrunkowy L

Zawartość zestawu:

1x opatrunek piankowy Vivano®Med Foam L
25 x 15 x 3,3 cm (D x S x W),
1x Vivano®Tec Port,
3x Hydrofilm® 20 x 30 cm.

Vivano®Med Zestaw opatrunkowy XL

Zawartość zestawu:

2x opatrunek piankowy Vivano®Med Foam XL
30 x 30 x 1,5 cm (D x S x W),
1x Vivano®Tec Port,
6x Hydrofilm® 20 x 30 cm.

Vivano®Med Zestaw opatrunkowy okrągły

Zawartość zestawu:

2x opatrunek piankowy Vivano®Med Foam okrągły,
12,5 x 1,65 cm (Ś x W)
1x Vivano®Tec Port
2x Hydrofilm® 20 x 30 cm.

Vivano®Med Zestaw opatrunkowy na płytkie rany

Zawartość zestawu:

1x opatrunek piankowy Vivano®Med Foam,
26 x 15 x 1,6 cm (D x S x W)
1x Vivano®Tec Port
2x Hydrofilm® 20 x 30 cm.

Vivano®Med Abdominal Kit Brzuszny zestaw opatrunkowy

Zawartość zestawu:

1x Vivano®Med Abdominal Organ Protection Layer
(folia ochronna do zabezpieczenia narządów)
o średnicy 65 cm
2x opatrunek piankowy VivanoMed Foam
38 x 25 x 1,6 cm (D x S x W)
1x Vivano®Tec Port
6x Hydrofilm® 20 x 30 cm.

Czy na opatrunki przysługuje refundacja?

 Na zestawy opatrunkowe Vivano®Med nie przysługuje refundacja.

Aktualny cennik dostępny na stronie sklepu internetowego: hartmann24.pl

Gdzie kupić opatrunek Vivano®Med?

 Zestawy opatrunkowe można kupić poprzez sklep internetowy: hartmann24.pl

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