Name of the Procedure:

Wound Suction, Disposable (A9272)
Common Name(s): Disposable Wound Suction
Technical/Medical Term: Negative Pressure Wound Therapy (NPWT), Suction-Assisted Wound Closure

Summary

Wound suction therapy involves the use of a disposable device to create a vacuum that helps in the healing of wounds. This device includes the dressing, all accessories, and components.

Purpose

The aim of this procedure is to promote wound healing by removing exudate (fluid) and debris, reducing swelling, and improving blood flow to the affected area. It is used for chronic wounds, including pressure ulcers, diabetic ulcers, and surgical wounds.

Indications

• Chronic wounds that do not heal with standard wound care
• Pressure ulcers
• Diabetic foot ulcers
• Surgical wounds
• Traumatic wounds

Preparation

• No special preparation is generally required.
• The healthcare provider will assess the wound.
• Any necessary diagnostic tests (e.g., blood tests, wound culture) may be performed to evaluate the condition of the wound.

Procedure Description

1. Initial Assessment: The healthcare provider assesses the wound and cleans it.
2. Dressing Application: The disposable dressing is placed over the wound.
3. Attachment: The vacuum-assisted device is attached to the dressing.
4. Activation: The device is turned on, creating negative pressure (suction) around the wound.
5. Monitoring: The wound and device are regularly monitored by healthcare professionals to ensure proper function and healing.

• Tools/Equipment: Disposable wound suction device, dressings, and a small portable vacuum pump.
• Anesthesia: Generally not needed unless the wound cleaning process requires it.

Duration

The application of the device typically takes around 30 minutes. The duration of therapy varies based on the wound's severity and response, ranging from several days to weeks.

Setting

This procedure is usually performed in an outpatient clinic, a hospital, or at home under supervision.

Personnel

• Wound Care Specialist
• Nurses
• Physician (if required for initial assessment and prescription)

Risks and Complications

• Skin irritation or breakdown around the wound site
• Infection if the dressing is not changed appropriately
• Discomfort from the vacuum pressure
• Rarely, allergic reaction to the dressing materials

Benefits

• Accelerated wound healing
• Reduced risk of infection
• Decreased wound size
• Less frequent dressing changes

Recovery

• Follow-up appointments may be scheduled to monitor wound healing progress.
• Patients are advised to keep the device running as prescribed.
• Patients should avoid getting the dressing wet and follow specific care instructions given by their healthcare provider.
• Full recovery and wound healing time vary, depending on the initial wound severity and patient health status.

Alternatives

• Standard wound care (regular cleaning and dressing changes)
• Hyperbaric oxygen therapy
• Surgical debridement
• Use of growth factors or biological dressings
• Each alternative has its pros and cons which should be discussed with the healthcare provider.

Patient Experience

• Initial discomfort when the dressing and device are applied.
• Continuous mild pressure from the vacuum, which most patients get used to.
• Pain can be managed with over-the-counter pain medication if needed.
• Overall, patients should experience significant improvements in wound healing and relief from chronic wound symptoms over time.