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GCC Nursing Guide — Negative Pressure Wound Therapy (NPWT/VAC)
Wound Care GCC Context DHA / DOH / SCFHS / QCHP Updated Apr 2026
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What is NPWT?

Negative Pressure Wound Therapy (NPWT) — also known as Vacuum-Assisted Closure (VAC) — applies sub-atmospheric pressure to a wound bed via a sealed foam dressing connected to a vacuum device. The continuous or intermittent negative pressure removes excess exudate, promotes granulation tissue formation, reduces oedema, and accelerates wound healing.

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Core Principle: By applying pressure below atmospheric (typically 80–125 mmHg below ambient), the wound environment is optimised for cellular repair — removing barriers to healing while mechanically stimulating tissue growth.

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Mechanisms of Action

Macrodeformation

The foam collapses under negative pressure, drawing wound edges together. This mechanical contraction reduces the wound surface area and promotes approximation of wound margins — particularly useful in large open wounds.

Microdeformation

At a cellular level, mechanical stress is transmitted to individual cells via the foam-tissue interface. This cell stretching (mechanotransduction) triggers proliferation, migration, and angiogenesis — stimulating fibroblast and endothelial activity.

Fluid Removal

Excess exudate, inflammatory mediators, and proteases are continuously evacuated from the wound bed into the canister. This reduces wound oedema, lowers interstitial pressure, and improves local perfusion and oxygen delivery.

Bacterial Load Reduction & Angiogenesis

Regular exudate removal reduces bacterial colonisation. Negative pressure promotes neovascularisation and angiogenesis by triggering vascular endothelial growth factor (VEGF) release. Blood vessel density in granulating tissue increases measurably.

Indications for NPWT

Chronic Wounds
Diabetic foot ulcers Pressure injuries Grade 3–4 Venous leg ulcers (selected) Arterial ulcers (post-revascularisation)
Acute Wounds
Dehisced surgical wounds Fasciotomy wounds Open abdomen (laparostomy) Skin graft bolster Traumatic wounds Sternal wound dehiscence
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In GCC, diabetic foot wounds are the primary NPWT indication — high prevalence of Type 2 DM across Gulf states drives demand for wound care services.

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Contraindications

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Absolute Contraindications — DO NOT apply NPWT:

  • Active bleeding / uncontrolled haemorrhage
  • Necrotic tissue with dry eschar — must debride first
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Relative Contraindications — use with caution / senior review:

  • Untreated osteomyelitis (treat bone infection first)
  • Malignancy in or near wound bed
  • Unexplored fistulae (risk of enteric leakage)
  • Exposed blood vessels or organs without a protective layer
  • Dry eschar without adequate debridement
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Available NPWT Systems

V.A.C. (KCI / 3M)
Features
  • Industry-leading conventional NPWT system
  • Canister-based exudate collection
  • Continuous and intermittent modes
  • Wide pressure range, multiple foam types
  • V.A.C. Ulta: instillation + NPWT combined
Renasys (Smith+Nephew)
Features
  • Compatible with gauze-based filler option
  • Soft-port dressing design
  • Canister and non-canister versions
  • Portable device suitable for ward use
  • AutoTrack pressure sensing
PICO (Smith+Nephew)
Single-Use cINPT
  • No canister — exudate absorbed by dressing
  • Closed Incision Negative Pressure Therapy (cINPT)
  • Used over sutured/stapled surgical incisions
  • Silent, lightweight, patient-friendly
  • Not suitable for high-exudate wounds
PICO (cINPT) Use Cases

Closed incision management — post-operative high-risk incisions (obese patients, high tension wounds, orthopaedic incisions). Reduces surgical site infection and dehiscence risk. Pressure typically 80 mmHg, run for 7 days post-operatively.

Conventional NPWT Use Cases

Open wounds with significant exudate requiring active collection. Granulating wound beds requiring foam contact and mechanical stimulation. Canister fill monitored and changed at 75–80% capacity to prevent backflow.

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Wound Bed Preparation Before NPWT

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NPWT does not replace wound bed preparation. The wound must be adequately debrided, irrigated, and infection controlled before NPWT application — negative pressure over sloughy, necrotic, or untreated infected tissue will not produce effective healing.

Clean

Irrigate with sterile saline or suitable wound irrigation solution. Remove surface debris and loose material. Avoid cytotoxic antiseptics (povidone-iodine, hydrogen peroxide) directly in granulating wounds.

Debride

Remove necrotic tissue and slough using surgical, autolytic, or enzymatic debridement as appropriate. Dry eschar must be debrided before NPWT — eschar prevents foam contact and suction effect.

Assess

Measure wound dimensions (length × width × depth in cm). Note undermining or tunnelling. Photograph wound. Identify exposed structures (tendons, vessels, bone) requiring protective interface before foam placement.

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Foam Selection

Black Polyurethane (PU) Foam
Best For
Granulating wounds Deep wounds High exudate wounds General NPWT use
Properties
  • Larger pore size (400–600 microns) — greater macrodeformation
  • More aggressive tissue stimulation
  • Higher fluid transfer rate
  • Standard first-line foam for most wounds
  • Risk of tissue ingrowth if left too long
White Polyvinyl Alcohol (PVA) Foam
Best For
Tunnelling wounds Wounds near vessels/tendons Fragile granulation tissue Painful wounds
Properties
  • Smaller pore size — gentler microdeformation
  • Less tissue ingrowth — easier, less painful removal
  • Requires saline premoistening before use
  • Preferred near exposed vessels, tendons, or bone
  • Use as interface layer over skin grafts
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Step-by-Step Application Technique

  1. Prepare the patient: Position comfortably, explain procedure. Pre-medicate for pain 30 minutes before if expected to be uncomfortable. Gather all equipment (foam, drape, TRAC pad, tubing, device).
  2. Wound assessment & cleaning: Irrigate wound with saline. Dry periwound skin thoroughly — moisture under drape causes leaks. Apply skin barrier film (Cavilon) to periwound skin at least 2–3 cm from wound edge.
  3. Measure and cut foam: Measure wound dimensions. Cut black or white foam to fit the wound shape exactly — foam should fill the wound cavity without overlapping onto intact periwound skin. Document foam piece count.
  4. Place foam into wound: Gently pack foam into wound cavity. For tunnelling: use white foam, count pieces in and out. For cavities: ensure no dead space. Do NOT allow foam to contact intact surrounding skin.
  5. Apply drape (airtight seal): Cover foam and extend drape 3–5 cm beyond wound edges onto intact skin. Smooth carefully to eliminate wrinkles — creases cause leaks. The drape must be completely airtight.
  6. Cut hole and apply TRAC pad: Cut a 2 cm hole in the drape surface over the centre of the foam. Apply the TRAC pad (suction port) over the hole, pressing firmly to ensure adhesion. Connect tubing to TRAC pad.
  7. Connect to device and set pressure: Connect tubing to canister, insert canister into device. Set prescribed pressure (see pressure settings). Start therapy — wound edges should visibly contract within 30–60 seconds when suction initiates.
  8. Document: Record wound dimensions, foam type and number of pieces used, pressure setting (mmHg), mode (continuous/intermittent), time started, next dressing change date, expected outcomes.

Pressure Settings

Standard wounds (most)125 mmHg continuous
Skin grafts / flaps75–80 mmHg continuous
Fragile / painful wounds80 mmHg — consider intermittent
Open abdomen50–75 mmHg with protective layer
General range80–125 mmHg
Mode Selection
Continuous

Constant negative pressure. Standard mode for most wounds. Better exudate removal. Preferred initially.

Intermittent / Cyclical

On/off cycles. May enhance angiogenesis. Consider for painful wounds or to reduce discomfort during therapy.

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Securing the Drape & Bridging

Preventing Drape Leaks — Most Common Problem
  • Ensure skin is clean and completely dry before applying drape
  • Apply skin barrier film (Cavilon) to periwound skin first
  • Avoid stretching the drape — lay flat, then smooth outward
  • Use additional drape strips over skin folds, joints, or irregular contours
  • In diaphoretic patients or high humidity environments — extra drape reinforcement required
Bridging Technique

Used when the canister/device cannot be positioned close to the wound (e.g., perineal wounds, gluteal wounds). A strip of foam is placed outside the wound, covered by drape, extending from the wound foam to a flat skin area where the TRAC pad is applied. This "bridge" transmits negative pressure while allowing device positioning away from the wound site.

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Dressing Change Frequency

Standard Wounds
48–72h

Clean granulating wounds, chronic wounds responding to therapy. Allows adequate time for granulation without excessive tissue ingrowth.

Infected Wounds
24–48h

Wounds with active infection or high bacterial load. More frequent changes reduce biofilm formation and allow wound reassessment.

Skin Grafts
3–5 days

Leave undisturbed to maximise graft take. First dressing change at day 3–5 unless complication suspected. Minimise patient movement.

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GCC Note: High ambient temperatures in Gulf states increase patient perspiration and wound exudate production — reassess dressing change frequency accordingly. Canister may fill faster in hot weather.

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Dressing Change Procedure

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Pain Management First: Pre-medicate 30 minutes before dressing change. Options include oral opioid analgesia, oral morphine solution, or Entonox (50% N₂O/O₂) inhaled during procedure. This is mandatory for patient comfort and compliance.

  1. Pause therapy: Stop the device before removing the dressing to prevent pain from sudden pressure changes. Allow the wound to decompress briefly.
  2. Remove TRAC pad and drape: Gently peel drape edges from skin. Avoid pulling — use drape removal technique (fold back on itself at low angle). Remove periwound drape remnants carefully.
  3. Foam removal: Count pieces out against documented count. If foam is adherent to wound bed — NEVER PULL. Soak with saline for 15–30 minutes to loosen. Forced removal causes haemorrhage and pain.
  4. Wound reassessment: Measure dimensions. Photograph. Assess: granulation tissue quality, exudate volume and character, wound edges, signs of infection, evidence of contraction. Compare to previous assessment.
  5. Irrigate and clean: Irrigate wound with saline or prescribed wound cleanser. Dry periwound skin. Apply skin barrier film.
  6. Re-apply NPWT: Follow full application technique (Tab 2). Document new foam count, dimensions, pressure, mode, date/time, next change due.
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Signs of Good Progress

Expect to see within 2 weeks of effective NPWT:

  • Granulation tissue: Beefy red, moist, regular surface — no slough or necrosis
  • Wound contraction: Measurable reduction in wound dimensions at each assessment
  • Reduced exudate: Less output into canister, wound bed less wet
  • Wound edge advancement: Epithelial cells visible migrating inward from edges
  • Reduced oedema: Periwound swelling subsiding
  • Odour reduction: Bacterial load reducing as granulation tissue fills wound

On initiating suction, the wound edges should visibly draw together within 30–60 seconds — this confirms good seal and effective therapy.

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Signs of NPWT Failure / Non-Response

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Escalate to wound care specialist or medical team if:

  • No visible wound contraction after 2 weeks of therapy
  • Increasing slough or necrosis developing despite NPWT
  • Persistent or worsening infection (spreading erythema, systemic signs)
  • No granulation tissue formation — wound bed remains pale/pale yellow
  • Increasing exudate volume (may indicate active infection)
  • Wound size increasing rather than contracting

NPWT is not appropriate for all wounds. Non-response prompts wound re-evaluation, biopsy consideration, and reassessment of underlying cause (ischaemia, ongoing infection, inadequate debridement).

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Canister Management

Change When
  • Canister reaches 75–80% capacity
  • Strong odour from device
  • Weekly minimum if low exudate
  • Device alarm indicating canister full
Odour Management
  • Seal canister immediately on removal
  • Use charcoal-lined canister bags where available
  • Ensure adequate room ventilation
  • Activated charcoal dressings as adjunct around wound if severe odour
Isolation Precautions
  • MRSA / resistant organism wounds: standard contact precautions
  • Canister contents are clinical waste — dispose per local policy
  • Never open or expose canister contents
  • Full PPE (gloves, apron, eye protection for splash risk)
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Therapy Not Sealing — Most Common Problem

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A leak means therapy is not running at prescribed pressure. The device will alarm. A systematic approach to leak identification resolves most cases without removing the whole dressing.

Common Causes of Leaks
  1. Foam cut too large — overlaps onto intact skin (skin not a sealed surface)
  2. Foam cut too small — does not fill wound, creating channels
  3. Drape not smooth — wrinkles create micro-channels for air
  4. Wet or oily periwound skin at time of application
  5. Tubing kinked or disconnected
  6. TRAC pad not adhered firmly over drape hole
  7. Wound location with movement (elbow, knee, perineum)
Systematic Leak Check
1
Listen — gently run gloved finger over entire drape surface listening/feeling for air escape
2
Check tubing connections — ensure tubing is patent, not kinked, and fully connected at both ends
3
Apply additional drape strips over suspected leak areas — especially at wound edges and skin folds
4
If leak persists — remove and re-apply dressing completely with fresh foam and drape
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Bleeding — Most Serious Complication

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Bright red blood in canister or bleeding at wound = STOP THERAPY IMMEDIATELY

Assessment
  • Pause NPWT device immediately
  • Check wound for active haemorrhage through drape (do not remove dressing)
  • Assess periwound area for haematoma formation
  • Check vital signs — HR, BP, pallor, capillary refill
  • Quantify blood in canister — escalate to medical team urgently
Management
  • Do NOT restart NPWT until haemorrhage is controlled
  • Apply manual pressure if active external bleed
  • Medical / surgical review — may need return to theatre
  • Review anticoagulation status, clotting screen
  • When NPWT resumes: consider lower pressure, use white foam
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Wound Infection with NPWT

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NPWT does not sterilise wounds. It reduces bacterial load, but active infection requires specific management — NPWT alone is not adequate treatment for clinical infection.

Signs of Clinical Infection Under NPWT
  • Increasing pain between dressing changes
  • Purulent exudate in canister, offensive odour
  • Periwound erythema, warmth, swelling
  • Systemic signs: fever, raised WBC, elevated CRP
  • Failure to granulate after 2 weeks
Action
  • Wound swab for culture and sensitivity
  • Increase dressing change frequency to 24–48 hours
  • Medical review for systemic antibiotic consideration
  • Consider addition of wound irrigation (VAC Instil or Renasys+)
  • Rule out osteomyelitis in diabetic foot wounds (MRI/bone biopsy)
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Periwound Skin Breakdown

Prevention
  • Apply skin barrier film (Cavilon No-Sting Barrier Film or equivalent) to all periwound skin before drape application — minimum 2–3 cm around wound
  • Ensure foam does NOT overlap onto intact skin
  • Change adhesive drape promptly at scheduled intervals — prolonged drape adhesion strips skin
  • Be especially cautious in fragile-skinned patients (elderly, steroid use, radiotherapy)
Management
  • Document skin damage with photography
  • Apply non-adhesive dressing to affected periwound skin
  • Silicone-bordered drapes or foam dressing protectors for sensitive skin
  • Adjust drape application area to avoid damaged skin
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Pain Management & Other Issues

Pain with Therapy
  • Reduce pressure setting (e.g., 125 → 80 mmHg)
  • Switch from black to white foam (gentler microdeformation)
  • Change to intermittent / cyclical mode
  • Ensure adequate pre-procedure analgesia at dressing changes
  • Consider interface layer (non-adherent mesh) between foam and wound bed
Tissue Ingrowth into Foam
  • More common with black foam left beyond 72 hours
  • White foam reduces ingrowth risk significantly
  • Non-adherent interface layer (e.g., Mepitel, paraffin gauze) between foam and granulation bed
  • If ingrowth occurs: soak with saline, do NOT forcibly remove
Enteric / Bowel Exposure
  • Never apply foam directly over exposed bowel — risk of fistula formation
  • A layer of granulation tissue must be established first
  • Use visceral protective layer (non-adherent sheet) before foam contact
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Open Abdomen / Laparostomy NPWT

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High-complexity procedure — requires specialist surgical and wound care team. Open abdomen NPWT is used in damage control surgery, abdominal compartment syndrome, or peritonitis with planned re-look laparotomy.

Visceral Protection
  • Non-adherent, perforated visceral protective layer placed directly over bowel/abdominal contents
  • Fenestrated polyethylene sheet (e.g., V.A.C. Abdominal Dressing) prevents foam adherence to bowel
  • Foam placed over protective layer — never in contact with viscera
  • Pressure typically 50–75 mmHg — lower than standard
Monitoring Priorities
  • Abdominal compartment syndrome: Monitor bladder pressure (intra-abdominal pressure) regularly — target <20 mmHg
  • Respiratory impact: open abdomen affects respiratory mechanics — monitor SpO₂, RR, ventilator pressures if ventilated
  • Enteric fistula risk: monitor for new bowel content in exudate
  • Fluid balance: significant exudate losses — replace aggressively
  • Dressing change frequency: 48–72 hours or as per surgical plan
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Skin Graft Bolster NPWT

NPWT as a bolster dressing over skin grafts dramatically improves graft take by eliminating shear, reducing seroma/haematoma formation, and maintaining close contact between graft and recipient bed.

Protocol
  • Non-adherent mesh (e.g., Mepitel, Adaptic) placed over graft first — protects graft from foam contact
  • White foam over mesh — gentler on fragile new graft
  • Pressure: 75–80 mmHg continuous
  • Leave undisturbed for 3–5 days for graft take
  • Minimise patient movement — limit shear forces
  • First inspection at day 3–5 unless concern for infection or haemorrhage
  • Do not apply NPWT if graft blood supply uncertain or donor site arterial insufficiency
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Sternal Wound Dehiscence

Post-cardiac surgery sternal wound dehiscence (mediastinitis) is a serious complication with high mortality if untreated. NPWT has transformed management of this condition, bridging to surgical reconstruction.

Key Points
  • Specialist sternal foam kits available (V.A.C. Sternal — custom-shaped)
  • Sternal instability must be addressed surgically before or concurrently with NPWT
  • Protect mediastinal structures — pericardial protection layer essential
  • Pressure typically 75–125 mmHg — as per surgical team direction
  • Monitor for cardiac tamponade signs (hypotension, raised JVP, muffled heart sounds)
  • Dressing change in theatres or by specialist surgical team
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Any sudden change in cardiac status or respiratory function in a sternal NPWT patient requires immediate medical review — do not delay.

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NPWT in Community / Home Setting

Patient & Carer Education
  • Demonstrate device operation, alarm recognition and response
  • Explain what to do if therapy alarm sounds (check tubing, check seal)
  • When to seek emergency help (bleeding, device failure, sudden increased pain)
  • Canister management and disposal instructions
  • Activity restrictions — protect dressing from disruption
Community Nurse Setup
  • Prescribing pathway and equipment supply chain confirmed before discharge
  • Community nurse NPWT competency verification
  • Out-of-hours device support contact number provided
  • Written wound care and device management plan provided
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Neonatal & Paediatric NPWT

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Paediatric NPWT requires careful adaptation. Standard adult settings and foam sizes are inappropriate for small children and neonates.

Adaptations
  • Lower pressure settings: Neonates 40–75 mmHg; paediatric 50–80 mmHg — start low, titrate
  • Smaller foam pieces — cut to wound size precisely
  • White foam preferred — less aggressive microdeformation on fragile tissue
  • Paediatric or neonatal-specific TRAC pad and canister
  • More frequent monitoring — children cannot verbalise discomfort reliably in all ages
  • Skin protection even more critical — neonatal skin extremely fragile
  • Pain assessment using validated paediatric tools (FLACC, NIPS)
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GCC-Specific NPWT Context

Diabetic Foot — Primary Indication

Diabetes prevalence in Gulf states (UAE, Saudi Arabia, Kuwait, Qatar, Bahrain, Oman) is among the highest globally — 12–20% of adult populations. Diabetic foot ulceration and complications are therefore the leading NPWT indication across GCC healthcare facilities.

High DM prevalence Neuropathic ulcers Post-amputation wounds
Climate Considerations

Extreme heat and high humidity in GCC — especially summer months (40–50°C outdoors). This results in increased wound exudate production, accelerated bacterial growth, and faster canister fill. Periwound skin moisture and maceration risk is higher. Increase vigilance for drape leaks and periwound breakdown.

Higher exudate volumes More frequent drape checks
Healthcare Settings in GCC

NPWT is available across tertiary hospitals in UAE (DHA, DOH), Saudi Arabia (MOH, NGHA), Qatar (HMC), Kuwait, Bahrain, and Oman. Community NPWT is expanding. Nursing competency frameworks (DHA nursing scope, SCFHS, QCHP) include wound care and NPWT within wound care nurse scope of practice.

DHA wound competency SCFHS scope JCI standards
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NPWT Indications vs Contraindications — Exam Table

Category Indicated / Suitable Relative CI — Caution Absolute CI — Do Not Use
Wound tissueGranulating, clean, post-debridementPartial slough with debridement ongoingDry eschar (not debrided), necrosis
BleedingHaemostasis achievedAnticoagulated patient — use lower pressureActive / uncontrolled haemorrhage
InfectionColonised wounds, post-antibioticCellulitis — treat first, monitor closelyUntreated osteomyelitis
MalignancyNo malignancy in woundKnown malignancy elsewhere — MDT decisionMalignancy in wound bed
FistulaFistula fully explored and mappedKnown fistula — protect, use carefullyUnexplored fistulae
Exposed structuresStructures covered by granulation/fasciaExposed tendon/bone — use white foam + interfaceExposed vessel/organ without protection
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Foam Types Quick Comparison

Feature Black PU Foam White PVA Foam
Pore size400–600 microns (large)Small pores
MicrodeformationAggressive / high stimulationGentle / low stimulation
Fluid transferHigherLower
Tissue ingrowth riskHigher (change ≤72h)Low
Removal painMore (ingrowth)Less
Premoistening neededNoYes (saline)
Best forStandard granulating, deep woundsTunnelling, near vessels/tendons, grafts, fragile tissue

Pressure Settings by Wound Type

Most wounds (standard)125 mmHg continuous
Skin grafts / flaps75–80 mmHg continuous
Paediatric / fragile50–80 mmHg continuous
Neonatal40–75 mmHg — start low
Open abdomen50–75 mmHg with protective layer
PICO (cINPT)~80 mmHg (preset/automatic)
Pain / intoleranceReduce to 80 mmHg ± intermittent mode
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Dressing Change Frequency Guide

Standard granulating woundEvery 48–72 hours
Infected woundEvery 24–48 hours
Skin graft bolsterDay 3–5 (first change)
Open abdomen48–72h or per surgical plan
Foam adherent to woundSoak with saline — do NOT force
Canister changeAt 75–80% full or weekly
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NPWT Settings Selector — Interactive Tool

Enter Wound Parameters to Get Recommended NPWT Settings

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DHA / DOH / SCFHS / QCHP — High-Yield NPWT Exam Questions

Likely MCQ Topics
  • Absolute contraindications to NPWT (active bleeding, necrosis without debridement)
  • Black vs white foam — when to choose each
  • Standard pressure for most wounds (125 mmHg) and grafts (75 mmHg)
  • Dressing change frequency — standard vs infected vs graft
  • Foam removal technique if adherent (soak with saline)
  • Most common NPWT problem (drape leak / failure to seal)
  • Signs of effective NPWT (wound contraction within 30–60 seconds of starting)
  • Pre-medication before dressing change (30 minutes before)
Key Clinical Facts to Memorise
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NPWT mechanisms: Macrodeformation + Microdeformation + Fluid removal + Bacterial reduction + Angiogenesis promotion

Wound edge contraction within 30–60 seconds of starting therapy = confirms correct seal and effective suction

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Bright red blood in canister = STOP therapy immediately, do not restart until haemorrhage is controlled

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Diabetic foot ulcers = primary NPWT indication in GCC — examiner context question