Fistula and Ostomy Pouching
001 Pouch Flange Sandwich to Stop Leaks
Click here to see a demonstration of the pouch flange sandwich technique, which is used to form a superior seal around an ostomy pouch or wound manager to prevent leaks and Moisture Associated Skin Damage (MASD). This method can be used to secure a pouch or wound manager to the skin around a fistula or ostomy, or to a fistula isolation device. This technique is particularly helpful when a fistula bag keeps leaking and in cases of frequent ostomy pouch leaks.
002 Hybrid Dressing to Downsize Ostomy Pouches
Click here for the the hybrid pouch dressing technique, which can help reduce the size of the ostomy pouch or wound manager needed in cases where a fistula or ostomy is adjacent to a wound. This method can be used to form a stable pouch landing area and contain intestinal effluent while treating the wound area with advanced wound dressings. This technique has the potential to reduce the size and associated cost of ostomy pouches and wound managers.
Fistula and Ostomy Isolation
003 Dressing Change Checklist
Click here to learn about the dressing change checklist, which is an important tool for successful and efficient dressing changes. Ensuring the patient is prepared for their change and having all the right dressing materials on hand is the recipe for success.
004 Fistula and Ostomy Isolation with the Wound Crown
020 Wound Crown High Output Fistula Case
Click here for a demonstration using the Wound Crown for a high output enteric fistula. The case features step-by-step dressing assembly while managing unpredictable effluent flows and important technique tips to prevent leaks and dressing failures.
005 Small Fistula Isolation with the Fistula Funnel
Click here to learn about the Fistula Funnel, which can be used to form a seal around smaller fistulas and ostomies, as well as medical tubes such as a fecal management system, urinary catheter or leaking PEG tube.
008 Multiple Fistula Isolation with the Isolator Strip
026 RISP: Revise, Isolate, Skin Graft, Pouch
026 RISP: Surgical Reconstruction of Peri-fistula/stomal Soft Tissue
Perineal Wound Management
010 Leakproof VAC Ulta Pump Setup for Instillation
This introductory session includes dressing decision making, an overview of the VAC Ulta pump and basic step-by-step setup instructions to help leakproof vacuum dressings for Negative Pressure Wound Therapy (NPWT) with fluid instillation.
011 Advanced Leakproof VAC Ulta Pump Setup for Instillation
028 NPWT Hacks: VAC Ulta Pump Leak Threshold
Click here for a demonstration of an easy way to increase the leak threshold setting on a VAC Ulta Negative Pressure Wound Therapy (NPWT) pump. Increasing the leak threshold can be helpful in mitigating error codes that happen with small VAC dressing leaks.
029 NPWT Hacks: VAC Ulta Pump 006 & 007 Error Codes
Click here for a demonstration of fixes for the 00000006 and 00000007 Error Codes on the VAC Ulta Negative Pressure Wound Therapy (NPWT) pump. Removing the accessories and restarting the pump typically resolves the error codes and the "yellow triangle of death" on the screen, allowing therapy to begin.
030 NPWT Hacks: VAC Ulta Pump Leak Detection Using Seal Check
Click here for a demonstration of how to use the seal check screen on a VAC Ulta Negative Pressure Wound Therapy (NPWT) pump to detect dressing air leaks. Monitoring the seal check indicator while checking the drape can help to more quickly identify dressing leaks.
Leakproof VAC with Instillation
012 Abdominal Wound Leakproof VAC with Instillation
Click here to learn about the use of Negative Pressure Wound Therapy with instillation for abdominal wounds. Successful application requires knowledge of the structures under the wound and attention to detail in dressing preparation and placement.
013 Sacral Wound Leakproof VAC with Instillation
031 Skin-Sparing Technique for VAC with Instillation
032 Gopher Tunnel Technique for VAC with Instillation
023 Hip Disarticulation Leakproof VAC with Instillation
025 Pressure Injury Leakproof VAC with Instillation
016 Sacral Wounds with Blue Fused Dressing and Smart Instill
Surgical Wound Management
015 Direct Peritoneal Resuscitation (DPR)
Direct Peritoneal Resuscitation (DPR) has been used for complex open abdomen patients and can help reduce time to abdominal closure, increase rates of facial closure, decrease ICU severity, and reduce risk of fistula formation. Click here to view this session.