PICO dressing is a portable Negative Pressure Wound Therapy (NPWT) system designed for wounds and surgical incisions. It combines an NPWT pump with an absorbent adhesive dressing to draw out excess fluid, promoting wound closure and minimizing complications. Suitable for both clinical and home use, PICO is ideal for managing small to moderately draining wounds, offering a discreet and effective solution for patients.
1.1 Overview of PICO Dressing and Its Purpose
The PICO dressing is a portable Negative Pressure Wound Therapy (NPWT) system designed for managing closed surgical incisions and wounds with small to moderate exudate. It consists of a compact NPWT pump connected to an absorbent, gentle adhesive dressing. Its primary purpose is to remove excess fluid, protect the wound from contamination, and promote a clean environment for healing and wound closure.
1.2 Benefits of Using PICO Dressing
The PICO dressing offers numerous benefits, including its portable and discreet design, making it ideal for home use. It effectively reduces fluid accumulation, promoting a clean wound environment and minimizing complications. The gentle adhesive minimizes skin irritation, while the system’s simplicity ensures ease of use. These features collectively enhance patient comfort and support faster wound healing, reducing the need for frequent dressing changes.
Understanding PICO Dressing Components
PICO dressing consists of two main components: a portable NPWT pump and an absorbent, gentle adhesive dressing. The pump provides continuous or intermittent negative pressure, while the dressing absorbs fluid and adheres securely to the skin, creating a protective environment for wound healing.
2.1 The NPWT Pump and Its Function
The NPWT pump is a portable, battery-operated device that generates continuous or intermittent negative pressure. It connects to the absorbent dressing via tubing, drawing excess fluid from the wound into a canister. The pump features a simple interface with buttons to control pressure settings and indicators for monitoring operation. It is designed for quiet, discreet use, suitable for both hospital and home settings.
2.2 The Absorbent Gentle Adhesive Dressing
The absorbent gentle adhesive dressing is a key component of the PICO system, designed to fit snugly over the wound. Made from soft, breathable materials, it adheres gently to the skin, minimizing discomfort and trauma during removal. The dressing is highly absorbent, capable of managing small to moderate exudate levels, and features a waterproof layer to protect the wound. Its silicone-based adhesive ensures a secure, yet gentle, seal, promoting a moist healing environment while preventing bacterial infiltration. The dressing is applied directly to the wound bed, with extra adhesive strips reinforcing the edges for added security.
Preparing for PICO Dressing Application
Preparing for PICO dressing application involves cleansing the wound and ensuring the surrounding skin is clean and dry for optimal adhesion of the dressing.
3;1 Wound Preparation and Cleansing
Proper wound preparation is essential for effective PICO dressing application. Cleanse the wound with sterile saline solution to remove debris and bacteria. Pat the surrounding skin dry to ensure optimal adhesion of the dressing. Avoid using harsh chemicals or abrasive materials that could irritate the wound. Ensure the area is free from lotions or oils to promote proper dressing adherence.
3.2 Selecting the Correct Dressing Size
Choose a PICO dressing size that fits the wound dimensions, ensuring the dressing pad covers the wound with a 2-3 cm margin on all sides. For wounds deeper than 2 cm, use NPWT gauze or foam fillers. The wound should not exceed 25% of the dressing pad area to ensure proper sealing and effective negative pressure application. Proper sizing is critical for optimal therapy outcomes.
Applying the PICO Dressing
Place the dressing centrally over the wound bed, ensuring proper alignment and smooth placement. Secure the edges with adhesive strips to create a tight seal. Activate the pump to initiate NPWT, promoting fluid removal and wound healing.
4.1 Steps to Place the Dressing on the Wound
Peel off the first release handle and place the dressing centrally over the wound. Smooth out the dressing, especially where the white material meets the border, ensuring no creases. Check for proper adhesion and a tight seal around the edges. Avoid air leaks by pressing firmly along the edges. Ensure the dressing is aligned correctly for optimal wound coverage and therapy effectiveness.
4.2 Securing the Dressing with Adhesive Strips
After placing the dressing, apply the provided adhesive strips over the edges to reinforce the seal. Press firmly to ensure strips adhere properly. This helps prevent air leaks and ensures the dressing stays in place. Additional strips can be used for extra security, especially around curved or sensitive areas, to maintain the integrity of the dressing and promote effective therapy.
Using the PICO Pump
The PICO pump is a portable, single-use device designed to deliver negative pressure wound therapy. It operates quietly, with a simple interface for pressure settings and monitoring. The pump features visual indicators for status updates and alerts, ensuring easy monitoring. It is battery-operated, allowing for continuous therapy during daily activities and travel. Regular checks are essential to maintain functionality and patient safety.
5.1 Turning On the Pump and Setting Pressure
To activate the PICO pump, press the orange button until it powers on. Set the pressure according to the prescribed level, typically between 40-80 mmHg, using the control panel. The pump will emit a beep to confirm it is operational. Once activated, it will maintain continuous or intermittent suction as programmed. Always refer to the manufacturer’s guidelines for specific pressure settings and operation.
5.2 Monitoring the Pump and Dressing
Regularly check the pump for alarms or error messages. Inspect the dressing for any signs of leaks or loss of adhesion. Ensure the canister is not overfilled and the tubing remains kink-free. Daily monitoring helps maintain therapy effectiveness and prevents complications. If issues arise, consult healthcare professionals promptly to ensure proper functioning and patient safety.
5.3 Changing the Canister as Needed
Change the canister when the pump indicates it is full or when fluid levels approach the max line. Turn off and disconnect the pump, then remove the old canister. Replace it with a new one securely, ensuring the connection is tight; Resume therapy by turning the pump back on and checking for proper function. This maintains therapy continuity and prevents overflow.
Showering with the PICO Dressing
Showering with the PICO dressing is possible and encouraged for patient comfort. Ensure the pump is disconnected and the tubing end faces downward to prevent water entry. Keep the dressing dry to maintain its effectiveness and promote healing.
6.1 Preparing for Showering
Before showering, ensure the PICO pump is turned off by pressing the orange button. Disconnect the pump from the tubing by twisting the connection near the dressing. Position the tubing so the open end faces downward to prevent water entry. Avoid submerging the dressing or exposing it to direct water spray. Use a towel to gently pat the area dry after showering to maintain the dressing’s integrity and effectiveness.
6.2 Disconnecting the Pump During Showering
To disconnect the PICO pump during showering, press the orange button to turn it off. Twist the connector near the dressing to detach the pump from the tubing. Ensure the tubing’s open end faces downward to prevent water ingress. Keep the pump outside the shower area to avoid exposure to moisture. Reconnect the pump after showering, ensuring the system remains watertight and functional.
6.3 Ensuring the Dressing Remains Dry
The PICO dressing is water-resistant, allowing showering while in place. Avoid direct water spray on the dressing; gently pat dry with a towel. Ensure the tubing end faces downward to prevent water entry. Do not submerge the dressing in water. Proper care ensures the dressing remains effective and promotes wound healing without complications.
Dressing Maintenance and Care
Regularly monitor the dressing for leaks or damage. Follow healthcare guidelines for daily checks and maintenance to ensure optimal function and wound healing progress.
7.1 Regular Inspection by Healthcare Professionals
Healthcare professionals should regularly inspect the PICO dressing to ensure proper function and wound progress. Check for signs of leaks, dressing integrity, and fluid accumulation in the canister. Monitor wound healing, exudate levels, and surrounding skin condition. Document findings to adjust treatment as needed and address any potential issues promptly to prevent complications and promote optimal wound healing outcomes.
7.2 Patient Self-Care Tips
Patient self-care is crucial for optimal PICO dressing effectiveness. Keep the dressing dry, avoiding direct water exposure during showers by covering securely. Check the pump daily for alarms or errors and ensure the canister isn’t full. Avoid tampering with the pump or tubing and follow the manufacturer’s guidelines. Contact healthcare providers immediately if issues arise to maintain therapy continuity and wound health.
When to Change the PICO Dressing
Change the PICO dressing every 7 days or sooner if the canister is full, fluid leaks, or the dressing loses adhesion. Monitor for signs like increased redness or odor, and consult your healthcare provider if you notice any unusual changes. Always follow professional guidance for safe and effective dressing replacement.
8.1 Signs Indicating the Need for Dressing Change
Monitor for signs such as a full canister, fluid leakage, or loss of dressing adhesion. Increased redness, swelling, or a foul odor may also indicate the need for a change. If the dressing appears saturated or the wound bed is visible, consult your healthcare provider for assessment and replacement to ensure proper wound healing and prevent complications.
8.2 Steps to Change the Dressing
- Turn off the pump and disconnect the tubing from the dressing.
- Gently remove the dressing, taking care not to irritate the surrounding skin.
- Clean the wound with saline solution and assess its condition.
- Apply a new dressing, ensuring proper adhesion and seal around the wound.
- Reconnect the tubing to the pump and restart therapy if prescribed.
Safety Considerations
Ensure the PICO dressing is not submerged in water and avoid direct water spray. Prevent water from entering the tubing during showering. Do not alter or cut the tubing configuration, and keep the pump at least 4 inches away from other medical devices to avoid interference. Always follow the manufacturer’s guidelines.
9.1 Precautions to Avoid Complications
Avoid submerging the PICO dressing in water and prevent direct water spray on the dressing during showering. Ensure the pump remains dry and functional. Do not alter or cut the tubing, as this may disrupt suction. Keep the pump away from strong magnetic fields to avoid interference. Follow all manufacturer guidelines to prevent complications and ensure safe, effective therapy.
9.2 Warnings and Contraindications
Contraindications include active bleeding, exposed blood vessels, or necrotic tissue in the wound. PICO is not suitable for wounds with deep cavities exceeding 2cm without filler material. Magnetic fields from the pump may interfere with pacemakers or other medical devices. Discontinue use if adverse reactions occur. Always consult healthcare professionals for proper assessment and application.
Troubleshooting Common Issues
Address pump malfunctions, dressing leaks, or loss of adhesion promptly. Follow manufacturer guidelines for troubleshooting. Consult healthcare professionals for unresolved issues.
10.1 Pump Malfunction and Error Indicators
If the PICO pump malfunctions, error indicators will alert you. A pump error may occur due to blockages, low battery, or system issues. If the pump stops working, discontinue use and contact a healthcare professional. Do not attempt to repair the pump yourself. Always refer to the user manual for troubleshooting guidance to ensure proper functionality and patient safety.
10.2 Dressing Leaks or Loss of Adhesion
If the PICO dressing leaks or loses adhesion, inspect the edges and re-seal them by smoothing out creases. Ensure the dressing is applied on dry, clean skin. If leaks persist, consult a healthcare professional for a replacement. Avoid using additional adhesive products, as they may interfere with the dressing’s functionality and compromise the wound environment.
PICO dressing is an effective solution for wound care, promoting closure and reducing complications. Always follow application and maintenance guidelines for optimal results and patient comfort.
11.1 Summary of Key Instructions
For optimal use, apply the PICO dressing as instructed, ensuring a proper seal and secure fit. Shower with the pump disconnected, keeping the dressing dry; Monitor for leaks, empty the canister as needed, and inspect the dressing regularly. Address any pump errors promptly and follow healthcare guidance for dressing changes. Adhere to manufacturer guidelines for best outcomes and patient safety.
11.2 Additional Resources for Further Guidance
For comprehensive understanding, refer to the manufacturer’s PICO System Clinical Guidelines. Additional resources include instructional videos, patient guides, and clinical studies. Consult healthcare professionals for personalized advice and review the Instructions for Use provided with the PICO system for detailed application and maintenance procedures.