Approximately up to 150 mls per dressing.
Yes, you can shower with the PICO dressing in situ but you
must disconnect the device.
- Press the orange button on the PICO device to pause the therapy.
- The device tubing and the dressing tubing are disconnected by untwisting at the tubing connector.
- You can now take a shower with the dressing in situ and the dressing tubing placed downwards.
Then once dry, the dressing and device tubing can be reconnected and then the orange button on the PICO device should be pressed to restart the therapy.
DO NOT TAKE THE PICO PUMP INTO THE SHOWER.
The PICO pump has an internal timer inside it which will stop the pump from delivering negative pressure wound therapy once the 7 days are reached.
With RENASYS a wound filler is always needed. With PICO it depends on the surface area, for example a neuropathic foot ulcer with a small surface area and 1.5 cm depth will need a filler. However, a larger surface area wound that is more saucer shaped may allow the PICO dressing to conform. The key is that there needs to be intimate contact with the wound to delivery NPWT.
CT Scans & X-Rays have the potential to interfere with some electronic devices. Where possible, move the device out of the X-ray or scanner range. If the device has been taken into the CT scan or X-ray, check that the system is functioning correctly following the procedure.
PICO can be placed directly on a skin graft, if however, the clinician wishes to use a WCL it should not be oil-based products as they may compromise establishing an effective seal. ACTICOAT and the NPWT WCL have been tested and shown to be compatible with PICO.
Do not cut the dressing as this may lead to loss of NPWT application. The PICO is a sealed system and any cutting/joining etc. will impact on the effectiveness of delivery NPWT.
In traditional NPWT the gauze has PHMB. PICO is designed for lower acuity wounds and if infection is a concern ACTICOAT and ACTICOAT Flex has been tested and approved for use under PICO.
Yes
A wound filler should be used when the wound contour does not allow the PICO dressing to be in intimate contact with the wound. Otherwise fluid will not be extracted from the deep parts of the wound.
The PICO dressing provides absorption and maintains a moist wound environment. If the negative pressure is interrupted the wound is still protected by the dressing. The total wear time including how long the dressing has already been in situ with the device working would be up to 3 days. One should also consider the Dressing Change guide in the Instructions for Use booklet.
PICO can be used effectively under compression bandaging. A fully occlusive dressing/layer should not be applied over the top of the PICO dressing as it will affect the 'breathability' of the PICO dressing.
No, it would not be recommended to use PICO under a solid cast that could not be removed.
It's the clinicians' preference; however the padding that allows the best 'breathability' would be our recommendation to use over the PICO dressing.
