aquacel Ag+ and HBOT

I am new at this. Can Aquacel Ag+, ribbon, sheets, etc go into a monoplace hyperbaric chamber.? The risk assessment tool gave it a #3, "high risk" and the ribbon was almost a #4. Not sure why. Plus these are usually covered by a gauze..
Oddly, I was just talking to a local manager for Aquacel and she did not have any idea and was actually cautious about its use in a chamber. From what I know, all dressings (except Sulfamylon) can go into the chamber.

Nov 21, 2024 by Raymond Jacques,

3 replies

Jeff Mize
RRT, CHT, UHMSADS

Dr. Jacques, Thank you for your question.

NFPA 99 recommends that hyperbaric facilities utilize the NFPA risk assessment flowchart to assess dressings and items that have not been evaluated or deemed safe for use in the hyperbaric chamber. The risk assessment process is not always straightforward in providing a yes or no answer. Frequently, approval of a particular product is determined by mitigating measures. For example, can the dressing be removed before treatment and replaced after the treatment? If you would like, I can meet with you to discuss risk assessment and the Go No-Go tool in further detail.

I have also attached a study performed by Bernatchez et al., "Hyperbaric Oxygen Therapy and Oxygen Compatibility of Skin and Wound Care Products," that should provide additional insight into the factors to consider when determining the safety of a product.

Thanks again for reaching out to us. Jeff

Nov 21, 2024

Raymond Jacques

Hi Jeff, thanks for the quick reply. The article is interesting. We have gone over the issue of deciding what can go in. I just want to know if people are allowing it to go in the chambers. I know they are. I just need support from someone with experience and more knowledge. Is there something in particular? What does a #3 mean, is it bad... sorry, I am given you the Canadian way of things..

Nov 21, 2024

Jeff Mize
RRT, CHT, UHMSADS

Dr. Jacques, conducting a risk assessment is best practice, and recommended by NFPA 99, our regulatory resource. I am including links to topics in WoundReference that discuss prohibited items, risk assessment and the Burman scoring system.

https://woundreference.com/app/topic?id=prohibited-item-assessment

https://woundreference.com/app/topic?id=how-to-assess-prohibited-items-the-go-nogo-risk-assessment-tool-and-the-burmans

We should also coordinate time to meet and discuss in further datail. When you get a chance please email me your availability.

I look forward to talking with you soon.

Jeff

Nov 21, 2024

* Information provided without clinical evaluation and is not intended as a replacement for in-person consultation with a medical professional. The information provided through Curbside Consult is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

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