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Most common causes of blockage alarm Hole cut in drape for suction pad too small Suction pad is over drape or skin instead of foam Suction pad is folded or compressed in contour of wound Clamps on patient side or machine side tubing closed Exudate too thick Tubing is kinked or compressed/crushed Foam between wound bed and suction pad is too thin, causing collapse of foam Unit and tubing are elevated higher than wound site (drop unit and tubing below level of wound) Patient position is causing any of the above issues temporarily Most common causes of leak alarm: Drape wrinkle extending from foam to edge of drape Tubing incompletely connected to machine Canister not fully engaged Crack in canister Canister seals missing (where canister connects to unit) For some units, the wound may be too large for the unit's vacuum power and is unable sufficiently hold seal at set parameters Faulty suction pad/tubing Highly exuding wounds can cause a leak in the drape seal prior to engaging unit and beginning therapy Common causes of skin irritation: Inadequate periwound preparation/ protection Stretch applied to the occlusive drape during application Excessive layers of drape Foam overlapping onto intact skin during dressing application, or as a result of interruption in therapy which allowed foam to shift while therapy was inactive Common NPWT-related causes of lack of wound healing progress Pressure too low or too high Too much foam placed in wound (overpacking) Foam isnt combed prior to placing in wound, creating inflammation and foreign body-type reactions from retained foam Wound has become too dry for NPWT and is further desiccated by the NPWT Wound has become infected Video 2

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