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Note: If you remove a VAC dressing, document the number of sponges removed from the wound so that none are inadvertently left behind. In small extremity wounds with minimal output, it may be appropriate to switch to wet-to-dry dressings. Pathophysiology of why this works Saline dressings exert their clinical effect through a dynamic interaction between evaporation, osmotic gradients, and wound exudate physiology

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