Negative Pressure Wound Therapy with Instillation: Review of Evidence and Recommendations.

Negative Pressure Wound Therapy with Instillation: Review of Evidence and Recommendations. Wounds. 2015 Dec;27(12):S2-S19 Authors: Kim PJ, Attinger CE, Crist BD, Gabriel A, Galiano RD, Gupta S, Lantis Ii JC, Lavery L, Lipsky BA, Teot L Abstract Negative pressure wound therapy with instillation (NPWTi) and dwell time is an adjunctive treatment modality for selected complex wounds. Because of the greater amount of research now available, a multidisciplinary expert panel comprising the fields of podiatry, plastic and general surgery, burn treatment, infectious diseases, and orthopedics was convened on July 11, 2015, to produce a summary of the data and recommendations on the use of NPWTi. The panel members each reviewed available published literature on NPWTi in the PubMed, Cochrane, and Google Scholar databases from 1 January 2012 up until 20 July 2015 using the string search term negative pressure wound therapy instillation provided by the panel moderator; there were no restrictions on the language or type of publication. Panel members discussed their experiences and worked to reach consensus on several predefined topics. NPWTi was found to be most appropriate for properly selected complex hosts or wounds such as patients with multiple comorbidities, patients with an American Society of Anesthesiology Classi cation ≥ 2, severe traumatic wounds, diabetic foot infections, and wounds complicated by invasive infection or extensive bio l...
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research