Negative pressure wound therapy - Revision history

Rossdonaldson1: /* Background */

2017-10-30T04:47:40Z

Background

← Older revision		Revision as of 04:47, 30 October 2017
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	==Background==		==Background==
	*Also known as a "wound vac"		*Also known as a "wound vac"
	*A technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.		*A technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.
	* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.		* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.
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	===Efficacy===		===Efficacy===
	* High quality evidence exists for improved outcomes in the treatment of diabetic foot ulcers.		* High quality evidence exists for improved outcomes in the treatment of [[diabetic foot ulcers]].
	* Poor quality or insufficient evidence suggests ~~NPWT~~ may improve treatment of bedsores, large tissue defects, or other wounds.		* Poor quality or insufficient evidence suggests may improve treatment of bedsores, large tissue defects, or other wounds.
	* There is little evidence to suggest an increased risk of complications, so wound vacs are often applied to many other kinds of wounds.		* There is little evidence to suggest an increased risk of complications, so wound vacs are often applied to many other kinds of wounds.

Rossdonaldson1: /* Background */

2017-10-30T04:46:59Z

Background

← Older revision		Revision as of 04:46, 30 October 2017
Line 1:		Line 1:
	==Background==		==Background==
	* ~~Negative Pressure Wound Therapy (NPWT), also~~ known as a wound vac~~, is a~~ technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.		*Also known as a "wound vac"
			*A technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.
	* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.		* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.
	* Often applied to wounds that are expected to heal poorly, such as diabetic foot ulcers, pressure ulcers, or very large tissue defects.		* Often applied to wounds that are expected to heal poorly, such as diabetic foot ulcers, pressure ulcers, or very large tissue defects.

Rossdonaldson1: Rossdonaldson1 moved page Negative Pressure Wound Therapy to Negative pressure wound therapy

2017-10-30T04:45:24Z

Rossdonaldson1 moved page Negative Pressure Wound Therapy to Negative pressure wound therapy

← Older revision	Revision as of 04:45, 30 October 2017
(No difference)

Mholtz: Needs additional editing - information possibly better included in other pages?

2017-10-21T08:05:45Z

Needs additional editing - information possibly better included in other pages?

← Older revision		Revision as of 08:05, 21 October 2017
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	=Background=		==Background==
	* Negative Pressure Wound Therapy (NPWT), also known as a wound vac, is a technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.		* Negative Pressure Wound Therapy (NPWT), also known as a wound vac, is a technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.
	* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.		* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.
	* Often applied to wounds that are expected to heal poorly, such as diabetic foot ulcers, pressure ulcers, or very large tissue defects.		* Often applied to wounds that are expected to heal poorly, such as diabetic foot ulcers, pressure ulcers, or very large tissue defects.
	=Contraindications=
			===Efficacy===
			* High quality evidence exists for improved outcomes in the treatment of diabetic foot ulcers.
			* Poor quality or insufficient evidence suggests NPWT may improve treatment of bedsores, large tissue defects, or other wounds.
			* There is little evidence to suggest an increased risk of complications, so wound vacs are often applied to many other kinds of wounds.

			==Contraindications==
	* Malignancy in the wound		* Malignancy in the wound
	* Untreated osteomyelitis		* Untreated osteomyelitis
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	* Presence of an eschar		* Presence of an eschar
	* Direct exposure of blood vessels, anastamoses, internal organs, or nerves.		* Direct exposure of blood vessels, anastamoses, internal organs, or nerves.
	=~~Efficacy~~=
	* High quality evidence exists for improved outcomes in the treatment of diabetic foot ulcers.		==Troubleshooting==
	* Poor quality or insufficient evidence suggests NPWT may improve treatment of bedsores, large tissue defects, or other wounds.
	* There is little evidence to suggest an increased risk of complications, so wound vacs are often applied to many other kinds of wounds.
	=~~Troubleshooting~~=
	*Most ER visits regarding wound vacs will be due to "the machine beeping". This is often due to loss of negative pressure in the circuit.		*Most ER visits regarding wound vacs will be due to "the machine beeping". This is often due to loss of negative pressure in the circuit.
	*This can usually be fixed by re-packing the wound and placing a new occlusive dressing over it.		*This can usually be fixed by re-packing the wound and placing a new occlusive dressing over it.
	**May require special supplies not available in the ER. If that is the case, most patients can still be discharged if they have expedited follow up with a home health nurse or PCP that can provide supplies.		**May require special supplies not available in the ER. If that is the case, most patients can still be discharged if they have expedited follow up with a home health nurse or PCP that can provide supplies.

			==References==
			<references/>

			[[Category:Surgery]]

F.carlo08: Created page with "=Background= * Negative Pressure Wound Therapy (NPWT), also known as a wound vac, is a technique for treating acute and chronic wounds by using a sealed wound dressing attache..."

2017-10-16T03:35:57Z

Created page with "=Background= * Negative Pressure Wound Therapy (NPWT), also known as a wound vac, is a technique for treating acute and chronic wounds by using a sealed wound dressing attache..."

New page

=Background=
* Negative Pressure Wound Therapy (NPWT), also known as a wound vac, is a technique for treating acute and chronic wounds by using a sealed wound dressing attached to a vacuum pump.
* The vacuum creates a negative pressure gradient that draws out fluid and increases blood flow to the area.
* Often applied to wounds that are expected to heal poorly, such as diabetic foot ulcers, pressure ulcers, or very large tissue defects.
=Contraindications=
* Malignancy in the wound
* Untreated osteomyelitis
* Non-enteric or unexplored fistulas
* Presence of an eschar
* Direct exposure of blood vessels, anastamoses, internal organs, or nerves.
=Efficacy=
* High quality evidence exists for improved outcomes in the treatment of diabetic foot ulcers.
* Poor quality or insufficient evidence suggests NPWT may improve treatment of bedsores, large tissue defects, or other wounds.
* There is little evidence to suggest an increased risk of complications, so wound vacs are often applied to many other kinds of wounds.
=Troubleshooting=
*Most ER visits regarding wound vacs will be due to "the machine beeping". This is often due to loss of negative pressure in the circuit.
*This can usually be fixed by re-packing the wound and placing a new occlusive dressing over it.
**May require special supplies not available in the ER. If that is the case, most patients can still be discharged if they have expedited follow up with a home health nurse or PCP that can provide supplies.