January - December 2013 Laurie Lee, RN, BSN, CCM FIMR Coordinator.
Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.
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Transcript of Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.
![Page 1: Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.](https://reader035.fdocuments.in/reader035/viewer/2022062421/56649da75503460f94a9362b/html5/thumbnails/1.jpg)
Positive Outcomes withNegative Pressure Wound
Therapy
Laurie S. Stelmaski BSN,RN,CWOCN
![Page 2: Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.](https://reader035.fdocuments.in/reader035/viewer/2022062421/56649da75503460f94a9362b/html5/thumbnails/2.jpg)
Objectives
Understand the healing science behind negative pressure wound therapy (NPWT).
Identify the indications and contraindications for use of NPWT in acute and chronic wounds.
Identify treatment endpoints for NPWT.
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NPWT – How Does It Work?
The use of subatmospheric pressure to promote wound healing.
Subatmospheric pressure causes mechanical stress to the tissue and the wound is drawn closed.
Basic components of a NPWT system include the dressing, sealing mechanism, tubing and a suction pump.
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NPWT – Mechanisms of Action
Stimulation of wound edge retraction
Moist wound environmentDecrease in peripheral edemaIncrease in local circulation at the
site of the woundReduced bacterial loadStimulation of granulation tissue
formation
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![Page 6: Positive Outcomes with Negative Pressure Wound Therapy Laurie S. Stelmaski BSN,RN,CWOCN.](https://reader035.fdocuments.in/reader035/viewer/2022062421/56649da75503460f94a9362b/html5/thumbnails/6.jpg)
Indications for NPWTAcute woundsChronic woundsTraumatic woundsPartial-thickness burnsDehisced woundsPressure ulcersDiabetic ulcersFlaps and skin grafts
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Contraindications for NPWT
Malignancy in the woundUntreated osteomyelitisNon-enteric or unexplored fistulas
Necrotic tissue with eschar or slough present
Exposed blood vessels or organs
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Patient CandidatesAppropriate patient selection will
prevent complications and ensure success of NPWT.
Need to optimize the patient’s ability to heal:◦Manage comorbidities ◦Hemodynamic stability◦Nutritional status◦Blood sugar◦Infection
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Safe Use of NPWTPatient assessment
◦Physician ordersWound preparation
◦Debridement and cleansingDevice application
◦DocumentationMonitoring and assessment
◦Procedure and protocol
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Treatment Endpoints
Based on wound progress and/or achievement of treatment goal.
Planned surgical closure with flap or skin graft.
Healing by secondary intentionFailure to progress after 2-4
weeks of NPWT.
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Case Study #1
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Case Study #2
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ReferencesGupta, S. (2004). Guidelines for managing pressure ulcers with negative pressure wound therapy. Advances in Skin & Wound Care, 17(S2), 2-16.Long, M.A. & Blevins, A. (2009). Options in negative pressure wound therapy: Five case
studies. Journal of Wound Ostomy and Continence Nursing, 36(2), 202-211.
Martindell, D. (2012). The safe use of negative-pressure wound therapy. American
Journal of Nursing, 112(6), 59-63.