Negative pressure wound therapy technologies for chronic wound care in the home setting: A systematic review

2015 ◽  
Vol 23 (4) ◽  
pp. 506-517 ◽  
Author(s):  
Susan M. Rhee ◽  
M. Frances Valle ◽  
Lisa M. Wilson ◽  
Gerald Lazarus ◽  
Jonathan M. Zenilman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wound ◽  
Wound Care ◽  
Wound Therapy ◽  
Home Setting

Negative pressure wound therapy versus standard wound care on quality of life: a systematic review

2016 ◽  
Vol 25 (3) ◽  
pp. 154-159 ◽  
Author(s):  
A.H.J. Janssen ◽  
E.H.H. Mommers ◽  
J. Notter ◽  
T.S. de Vries Reilingh ◽  
J.A. Wegdam
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Care ◽  
Wound Therapy

scholarly journals PENGEMBANGAN INTERVENSI PERAWATAN LUKA PADA FOURNIER GANGRENE DENGAN MENGGUNAKAN NEGATIVE PRESSURE WOUND CARE BERDASARKAN COMFORT THEORY

2015 ◽  
Vol 1 (2) ◽  
pp. 10
Author(s):  
Chindy Maria Orizani
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wound ◽  
Wound Care ◽  
Fournier’S Gangrene ◽  
Vacuum Assisted Closure ◽  
Fournier's Gangrene ◽  
Wound Therapy ◽  
Fournier Gangrene ◽  
Comfort Theory

ABSTRAKFournier's gangrene merupakan fasciitis nekrotikans yang progresif pada daerah penis, skrotum, dan perineum dan memiliki potensi fatal dengan angka mortalitas tinggi dan termasuk dalam kasus kegawatdaruratan bedah dan urologi. Negative Pressure Wound Care merupakan perawatan luka pada pasien dengan Fournier’s Gangrene sebelum dilakukan debridemen dan digunakan sebagai metode untuk menurunkan nyeri dan meningkatkan kenyamanan klien. Tujuan dari studi ini adalah untuk melakukan analisis intervensi perawatan luka pada Fournier’s gangrene dengan menggunakan Negative Pressure Wound Care berdasar teori Comfort. Pencarian literatur yang relevan, dilakukan dengan mengakses database PubMed, ScienceDirect, dan SAGEPub dibatasi dari Januari 2006 sampai dengan Oktober 2015. Keywords yang digunakan adalah “Fournier’s gangrene”, “negative pressure wound therapy”, “Vacuum-assisted closure”, “chronic wound therapy”. Negative pressure wound therapy sangat efektif untuk mengontrol drainage luka setelah debridemen, mempermudah granulasi luka dan menurunkan penggunaan kasa/dressing luka dan proses perawatan dapat menimbulkan rasa nyaman bagi klien dibandingkan perawatan lain. Negative pressure wound therapy merupakan aplikasi tindakan keperawatan yang berdasarkan teori comfort yaitu meningkatkan kenyamanan klien dengan menurunkan tingkat nyeri yang dirasakan klien sehingga meningkatkan kualitas hidup klien. Kata kunci: Fournier’s gangrene, negative pressure wound therapy, penyembuhan luka ABSTRACTFournier's gangrene is a progressive necrotizing fasciitis in the area of the penis, scrotum, and perineum and potentially fatal disease with a high mortality rate and included in the case of emergency surgery and urology. Negative Pressure Wound Care is a wound care in patients with Fournier's Gangrene before debridement and used as a method to reduce pain and increase the comfort of the client. The aim of this study was to analyzed the wound care interventions on Fournier gangrene using Negative Pressure Wound Care on the Comfort theory. Search methods relevant literature, performed by accessing the databases PubMed, ScienceDirect, and SAGEPub restricted from January 2006 to October 2015. Keywords used were "Fournier's gangrene", "negative pressure wound therapy", "Vacuum-assisted closure", "chronic wound therapy ". Negative pressure wound therapy is very effective for controlling wound drainage after debridement, wound granulation simplify and reduce the use of gauze / dressing wounds and the treatment process may cause a sense of comfort for the client than other treatments. Negative pressure wound therapy is the application of nursing actions based on the comfort theory which can improve client comfort by lowering the level of pain felt by clients thus improving quality of life for clients. Keywords: Fournier’s gangrene, negative pressure wound therapy, wound healing DOWNLOAD FULL TEXT PDF >>

scholarly journals Instillation-TIME (iTIME) as a rationale amendment for TIME conception. Is there enough evidence for the efficiency of negative pressure wound therapy with instillation (iNPWT) to announce a breakthrough idea for wound treatment?

2019 ◽  
Vol 6 (2) ◽  
pp. 7-8
Author(s):  
Adam Bobkiewicz ◽  
Adam Studniarek ◽  
Łukasz Krokowicz ◽  
Michał Drews ◽  
Tomasz Banasiewicz
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Care Management ◽  
Negative Pressure Wound Therapy ◽  
Chronic Wound ◽  
Wound Care ◽  
Wound Treatment ◽  
Wound Therapy ◽  
Number Of Patients ◽  
Moisture Balance

An increased number of patients developing difficult-to-heal wounds results in billions spending for chronic wound care management. Introduction of TIME conception has been a breakthrough idea for wound healing based on phase-adapted wound therapy that interacts and influence each other and included: T – tissue management, I - infection control, M - moisture balance, E - edge of the wound. Negative pressure wound therapy (NPWT) revolutionized the management of wound healing. Moreover, recently NPWT with instillation (iNPWT) has gained the popularity of optimizing wound healing. In the context of acceleration of wound healing, iNPWT meets the criteria of the TIME conception. All individual components of TIME strategy are found in iNPWT providing “all in one” conception. Such management is easy to apply, monitor and it is well- tolerated by patients. Based on the current studies, iNPWT is found to be an important alternative for other methods of wound healing. It is believed that iNPWT will evolve and gain popularity as an innovative treatment for TIME conception.

Experience of negative pressure wound therapy over sternal wound healing: A retrospective review

WCET Journal ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 9-18
Author(s):  
Wai Sze Ho ◽  
Wai Kuen Lee ◽  
Ka Kay Chan ◽  
Choi Ching Fong
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Assessment Tool ◽  
Wound Care ◽  
Wound Therapy ◽  
Treatment Pathways ◽  
Wound Assessment ◽  
One Year

Objectives The aim of this study was to retrospectively review the effectiveness of negative pressure wound therapy (NPWT) in sternal wound healing with the use of the validated Bates-Jensen Wound Assessment Tool (BWAT), and explore the role of NPWT over sternal wounds and future treatment pathways. Methods Data was gathered from patients' medical records and the institution's database clinical management system. Seventeen subjects, who had undergone cardiothoracic surgeries and subsequently consulted the wound care team in one year were reviewed. Fourteen of them were included in the analysis. Healing improvement of each sternal wound under continuous NPWT and continuous conventional dressings was studied. In total, 23 continuous NPWT and 13 conventional dressing episodes were analysed with the BWAT. Results Among conventional dressing episodes, sternal wound improvement was 2.5–3% over 10 days to 3.5 weeks, whereas 4–5% sternal healing was achieved in 5 days to 2 weeks with sternal wire presence. Better healing at 11% in 1 week by conventional dressing was attained after sternal wire removal. In NPWT episodes, 8–29%, 13–24%, and 15–46% of healing was observed in 2 weeks, 3.5 to 5 weeks and 6 to 7 weeks, respectively. Only 39% wound healing was acquired at the 13th week of NPWT in one subject. With sternal wire present, 6%–29% wound healing progress was achieved by NPWT in 1–4 weeks, and 16–23% wound improvement in 2 to 4.5 weeks by NWPT after further surgical debridement. After sternal wire removal, 6–34% sternal wound healing occurred by continuous NPWT for 1–2 weeks, and maximum healing at 46% after 2.5 weeks of NPWT were observed. Conclusions Better wound healing was achieved in the NPWT group in comparison to conventional dressings alone. However, suboptimal sternal wound healing by NPWT alone was observed. Removal of sternal wire may improve the effectiveness of NPWT. Successful tertiary closure after NPWT among subjects supports the important bridging role of NPWT in sternal wound healing. Factors causing stagnant sternal wound healing by NPWT alone are discussed.

Negative pressure wound therapy for patients with hard-to-heal wounds: a systematic review

2020 ◽  
Vol 29 (4) ◽  
pp. 206-212
Author(s):  
Alexandra HJ Janssen ◽  
Johannes A Wegdam ◽  
Tammo S de Vries Reilingh ◽  
Anne M Eskes ◽  
Hester Vermeulen
Keyword(s):  
Content Analysis ◽  
Negative Pressure ◽  
Methodological Quality ◽  
Negative Pressure Wound Therapy ◽  
Wound Care ◽  
Qualitative Studies ◽  
Self Control ◽  
Wound Therapy ◽  
Electric Device

Objective: Despite the lack of evidence, negative pressure wound therapy (NPWT) is commonly used in patients with hard-to-heal wounds. In our medical centre, one third of patients with abdominal wounds infected postoperatively end this therapy prematurely due to negative experiences and prefer standard wound care. This study was designed to explore the effects of NPWT on quality of life (QoL). Method: A search from 2000 to 2019 in eight databases was performed to identify qualitative studies of patients treated with NPWT. Studies were selected by two independent reviewers, who appraised the methodological quality, extracted and structured the data and performed content analysis. Results: A total of five qualitative studies with good methodological quality, incorporating 51 individual patients, were included. After content analysis, four major themes emerged: reduced freedom of movement caused by an electric device; decreased self-esteem; increased social and professional dependency; and gaining self-control. Conclusion: NPWT has major effects on the physical, psychological and social domains of QoL. Knowledge of these effects may lead to improved treatment decisions for patients with hard-to-heal wounds regarding use of NPWT or standard wound care.

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