McElroy EF
International wound journal. Date of publication 2019 Feb 19;volume ():.
1. Int Wound J. 2019 Feb 19. doi: 10.1111/iwj.13097. [Epub ahead of print]
Use of negative pressure wound therapy with instillation and a reticulated open
cell foam dressing with through holes in the acute care setting.
McElroy EF(1).
Author information:
(1)Reading Hospital, Tower Health System, West Reading, Pennsylvania.
Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an
automated system used to deliver, dwell, and remove topical solutions from the
wound bed. Recently, a reticulated open cell foam dressing with through holes
(ROCF-CC) was developed, which assists with wound cleansing by removing thick
exudate and infectious materials. We present our experience using NPWTi-d with
ROCF-CC on complex wounds when complete surgical debridement was inappropriate
because of medical instability, recurrent non-viable tissue, or palliative
treatment plan. For all wounds, NPWTi-d with ROCF-CC was initiated by instilling
normal saline, acetic acid, or hypochlorous acid with 2 to 10 minutes of dwell
time, followed by 0.5 to 4 hours of negative pressure. Dressings were changed
every 2 to 3 days. Fourteen patients with multiple comorbidities were treated for
wound types including diabetic foot ulcers, necrotising fasciitis, dehisced
wounds, and pressure injuries. Duration of NPWTi-d with ROCF-CC ranged from 1 to
15 days, and at dressing changes, wounds showed improved granulation tissue
formation, less malodour, less surrounding erythema, and demarcation of healthy
skin from devitalised tissue. Based on these patients, adjunctive use of NPWTi-d
with ROCF-CC provided a practical option for improving tissue quality in wounds
for patients in whom surgical debridement was not possible or desired.
© 2019 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.13097
PMID: 30784210
