Negative pressure wound therapy with instillation
HAYES, Inc
Record ID 32017000076
English
Authors' objectives:
Chronic wounds account for an estimated $25 billion dollars in healthcare expenditures per year. Treatment of wounds depends upon the wound type and severity; however, it typically includes debridement (surgical, mechanical, enzymatic, or biological), cleansing, and frequent changes of moist dressings.
Description of Technology: Negative pressure wound therapy (NPWT) involves the application of subatmospheric pressure to the surface of a chronic or acute wound. NPWT is thought to promote wound healing by providing a moist wound bed while removing wound fluid. NPWT with instillation (NPWTi) combines standard NPWT with timed, intermittent, delivery of a topical solution. The instillation of fluid helps to remove wound exudate, slough, and bacteria, which promotes a more rapid healing of the wound. NPWTi comprises the application of a foam dressing sealed with an adhesive film and connections for instillation and vacuum tubes. A solution is delivered to the foam dressing at preset intervals and may be allowed to dwell for a set amount of time. Subsequently, negative pressure is applied across the wound. The instillation and vacuum
cycle is repeated every 2 to 4 hours. Treatment is discontinued once the wound is ready for primary closure or coverage with a graft or flap.
Patient Population: NPWTi is indicated for patients with chronic, acute, traumatic, subacute, and dehisced wounds; partial-thickness burns; ulcers (such as diabetic, pressure, and venous insufficiency); flaps; and grafts.
Clinical Alternatives: Alternatives to NPWTi include moist dressings, hyperbaric oxygen, topical adjuvants, bioengineered skin substitutes, biologic dressings, and skin grafting or flaps.
Details
Project Status:
Completed
Year Published:
2016
URL for published report:
The report may be purchased from:
http://www.hayesinc.com/hayes/crd/?crd=55066
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Humans
- Debridement
- Negative-Pressure Wound Therapy
- Wound Infection
Contact
Organisation Name:
HAYES, Inc.
Contact Address:
157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218
Contact Name:
saleinfo@hayesinc.com
Contact Email:
saleinfo@hayesinc.com
Copyright:
Winifred S. Hayes, Inc
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.