7: Negative Pressure Wound Therapy - Drown

Question 1

wound healing
first 3-4 d
3/4 -21 d
21 d - 1 y

Answer 1

inflammatory
proliferation
remodeling

Question 2

clinical benefits of NPWT

Answer 2

• removal excess fluid and inhibitory agents
• reduces bacterial load
• splints the wound
• promotes perfusion
• approximates wound edges
• promotes optimal wound environment (moist, warm)
• promotes formation of granulation tissue

Question 3

indications for NPWT

Answer 3

• chronic (diabetic, pressure, venous stasis ulcers)
• acute (trauma, partial thickness burns, open abdominal wounds, dehisced wounds, exposed hardware and tendons, skin flap, skin graft, degloving)

Question 4

*** contraindications for NPWT

Answer 4

• malignancy w/i wound
• untreated osteomyelitis
• fistulas to organs or body cavities
• necrotic tissue w/i wounds
• wounds w/ exposed vessels

Question 5

keep therapy in progress while dressing is in place to minimize infection for _______hrs/day

Answer 5

22 of 24 hrs/d