CVC highlight: Wound therapy: The positives of negative pressure - Veterinary Medicine
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CVC highlight: Wound therapy: The positives of negative pressure
Try this state-of-the-art wound treatment to help your trauma patients heal faster.


VETERINARY MEDICINE


When to use it—and when not to

The indications for this type of wound management include:

  • Clean, débrided, open wounds in early or granulation stages of healing
  • Immediate postoperative incisions
  • Immediate postoperative skin grafts
  • "Open" peritoneal drainage

Contraindications include:

  • Exposed blood vessels or intestine
  • Patients with coagulopathies
  • Wounds with malignant contamination
  • Incompletely débrided wounds
  • Patients with osteomyelitis

Key points

Keep the following in mind when using this form of wound closure:

  • Patient hospitalization during treatment is usually required.
  • It does not achieve débridement. You must surgically débride the wound before bandage application and when needed during treatment. This is essential to success when using this treatment.
  • Do not use negative pressure any longer than seven days. This method can delay epithelialization after the granulation tissue bed is formed.

Christopher Adin, DVM, DACVS, Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio.

REFERENCE

1. Demaria M, Stanley BJ, Hauptman JG, et al. Effects of negative pressure wound therapy on healing of open wounds in dogs. Vet Surg 2011;40(6):658-669.

Listen in

To hear Dr. Adin discuss the various parts of NPWT and how to use them together to produce the results you need, as well as NPWT's indications and contraindications, scan the QR code above, or go to http://dvm360.com/CVC13Adin.


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Source: VETERINARY MEDICINE,
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