Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
This document outlines negative pressure wound therapy (NPWT), also known as vacuum assisted closure (VAC). It discusses the mechanism of action, components, indications, contraindications, application process, advantages, monitoring considerations, potential complications, and conclusion regarding NPWT. NPWT applies sub-atmospheric pressure to a wound through a sealed dressing to promote healing in acute or chronic wounds by removing excess fluid, increasing blood flow, and stimulating the growth of new tissue. It is indicated for various open wounds where closure is not possible, such as pressure ulcers, surgical wounds, diabetic ulcers, and more. Contraindications include wounds with necrotic tissue or exposed anatomy. Monitoring includes pressure levels, drainage
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
Negative pressure wound therapy (NPWT) is a recent technique that applies subatmospheric pressure to facilitate wound treatment. It involves placing an open cell interface directly on the wound and sealing it with an occlusive dressing. A vacuum pump then applies negative pressure to the entire wound surface. NPWT works by providing a closed moist environment, decreasing wound volume, removing excess fluids, promoting granulation, and helping remove interstitial fluid. It is indicated for large, clean, or exudative wounds as well as fixing skin grafts and tissue flaps. Contraindications include clotting disorders, necrotic wound beds, untreated infections, and neoplastic tissue in wounds. NPWT prepares wound beds
1. Negative pressure wound therapy uses subatmospheric pressure to remove fluid from wounds and draw the edges together to promote healing.
2. It was developed in 1989 and works through fluid removal, increased blood flow, and mechanical stresses that stimulate tissue growth.
3. The wound is cleaned, a sponge or foam is placed inside, and a vacuum pump applies continuous or intermittent negative pressure.
4. It benefits wounds by preparing the wound bed, managing infection, and reducing time to closure or further reconstruction.
1. The document discusses negative pressure wound therapy (NPWT), including its history, mechanisms of action, clinical applications, and future perspectives.
2. NPWT uses subatmospheric pressure to promote wound healing through mechanisms like hemostasis, modulation of inflammation, angiogenesis, and granulation tissue formation.
3. Studies show NPWT can effectively treat wounds in complex areas like the head and neck region, and may help close submandibular fistulas. However, wounds with pockets or deep shapes are more prone to infection with NPWT.
Negative pressure wound therapy: A promising weapon in the therapeutic wound ...KETAN VAGHOLKAR
Negative pressure wound therapy or vacuum assisted wound therapy is an excellent therapeutic option for chronic wounds which are just refusing to heal. The principles and practical applications of this optio are discussed in the article.
This document outlines negative pressure wound therapy (NPWT), also known as vacuum assisted closure (VAC). It discusses the mechanism of action, components, indications, contraindications, application process, advantages, monitoring considerations, potential complications, and conclusion regarding NPWT. NPWT applies sub-atmospheric pressure to a wound through a sealed dressing to promote healing in acute or chronic wounds by removing excess fluid, increasing blood flow, and stimulating the growth of new tissue. It is indicated for various open wounds where closure is not possible, such as pressure ulcers, surgical wounds, diabetic ulcers, and more. Contraindications include wounds with necrotic tissue or exposed anatomy. Monitoring includes pressure levels, drainage
Triage Meditech is one of the leading Indian medical technology companies acquired a respectable position in Advanced Wound Care arena. We are the leading manufacturers and suppliers of Negative Pressure Wound Therapy (NPWT) products in Indian subcontinent. We have further enhanced our portfolio with Advance Wound Dressings, Colostomy Products, Solutions for Venous Insufficiency, and Surgical Disposables and Consumables. Our R&D team is dedicated to continuous advancement in offerings to create effective products at an affordable cost and helping healthcare professionals and caregivers to offer best practice solutions to their patients. Triage Meditech is an ISO 9001:2008, 13485:2003 certified and DCGI regulated company. We follow WHO Good Manufacturing Practice (GMP) and our products are CE Certified. We have Pan India presence through direct and dealers network and currently we export our products to more than 11 countries.
Negative pressure wound therapy (NPWT) is a recent technique that applies subatmospheric pressure to facilitate wound treatment. It involves placing an open cell interface directly on the wound and sealing it with an occlusive dressing. A vacuum pump then applies negative pressure to the entire wound surface. NPWT works by providing a closed moist environment, decreasing wound volume, removing excess fluids, promoting granulation, and helping remove interstitial fluid. It is indicated for large, clean, or exudative wounds as well as fixing skin grafts and tissue flaps. Contraindications include clotting disorders, necrotic wound beds, untreated infections, and neoplastic tissue in wounds. NPWT prepares wound beds
1. Negative pressure wound therapy uses subatmospheric pressure to remove fluid from wounds and draw the edges together to promote healing.
2. It was developed in 1989 and works through fluid removal, increased blood flow, and mechanical stresses that stimulate tissue growth.
3. The wound is cleaned, a sponge or foam is placed inside, and a vacuum pump applies continuous or intermittent negative pressure.
4. It benefits wounds by preparing the wound bed, managing infection, and reducing time to closure or further reconstruction.
1. The document discusses negative pressure wound therapy (NPWT), including its history, mechanisms of action, clinical applications, and future perspectives.
2. NPWT uses subatmospheric pressure to promote wound healing through mechanisms like hemostasis, modulation of inflammation, angiogenesis, and granulation tissue formation.
3. Studies show NPWT can effectively treat wounds in complex areas like the head and neck region, and may help close submandibular fistulas. However, wounds with pockets or deep shapes are more prone to infection with NPWT.
Negative pressure wound therapy: A promising weapon in the therapeutic wound ...KETAN VAGHOLKAR
Negative pressure wound therapy or vacuum assisted wound therapy is an excellent therapeutic option for chronic wounds which are just refusing to heal. The principles and practical applications of this optio are discussed in the article.
This document summarizes the use of negative pressure wound therapy (NPWT), also known as vacuum-assisted closure (VAC). It discusses how VAC works by applying subatmospheric pressure to open wounds to promote healing. Key points include that VAC helps remove dead tissue, improves blood flow to the wound, and pulls wound edges together. The document reviews appropriate applications of VAC, such as soft tissue trauma and skin grafts, and contraindications like non-debrided wounds. Installation and maintenance of the VAC system is also outlined.
This document provides guidelines and suggestions for successful negative pressure wound therapy (NPWT). It discusses how NPWT works by removing exudate and infectious materials while promoting wound healing. Contraindications include untreated osteomyelitis and exposed blood vessels or organs in the wound. The document outlines steps for cleaning wounds, applying dressings, and troubleshooting issues like leaks or blockages during NPWT.
Our new programmable CCNPWT system delivers controlled negative pressure in the wound site to accelerate healing process. The system delivers continuous, variable and intermittent therapy settings for effective therapy goals. The fully loaded system with safety parameters for leakage, blockage, canister full and system inactive conditions. The robust system has been designed light just about 950gms for mobile patients with a very user friendly operation menu.
Role of negative pressure wound therapy (V.A.C) in orthopaedicsJoydeep Mandal
Negative pressure wound therapy (NPWT), also known as V.A.C. therapy, uses subatmospheric pressure to promote wound healing. It maintains a moist environment, removes excess fluid, and increases blood flow and granulation tissue formation. The document discusses the role of NPWT in treating open and infected wounds in orthopedics, including its mechanisms, indications, benefits, and two case studies showing improved wound healing with its use.
The document discusses vacuum-assisted closure (VAC) therapy, a system that uses controlled negative pressure to promote wound healing. It provides an overview of how VAC works, its mechanisms of action including increased blood flow and reduced bacteria, appropriate applications, contraindications, and how to apply the system. Key benefits are that VAC converts complicated wounds into simpler wounds to prepare for the next step of reconstruction.
1) The document discusses the superficial circumflex iliac artery (SCIA) and its use in the superficial circumflex iliac artery perforator (SCIP) flap for reconstructive surgery.
2) The SCIP flap is based on perforators from the SCIA and can be used to reconstruct soft tissue defects of the hand, fingers, and other areas with thin, pliable skin and reliable blood supply.
3) Case studies demonstrate the use of the SCIP flap to reconstruct defects on the leg, foot, and oral cavity after tumor resection. The flap allows for primary closure of the donor site in the groin region.
The document discusses the phenomenon of flap delay in surgery. It describes how flap failure from ischemic necrosis can occur in 5-10% of free flap procedures, costing $40,000-$68,000 per failure. The pathophysiology of flap delay involves surgically conditioning the tissue to survive on less blood flow. Mechanisms include depleting vasoconstrictors, inducing angiogenesis, and allowing vascular remodeling over 1-2 weeks. While the timing of flap division was once thought to need 2+ weeks, evidence now shows flaps can often be divided safely after just 3 days as circulation is reestablished earlier than previously believed.
This document provides an overview of wound healing and vacuum assisted closure (VAC) therapy. It discusses the standard process of wound healing, novel wound dressing concepts, and how VAC therapy works by applying negative pressure to wounds to promote granulation tissue formation, blood flow, and wound contraction. The document outlines the methodology for VAC application and reviews its uses for different wound types as well as advantages like reduced dressing changes and bacteria. It also discusses future developments and concludes that VAC is a new and improved tool to help convert complicated wounds into simpler wounds.
Flaps can be classified in several ways:
(1) By circulation/blood supply - direct or indirect, axial or random;
(2) By composition - skin, fascia, muscle, bone, or visceral;
(3) By contiguity - local, regional, or free. Perforator flaps allow for minimal donor site morbidity.
1) Skin grafting involves transferring epidermis and varying amounts of dermis to cover wounds. Split-thickness grafts contain epidermis and a portion of dermis while full-thickness grafts contain both layers.
2) The document discusses skin graft harvesting, application, and postoperative care. Proper patient optimization, recipient site preparation, and donor site selection are important for successful grafting.
3) Following graft application, immobilization and dressing of the recipient and donor sites is needed to facilitate graft adherence and healing.
compartment syndrome, causes, compartments of legs,compartments of forearm,compartments of hand,compartments of foot, compartments of arm,compartments of thigh,fasciotomy of leg,fasciotomy of forearm, fasciotomy of hand,fasciotomy of foot, fasciotomy of thigh, fasciotomy of arm
Tissue expansion is a technique used to generate additional soft tissue for reconstruction. It involves surgically placing an implant under the skin that is gradually inflated over time using saline injections, causing the overlying tissue to stretch and grow. The document discusses the history, biology, types of implants, principles and applications of tissue expansion. It can be used to reconstruct defects on the scalp, forehead, face, neck and nose by expanding the surrounding tissue.
This document provides information on vacuum-assisted closure (VAC) dressing for wound management. It begins by describing standard wound care and the development of VAC therapy. It then explains the mechanism of action of VAC, which uses subatmospheric pressure to remove fluid, decrease edema, and increase blood flow to promote healing. Components of the VAC system and application process are outlined. The document discusses the range of pressures used, indications, advantages, and complications of VAC therapy. It also addresses interventions to maximize healing and future developments.
This document discusses protocols for wound debridement. It defines debridement as removing dead, contaminated, or adherent tissue from a wound to facilitate healing. The main types of debridement covered are mechanical, enzymatic, sharp, autolytic, and biologic. Characteristics of necrotic tissue like color, consistency, and adherence are reviewed. Protocols for sharp debridement emphasize preparing the patient, thoroughly removing necrotic tissue from the wound base outward until bleeding edges are seen, and irrigating and dressing the wound. The goal of debridement is to remove barriers to healing and reduce the bacterial burden.
A fingertip injury is defined as any soft tissue, nail or bony injury distal to the dorsal and volar skin creases at the distal interphalangeal joint and insertions of long flexor and extensor tendons of a finger or thumb.
The fingertips are exposed to all aspects of daily living,
recreation and work and it is perhaps no surprise they
are the most commonly injured part of the hand
Basic Principles Of Local Flap In Plastic SurgeryShamendra Sahu
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
Vacuum Assisted Closure (VAC): A Promising Therapeutic Tool for Enterocutaneo...KETAN VAGHOLKAR
Managing an enterocutaneous fistula continues to pose the greatest challenge to the general surgeon. Aggressive supportive care is pivotal in managing these patients. Vacuum assisted closure (VAC) therapy is a promising therapeutic tool for such patients. It undoubtedly helps in closure of the fistula thus avoiding the high morbidity and mortality associated with surgical intervention. A case of a complex enterocutaneous fistula treated by VAC therapy is presented.
This document discusses diabetic wound management concepts and treatment. It notes that diabetes affects over 23 million Americans and costs over $100 billion annually to treat. Up to 51% of lower extremity amputations are due to diabetes. The document covers diabetic wound etiology such as neuropathy, immunopathy, and vasculopathy. It discusses testing, debridement, culture, grading scales, and the phases of wound healing. The goal of treatment is reducing further deformity and infection while retaining viable extremities through biomechanical and nutritional considerations.
This document summarizes the use of negative pressure wound therapy (NPWT), also known as vacuum-assisted closure (VAC). It discusses how VAC works by applying subatmospheric pressure to open wounds to promote healing. Key points include that VAC helps remove dead tissue, improves blood flow to the wound, and pulls wound edges together. The document reviews appropriate applications of VAC, such as soft tissue trauma and skin grafts, and contraindications like non-debrided wounds. Installation and maintenance of the VAC system is also outlined.
This document provides guidelines and suggestions for successful negative pressure wound therapy (NPWT). It discusses how NPWT works by removing exudate and infectious materials while promoting wound healing. Contraindications include untreated osteomyelitis and exposed blood vessels or organs in the wound. The document outlines steps for cleaning wounds, applying dressings, and troubleshooting issues like leaks or blockages during NPWT.
Our new programmable CCNPWT system delivers controlled negative pressure in the wound site to accelerate healing process. The system delivers continuous, variable and intermittent therapy settings for effective therapy goals. The fully loaded system with safety parameters for leakage, blockage, canister full and system inactive conditions. The robust system has been designed light just about 950gms for mobile patients with a very user friendly operation menu.
Role of negative pressure wound therapy (V.A.C) in orthopaedicsJoydeep Mandal
Negative pressure wound therapy (NPWT), also known as V.A.C. therapy, uses subatmospheric pressure to promote wound healing. It maintains a moist environment, removes excess fluid, and increases blood flow and granulation tissue formation. The document discusses the role of NPWT in treating open and infected wounds in orthopedics, including its mechanisms, indications, benefits, and two case studies showing improved wound healing with its use.
The document discusses vacuum-assisted closure (VAC) therapy, a system that uses controlled negative pressure to promote wound healing. It provides an overview of how VAC works, its mechanisms of action including increased blood flow and reduced bacteria, appropriate applications, contraindications, and how to apply the system. Key benefits are that VAC converts complicated wounds into simpler wounds to prepare for the next step of reconstruction.
1) The document discusses the superficial circumflex iliac artery (SCIA) and its use in the superficial circumflex iliac artery perforator (SCIP) flap for reconstructive surgery.
2) The SCIP flap is based on perforators from the SCIA and can be used to reconstruct soft tissue defects of the hand, fingers, and other areas with thin, pliable skin and reliable blood supply.
3) Case studies demonstrate the use of the SCIP flap to reconstruct defects on the leg, foot, and oral cavity after tumor resection. The flap allows for primary closure of the donor site in the groin region.
The document discusses the phenomenon of flap delay in surgery. It describes how flap failure from ischemic necrosis can occur in 5-10% of free flap procedures, costing $40,000-$68,000 per failure. The pathophysiology of flap delay involves surgically conditioning the tissue to survive on less blood flow. Mechanisms include depleting vasoconstrictors, inducing angiogenesis, and allowing vascular remodeling over 1-2 weeks. While the timing of flap division was once thought to need 2+ weeks, evidence now shows flaps can often be divided safely after just 3 days as circulation is reestablished earlier than previously believed.
This document provides an overview of wound healing and vacuum assisted closure (VAC) therapy. It discusses the standard process of wound healing, novel wound dressing concepts, and how VAC therapy works by applying negative pressure to wounds to promote granulation tissue formation, blood flow, and wound contraction. The document outlines the methodology for VAC application and reviews its uses for different wound types as well as advantages like reduced dressing changes and bacteria. It also discusses future developments and concludes that VAC is a new and improved tool to help convert complicated wounds into simpler wounds.
Flaps can be classified in several ways:
(1) By circulation/blood supply - direct or indirect, axial or random;
(2) By composition - skin, fascia, muscle, bone, or visceral;
(3) By contiguity - local, regional, or free. Perforator flaps allow for minimal donor site morbidity.
1) Skin grafting involves transferring epidermis and varying amounts of dermis to cover wounds. Split-thickness grafts contain epidermis and a portion of dermis while full-thickness grafts contain both layers.
2) The document discusses skin graft harvesting, application, and postoperative care. Proper patient optimization, recipient site preparation, and donor site selection are important for successful grafting.
3) Following graft application, immobilization and dressing of the recipient and donor sites is needed to facilitate graft adherence and healing.
compartment syndrome, causes, compartments of legs,compartments of forearm,compartments of hand,compartments of foot, compartments of arm,compartments of thigh,fasciotomy of leg,fasciotomy of forearm, fasciotomy of hand,fasciotomy of foot, fasciotomy of thigh, fasciotomy of arm
Tissue expansion is a technique used to generate additional soft tissue for reconstruction. It involves surgically placing an implant under the skin that is gradually inflated over time using saline injections, causing the overlying tissue to stretch and grow. The document discusses the history, biology, types of implants, principles and applications of tissue expansion. It can be used to reconstruct defects on the scalp, forehead, face, neck and nose by expanding the surrounding tissue.
This document provides information on vacuum-assisted closure (VAC) dressing for wound management. It begins by describing standard wound care and the development of VAC therapy. It then explains the mechanism of action of VAC, which uses subatmospheric pressure to remove fluid, decrease edema, and increase blood flow to promote healing. Components of the VAC system and application process are outlined. The document discusses the range of pressures used, indications, advantages, and complications of VAC therapy. It also addresses interventions to maximize healing and future developments.
This document discusses protocols for wound debridement. It defines debridement as removing dead, contaminated, or adherent tissue from a wound to facilitate healing. The main types of debridement covered are mechanical, enzymatic, sharp, autolytic, and biologic. Characteristics of necrotic tissue like color, consistency, and adherence are reviewed. Protocols for sharp debridement emphasize preparing the patient, thoroughly removing necrotic tissue from the wound base outward until bleeding edges are seen, and irrigating and dressing the wound. The goal of debridement is to remove barriers to healing and reduce the bacterial burden.
A fingertip injury is defined as any soft tissue, nail or bony injury distal to the dorsal and volar skin creases at the distal interphalangeal joint and insertions of long flexor and extensor tendons of a finger or thumb.
The fingertips are exposed to all aspects of daily living,
recreation and work and it is perhaps no surprise they
are the most commonly injured part of the hand
Basic Principles Of Local Flap In Plastic SurgeryShamendra Sahu
1) The document discusses principles of local flaps in plastic surgery, including definitions, classifications, and history. Local flaps are classified based on location, blood supply, movement, and tissue composition.
2) Key classifications include random pattern flaps which rely on subdermal plexus, and axial pattern flaps named after a source artery. Advancement, pivot, and interpolation flaps are classified by their movement.
3) The history outlines early descriptions of cutaneous territories and vascular anatomy from the 16th century to present. Delaying flaps was also described as enhancing vascularity through various mechanisms.
Vacuum Assisted Closure (VAC): A Promising Therapeutic Tool for Enterocutaneo...KETAN VAGHOLKAR
Managing an enterocutaneous fistula continues to pose the greatest challenge to the general surgeon. Aggressive supportive care is pivotal in managing these patients. Vacuum assisted closure (VAC) therapy is a promising therapeutic tool for such patients. It undoubtedly helps in closure of the fistula thus avoiding the high morbidity and mortality associated with surgical intervention. A case of a complex enterocutaneous fistula treated by VAC therapy is presented.
This document discusses diabetic wound management concepts and treatment. It notes that diabetes affects over 23 million Americans and costs over $100 billion annually to treat. Up to 51% of lower extremity amputations are due to diabetes. The document covers diabetic wound etiology such as neuropathy, immunopathy, and vasculopathy. It discusses testing, debridement, culture, grading scales, and the phases of wound healing. The goal of treatment is reducing further deformity and infection while retaining viable extremities through biomechanical and nutritional considerations.
The document describes a case study on using negative pressure wound therapy (NPWT) to treat a severe peristomal skin complication in a 72-year-old urostomy patient. Standard advanced dressings did not improve the patient's condition. NPWT was then applied, protecting the peristomal skin and changing the dressing every 72 hours. This led to wound edges drawing together and removal of infectious materials to actively promote healing. The case study concludes NPWT is an effective, secure, comfortable and cost-effective alternative for complex peristomal skin disorders.
Vacuum compression therapy (VCT) uses cycles of negative and positive pressure to enhance wound healing. The document summarizes two studies on VCT:
1) A randomized controlled trial found that adding VCT to conventional therapy for diabetic foot ulcers significantly reduced ulcer surface area compared to conventional therapy alone. VCT improved blood flow and oxygenation to accelerate wound healing.
2) A case report described using VCT to treat a non-healing ischemic ulcer. After adding VCT, the ulcer decreased in size by 25% within 2 weeks and healed completely within 8 weeks, suggesting VCT facilitated healing in this case by improving capillary filling.
This document provides an overview of chronic wound management and discusses the multidisciplinary approach needed. It notes that chronic wounds that do not heal within 3 months are considered chronic and cause patients severe stress. The document then provides statistics on chronic wound prevalence in the US and costs associated with wound care. It also discusses the growth in obesity and diabetes and their relationship to chronic wounds. Common chronic wound types and classification systems are summarized. Treatment approaches like compression therapy, VAC therapy, and the importance of evidence-based medicine are also highlighted at a high level.
The systematic review and meta-analysis examined 24 studies on the use of platelet rich plasma (PRP) gel for wound healing. The meta-analysis found that PRP therapy significantly improved complete healing of chronic wounds compared to standard care. It also found that PRP treated acute wounds were less likely to develop infections compared to controls. Overall, the review concluded that PRP therapy improved both complete and partial wound healing outcomes.
The document discusses associative innovations for negative pressure wound therapy (NPWT) to help make it more accessible and affordable. It examines combining NPWT with different dressings, techniques, and technologies like using rinse solutions, silver dressings, and hyperbaric oxygen therapy. The results showed these associations help resolve infections faster, protect new tissue growth, improve tissue quality, and increase time between dressing changes. This leads to shorter treatment times and reduced costs while still achieving good treatment outcomes.
Value Add Consultant (VAC) is a boutique valuation firm operated by a team of multi-disciplinary professionals led by Mohit R Mehta. VAC provides valuation and consulting services with the objective of achieving supreme customer satisfaction. VAC has expertise in valuations for various asset classes and industries. It has experience carrying out projects across various geographies and domains through collaborations with other firms.
This document summarizes Lindokuhle Biyase's vacation work report from December 2014 to January 2015. It discusses the projects worked on, including alignment of audio with text, corpus packaging with XML, and addition of metadata and gender identification to an annotated data set. Gender identification of audio clips was evaluated using Weka data mining tools, with the J48 algorithm performing best at 70.6% accuracy. Overall, it was a good learning experience in areas like Python programming, Linux, audio editing, and natural language processing tools.
The document summarizes the diagnosis and treatment of common podiatric problems by Dr. Don Pelto. It discusses conditions such as plantar fasciitis, flat feet, Morton's neuroma, bunions, hammertoes, ulcers, and fractures. For each condition, it describes signs, symptoms, and treatment options including orthotics, padding, corticosteroid injections, and surgery. It emphasizes the importance of appropriate footwear, debridement, and patient education in preventing foot ulcers in diabetics.
The document discusses the Qua-Vac Vacuflow vacuum sewage system. It provides a brief history of vacuum sewage technology dating back to 1866. It then describes the key components of the Vacuflow system, including interface units, gravity piping in a sawtooth profile, vacuum stations, and biofilters. The document highlights benefits such as quick installation, flexibility, and environmental friendliness. It includes examples of system designs and installations.
EWMA 2013 - Ep545 - Evidence Based Comparison of Three Advanced Adjunctive Wo...EWMA
This document compares three advanced wound care modalities: negative pressure wound therapy (NPWT), hyperbaric oxygen therapy (HBO), and topical wound oxygen therapy (TWO2). It conducts a literature review of their effectiveness in treating diabetic and venous ulcers. TWO2 and HBO appear more effective than NPWT for diabetic ulcers, while TWO2 seems more effective for venous ulcers. However, NPWT and TWO2 can be used at home, making them potentially more cost-effective options than HBO, which requires specialized facilities. Overall, the evidence levels for each modality are limited, so both clinical and economic factors should be considered when choosing a treatment.
VAC therapy has emerged as a novel adjunct to wound management over the last decade. It works by removing edema and inhibitory factors from wounds, reducing bacterial counts, and improving healing through increased blood flow, granulation tissue formation, and angiogenesis. VAC therapy finds applicability in many wound types by preparing wounds for reconstruction and securing skin grafts. It provides an economical alternative to other treatments and can help expedite healing and reduce hospital stays. However, VAC therapy is an adjunct and not a substitute for thorough debridement and other established wound care measures.
Platelet rich plasma (PRP) involves injecting a patient's own concentrated platelets and growth factors into injured areas to stimulate healing. PRP is used to treat tendon injuries, muscle strains, ligament sprains, joint injuries like arthritis or meniscus tears, and bone regeneration. It has also been used for wound healing after surgery, cardiac care, skin repair, cosmetic procedures, and dental applications. Case studies show PRP helped regenerate bone prior to dental implant placement in 89% of patients and reduced pain and accelerated recovery for a patient who received a PRP injection for a ruptured Achilles tendon.
This document discusses cervical and lumbar traction. It begins with the anatomy of intervertebral discs, noting their water content decreases with age. Disc injuries like bulging or herniation occur when the annulus fibrosis is weakened, allowing the nucleus pulposus to protrude. Traction works by separating vertebral surfaces to reduce nerve impingement and break pain cycles. It can centralize herniated discs. The document provides guidelines for applying cervical and lumbar traction manually or with devices, including appropriate angles, durations, and forces.
El documento describe diferentes terapias de cierre asistido con presión negativa como InfoV.A.C.® y ActiV.A.C.® para el tratamiento de heridas agudas, subagudas y crónicas. La terapia promueve la granulación, disminuye el volumen de la herida y elimina el exceso de fluidos para mejorar la cicatrización. Aunque es una herramienta útil, no debe usarse como reemplazo de la debridación quirúrgica que es el tratamiento inicial para heridas infectadas.
The document discusses pressure ulcers, including their causes, assessment, stages, treatment, and prevention. Some key points:
- Pressure ulcers are caused by factors like decreased sensation, mobility, nutrition, incontinence, and shear/friction forces.
- Assessment involves visual skin inspection and using a risk assessment scale like the Braden Scale to document factors like moisture, pressure, shear, and friction.
- Pressure ulcers are staged from I to IV based on tissue depth involvement, from non-blanchable redness to full thickness tissue loss with bone/muscle exposure.
- Treatment focuses on relieving pressure, keeping skin clean and dry, using dressings, and managing in
CCNPWT (Closed Cyclic Negative Pressure Wound Therapy) is a wound management technique that uses negative pressure to promote wound healing. It involves placing a foam dressing in the wound, sealing it with a drape, and applying controlled negative pressure through a tube. This removes excess fluid, stimulates blood flow, and encourages granulation tissue growth while keeping the wound moist and protected. CCNPWT can help heal wounds like pressure ulcers, burns, diabetic ulcers, surgical wounds, and more by creating an environment that supports healing on a cellular level.
CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY (CCNPWT), the flexible PU foam dressing adapts to the contours of deep & irregular surface of the wound bed on application of Negative Pressure Therapy. The Specially designed antimicrobial, hydrophobic, non-linear networked foam dressing removes bacteria colonised wound exudates, enhances dermal perfusion and simultaneously helps promote wound closure by primary or secondary intentions. The CCNPWT acti-foam dressing aggressively promotes uniform healthy granulation tissue formation throughout the wound bed.
Vacuum-assisted closure (VAC) therapy is an alternative to standard wound management that uses controlled negative pressure to optimize wound healing. It works by removing fluid from the wound and stimulating blood flow to promote granulation tissue formation while providing a moist environment. The VAC system involves placing porous foam in the wound, sealing it with an adhesive drape, and applying continuous negative pressure via a pump-controlled vacuum. This accelerates healing with fewer dressing changes than traditional wet-to-dry gauze. VAC therapy can treat various wound types and has advantages of reduced bacteria, improved perfusion, and a closed moist environment, though it also has disadvantages like discomfort and noise. It is being increasingly used and studied with
Vacuum asssited wound therapy for buns managementShivaniNautiyal4
Vacuum assisted dressing, also known as negative pressure wound therapy (NPWT), uses sub-atmospheric pressure to promote wound healing. It was developed in 1993 and provides an alternative to standard wound care that requires fewer dressing changes. NPWT works by applying negative pressure to draw the wound closed and promote granulation tissue growth, blood flow, and healing while reducing bacteria, edema, and the need for wound irrigation. It has benefits like more effective therapy, reduced dressing changes and bacterial counts, improved wound healing, and reduced pain compared to standard care.
This study compared the efficacy of vacuum assisted closure (VAC) therapy versus handcrafted vacuum assisted devices in healing chronic wounds. 50 patients with chronic wounds were divided into two groups - one treated with VAC therapy and the other with handcrafted devices. Wound area, volume, and granulation tissue were assessed after 5 days of treatment. The results found no statistically significant differences between the two groups in reducing wound area for small, medium, or large sized wounds. Both VAC therapy and handcrafted devices were effective in treating chronic wounds, with handcrafted devices providing an affordable alternative where cost is a limitation.
Current management of acute cutaneous wounds nejmshimaken
This document summarizes current concepts in the management of acute cutaneous wounds. It discusses general principles of wound care including thorough cleansing, maintaining a moist environment, and use of appropriate dressings. It then provides guidance on treating specific types of wounds such as abrasions, lacerations, skin tears, plantar puncture wounds, mammalian bites, and subungual hematomas. The recommendations are based on randomized trials when available, but also draw from observational studies and expert opinion. The overall goal is to achieve rapid healing with optimal functional and aesthetic results.
This document discusses vacuum assisted closure (VAC) therapy for treating diabetic foot wounds. It provides details on how VAC therapy works, the clinical efficacy demonstrated in studies, and considerations for use. VAC therapy uses controlled suction to remove wound fluid and bacteria, stimulate new tissue growth, and reduce the need for dressing changes. Studies have found VAC therapy increased healing rates and tissue proliferation in diabetic foot ulcers compared to other dressings. Contraindications and limitations are discussed, such as VAC not being a substitute for debridement and difficulty maintaining a seal over irregular wound surfaces.
This document provides an overview of wound management. It begins with objectives of defining wounds, classifying them, explaining wound healing and general management. It then covers wound classification including by origin, bacterial contamination and shape. The stages of wound healing - hemostasis, proliferation and remodeling - are outlined. Wound management techniques like irrigation, debridement, closure methods and dressings are described. Potential complications are also mentioned.
This document evaluates the use of vacuum assisted closure (VAC) therapy for soft tissue injuries at Viet-Czech Friendship Hospital in Hai Phong from 2014-2018. 312 patients with soft tissue injuries were treated with VAC, with the majority having pressure sores. On average, patients received 3 VAC dressing changes over 2 days each. VAC reduced pain levels and wound sizes compared to traditional dressings. The conclusion is that VAC promotes healing, requires fewer dressings, and is an effective treatment for soft tissue wounds.
Complications of periodontal surgery /certified fixed orthodontic courses by...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Complications of periodontal surgery /certified fixed orthodontic courses by...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses debridement and the role of enzymes in wound bed preparation. It defines necrotic tissue and explains that debridement is important to remove barriers to healing like necrotic tissue and bacteria. There are five main methods of debridement: surgical, enzymatic, autolytic, mechanical, and biologic. For chronic wounds that accumulate necrotic tissue, debridement should be viewed as a ongoing process rather than a single intervention to continuously remove barriers to healing.
This document discusses pelvic reconstructive surgery and highlights related to surgical mesh. It notes that over 1,000 complications have been reported with transvaginal mesh including erosion, infection, pain and other issues. Mesh may not improve outcomes over traditional non-mesh repairs for pelvic organ prolapse. The FDA recommends registries to track outcomes, standardized training, improved informed consent processes and clarifying mesh indications. Specific mesh properties like pore size, weight, material and surgical techniques can impact complications. Alternative native tissue repairs and hybrid meshes are also discussed.
3 penelitian besar tentang safute menunjukkan safute mudah dioperasikan, cepat, efek samping dan komplikasi minimal dengan nyeri dan perdarahan minimal membuatnya populer di kalangan dokter dan pasien..
This document summarizes the use of simplified negative pressure wound therapy (sNPWT) in pediatrics. sNPWT uses a portable, canisterless device to apply negative pressure between 25-125 mmHg to wounds. It promotes healing through microcirculation, tissue oxygenation, and bacterial reduction. The document finds sNPWT has benefits over traditional NPWT like improved tolerance, ability to be used as outpatients, and reduced dressing changes and pain. However, sNPWT has limited duration and inability to modulate pressure. Overall, sNPWT was found to achieve over 90% total wound healing.
Basic Principles In The Management Of Soft Tissue Injuries of the FaceDJ CrissCross
This document discusses the basic principles for managing soft tissue injuries of the face. It covers the initial assessment of the patient including history and physical exam, wound exploration and decontamination, closure techniques, use of local anesthesia, antibiotics and tetanus prophylaxis. Primary goals are repairing the tissue for optimal cosmetic and functional outcome while preventing complications like infection.
Basic Principles In The Management Of Soft Tissueguest91a22d
This document summarizes basic principles for managing soft tissue injuries of the face. It discusses the initial assessment of injuries including history and physical exam, approaches for wound exploration and decontamination, and closure techniques. Primary goals are preventing infection, maintaining function and achieving good cosmetic results. Suturing techniques aim to approximate wound edges with minimal tension. Antibiotics and tetanus prophylaxis are administered when needed.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
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What is Closed Cyclic Negative
Pressure Wound Therapy(CCNPWT)?
Negative Pressure Wound Therapy also widely
known as NPWT, WOUND VAC or TNP(Tropical
Negative Pressure) is a widely accepted wound
management modality today, i.e.,
A specially designed foam dressing applied on a
wound bed, sealed with a PU/PE drape further
connected with a drainage tubing to regulated /
controlled negative pressure source.
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How does CCNPWT promote wound healing?
•Removing excess fluid (infections and non-infectious),
allowing tissue decompression
•Stimulates granulation tissue formation by increasing
vascular perfusion,
•Encourages mechanical stretching, approximates wound
edges, enhances overall wound contraction
•Protects wound from microbe imbalance
•Maintains a moist wound
healing environment
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5. Stick the drainage tubing
aligning the hole made
1. Rinse the wound thoroughly
& Debride majority of necrotic tissues
4. Make a small hole in the centre
2. Cut the foam dressing
in the shape of the wound
3. Place it on the wound bed
& seal with PU drape
6. INITIATE the Therapy & observe
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10. CCNPWT THERAPY
DRESSING BENEFITS
Flexible foam dressing adapts to the contours of
deep & irregular surface of the wound bed
Specially designed hydrophobic, non-linear
networked foam dressing removes bacteria
colonised wound exudate
The CCNPWT foam dressing aggressively
promotes uniform healthy granulation tissue
throughout the wound bed
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CCNPWT THERAPY DRESSING
BENEFITS
Flexible foam dressing adapts to the contours of
deep & irregular surface of the wound bed
Specially designed hydrophobic, non-linear
networked foam dressing removes bacteria
colonised wound exudate
The CCNPWT foam dressing aggressively
promotes uniform healthy granulation tissue
throughout the wound bed
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CCNPWT provides a closed sterile & moist wound
healing environment
Promotes granulation tissue formation, recent
studies suggest mechanical stretching may result in
increased mitosis (Cell Replication)
Controlled Negative Pressure Therapy decreases
wound volume approximating wound edges, helps
uniformly draw wounds closed
Promotes continuous wound debridement by
removing wound debris & bacteria colonized wound
output/interstitial fluid allowing tissue decompression
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Contd..
Reduces oedema
Reduces bacterial load
Stimulates cell proliferation
Enchances dermal perfusion
Promotes micro angiogenesis
Protects wound from re-infection, cross
infection or spreading further infection
Promotes Skin Graft/Flap uptake (The
flexible foam dressing gently presses the skin
graft or flap ensuring full contact with the
wound bed
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Increased Perfusion
Morykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Peak blood flow recorded at 125 mmHg
Study helped establish original pressure
protocol with Foam Dressing (400-600
micron pore-size)
Positive effect on perfusion
with 100-125 mmHg
Hypothesized that reduction in oedema
decompresses small blood vessels and
increases flow
Frank Ischaemia and Wound Hypoxia
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Reduction of Inhibitory Factors
Morykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Reduction of oedema has positive effect in wound
healing
Reduction of inhibitory factors contained in
interstitial fluid (chemical)
Decompression of small blood vessels, which
restores flow (mechanical)
Negative Pressure Wound Therapy increases perfusion and
oxygenation, therapy likely enhances resistance to infection
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16.
17.
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WHAT TYPE OF WOUNDS
BENEFIT FROM CCNPWT?
Pressure ulcers
Full thickness and partial thickness burns
Diabetic / Neuropathic ulcers
Venous Insufficiency ulcers
Post-operative and dehisced surgical
Traumatic Wounds
Skin Flaps and Grafts
Explored fistulas
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WHEN IS CCNPWT CONTRAINDICATED?
• Wounds containing malignant tissue
• Untreated osteomyelitis
• Necrotic tissue such as slough or eschar
• Unexplored or non-enteric fistulas
• Exposed or unprotected organs, blood vessels
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WHAT CONDITIONS INDICATE CAUTION?
• Active bleeding or patient on anticoagulant
therapy
• Proximity of blood vessels, organs, muscle, and
fascia requiring protection
• Irradiated vessels and tissue
• Bony fragments
• Untreated malnutrition
• Non-compliant or combative behaviour
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CCNPWT helps in Flaps & Graft uptake
Fixation of skin graft (mesh-grafts) or flap until the
graft has taken (4-6 days). In these special cases,
Topical Negative Presure Therapy is used
for the secure fixation
of a split skin graft to the wound
The soft foam helps gently press the graft/flap onto the wound
bed and thus ensures full contact between the graft and the
underlying wound bed, irrespective of the wound contours and
the formation of pockets, also continuously drains out the
wound output, ensures infection free graft uptake
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DRESSING APPLICATION TECHNIQUE
STEP 1 : DEBRIDE & CLEAN THE WOUND WITH
ISOTONIC SOLUTION
STEP 3: SEAL THE WOUND WITH SEMI-PERMEABLE
DRAPE & MAKE A SMALL HOLE IN THE CENTRE
STEP 2 : CUT THE FOAM DRESSING IN THE SHAPE
OF WOUND AND PLACE IT ON WOUND BED
STEP 4 : STICK THE MAPC TUBING DISTAL END
KEEPING SYMMETRY WITH HOLE IN CENTRE &
CONNECT WITH THE NEGATIVE PRESSURE
SOURCE
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INDICATED FOR
ABDOMINAL
COMPARTMENT
SYNDROME
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Infected Laprotomy
**Please seek advice for special Dressing selection
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WHAT INTERVENTIONS WILL MAXIMIZE
HEALING?
Debride wound prior to Negative Pressure
Therapy
Off load pressure ulcers consistently
Minimize time off NPWT to < 4 hours in a day
Manage co-morbid condition
Increased blood flow
Reduce oedema
Minimize infection
Control blood glucose level
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WHAT ARE THE EXPECTED OUTCOMES?
• May observe increased exudate and wound size during
the first 48-72 hours due to the decompression of interstitial
space and removal of extra-cellular fluid and debris.
• Gradual reduction of fluid and surface area should be
observed with each assessment.
• Colour of wound bed should become a deeper red as
perfusion to the site increases.
• Measurements should decrease weekly.
• If healing is not observed in a week, treatment should be
re-evaluated.
• The average treatment with NPWT is 1-4 weeks. Length of
treatment is determined by goals of therapy.
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HOW DO YOU MANAGE WOUND WITH CCNPWT?
Change dressing two/three times per week.
Monitor frequently
Observe wound and peri-wound area for signs and
symptoms of infection
Remove dressings carefully to protect new tissue
growth.
Bright gush flow red blood in canister requires
immediate evaluation.
Measure and document per facility protocol
Note : To initiate it is recommended to follow CCNPWT protocol, to ensure optimal results, as
ithese are tried and tested protocol designed by various CCNPWT expert wound managers
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Thank you for your patience
For any queries feel free to contact our local
representative
or visit
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email: info@npwtindia.com
or npwtindia@gmail.com
TRIAGE MEDITECH PVT. LTD.
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