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Negative-pressure wound therapy with instillation: international consensus guidelines.
Paul J Kim1, Christopher E Attinger, John S Steinberg
1Washington, D.C.; Heidelberg and Berlin, Germany; Dallas, Texas; Scottsdale, Ariz.; Boston, Mass.; Chicago, Ill.; New York, N.Y.; Vancouver, Wash.; Gainesville, Fla. From the Department of Plastic Surgery, Georgetown University Hospital; the Orthopedic and Trauma Clinic, Heidelberg University; Department of Trauma Senior Surgery and Orthopedics, Reconstructive, Septic, and Hand Surgery, Military Hospital Berlin; the Department of Plastic Surgery, University of Texas Southwestern; the Division of General Surgery, Scottsdale Healthcare Osborn Medical Center; the Department of Surgery, Harvard Medical School; the Department of Clinical Surgery, University of Illinois at Chicago; the Department of Surgery, Columbia University; the Department of Plastic and Maxillofacial Surgery, Southwest Washington Medical Center; and the Department of Wound Research, University of Florida.
Negative-pressure wound therapy with instillation (NPWTi) is a growing treatment for wounds. This expert consensus provides preliminary guidelines for its appropriate use, pending further evidence.
Area of Science:
- Wound Care
- Medical Devices
- Clinical Practice Guidelines
Background:
- Negative-pressure wound therapy with instillation (NPWTi) is increasingly used for diverse wounds.
- A lack of evidence and guidance currently exists for effective NPWTi application.
- This therapy is gaining popularity in wound management.
Framework:
- A panel of experts convened to establish consensus recommendations for NPWTi.
- Discussions involved evidence review and sharing of clinical experiences.
- Consensus was achieved through >80% agreement among panelists.
Implementation:
- Nine consensus statements were generated focusing on appropriate NPWTi use.
- The panel did not directly assess the clinical effectiveness of NPWTi.
- These guidelines are preliminary and subject to revision.
Implications:
- Provides initial guidance for clinicians using NPWTi.
- Highlights the need for further research to establish clinical effectiveness.
- Aims to standardize the application of this advanced wound therapy.
