History of Negative-Pressure Wound Therapy (NPWT)

Shiffman, Melvin A.

doi:10.1007/15695_2017_50

Cited by 5 publications

(7 citation statements)

References 53 publications

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“…Skin breakdown or a compromise in skin integrity is often misclassified as a PI. An expert such as a certified wound care nurse seeks to identify the aetiology of skin breakdown 26–28. Mislabelling skin breakdown as PIs is common, given the complex nature of skin breakdown 29.…”

Section: Discussionmentioning

confidence: 99%

“…Mislabelling skin breakdown as PIs is common, given the complex nature of skin breakdown 29. Accurate identification of skin breakdown aetiology requires advanced didactic and clinical training 26–28. Commonly misidentified skin breakdown includes skin death in critically ill or end-of-life patients and skin breakdown-related another aetiology other than pressure 30.…”

Section: Discussionmentioning

confidence: 99%

“…Commonly misidentified skin breakdown includes skin death in critically ill or end-of-life patients and skin breakdown-related another aetiology other than pressure 30. Accurate early identification of skin breakdown aetiology facilitates appropriate treatment plans 25–30. Erroneous labelling of skin breakdown as PIs delays care and may cause more harm to the patient.…”

Section: Discussionmentioning

confidence: 99%

“…The PIPB itself consists of evidence-based nursing interventions with a rich history of successful interventions 7 10–18 23 26–36. The PIPB addresses early identification of at-risk patients, protecting boney prominences, intrinsic and extrinsic moisture, prolonged exposure to pressure from devices or surface 10–18 23 26–36. Each well-known risk factor is addressed with nursing interventions that are simple and quick to implement.…”

Section: Discussionmentioning

confidence: 99%

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Sustainable pressure injury prevention

Singh,

Shoqirat,

Thorpe

et al. 2023

BMJ Open Qual

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The quality department used adaptive leadership and the plan-do-study-act cycle to decrease pressure injury (PI) rates. After identifying gaps, the pressure injury prevention bundle was developed and implemented to bring evidence-based nursing practice to frontline nurses. Organisational rates of PI was followed for 4 years (2019–2022) and a smaller subset of 88 patients were followed in the prospective arm. Using statistical analysis, the decrease in PI rates (90%) and severity is significant (p<0.5) and sustained compared with the year prior to interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Sustainable pressure injury prevention

Singh,

Shoqirat,

Thorpe

et al. 2023

BMJ Open Qual

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“…In NPWT, the wound is covered with an airtight dressing, and negative pressure is applied to remove the exudate and to mechanically stimulate the wound and peri‐wound tissues, to initiate and progress the tissue repair. The latest embodiment of this commonly used wound care technology, which exists in the commercial medical device arena since the 1990's, 10 , 11 is single‐use NPWT (suNPWT) systems, which are meant to be used by an individual patient, are simple to operate and are disposed post‐treatment.…”

Section: Introductionmentioning

confidence: 99%

Effective negative pressure wound therapy for open wounds: The importance of consistent pressure delivery

Orlov

Gefen

2022

International Wound Journal

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Two distinct design concepts exist for single‐use negative pressure wound therapy systems: Canister‐based versus canisterless. The canister‐based technology provides intrinsic stable delivery of the intended negative pressure, because exudate is constantly transferred from the wound into a canister, thereby preventing dressing saturation. In contrast, with a canisterless system, where delivery of the negative pressure depends on continuous evaporation of wound fluids from its dressing, loss of the intended wound‐bed pressure may occur due to dressing saturation. To investigate whether these two designs differ in their mechanobiological effect with respect to magnitudes and distributions of tissue strain fields under the absorptive dressing, termed the influence zone, we integrated computational modelling with an animal study. This influence zone must be of biologically influential strain levels and extend sufficiently into the peri‐wound for stimulating fibroblasts to migrate and progress the healing. We found that an effective influence zone requires continuous delivery of the intended pressure to the wound‐bed. Loss of negative pressure at the wound‐bed below 40 mmHg adversely lowered the peri‐wound stimulation around a 120 × 70 mm sized wound to less than one‐third of the baseline stimulation, and further pressure decreases to 20 mmHg or lower resulted in complete lack of peri‐wound mechano‐stimulation.

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The trends in wound management: Sensing, therapeutic treatment, and “theranostics”

Yang,

Chen

et al. 2023

Journal of Science: Advanced Materials and Devices

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History of Negative-Pressure Wound Therapy (NPWT)

Cited by 5 publications

References 53 publications

Sustainable pressure injury prevention

Sustainable pressure injury prevention

Effective negative pressure wound therapy for open wounds: The importance of consistent pressure delivery

The trends in wound management: Sensing, therapeutic treatment, and “theranostics”

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