2014
DOI: 10.2147/tcrm.s66117
|View full text |Cite
|
Sign up to set email alerts
|

Severe complications after negative pressure wound therapy in burned wounds: two case reports

Abstract: We present two typical cases of severe complications (sepsis and hemorrhage) after negative pressure wound therapy (NPWT) in burned patients. Necrotic tissues in some deep burn wounds are difficult to judge correctly and remove thoroughly. An electrically burned blood vessel looks “intact” but can easily break. Necrotic tissue or injured blood vessels when using NPWT are dangerous, both for causing sepsis and hemorrhage. This is the first article that reports the severe complications of NPWT in burned patients… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
2
1

Citation Types

0
8
0

Year Published

2015
2015
2024
2024

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 10 publications
(8 citation statements)
references
References 17 publications
0
8
0
Order By: Relevance
“…Although there are reports of the bacterial bioburden not being reduced despite the use of NWPT, in most cases the wounds continue to heal without incident [14]. There are a limited number of reported cases of infectious complications associated with the use of NPWT including toxic shock syndrome [26], sepsis associated with burn wounds following eschar debridement [27], delayed sepsis in a blast injury wound [28], along with abscess, and sepsis in acute and chronic wounds treated with NPWT [29]. Moreover, the Food and Drug Administration in the United States have reported a range of complications associated with NPWT including predominantly haemorrhage and complications related to retained foam in patients being treated with NPWT [30].…”
Section: Discussionmentioning
confidence: 99%
“…Although there are reports of the bacterial bioburden not being reduced despite the use of NWPT, in most cases the wounds continue to heal without incident [14]. There are a limited number of reported cases of infectious complications associated with the use of NPWT including toxic shock syndrome [26], sepsis associated with burn wounds following eschar debridement [27], delayed sepsis in a blast injury wound [28], along with abscess, and sepsis in acute and chronic wounds treated with NPWT [29]. Moreover, the Food and Drug Administration in the United States have reported a range of complications associated with NPWT including predominantly haemorrhage and complications related to retained foam in patients being treated with NPWT [30].…”
Section: Discussionmentioning
confidence: 99%
“…However, in 2011 the US Food and Drug Administration updated a report on serious complications associated with NPWT and cited 12 deaths and 174 injuries since 2007 11. Ren and Li reported sepsis in a burns patient treated with NPWT 28. It should be noted that acute hemorrhages caused all of the deaths because large, exposed blood vessels and bleeding were ignored.…”
Section: Discussionmentioning
confidence: 99%
“…Excessive negative pressure may increase the bleeding risk and may result in the attraction of intestine and omentum tissues, leading to wrapping and adhesions ( 10 ). Thus, a low negative pressure of 50 kPa was chosen in the present case.…”
Section: Negative Pressure Applied At 50 Kpamentioning
confidence: 99%
“…However, specific factors should be considered when choosing an appropriate negative pressure. Firstly, pressure should be high enough to resist the resistance of VSD sponge material to ensure that the negative pressure may suck the liquid surrounding VSD; continuous negative pressure suction and syphonage effect of sponges allow for more complete drainage ( 8 10 ). Secondly, if the pressure is too low, the sponge becomes too wet, which affects the adhesion properties of the sponge.…”
Section: Negative Pressure Applied At 50 Kpamentioning
confidence: 99%