Fast and effective wound healing Negative Pressure Wound Therapy

Size: px
Start display at page:

Download "Fast and effective wound healing Negative Pressure Wound Therapy"

Transcription

1 Fast and effective wound healing Negative Pressure Wound Therapy

2 What are your wound management challenges? Healthcare professionals and KCI are always looking for ways to heal wounds faster and more effectively, to improve the quality of life of patients and to reduce overall therapy costs. Efficacy? Healing times? Patient quality of life? Costs? The challenges of effective wound management are becoming increasingly C J Moffatt, European Wound Management Association (EWMA). Position Document: Topical negative pressure in wound management. London: MEP complex. Ltd,

3 Is there a better approach to wound healing? 3

4 A better approach to wound healing The scientifically and clinically proven mechanisms of action behind V.A.C. Therapy promote fast and effective wound healing. 1 5 Mechanisms of action Moist wound healing Granulation tissue formation Oedema reduction Enhanced perfusion Removes wound exudate containing molecules that can inhibit wound healing Stimulates cell proliferation Case Report: Trauma wound 6 A 91-year-old female with a haematoma to the lower leg secondary to a fall. At presentation Day 0 Day 2 Conclusion 4 Wound after removal of hard necrotic tissue. The undermined area was filled with V.A.C. GranuFoam Dressing. After 48 hours the undermined area had decreased in size. After 8 days inpatient and 14 days care in the home undermining was eliminated and granulation tissue was level with wound margin.

5 The V.A.C. Therapy advantage Macrostrain Tissue level activity V.A.C. GranuFoam Dressing Gauze dressing Advantages V.A.C. GranuFoam Dressings provide direct, complete contact with the wound bed. They contract under negative pressure drawing the wound edges together and reducing wound volume. These pulling forces also remove Microstrain Cellular level activity exudate and infectious materials. GranuFoam Gauze Fibres V.A.C. GranuFoam Dressings induce microdeformation of tissue. 5 Tissue Interaction Tissue Interaction V.A.C. GranuFoam Dressings demonstrate 3x more fibroblast migration when compared with gauze. 5 V.A.C. GranuFoam Dressings demonstrate increased proliferation. Cell death is 2.4 x greater with gauze than with V.A.C. GranuFoam Dressing. 5 V.A.C. Therapy efficiently manages large volumes of exudate and accelerates the healing time of complex wounds. 5

6 V.A.C. Therapy: faster 2 and more effective 4 V.A.C. Therapy prepares the wound bed over twice as fast 2 Faster wound bed preparation in V.A.C. Therapy group 17 days [10-24] 7 days [ ] CONTROL V.A.C THERAPY p = Time to wound bed preparation was cut from 17 to 7 days with V.A.C. Therapy Duration needed for wound bed preparation (days) A Randomised Controlled Trial covering 60 chronic leg ulcer patients compared against advanced moist wound dressings. Graph adapted from: Vuerstaek et al Journal of Vascular Surgery Case Report: Chronic wound 6 A diabetic female following amputation of the left second digit and metatarsal head. 6 Day minus 30 Amputation of head of second metatarsal. Day 0 Day 11 Day 54 Following complications, and removal of non-viable tissue. With no improvement for 1 month, V.A.C. Therapy was applied and reduced slough coverage to 40% of the wound surface. At 54 days V.A.C. Therapy was discontinued as the wound bed showed 100% granulation tissue coverage.

7 V.A.C. Therapy is 71% more effective in reducing wound area 4 Diabetic foot ulcers* 2.53 cm 2 CONTROL p < Wound area reduced by 4.32 cm 2 under V.A.C. Therapy compared to only 2.53 cm 2 under control cm 2 V.A.C THERAPY *Average baseline wound area for patients treated with V.A.C. Therapy is 13.5 cm 2 and for patients treated with AMWT 11.0 cm 2. Reduction in ulcer area at Day 28 (cm 2 ) A Randomised Control Trial of 342 patients compared against predominantly hydrogels and alginates across 37 centres. Graph adapted from: Blume et al Diabetes Care The healed foot is functional and can be accommodated within semibespoke footwear, the plantar tissues show no significant scarring or areas of high pressure. 7

8 Impacting positively on healthcare providers and patients V.A.C. Therapy cuts treatment costs by a third 7 Treatment costs cut by $12,852 using V.A.C. Therapy. 7 Average total cost to achieve 100% healing $ $ CONTROL V.A.C THERAPY 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000 USD ($) A Randomised Controlled Trial of 162 patients using V.A.C. Therapy treating diabetic foot wounds compared against advanced moist wound care. Graph adapted from: Apelqvist et al The American Journal of Surgery Case Report: Acute wound 6 A 55-year-old woman with necrotising fasciitis requiring radical surgical debridement. 8 Day 0 Initiation of V.A.C. Therapy after radical surgical debridement of abdominal wound. Day 0 Day 24 Day 60 V.A.C. Therapy was applied over exposed bowel. The patient was discharged home on the V.A.C. Freedom unit after a 72% reduction in wound size. V.A.C. Therapy was discontinued. 98% of skin graft was taken successfully.

9 V.A.C. Therapy significantly improves patient quality of life 8 Physical complaints Everyday life complaints *** *** **p<0.01 ***p<0.001 Overall quality of life improved with V.A.C. Therapy. 8 Social life complaints *** Psychological complaints *** Therapy burden *** Complaints with satisfaction ** Overall complaints *** PRIOR TO V.A.C THERAPY AFTER V.A.C THERAPY = no impact 5 = high impact A questionnaire comparison study in which 98 centres compared data before and after V.A.C. Therapy. Graph adapted from: Augustin et al MMW-Fortschritte der Medizin Originalien, V.A.C. Therapy was used to promote rapid growth of granulation tissue in a patient with a number of comorbidities who was at risk of delayed healing. 9

10 You care for your patient: we ll give you the support you need KCI your wound care partner Introductory training and ongoing education. 24-hour customer service to address real-time requirements. Continued research and development investment. Support from our healthcare economic team with any budget concerns. More than 137,000 caregivers trained world wide in 2007 alone. 10

11 V.A.C. Therapy is the validated NPWT Over 16 Randomised Controlled Trials. Over 450 peer-reviewed articles including health economic evidence. More than 3 million patients treated to date with 30,000 patients assisted world-wide every single day. Established mechanisms of action at cellular and tissue levels. To date over 16 Randomised Control Trials over 450 peer-reviewed articles over... 3 million patients treated with V.A.C. Therapy 11

12 V.A.C. Therapy. Faster, more effective and clinically proven wound healing. Prepares the wound bed over twice as fast. 71% more effective in reducing wound area. Cuts treatment costs by a third. Significantly improves quality of life. Comprehensive customer, technical training and support. Over 16 RCT s and 450 peerreviewed articles to date. Can you think of a patient who could benefit from V.A.C. Therapy today? Contact KCI today References 1. Hunter JE, Teot L, Horch R, Banwell PE. Evidence based medicine: vacuum-assisted closure in wound care management. International Wound Journal 2007, 4: Vuerstaek JD, Jeroen DD, Vainas T, Wuite J, Nelemans P, Neumann MHA, Veraart JCJM. State-of-the-art treatment of chronic leg ulcers: A randomized controlled trial comparing vacuumassisted closure (V.A.C. ) with modern wound dressings. Journal of Vascular Surgery 2006, 44(5): Armstrong DG & Lavery LA. Negative Pressure Wound Therapy after partial Diabetic Foot Amputation: a multicentre, randomised controlled trial. Lancet 2005, 366: Blume PA, Walters J, Payne W, Ayala J, Lantis J. Comparison of Negative Pressure Wound Therapy using Vacuum-assisted Closure with Advanced Moist Wound Therapy in the Treatment of Diabetic Foot Ulcers. Diabetes Care 2008, 31: McNulty AK, Schmidt BS, Feeley T, Kieswetter K. Effects of negative pressure wound therapy on fibroblast viability, chemotactic signaling, and proliferation in a provisional wound (fibrin) matrix. Wound Repair and Regeneration 2007, 15: Gray, D. Russell, F. Timmons, J: Editors. VAC Therapy: An introduction and practical guide. Wounds UK, Apelqvist J, Armstrong DG, Lavery LA, Boulton AJM. Resource utilization and economic cost of care based on a randomized trial of Vacuum-assisted Closure therapy in the treatment of diabetic foot wounds. The American Journal of Surgery 2008, 195(6): Augustin M, Zschocke I. Nutzenbewertung der Ambulanten und Stationaeren V.A.C. Therapie aus Patientensicht. MMW-Fortschritte der Medizin Originalien 2006, 1(148):S Patient photographs are posed by models. United Kingdom KCI Medical Ltd KCI House Langford Business Park Langford Locks Kidlington OX5 1GF United Kingdom 24h Customer Support KCI Advantage Centre Tel +44 (0) Fax +44 (0) kci international head office KCI Europe Holding B.V. Parktoren, 6th Floor Van Heuven Goedhartlaan 11 PO Box AC Amstelveen The Netherlands Tel +31 (0) Fax +31 (0) GLOBAL HEAD OFFICE KCI International 8023 Vantage Drive San Antonio TX U.S.A. T(free) , extension 6335 Tel Fax KCI Licensing, Inc. All Rights Reserved. All trademarks designated herein are property of KCI Licensing, Inc, its affiliates and licensors. Those KCI trademarks designated with the symbol are registered and those designated with TM are considered to be proprietary trademarks or are pending trademark applications in at least one country where this product/ work is commercialized. Most KCI products referred to herein are subject to patents or patent applications. KCI Product code KCII En

COMPLIANCE WITH THIS DOCUMENT IS MANDATORY

COMPLIANCE WITH THIS DOCUMENT IS MANDATORY COVER SHEET NAME OF DOCUMENT TYPE OF DOCUMENT Policy DOCUMENT NUMBER DATE OF PUBLICATION August 2011 RISK RATING Medium Risk LEVEL OF EVIDENCE REVIEW DATE August 2014 FORMER REFERENCE(S) EXECUTIVE SPONSOR

More information

Post-surgical V.A.C. VeraFlo Therapy with Prontosan Instillation on Inpatient Infected Wounds * COLLECTION OF CASE STUDIES

Post-surgical V.A.C. VeraFlo Therapy with Prontosan Instillation on Inpatient Infected Wounds * COLLECTION OF CASE STUDIES COLLECTION OF CASE STUDIES Post-surgical V.A.C. VeraFlo Therapy with Prontosan Instillation on Inpatient Infected Wounds * *All patients were treated with systemic antibiotics Post-surgical V.A.C. VeraFlo

More information

ABThera Open Abdomen Negative Pressure Therapy for Active Abdominal Therapy. Case Series

ABThera Open Abdomen Negative Pressure Therapy for Active Abdominal Therapy. Case Series ABThera Open Abdomen Negative Pressure Therapy for Active Abdominal Therapy Case Series Summary of Cases: USER EXPERIENCE The ABThera OA NPT system was found by surgeons to be a convenient and effective

More information

Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner

Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner Managing cavity wounds Journal of Community Nursing March 1998 Author: Rosemary Pudner It has been seen in recent years, that an increasing number of patients are being discharged early into the community,

More information

The Wound VAC: The Hoover of healing. Karen Lo 10/5/09 R2 University of Colorado Department of Surgery

The Wound VAC: The Hoover of healing. Karen Lo 10/5/09 R2 University of Colorado Department of Surgery The Wound VAC: The Hoover of healing Karen Lo 10/5/09 R2 University of Colorado Department of Surgery Overview Background on wounds Biology of wound healing Deterrents and aids to wound healing Science

More information

Negative Pressure Wound Therapy (VAC Therapy) Guidelines

Negative Pressure Wound Therapy (VAC Therapy) Guidelines Negative Pressure Wound Therapy (VAC Therapy) Guidelines This is a living document and will be updated as required March 2013 Negative Pressure Wound Therapy Negative Pressure Wound Therapy (NPWT), also

More information

the Role of Patricia Turner BSN, RN, CWCN, CWS

the Role of Patricia Turner BSN, RN, CWCN, CWS Understanding the Role of Outpatient Wound Centers Patricia Turner BSN, RN, CWCN, CWS Outpatient wound centers are somewhat of a specialty unto themselves within the world of wound care. The focus of the

More information

University of Huddersfield Repository

University of Huddersfield Repository University of Huddersfield Repository Ousey, Karen and Milne, Jeanette Negative pressure wound therapy in the community: the debate Original Citation Ousey, Karen and Milne, Jeanette (2009) Negative pressure

More information

* This policy is under review and is being updated. A revised policy will be added shortly * February 2009. Clinical Development Forum

* This policy is under review and is being updated. A revised policy will be added shortly * February 2009. Clinical Development Forum * This policy is under review and is being updated. A revised policy will be added shortly * Document Title: PCT Document Ref No.: Local Document Ref No.: Date of Approval: Approved by: Guidance for the

More information

Topical Oxygen Wound Therapy (MEDICAID)

Topical Oxygen Wound Therapy (MEDICAID) Topical Oxygen Wound Therapy (MEDICAID) Last Review Date: September 11, 2015 Number: MG.MM.DM.15C6v2 Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or

More information

Effectiveness and Tolerability of Hyaluronic Acid (HA) for Chronic Wound Healing: A Systematic Review

Effectiveness and Tolerability of Hyaluronic Acid (HA) for Chronic Wound Healing: A Systematic Review Effectiveness and Tolerability of Hyaluronic Acid (HA) for Chronic Wound Healing: A Systematic Review S T U D E N T: AT I K A H S H A H A R U D I N ( M G N 1 3 0 0 0 2 ) S U P E R V I S O R : P R O F.

More information

Retrospective analysis of treating therapy resistant ulcers with a full thickness skin substitute (Tiscover)

Retrospective analysis of treating therapy resistant ulcers with a full thickness skin substitute (Tiscover) Retrospective analysis of treating therapy resistant ulcers with a full thickness skin substitute (Tiscover) Dr. E.M de Boer, dermatoloog Dr. C. van Montfrans, dermatoloog Prof. Dr. S. Gibbs, hoofd research

More information

The true cost of wounds. And how to reduce it

The true cost of wounds. And how to reduce it The true cost of wounds And how to reduce it Wounds are a growing challenge Wounds have been called the silent epidemic. In a typical hospital setting today, between 25% and 40% of beds will be occupied

More information

Negative Pressure Wound Therapy Incorporating Early Exercise Therapy in Hand Surgery: Bag-type Negative Pressure Wound Therapy

Negative Pressure Wound Therapy Incorporating Early Exercise Therapy in Hand Surgery: Bag-type Negative Pressure Wound Therapy 2013 67 4 271 276 Negative Pressure Wound Therapy Incorporating Early Exercise Therapy in Hand Surgery: ag-type Negative Pressure Wound Therapy * 272 67 4 14 15 17 ugust 2013 ag-type Negative Pressure

More information

Introduction to Wound Management

Introduction to Wound Management EWMA Educational Development Programme Curriculum Development Project Education Module: Introduction to Wound Management Latest revision: October 2012 ABOUT THE EWMA EDUCATIONAL DEVELOPMENT PROGRAMME The

More information

Wound Care: The Basics

Wound Care: The Basics Wound Care: The Basics Suzann Williams-Rosenthal, RN, MSN, WOC, GNP Norma Branham, RN, MSN, WOC, GNP University of Virginia May, 2010 What Type of Wound is it? How long has it been there? Acute-generally

More information

Policies & Procedures. Title: I.D. Number: 1160

Policies & Procedures. Title: I.D. Number: 1160 Policies & Procedures Title: NEGATIVE PRESSURE WOUND THERAPY (NPWT) I.D. Number: 1160 Authorization: [X] SHR Nursing Practice Committee Source: Nursing Date Revised: March, 2010 Date Effective: November,

More information

Topical negative pressure in wound management

Topical negative pressure in wound management Topical negative pressure in wound management Understanding topical negative pressure therapy Health economics and topical negative pressure therapy Selecting topical negative pressure therapy in practice

More information

HCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR:

HCPCS AMERIGEL HYDROGEL DRESSINGS CODING GUIDANCE FOR: HCPCS CODING GUIDANCE FOR: AMERIGEL HYDROGEL DRESSINGS FORM 1500 MUST HAVE THE FOLLOWING: APPROPRIATE HCPCS CODE APPROPRIATE A MODIFIER ACCURATE POS = 12 The Centers for Medicare and Medicaid Services

More information

Algidex Ag. wet - moist - dry wound

Algidex Ag.  wet - moist - dry wound Algidex Ag wet - moist - dry wound Algidex Ag is a unique combination of silver, alginate and maltodextrin. It provides immediate and sustained antimicrobial action against a broad spectrum of wound pathogens

More information

Standard Operating Procedure Template

Standard Operating Procedure Template Standard Operating Procedure Template Title of Standard Operation Procedure: Topical Negative Pressure (TNP) Reference Number: Version No: 1 Issue Date: May 2012 Review Date: August 2015 Purpose and Background

More information

Simplicity through innovation

Simplicity through innovation RENASYS Soft Port Simplicity through innovation The new RENASYS Soft Port from Smith & Nephew represents a revolutionary advancement in Negative Pressure Wound Therapy (NPWT). This innovative Soft Port

More information

Wound Healing Community Outreach Service

Wound Healing Community Outreach Service Wound Healing Community Outreach Service Wound Management Education Plan January 2012 December 2012 Author: Michelle Gibb Nurse Practitioner Wound Management Wound Healing Community Outreach Service Institute

More information

The compatibility of INTRASITE Gel and ACTICOAT : An In-Vivo and In-Vitro assessment

The compatibility of INTRASITE Gel and ACTICOAT : An In-Vivo and In-Vitro assessment *smith&nephew The compatibility of INTRASITE Gel and ACTICOAT : An In-Vivo and In-Vitro assessment 1 Trade Marks of Smith & Nephew An In-Vivo and In-Vitro assessment of the compatibility of ACTICOAT and

More information

USING ADAPTIC TOUCH Non-Adhering Silicone Dressing: CASE STUDIES

USING ADAPTIC TOUCH Non-Adhering Silicone Dressing: CASE STUDIES INTERNATIONAL CASE STUDIES USING ADAPTIC TOUCH Non-Adhering Silicone Dressing: CASE STUDIES CASE STUDIES SERIES 2013 This document has been jointly developed by Wounds International and Systagenix with

More information

Biotec s Soluble Beta-Glucan (SBG ) in clinical applications and its scientific platform

Biotec s Soluble Beta-Glucan (SBG ) in clinical applications and its scientific platform Biotec s Soluble Beta-Glucan (SBG ) in clinical applications and its scientific platform Arctic Biotech Seminar 30 th November 2015 CS Rolf E Engstad Agenda Company Soluble beta-glucan (SBG ) as PAMP SBG

More information

NEGATIVE PRESSURE WOUND THERAPY

NEGATIVE PRESSURE WOUND THERAPY DISCLAIMER: These guidelines were prepared jointly by the Surgical Critical Care and Medical Critical Care Services at Orlando Regional Medical Center. They are intended to serve as a general statement

More information

The impact of MEDIHONEY on Deep Partial Thickness Burns. Presenter: Ariel M. Aballay, MD, FACS Medical Director The West Penn Burn Center

The impact of MEDIHONEY on Deep Partial Thickness Burns. Presenter: Ariel M. Aballay, MD, FACS Medical Director The West Penn Burn Center The impact of MEDIHONEY on Deep Partial Thickness Burns Presenter: Ariel M. Aballay, MD, FACS Medical Director The West Penn Burn Center Agenda My Clinical Practice Why MEDIHONEY? What can it do? A Review

More information

Spinal Cord Stimulation (SCS) Therapy: Fact Sheet

Spinal Cord Stimulation (SCS) Therapy: Fact Sheet Spinal Cord Stimulation (SCS) Therapy: Fact Sheet What is SCS Therapy? Spinal cord stimulation (SCS) may be a life-changing 1 surgical option for patients to control their chronic neuropathic pain and

More information

Medical Affairs Policy

Medical Affairs Policy Medical Affairs Policy Service: Hyperbaric Oxygen Therapy PUM 250-0017 Implemented 07/15/15 Arise/WPS Policy 06/13/14, 06/12/15 Committee Approval Reviewed 06/13/14, 06/12/15 Revised 06/12/15 Developed

More information

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY Original Issue Date (Created): July 1, 2002 Most Recent Review Date (Revised): September 30, 2014 Effective Date: January 1, 2015 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS

More information

Pressure Ulcer Passport

Pressure Ulcer Passport Pressure Ulcer Passport Information for patients This is a record of the treatment you are receiving for your pressure ulcer injury. Please bring it with you to all your healthcare appointments. This will

More information

Negative Pressure Wound Therapy in the Outpatient Setting Corporate Medical Policy

Negative Pressure Wound Therapy in the Outpatient Setting Corporate Medical Policy Negative Pressure Wound Therapy in the Outpatient Setting Corporate Medical Policy File name: Negative Pressure Wound Therapy in the outpatient setting File code: UM.DME.10 Origination: 12/15/2010 Last

More information

Chronic open infective lateral malleolus bursitis management using local rotational flap

Chronic open infective lateral malleolus bursitis management using local rotational flap Chronic open infective lateral malleolus bursitis management using local rotational flap Jae Yong Park, M.D., Ph.D Seung Jin Lee, M.D. Department of Orthopaedic Surgery Hallym University Sacred Heart Hospital,

More information

Treatment of chronic wounds: Clinical trial confirms the efficacy and tolerance of the foam dressing PermaFoam

Treatment of chronic wounds: Clinical trial confirms the efficacy and tolerance of the foam dressing PermaFoam Treatment of chronic wounds: Clinical trial confirms the efficacy and tolerance of the foam dressing PermaFoam Wound treatment Summary The enhancement of wound healing and the tolerance of the hydroactive

More information

Development of a Next- Generation Antimicrobial Wound Dressing- Results Count

Development of a Next- Generation Antimicrobial Wound Dressing- Results Count Development of a Next- Generation Antimicrobial Wound Dressing- Results Count Phil Bowler, MPhil, FIBMS Science & Technology, ConvaTec 24 th November 2015 /TM all trade marks are the property of their

More information

Use of a Pressure Ulcer Protocol: Benefits and Recommendations

Use of a Pressure Ulcer Protocol: Benefits and Recommendations Use of a Pressure Ulcer Protocol: Benefits and Recommendations Elizabeth L. Enriquez RN,BSN,MPH,CWOCN Wound Care Specialist/Infection Control Morningiside House 1000 Pellham Parkway, Bronx, NY 10461 Wound

More information

Observational study Ideal wound environment during granulation and epithelization achieved with HydroTac

Observational study Ideal wound environment during granulation and epithelization achieved with HydroTac Observational study Ideal wound environment during granulation and epithelization achieved with HydroTac Wound Management Summary In a multi-centre, observational study the wound healing-promoting effect,

More information

Use of Vacuum Assisted Closure Therapy in the Treatment of Diabetic Foot Wounds

Use of Vacuum Assisted Closure Therapy in the Treatment of Diabetic Foot Wounds Use of Vacuum Assisted Closure Therapy in the Treatment of Diabetic Foot Wounds Authors: Luca Dalla Paola 1, Anna Carone 2, Silvia Ricci 3, Andrea Russo 4, Tania Ceccacci 5, Sasa Ninkovic 6 The Journal

More information

Plastic, Vascular & Podiatry the Georgetown Model

Plastic, Vascular & Podiatry the Georgetown Model Plastic, Vascular & Podiatry the Georgetown Model Christopher Attinger,, MD SVS June 15,2011 Chicago Disclosure: None for this talk Wound Center Financial Viability: outline Clinical success Team approach

More information

Equine Wound Healing

Equine Wound Healing Equine Wound Healing Michael Thomassen, D.V.M. Nebraska Equine Veterinary Clinic Horses seem to find ways to injure themselves even when many precautions are taken to make their environment as safe as

More information

History of Negative Pressure Wound Therapy (NPWT) NPWT Applicable to Multiple Types of Wound

History of Negative Pressure Wound Therapy (NPWT) NPWT Applicable to Multiple Types of Wound History of Negative Pressure Wound Therapy (NPWT) Cheng Siu Wah Winnie, NC Stoma & Wound Care Unit Department of Surgery, QEH Starting in the 1970s numerous articles appeared in the Russian literature

More information

The Use of MEDIHONEY for Wound Management in Oncology

The Use of MEDIHONEY for Wound Management in Oncology The Use of MEDIHONEY for Wound Management in Oncology Presenter: Patrice M. Dillow, MSN, APRN, CWOCN Cancer Treatment Centers of America Midwestern Regional Medical Center A Magnet Hospital This presentation

More information

Evidence-based guideline for using negative pressure wound therapy in diabetic foot care

Evidence-based guideline for using negative pressure wound therapy in diabetic foot care Title Evidence-based guideline for using negative pressure wound therapy in diabetic foot care Author(s) Tang, Wan-yi, Winnie.; 鄧 韻 怡. Citation Issued Date 2011 URL http://hdl.handle.net/10722/143199 Rights

More information

Inflammation and Healing. Review of Normal Defenses. Review of Normal Capillary Exchange. BIO 375 Pathophysiology

Inflammation and Healing. Review of Normal Defenses. Review of Normal Capillary Exchange. BIO 375 Pathophysiology Inflammation and Healing BIO 375 Pathophysiology Review of Normal Defenses Review of Normal Capillary Exchange 1 Inflammation Inflammation is a biochemical and cellular process that occurs in vascularized

More information

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS Template: Regional Foot Programs should develop a list of available health professionals in the following

More information

A NEW CLASSIFICATION OF DIABETIC FOOT COMPLICATIONS: A SIMPLE AND EFFECTIVE TEACHING TOOL

A NEW CLASSIFICATION OF DIABETIC FOOT COMPLICATIONS: A SIMPLE AND EFFECTIVE TEACHING TOOL The Journal of Diabetic Foot Complications A NEW CLASSIFICATION OF DIABETIC FOOT COMPLICATIONS: A SIMPLE AND EFFECTIVE TEACHING TOOL Authors: Dr Amit Kumar C Jain* *MBBS, D.DIAB, F.DIAB, DNB[Gen Surgery],

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

Opticell Wound Dressings. Powerful Yet Gentle Moisture Management

Opticell Wound Dressings. Powerful Yet Gentle Moisture Management Wound Dressings Powerful Yet Gentle Moisture Management 1 Exclusive Forzagel TM Technology s unique gelling attributes are the result of Forzagel technology. When moistened, the absorbent fibers of the

More information

Karen L. Winn, MSM, RN Medical Clinical Affairs Manager Smith & Nephew Wound Management Division ASPSN 2012 Judy L. Placek, MSN, APRN Nurse Practitioner, Burn and Plastic Surgery University of Nebraska

More information

Wounds UK. Exsudex : another means of managing exudate Pauline Beldon

Wounds UK. Exsudex : another means of managing exudate Pauline Beldon Wounds UK Exsudex : another means of managing exudate Pauline Beldon Product REVIEW Exsudex : another means of managing exudate Heavily exuding wounds can cause discomfort to the patient as well as inhibiting

More information

What dressing for what wound. Prudence Lennox National Clinical Leader Healthcare Rehabilitation Ltd

What dressing for what wound. Prudence Lennox National Clinical Leader Healthcare Rehabilitation Ltd What dressing for what wound Prudence Lennox National Clinical Leader Healthcare Rehabilitation Ltd Wound assessment Accurate wound assessment is a prerequisite to planning appropriate care & should adopt

More information

Microcyn Technology. Life-Altering Advance in Tissue Care

Microcyn Technology. Life-Altering Advance in Tissue Care Microcyn Technology Life-Altering Advance in Tissue Care The patented Microcyn Technology mimics the same oxychlorine composition as that manufactured by neutrophils in the body s immune system. Neutrophils

More information

The role of MEDIHONEY in treating acute and chronic wounds of our nation s military

The role of MEDIHONEY in treating acute and chronic wounds of our nation s military The role of MEDIHONEY in treating acute and chronic wounds of our nation s military Kara S. Couch, MS, CRNP, CWS Complex Wound and Limb Salvage Center Bethesda, MD Agenda My clinical practice Why MEDIHONEY?

More information

Critically evaluate the organization of diabetic foot ulcer services and interdisciplinary team working

Critically evaluate the organization of diabetic foot ulcer services and interdisciplinary team working Rationale of Module Accurate nursing assessment is the key to effective diabetic foot ulcer prevention, treatment and management. A comprehensive assessment identifies ulcer aetiology and the factors which

More information

Reimbursement guide. IODOSORB and IODOFLEX are Cadexomer Iodine Dressings which are available in a gel or pad format.

Reimbursement guide. IODOSORB and IODOFLEX are Cadexomer Iodine Dressings which are available in a gel or pad format. Reimbursement guide IODOSORB and IODOFLEX are Cadexomer Iodine Dressings which are available in a gel or pad format. IODOSORB and IODOFLEX remove barriers to healing and reduce pain and odor associated

More information

Vacuum-assisted closure (VAC) is a noninvasive, active, closed

Vacuum-assisted closure (VAC) is a noninvasive, active, closed P r o c e d u r e s P r o W O U N D C R E / S U R G E R y Peer Reviewed THE ESSENTIL WOUND CRE SERIES Vacuum-ssisted Wound Closure This is the third installment of The Essential Wound Care Series, which

More information

Diabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences

Diabetic Foot Ulcers and Pressure Ulcers. Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Diabetic Foot Ulcers and Pressure Ulcers Laurie Duckett D.O. Plastic and Reconstructive Surgeon Oklahoma State University Center for Health Sciences Lecture Objectives Identify risk factors Initiate appropriate

More information

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care

Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care Long-term urinary catheters: prevention and control of healthcare-associated infections in primary and community care A NICE pathway brings together all NICE guidance, quality standards and materials to

More information

Vacuum-Assisted Wound Closure ISSN: 0002-936X American Journal of Nursing

Vacuum-Assisted Wound Closure ISSN: 0002-936X American Journal of Nursing Vacuum-Assisted Wound Closure ISSN: 0002-936X American Journal of Nursing Author(s): Chua Patel, Christy T. MS, RN; Kinsey, Gail C. MS, RN, CNS; Koperski-Moen, Kelley J. ADN, RN; Bungum, Lisa D. BSN, RN

More information

Detecting and treating Elevated Protease Activity (EPA) in chronic diabetic wounds

Detecting and treating Elevated Protease Activity (EPA) in chronic diabetic wounds Detecting and treating Elevated Protease Activity (EPA) in chronic diabetic wounds Anichini R., Tedeschi A., Bernini A., De Bellis A. Diabetes Unit and Diabetes Foot Unit, General Hospital USL 3 Pistoia,

More information

Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula

Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a

More information

NR33 WOUND MANAGEMENT

NR33 WOUND MANAGEMENT Page 1 of 7 Critical Thinking Strategies Scenario 1 NR33 WOUND MANAGEMENT Jane Smith, a 30-year-old obese female had a cholecystectomy (gallbladder removal) 3 days ago. Her gallbladder symptoms began 6

More information

NEGATIVE PRESSURE WOUND THERAPY

NEGATIVE PRESSURE WOUND THERAPY From Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden NEGATIVE PRESSURE WOUND THERAPY TREATMENT OUTCOMES AND THE IMPACT ON THE PATIENT'S HEALTH-RELATED

More information

INTERPROFESSIONAL WOUND MANAGEMENT COURSE:

INTERPROFESSIONAL WOUND MANAGEMENT COURSE: INTERPROFESSIONAL WOUND MANAGEMENT COURSE: Part A Wound Management Principles and Wound Assessment. Part A: Sat. & Sun January 6&7, 2007 + Part B - Adjunctive Therapies including Electrical Stimulation

More information

The population of the United Kingdom is

The population of the United Kingdom is Wound care in five English NHS Trusts: Results of a survey KEY WORDS Ageing Infection Survey Wound Wound dressing Karen Ousey Reader Advancing Clinical Practice, School of Human and Health Sciences, University

More information

Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers

Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers S46 Product focus Silicone pressure-reducing pads for the prevention and treatment of pressure ulcers Abstract Pressure ulcers, a key quality of care indicator, cause emotional distress to the patient,

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

Since its introduction almost 20

Since its introduction almost 20 Guidelines for safe negative-pressure wound therapy Rule of thumb: Assess twice, dress once By Ron Rock MSN, RN, ACNS-BC Since its introduction almost 20 years ago, negative-pressure wound therapy (NPWT)

More information

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates

Wound Healing. Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates C HAPTER 9 Wound Healing Healing is a matter of time, but it is sometimes also a matter of opportunity. Hippocrates As the above quote suggests, conduct regular and systematic wound assessments, and seize

More information

Wound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center

Wound and Skin Assessment. Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Wound and Skin Assessment Mary Carvalho RN, BSN, MBA Clinical Coordinator Johnson Creek Wound and Edema Center Skin The largest Organ Weighs between 6 and 8 pounds Covers over 20 square feet Thickness

More information

Pareto Securities Health Care Seminar Stockholm, 28th August 2015 Svein W. F. Lien CEO

Pareto Securities Health Care Seminar Stockholm, 28th August 2015 Svein W. F. Lien CEO Pareto Securities Health Care Seminar Stockholm, 28th August 2015 Svein W. F. Lien CEO Agenda Highlights Q2 financials Beta-Glucans advanced wound care Enzymes molecular testing Outlook 2 Highlights Q2

More information

51O(K) SUMMARY: V.A.C@ Therapy family of devices.

51O(K) SUMMARY: V.A.C@ Therapy family of devices. 51O(K) SUMMARY: V.A.C@ Therapy family of devices. I. Name of Device: V.A.C.@ ATSTM, mini V.A.C.@, V.A.C. 8 FreedomTM 11. Classification Name: Powered Suction Pump 21 CFR 878.4780 III.510(k) Applicant:

More information

Modern wound care for the poor: a randomized clinical trial comparing the vacuum system with conventional saline-soaked gauze dressings

Modern wound care for the poor: a randomized clinical trial comparing the vacuum system with conventional saline-soaked gauze dressings The American Journal of Surgery (2010) 199, 14 20 Clinical Surgery-International Modern wound care for the poor: a randomized clinical trial comparing the vacuum system with conventional saline-soaked

More information

COMPLIANCE WITH THIS DOCUMENT IS MANDATORY

COMPLIANCE WITH THIS DOCUMENT IS MANDATORY COVER SHEET NAME OF DOCUMENT Wound Wound Assessment and Management TYPE OF DOCUMENT Procedure DOCUMENT NUMBER SESLHDPR/297 DATE OF PUBLICATION April 2014 RISK RATING Medium LEVEL OF EVIDENCE N/A REVIEW

More information

Technology Assessment

Technology Assessment Technology Assessment Technology Assessment Program Negative Pressure Wound Therapy Technologies For Chronic Wound Care in the Home Setting Prepared for: Agency for Healthcare Research and Quality 540

More information

Objectives. Why is this important? 5/1/2012. By: Rhonda Trexler, BS RN COS-C CCP

Objectives. Why is this important? 5/1/2012. By: Rhonda Trexler, BS RN COS-C CCP By: Rhonda Trexler, BS RN COS-C CCP Objectives Verbalize the ability to determine if a surgical wound exists when documenting in OASIS-C Describe would healing phases related to wounds healing by primary

More information

Stop painful dressing changes!*

Stop painful dressing changes!* Stop painful dressing changes!* Apply it, leave it,* help heal it * AQUACEL Ag BURN and AQUACEL BURN dressings provide a comfortable environment while the dressing is in situ or upon removal. Although

More information

Negative Pressure Wound Therapy in the Outpatient Setting

Negative Pressure Wound Therapy in the Outpatient Setting Negative Pressure Wound Therapy in the Outpatient Setting Policy Number: 1.01.16 Last Review: 9/2015 Origination: 7/2001 Next Review: 9/2016 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will

More information

Technological platforms

Technological platforms Advitech Advitech is a life sciences & technology company Its mission is to discover and commercialize proprietary and evidence-based natural health products Focus on milk, whey and bovine colostrum R&D,

More information

Reducing the incidence of VLU by 50% in 5 years

Reducing the incidence of VLU by 50% in 5 years Wound Awareness The Challenges The Solutions Everyone Deserves Intact Skin and the Sense of Wellbeing Reducing the incidence of VLU by 50% in 5 years SIMPLY-It wont happen without General Practice General

More information

CLINICAL GUIDELINES A REFERENCE SOURCE FOR CLINICIANS

CLINICAL GUIDELINES A REFERENCE SOURCE FOR CLINICIANS CLINICAL GUIDELINES A REFERENCE SOURCE FOR CLINICIANS This copy supercedes any previous revision. For revision level and contact information, refer to back cover of these guidelines. These guidelines

More information

Participant Information Sheet/Consent Form. Norfolk & Norwich University Hospital NHS Foundation Trust. Marc Moncrieff

Participant Information Sheet/Consent Form. Norfolk & Norwich University Hospital NHS Foundation Trust. Marc Moncrieff Participant Information Sheet/Consent Form Norfolk & Norwich University Hospital NHS Foundation Trust Short Title The Melanoma Margins Trial (MelMarT) Title A Phase III, Multi-centre Randomised Control

More information

INFORMED CONSENT FOR SLEEVE GASTRECTOMY

INFORMED CONSENT FOR SLEEVE GASTRECTOMY INFORMED CONSENT FOR SLEEVE GASTRECTOMY This informed-consent document has been prepared to help inform you about your Sleeve Gastrectomy including the risks and benefits, as well as alternative treatments.

More information

Medical Coverage Policy Hyperbaric Oxygen Therapy (HBO)

Medical Coverage Policy Hyperbaric Oxygen Therapy (HBO) Medical Coverage Policy Hyperbaric Oxygen Therapy (HBO) Device/Equipment Drug Medical Surgery Test Other Effective Date: 4/1/1998 Policy Last Updated: 6/19/2012 Prospective review is recommended/required.

More information

Wounds, OASIS and Coding

Wounds, OASIS and Coding This handout includes slides from parts one and two of the Wounds, OASIS and Coding seminar Wounds, OASIS and Coding Lisa Selman-Holman JD, BSN, RN, CHCE, HCS-D, COS-C Selman-Holman & Associates, LLC This

More information

Summary of Recommendations

Summary of Recommendations Summary of Recommendations *LEVEL OF EVIDENCE Practice Recommendations Assessment 1.1 Conduct a history and focused physical assessment. IV 1.2 Conduct a psychosocial assessment to determine the client

More information

Integumentary System Individual Exercises

Integumentary System Individual Exercises Integumentary System Individual Exercises 1. A physician performs an incision and drainage of a subcutaneous abscess in his office for a particularly uncooperative established patient. How should this

More information

University of Huddersfield Repository

University of Huddersfield Repository University of Huddersfield Repository Atkin, Leanne and Shirlow, K. Understanding and applying compression therapy Original Citation Atkin, Leanne and Shirlow, K. (2014) Understanding and applying compression

More information

Research Priority Areas

Research Priority Areas Research Priority Areas July 2015 Contents About The Wound Management Innovation CRC 4 Executive Summary 5 Research, Core and Development Activities 6 Research Priority Areas 8 Project Application and

More information

3M Health Information Systems. Potentially Preventable Readmissions Classification System. Methodology Overview GRP 139 05/08

3M Health Information Systems. Potentially Preventable Readmissions Classification System. Methodology Overview GRP 139 05/08 3M Health Information Systems Potentially Preventable Readmissions Classification System Methodology Overview 3 GRP 139 05/08 Document number GRP 139 05/08 Copyright 2008, 3M. All rights reserved. This

More information

Oxford Vascular Unit, Ward 6A Caring for surgical wounds at home Information for patients

Oxford Vascular Unit, Ward 6A Caring for surgical wounds at home Information for patients Oxford Vascular Unit, Ward 6A Caring for surgical wounds at home Information for patients This leaflet gives you information and advice on caring for your surgical wound once you get home. There are different

More information

Small-Cap Research. E-Qure Corp (EQUR-OTC) OUTLOOK. EQUR: Regulatory Delays From Both Sides Of The Atlantic! SUMMARY DATA ZACKS ESTIMATES

Small-Cap Research. E-Qure Corp (EQUR-OTC) OUTLOOK. EQUR: Regulatory Delays From Both Sides Of The Atlantic! SUMMARY DATA ZACKS ESTIMATES Small-Cap Research November 23, 2015 Anita Dushyanth, PhD 312-265-9434/adushyanth@zacks.com Brian Marckx, CFA 312-265-9474/bmarckx@zacks.com scr.zacks.com 10 S. Riverside Plaza, Chicago, IL 60606 E-Qure

More information

An evaluation of Actilite Antibacterial non-adherent dressing with Activon+

An evaluation of Actilite Antibacterial non-adherent dressing with Activon+ An evaluation of Actilite Antibacterial non-adherent dressing with Activon+ Antibacterial protection Activon honey plus Manuka oil. Non-adherent The non-adherence of the knitted viscose is further enhanced

More information

Wound Classification Name That Wound Sheridan, WY June 8 th 2013

Wound Classification Name That Wound Sheridan, WY June 8 th 2013 Initial Wound Care Consult Sheridan, WY June 8 th, 2013 History Physical Examination Detailed examination of the wound Photographs Cultures Procedures TCOM ABI Debridement Management Decisions A Detailed

More information

Coding Skin Procedures in the Office Setting. Disclaimer

Coding Skin Procedures in the Office Setting. Disclaimer Coding Skin Procedures in the Office Setting Written and Presented by Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC All Rights Reserved AAPC 1 Disclaimer The information you are receiving today is based

More information

The Role of the Physical Therapist in Wound Care

The Role of the Physical Therapist in Wound Care An Interdisciplinary Wound Team in Home Health: The Role of the Physical Therapist in Wound Care The healthcare industry is changing, posing challenges to Medicare-certified home healthcare agencies (HHAs).

More information

Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS

Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS Foot and Ankle Pain? Get Solutions!! Presented by Mark Birmingham, DPM, AACFAS Overview My Background Podiatry: What it was, What it is today Common Ailments of the Foot and Ankle Conservative and Surgical

More information

Wound management can be exciting and

Wound management can be exciting and P r o c e d u r e s P r o Peer Reviewed S U R G E R Y / W O U N D M A N A G E M E N T Karen M. Tobias, DVM, MS, DACVS, & John Ayers, DVM University of Tennessee THE ESSENTIAL WOUND CARE SERIES Wound Management

More information

of primary wound closure

of primary wound closure Archives of Emergency Medicine, 1988, 5, 156-161 Dog-bite lacerations: a controlled trial of primary wound closure C. MAIMARIS & D. N. QUINTON Accident and Emergency Department, The Leicester Royal Infirmary,

More information