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Evidence-based reco...
Evidence-based recommendations for negative pressure wound therapy: Treatment variables (pressure levels, wound filler and contact layer) - Steps towards an international consensus
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Birke-Sorensen, H. (author)
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- Malmsjö, Malin (author)
- Lund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine
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Rome, P. (author)
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Hudson, D. (author)
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Krug, E. (author)
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Berg, L. (author)
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Bruhin, A. (author)
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Caravaggi, C. (author)
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Chariker, M. (author)
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Depoorter, M. (author)
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Dowsett, C. (author)
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Dunn, R. (author)
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Duteille, F. (author)
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Ferreira, F. (author)
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Francos Martinez, J. M. (author)
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Grudzien, G. (author)
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Ichioka, S. (author)
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- Ingemansson, Richard (author)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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Jeffery, S. (author)
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Lee, C. (author)
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Vig, S. (author)
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Runkel, N. (author)
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Martin, R. (author)
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Smith, J. (author)
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(creator_code:org_t)
- Elsevier BV, 2011
- 2011
- English.
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In: Journal of Plastic, Reconstructive and Aesthetic Surgery. - : Elsevier BV. - 1878-0539 .- 1748-6815. ; 64, s. 1-16
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http://dx.doi.org/10...
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Abstract
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- Negative pressure wound therapy (NPWT) is becoming a commonplace treatment in many clinical settings. New devices and dressings are being introduced. Despite widespread adoption, there remains uncertainty regarding several aspects of NPWT use. To respond to these gaps, a global expert panel was convened to develop evidence-based recommendations describing the use of NPWT. In a previous communication, we have reviewed the evidence base for the use of NPWT within trauma and reconstructive surgery. In this communication, we present results of the assessment of evidence relating to the different NPWT treatment variables: different wound fillers (principally foam and gauze); when to use a wound contact layer; different pressure settings; and the impact of NPWT on bacterial bioburden. Evidence-based recommendations were obtained by a systematic review of the literature, grading of evidence and drafting of the recommendations by a global expert panel. Evidence and recommendations were graded according to the Scottish Intercollegiate Guidelines Network (SIGN) classification system. In general, there is relatively weak evidence on which to base recommendations for any one NPWT treatment variable over another. Overall, 14 recommendations were developed: five for the choice of wound filler and wound contact layer, four for choice of pressure setting and five for use of NPWT in infected wounds. With respect to bioburden, evidence suggests that reduction of bacteria in wounds is not a major mode of action of NPWT. (C) 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Negative pressure wound therapy (NPWT)
- Recommendations
- Systematic
- review
- Consensus
- NPWT wound-filler materials
- Negative pressure level
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- ref (subject category)
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- By the author/editor
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Birke-Sorensen, ...
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Malmsjö, Malin
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Rome, P.
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Hudson, D.
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Krug, E.
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Berg, L.
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show more...
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Bruhin, A.
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Caravaggi, C.
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Chariker, M.
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Depoorter, M.
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Dowsett, C.
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Dunn, R.
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Duteille, F.
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Ferreira, F.
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Francos Martinez ...
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Grudzien, G.
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Ichioka, S.
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Ingemansson, Ric ...
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Jeffery, S.
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Lee, C.
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Vig, S.
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Runkel, N.
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Martin, R.
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Smith, J.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Journal of Plast ...
- By the university
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Lund University