Using negative pressure therapy for healing of a sternal wound.
Lisa Clubley and Lorraine Harper examine the treatment provided to a patient who had cardiac surgery and developed complications that resulted in the development of an extensive open sternal wound. The consultant surgeon responsible for the care made a decision to use negative pressure therapy (vacuum-assisted closure) despite such therapy for a wound of this nature being contraindicated in the manufacturer's clinical guidelines
Clubley
Lisa
L
Cardiothoracic Intensive Care Unit, James Cook University Hospital, South Tees Hospitals NHS Trust.
Harper
Lorraine
L
D000328:Adult; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018579:Patient Selection; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing; D012017:Referral and Consultation; D017592:Skin Care / Q000379:methods / Q000451:nursing; D013249:Sternum / Q000601:surgery*; D013396:Suction / Q000379:methods* / Q000451:nursing; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D014618:Vacuum; D014945:Wound Healing