Open AccessNegative pressure wound therapy with instillation: International consensus guidelines update
Author(s) -
Kim Paul J.,
Attinger Christopher E.,
Constantine Thomas,
Crist Brett D.,
Faust Elizabeth,
Hirche Christoph R.,
Lavery Lawrence A.,
Messina Valerie J.,
Ohura Norihiko,
Punch Laurie J.,
Wirth Garrett A.,
Younis Ibby,
Téot Luc
Publication year - 2020
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13254
Subject(s) - medicine , negative pressure wound therapy , intensive care medicine , evidence based practice , best evidence , evidence based medicine , multidisciplinary approach , alternative medicine , pathology , social science , sociology
The use of negative pressure wound therapy with instillation and dwell time (NPWTi‐d) has gained wider adoption and interest due in part to the increasing complexity of wounds and patient conditions. Best practices for the use of NPWTi‐d have shifted in recent years based on a growing body of evidence and expanded worldwide experience with the technology. To better guide the use of NPWTi‐d with all dressing and setting configurations, as well as solutions, there is a need to publish updated international consensus guidelines, which were last produced over 6 years ago. An international, multidisciplinary expert panel of clinicians was convened on 22 to 23 February 2019, to assist in developing current recommendations for best practices of the use of NPWTi‐d. Principal aims of the meeting were to update recommendations based on panel members' experience and published results regarding topics such as appropriate application settings, topical wound solution selection, and wound and patient characteristics for the use of NPWTi‐d with various dressing types. The final consensus recommendations were derived based on greater than 80% agreement among the panellists. The guidelines in this publication represent further refinement of the recommended parameters originally established for the use of NPWTi‐d. The authors thank Karen Beach and Ricardo Martinez for their assistance with manuscript preparation.