Negative Pressure Wound Therapy also widely known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a widely accepted advanced wound management modality today
- 1. [email protected]: +91
9971722111www.npwtindia.comINTRODUCTION OFCLOSED CYCLIC NEGATIVE
PRESSURE WOUND THERAPY in management of wounds By SIDDHARTH MANDAL
CEO TRIAGE MEDITECH PVT. LTD. +91 9971722111 AN ISO 13485:2003
CERTIFIED COMPANY
2. [email protected]: +91
9971722111www.npwtindia.comWhat is Closed Cyclic Negative Pressure
Wound Therapy(CCNPWT)? Negative Pressure Wound Therapy also widely
known as NPWT, WOUND VAC or TNP(Tropical Negative Pressure) is a
widely accepted wound management modality today, i.e., A specially
designed foam dressing applied on a wound bed, sealed with a PU/PE
drape further connected with a drainage tubing to regulated /
controlled negative pressure source.AN ISO 13485:2003 CERTIFIED
COMPANY 3. [email protected]: +91
9971722111www.npwtindia.comHow does CCNPWT promote wound healing?
Removing excess fluid (infections and non-infectious), allowing
tissue decompression Stimulates granulation tissue formation by
increasing vascular perfusion, Encourages mechanical stretching,
approximates wound edges, enhances overall wound contraction
Protects wound from microbe imbalance Maintains a moist wound
healing environmentAN ISO 13485:2003 CERTIFIED COMPANY 4.
[email protected] ES PORTFOLIOContact: +91
9971722111www.npwtindia.comALL PRODUCTS ARECERTIFIEDSINGLE USE
ONLYALL PRODUCTS ARE MANUFACTURED UNDER STRICT PARAMETERS OF ISO
13485:2003 AN ISO 13485:2003 CERTIFIED COMPANY 5.
[email protected]: +91 9971722111www.npwtindia.com 5. Stick
the drainage tubing aligning the hole made1. Rinse the wound
thoroughly & Debride majority of necrotic tissues4. Make a
small hole in the centre2. Cut the foam dressing in the shape of
the wound3. Place it on the wound bed & seal with PU drape 6.
INITIATE the Therapy & observe AN ISO 13485:2003 CERTIFIED
COMPANY 6. [email protected]: +91
9971722111www.npwtindia.comAN ISO 13485:2003 CERTIFIED COMPANY 7.
[email protected]: +91 9971722111www.npwtindia.comCCNPWT
creates an Environment of Wound Healing at the Cellular LevelAN ISO
13485:2003 CERTIFIED COMPANY 8. [email protected]: +91
9971722111www.npwtindia.comAN ISO 13485:2003 CERTIFIED COMPANY 9.
[email protected]: +91 9971722111www.npwtindia.comAN ISO
13485:2003 CERTIFIED COMPANY 10. CCNPWT THERAPY DRESSING BENEFITS
Flexible foam dressing adapts to the contours of deep &
irregular surface of the wound bedSpecially designed hydrophobic,
non-linear networked foam dressing removes bacteria colonised wound
exudate The CCNPWT foam dressing aggressively promotes uniform
healthy granulation tissue throughout the wound bed 11.
[email protected]: +91 9971722111www.npwtindia.comCCNPWT
THERAPY DRESSING BENEFITS Flexible foam dressing adapts to the
contours of deep & irregular surface of the wound bed Specially
designed hydrophobic, non-linear networked foam dressing removes
bacteria colonised wound exudateThe CCNPWT foam dressing
aggressively promotes uniform healthy granulation tissue throughout
the wound bedAN ISO 13485:2003 CERTIFIED COMPANY 12.
[email protected]: +91 9971722111www.npwtindia.comCCNPWT
provides a closed sterile & moist wound healing
environmentPromotes granulation tissue formation, recentstudies
suggest mechanical stretching may result in increased mitosis (Cell
Replication) Controlled Negative Pressure Therapy decreases wound
volume approximating wound edges, helps uniformly draw wounds
closedPromotes continuous wound debridement byremoving wound debris
& bacteria colonized wound output/interstitial fluid allowing
tissue decompressionAN ISO 13485:2003 CERTIFIED COMPANY 13.
[email protected]: +91
9971722111www.npwtindia.comContd..Reduces oedema Reduces bacterial
load Stimulates cell proliferation Enchances dermal perfusion
Promotes micro angiogenesis Protects wound from re-infection,
crossinfection or spreading further infection Promotes Skin
Graft/Flap uptake (The flexible foam dressing gently presses the
skin graft or flap ensuring full contact with the wound bedAN ISO
13485:2003 CERTIFIED COMPANY 14. [email protected]: +91
9971722111www.npwtindia.comIncreased Perfusion Morykwas Michael J,
Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New
Method for Wound Control and Treatment: Animal Studies and Basic
Foundation. Annals of Plastic Surgery, 1997Peak blood flow recorded
at 125 mmHg Study helped establish original pressure protocol with
Foam Dressing (400-600 micron pore-size)Positive effect on
perfusion with 100-125 mmHgHypothesized that reduction in oedema
decompresses small blood vessels and increases flow Frank Ischaemia
and Wound HypoxiaAN ISO 13485:2003 CERTIFIED COMPANY 15.
[email protected]: +91 9971722111www.npwtindia.comReduction
of Inhibitory Factors Morykwas Michael J, Argenta Louis C,
Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals
of Plastic Surgery, 1997Reduction of oedema has positive effect in
wound healing Reduction of inhibitory factors contained in
interstitial fluid (chemical) Decompression of small blood vessels,
which restores flow (mechanical)Negative Pressure Wound Therapy
increases perfusion and oxygenation, therapy likely enhances
resistance to infectionAN ISO 13485:2003 CERTIFIED COMPANY 16.
[email protected]: +91 9971722111www.npwtindia.comWHAT TYPE
OF WOUNDS BENEFIT FROM CCNPWT? Pressure ulcers Full thickness and
partial thickness burns Diabetic / Neuropathic ulcers Venous
Insufficiency ulcers Post-operative and dehisced surgical Traumatic
Wounds Skin Flaps and Grafts Explored fistulasAN ISO 13485:2003
CERTIFIED COMPANY 17. [email protected]: +91
9971722111www.npwtindia.comAN ISO 13485:2003 CERTIFIED COMPANY 18.
[email protected]: +91 9971722111www.npwtindia.comAN ISO
13485:2003 CERTIFIED COMPANY 19. [email protected]: +91
9971722111www.npwtindia.comWHEN IS CCNPWT CONTRAINDICATED? Wounds
containing malignant tissue Untreated osteomyelitis Necrotic tissue
such as slough or eschar Unexplored or non-enteric fistulas Exposed
or unprotected organs, blood vesselsAN ISO 13485:2003 CERTIFIED
COMPANY 20. [email protected]: +91
9971722111www.npwtindia.comWHAT CONDITIONS INDICATE CAUTION? Active
bleeding or patient on anticoagulant therapy Proximity of blood
vessels, organs, muscle, and fascia requiring protection Irradiated
vessels and tissue Bony fragments Untreated malnutrition
Non-compliant or combative behaviourAN ISO 13485:2003 CERTIFIED
COMPANY 21. [email protected]: +91
9971722111www.npwtindia.comCCNPWT helps in Flaps & Graft uptake
Fixation of skin graft (mesh-grafts) or flap until the graft has
taken (4-6 days). In these special cases,Topical Negative Presure
Therapy is used for the secure fixation of a split skin graft to
the wound The soft foam helps gently press the graft/flap onto the
wound bed and thus ensures full contact between the graft and the
underlying wound bed, irrespective of the wound contours and the
formation of pockets, also continuously drains out the wound
output, ensures infection free graft uptakeAN ISO 13485:2003
CERTIFIED COMPANY 22. [email protected]: +91
9971722111www.npwtindia.comDRESSING APPLICATION TECHNIQUESTEP 1 :
DEBRIDE & CLEAN THE WOUND WITH ISOTONIC SOLUTIONSTEP 3: SEAL
THE WOUND WITH SEMI-PERMEABLE DRAPE & MAKE A SMALL HOLE IN THE
CENTRESTEP 2 : CUT THE FOAM DRESSING IN THE SHAPE OF WOUND AND
PLACE IT ON WOUND BEDSTEP 4 : STICK THE MAPC TUBING DISTAL END
KEEPING SYMMETRY WITH HOLE IN CENTRE & CONNECT WITH THE
NEGATIVE PRESSURE SOURCE AN ISO 13485:2003 CERTIFIED COMPANY 23.
[email protected]: +91 9971722111www.npwtindia.comINDICATED
for TRAUMA WOUNDSAN ISO 13485:2003 CERTIFIED COMPANY 24.
[email protected]: +91 9971722111www.npwtindia.comINDICATED
for DIABETIC FOOT ULCERS Granulation after 3 days of applicationAN
ISO 13485:2003 CERTIFIED COMPANY 25. [email protected]: +91
9971722111www.npwtindia.comIndicated for all Grade II, III & IV
Pressure UlcersAN ISO 13485:2003 CERTIFIED COMPANY 26.
[email protected]: +91 9971722111www.npwtindia.comINDICATED
FOR VENUS/ARTERIAL LEG ULCERSAN ISO 13485:2003 CERTIFIED COMPANY
27. [email protected]: +91 9971722111INDICATED FOR
ABDOMINAL COMPARTMENT SYNDROMEwww.npwtindia.comInfected
Laprotomy**Please seek advice for special Dressing selection AN ISO
13485:2003 CERTIFIED COMPANY 28. [email protected]: +91
9971722111www.npwtindia.comVenus Leg ulcer with complications of
sickle cell anaemiaAN ISO 13485:2003 CERTIFIED COMPANY 29.
[email protected]: +91 9971722111www.npwtindia.comCCNPWT
application for 10 days 20 days post follow-upAN ISO 13485:2003
CERTIFIED COMPANY 30. [email protected]: +91
9971722111www.npwtindia.comROAD ACCIDENT LACERATION AN ISO
13485:2003 CERTIFIED COMPANY 31. [email protected]: +91
9971722111www.npwtindia.comAN ISO 13485:2003 CERTIFIED COMPANY 32.
[email protected]: +91 9971722111www.npwtindia.comRoad
Accident case : with no vessels for primary closure (results of
13days NPWT Dressing Application)AN ISO 13485:2003 CERTIFIED
COMPANY 33. [email protected]: +91
9971722111www.npwtindia.comINFECTED COMPOUND FRACTUREAN ISO
13485:2003 CERTIFIED COMPANY 34. [email protected]: +91
9971722111www.npwtindia.comAFTER Ist DRESSING CHANGEAN ISO
13485:2003 CERTIFIED COMPANY 35. [email protected]: +91
9971722111www.npwtindia.comAFTER 2nd DRESSING CHANGEAN ISO
13485:2003 CERTIFIED COMPANY 36. [email protected]: +91
9971722111www.npwtindia.comFOLLOW-UP POST FLAPAN ISO 13485:2003
CERTIFIED COMPANY 37. [email protected]: +91
9971722111www.npwtindia.comCrushed InjuryAmputation CCNPWT applied
for 4 daysAN ISO 13485:2003 CERTIFIED COMPANY 38.
[email protected]: +91 9971722111www.npwtindia.comROAD
ACCIDENT LACERATIONPatient : HBsAg PositiveAN ISO 13485:2003
CERTIFIED COMPANY 39. [email protected]: +91
9971722111www.npwtindia.comCCNPWT Applied for 7 daysAN ISO
13485:2003 CERTIFIED COMPANY 40. [email protected]: +91
9971722111www.npwtindia.comPRESSURE ULCER (GRADE IV)AN ISO
13485:2003 CERTIFIED COMPANY 41. [email protected]: +91
9971722111www.npwtindia.comResult of 8 days / 2 dressing changeAN
ISO 13485:2003 CERTIFIED COMPANY 42. [email protected]: +91
9971722111www.npwtindia.comWHAT INTERVENTIONS WILL MAXIMIZE
HEALING? Debride wound prior to Negative Pressure Therapy Off load
pressure ulcers consistently Minimize time off NPWT to < 4 hours
in a day Manage co-morbid condition Increased blood flow Reduce
oedema Minimize infection Control blood glucose levelAN ISO
13485:2003 CERTIFIED COMPANY 43. [email protected]: +91
9971722111www.npwtindia.comWHAT ARE THE EXPECTED OUTCOMES? May
observe increased exudate and wound size duringthe first 48-72
hours due to the decompression of interstitial space and removal of
extra-cellular fluid and debris. Gradual reduction of fluid and
surface area should be observed with each assessment. Colour of
wound bed should become a deeper red as perfusion to the site
increases. Measurements should decrease weekly. If healing is not
observed in a week, treatment should be re-evaluated. The average
treatment with NPWT is 1-4 weeks. Length of treatment is determined
by goals of therapy.AN ISO 13485:2003 CERTIFIED COMPANY 44.
[email protected]: +91 9971722111www.npwtindia.comHOW DO
YOU MANAGE WOUND WITH CCNPWT?Change dressing two/three times per
week. Monitor frequently Observe wound and peri-wound area for
signs and symptoms of infection Remove dressings carefully to
protect new tissue growth. Bright gush flow red blood in canister
requires immediate evaluation. Measure and document per facility
protocol Note : To initiate it is recommended to follow CCNPWT
protocol, to ensure optimal results, as ithese are tried and tested
protocol designed by various CCNPWT expert wound managersAN ISO
13485:2003 CERTIFIED COMPANY 45. [email protected]: +91
9971722111www.npwtindia.comWOUND ASSESMENT CHARTAN ISO 13485:2003
CERTIFIED COMPANY 46. [email protected]: +91
9971722111www.npwtindia.comWOUND ASSESMENT CHARTAN ISO 13485:2003
CERTIFIED COMPANY 47. [email protected]: +91
9971722111www.npwtindia.comWOUND TREATMENT PLAN CHARTAN ISO
13485:2003 CERTIFIED COMPANY 48. [email protected]: +91
9971722111www.npwtindia.comThank you for your patience For any
queries feel free to contact our local representativeor visit
www.npwtindia.com email: [email protected] or
[email protected] MEDITECH PVT. LTD. Care : +91
9971722111/9650440444 AN ISO 13485:2003 CERTIFIED COMPANY
