Severe complications after negative pressure wound therapy in burned wounds: two case reports.

Abstract:

:We present two typical cases of severe complications (sepsis and hemorrhage) after negative pressure wound therapy (NPWT) in burned patients. Necrotic tissues in some deep burn wounds are difficult to judge correctly and remove thoroughly. An electrically burned blood vessel looks "intact" but can easily break. Necrotic tissue or injured blood vessels when using NPWT are dangerous, both for causing sepsis and hemorrhage. This is the first article that reports the severe complications of NPWT in burned patients. It is imperative to heed indications and avoid contraindications. Proper preparation of wound beds, close observation, and sufficient irrigation are also crucial to avoid these severe complications, and there is an urgent need to substitute the central vacuum system with the low-pressure system.

journal_name

Ther Clin Risk Manag

authors

Ren H,Li Y

doi

10.2147/TCRM.S66117

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

513-6

eissn

1176-6336

issn

1178-203X

pii

tcrm-10-513

journal_volume

10

pub_type

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