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NPWT: incision management in high risk cardiothoracic patients - reducing surgical site infection and length of stay.

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NPWT: Incision Management in high risk Cardiothoracic patients – reducing surgical site infection and length of stay

 

Introduction

A surgical site infection (SSI) accounts for approximately 16% of all hospital acquired infections and are estimated to double the length of post-op hospital stay and significantly increase the cost of care¹.

Advances in surgery and anesthesia have resulted in patients who are at higher risk of developing an SSI being considered for surgery². In open Cardiothoracic Surgery, the mortality associated with deep sternal infections is substantial3.

In 2011, the Imperial College Cardiothoracic Surgery Unit found their SSI rate to be significantly high at 15% compared to the national average of 4.5%.

Evidence is increasing to demonstrate the effect of using Negative Pressure Wound Therapy (NPWT) as a preventative tool for managing a closed incision3 which has been found to reduce the incidence of wound infection post sternotomy in high risk obese patients4.

The Cardiothoracic Surgery Unit evaluated the effect of using PICO™ NPWT device as the post-operative dressing on high risk patients undergoing Coronary Artery Bypass Graft (CABG) surgery.

The aims of the evaluation were to assess the effectiveness of PICO with regard to reducing post-surgical complications and length of hospital stay in high-risk patients.

PICO is a single use, disposable battery operated device which delivers continuous NPWT at -80mmHg

 

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