Journal Article

Novel technique for avoidance of pressure competition between a negative pressure wound therapy device and chest drains in the management of deep sternal wound infections

James S. Davis, Antonios Kourliouros, Ranjit Deshpande and Naveen Cavale

in Interactive CardioVascular and Thoracic Surgery

Volume 20, issue 2, pages 270-272
Published in print February 2015 | ISSN: 1569-9293
Published online November 2014 | e-ISSN: 1569-9285 | DOI: https://dx.doi.org/10.1093/icvts/ivu389
Novel technique for avoidance of pressure competition between a negative pressure wound therapy device and chest drains in the management of deep sternal wound infections

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  • Respiratory Medicine and Pulmonology
  • Anatomy
  • Cardiovascular Medicine
  • Vascular Surgery
  • Peri-operative Care

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In recent years, the use of negative pressure wound therapy (NPWT) devices has changed the way sternal wound infections are being managed. It is not uncommon for deep sternal wound infections to occur together with mediastinal or even pleural collections requiring underwater seal drainage. In these patients in whom there is a communication between the pleural and mediastinal cavities, the concomitant use of an NPWT device negates the pressure gradient within the pleural and mediastinal drains, allowing suppurative fluid to stagnate. We present a novel technique to address this limitation of NPWT devices in patients with sternal wound infections that communicate with a pleural collection.

Keywords: Negative pressure wound therapy device; Sternal wound infection; Pleural effusion; Mediastinitis

Journal Article.  1248 words.  Illustrated.

Subjects: Respiratory Medicine and Pulmonology ; Anatomy ; Cardiovascular Medicine ; Vascular Surgery ; Peri-operative Care

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