| Table 1: NPWT is contraindicated for these wound types/conditions: |
- necrotic tissue with eschar present
- untreated osteomyelitis
- non-enteric and unexplored fistulas
- malignancy in the wound
- exposed vasculature
- exposed nerves
- exposed anastomotic site
- exposed organs
|
|
| Table 2: Patient risk factors/characteristics to consider before NPWT use: |
- patients at high risk for bleeding and hemorrhage
- patients on anticoagulants or platelet aggregation inhibitors
- patients with:
- friable vessels and infected blood vessels
- vascular anastomosis
- infected wounds
- osteomyelitis
- exposed organs, vessels, nerves, tendons, and ligaments
- sharp edges in the wound (i.e. bone fragments)
- spinal cord injury (stimulation of sympathetic nervous system)
- enteric fistulas
- patients requiring:
- MRI
- Hyperbaric chamber
- Defibrillation
- patient size and weight
- use near vagus nerve (bradycardia)
- circumferential dressing application
- mode of therapy- intermittent versus continuous negative pressure
|
FDA Safety Communication: UPDATE on Serious Complications Associated with Negative Pressure Wound Therapy Systems
Date Issued: February 24, 2011
Retrieved: http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm244211.htm
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