Tag: Robert J. Klein

Using Negative Pressure Wound Therapy With Instillation and Dwell Time to Create a Path …

to Closure for Older Patients With Chronic Wounds: A Retrospective Case Series
BACKGROUND: Chronic podiatric wounds are common causes of morbidity and mortality in older patients. Negative pressure wound therapy with instillation and dwell time (NPWTi-d) has been recommended in wounds with high levels of exudate, contaminated wounds, and wounds in which healing progression has stalled. PURPOSE: This retrospective case series describes the use of NPWTi-d to prepare 4 chronic wounds for closure in older patients with multiple comorbidities. METHODS: Patients (N = 4) ranged in age from 65 to 95 years and had wounds present for at least 90 days. Previous treatments included conventional NPWT and debridement. NPWTi-d consisted of instillation of 10 to 20 mL normal saline, dwell time for 1 minute, followed by 3-hour cycles of -125 mm Hg. Antibiotics were administered as needed. Wounds included a 210-day Wagner grade 3 diabetic foot ulcer (3.2 × 1.8 × 0.3 cm3), a 90-day dehisced wound (9.5 × 2.6 × 0.4 cm3), a 300-day neuropathic ulcer … read more

Strategies and Techniques for Transitioning NPWT Patients to the Post-Acute Care Setting

Join Dr. Klein as he shares his experience transitioning NPWT patients to the post-acute care setting.

– Examine the prevalence of hospital readmissions, the economic impact, and the importance of preventing readmissions to improve wound healing.
– Discuss common challenges associated with discharging a NPWT patient to the post-acute care setting and the steps to develop a comprehensive discharge plan.
– Review strategies for educating patients and empowering them to be an active participant in their treatment plan as they transition from the acute to post-acute care setting.
– View case studies utilizing negative pressure wound therapy to optimize wound healing.
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