The management of deep sternal wound infections using vacuum assisted closure™ (V.A.C.®) therapy

Fleck, Tatjana, Gustafsson, Ronny, Harding, Keith Gordon, Ingemansson, Richard, Lirtzman, Mitchell D., Meites, Herbert L., Moidl, Reinhard, Price, Patricia Elaine, Ritchie, Andrew, Salazar, Jorge, Sjögren, Johan, Song, David H., Sumpio, Bauer E., Toursarkissian, Boulos, Waldenberger, Ferdinand and Wetzel-Roth, Walter 2006. The management of deep sternal wound infections using vacuum assisted closure™ (V.A.C.®) therapy. International Wound Journal 3 (4) , pp. 273-280. 10.1111/j.1742-481X.2006.00273.x

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Abstract

A group of international experts met in May 2006 to develop clinical guidelines on the practical application of vacuum assisted closure™ (V.A.C.®)‡ therapy in deep sternal wound infections. Group discussion and an anonymous interactive voting system were used to develop content. The recommendations are based on current evidence or, where this was not available, the majority consensus of the international group. The principles of treatment for deep sternal wound infections include early recognition and treatment of infection. V.A.C. therapy should be instigated early, following thorough wound irrigation and surgical debridement. V.A.C. therapy in deep sternal wound infections requires specialist surgical supervision and should only be undertaken by clinicians with adequate experience and training in the use of the technique.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine Healthcare Sciences
Subjects:	R Medicine > RM Therapeutics. Pharmacology
Uncontrolled Keywords:	Consensus group; Deep sternal wounds; Infections; Mediastinitis; Treatment guideline; Vacuum assisted closure; Wound healing
Publisher:	Wiley-Blackwell
ISSN:	1742-4801
Last Modified:	04 Jun 2017 04:00
URI:	https://orca.cardiff.ac.uk/id/eprint/30636

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