Carolyn Crumley, DNP, RN, ACNS-BC, CWOCN, Saint Luke's East Hospital, Lee's Summit, Missouri; University of Missouri Sinclair School of Nursing, Columbia, Missouri; Section Editor JWOCN Evidence-Based Report Card.
J Wound Ostomy Continence Nurs. 2021;48(3):199-202. doi: 10.1097/WON.0000000000000760.
The purpose of this technologic analysis was to critique technologic features of devices designed to deliver negative pressure wound therapy with instillation or irrigation (iNPWT).
Published literature regarding negative pressure wound therapy (NPWT) devices with the added feature of instillation or irrigation was reviewed to provide an overview of iNPWT. Varied features of devices currently available in the United States were described based on instructions published by individual manufacturers. Safety information regarding iNPWT was derived from the Manufacturer and User Facility Device Experience (MAUDE) Database.
The additional option of instillation or irrigation available with some NPWT devices may provide clinical benefits in carefully selected patients. Advantages may be related to facilitated removal of thick exudate and necrotic tissue. Devices with instillation options are indicated for inpatient settings, with ongoing monitoring of health care professionals. A simpler device with an intermittent irrigation option may be used in the home setting, with proper supervision. More research is needed to demonstrate the clinical effectiveness and cost of the therapy.
本技术分析旨在评价用于提供负压伤口治疗（灌洗）的设备的技术特征。
回顾了有关具有冲洗功能的负压伤口治疗（NPWT）设备的文献，以提供 NPWT 的概述。根据各个制造商发布的说明，描述了目前在美国可用的设备的不同功能。有关 iNPWT 的安全性信息来自制造商和用户设施设备体验（MAUDE）数据库。
一些 NPWT 设备提供的冲洗功能可能为精心挑选的患者提供临床益处。优点可能与促进清除厚的渗出物和坏死组织有关。具有冲洗功能的设备适用于住院环境，需要医疗保健专业人员进行持续监测。具有间歇冲洗功能的更简单的设备可在家庭环境中使用，需适当监督。需要进一步的研究来证明该疗法的临床效果和成本。
