Subatmospheric Pressure Wound Dressing in Wound Care and Treatment
SUMMARY
Subatmospheric pressure wound dressing (SBYP) is a new wound care technique that has been applied in recent years. SBYP is the application of intermittent or continuous controlled subatmospheric pressure to a wound using an electric pump through a special dressing and a connecting tube. Initially recommended to be applied to chronic wounds, this wound care product studies; In acute wounds, skin grafts treated donor area care, degloving injuries and burns have been successfully applied. SBYP is a topical treatment used in acute and chronic wounds to provide healing by applying subatmospheric pressure to the wound bed. Four main mechanisms of action have been proposed: increased local blood flow, mechanical deformation, removal of harmful enzymes from the wound bed, reduced interstitial edema. The combination of these mechanisms makes SBYP therapy a very useful method among all treatments used in wound care. Despite several side effects, SBYP is generally well tolerated. The efficacy of this treatment has been demonstrated in many case reports and articles. However, recent experimental studies, evaluations and personal experiences raise many questions about the current treatment protocol of SBYP: Is intermittent subatmospheric pressure application as effective as continuous subatmospheric pressure application, and what is the optimal pressure level to be applied? In this article; The past and present of wound care with subatmospheric pressure were evaluated. In addition, the missing aspects of this method, which are thought to be investigated, are also emphasized.
ABSTRACT
Subatmospheric pressure dressing (SPWD) is a new wound dressing that has been used latterly. SPWD is a controlled application of subatmospheric pressure to a wound. Recent studies with this wound dressing, which is initially recomended for chronic wounds, has been shown that it can be effectively used for acute wounds, skin grafted areas and donor site care, degloving injuries and burns. SPWD is a topical treatment used to promote healing in acute and chronic wounds by applying subatmospheric pressure to the wound bed. Four board mechanisms of action are proposed: increase of local blood supply, mechanical deformation, removal of harmful enzymes from the wound bed, decrease in interstitial edema. The combination of these mechanisms makes the SPWD treatment an extremely versatile tool in the armamentarium of wound healing. SPWD is generally well tolerated and with few complications. Numerous case studies and articles have documented this treatment effectiveness. But, recent experimental studies, evaluations and personal experience raise SPWD: Is intermittent subatmospheric pressure therapy equivalent to continuos subatmospheric pressure wound therapy? In this article, the past and present of subatmospheric pressure wound care is revised by considering articles within the accessible literature. Moreover, insufficient and inquisitional aspects of this method is also emphasized.
30AXX
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