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    Treatment of anticoagulated patients with negative pressure wound therapy

    Access Status
    Fulltext not available
    Authors
    Boxall, S.
    Carville, K.
    Leslie, Gavin
    Jansen, S.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Boxall, S. and Carville, K. and Leslie, G. and Jansen, S. 2017. Treatment of anticoagulated patients with negative pressure wound therapy. International Wound Journal.
    Source Title
    International Wound Journal
    DOI
    10.1111/iwj.12737
    ISSN
    1742-4801
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/51739
    Collection
    • Curtin Research Publications
    Abstract

    © 2017 John Wiley & Sons Ltd and Medicalhelplines.com Inc.There is a paucity of evidence surrounding the use of negative pressure wound therapy (NPWT) in patients receiving anticoagulant medication. Guidelines generally recommend caution regarding the use of NPWT in anticoagulated patients in general, but areas of particular risk are frequently not highlighted. The US Food and Drug Authority (FDA) reported six mortalities between 2009 and 2011 in patients receiving NPWT. These mortalities were associated with the use of NPWT over vascular graft sites. The coagulation status of these patients was not reported. It is the authors' recommendation that guidelines regarding the use of NPWT in anticoagulated patients highlight specific clinical situations of risk, although there is insufficient evidence to support the avoidance of NPWT in anticoagulated patients in general.

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