this is exactly where this type of negative pressure therapy began. doc's thinking out of the box applying saline saturated gauze and applying suction via wall suction.
i know this, however, if it truly worked well then we would be using it today. there is a reason why we don't use it.
[font=verdana, arial, helvetica, sans-serif]ostomy/wound management - issn: 0889-5899 - volume 51 - issue 3 - march 2005 - pages: 44 - 49
negative pressure wound therapy: "a rose by any other name"
[font=verdana, arial, helvetica, sans-serif]- michael s. miller, do, facos, cws; chris a. lowery, ma, do
[font=verdana, arial, helvetica, sans-serif]subsequently in 1987, usopov and yepifanov<sup>9</sup> published their findings regarding the effects of wound drainage after surgical intervention. until this time, no uniform opinions were available regarding when to use vacuum therapy, what the duration of the therapy should be, or what amount of negative pressure would be most beneficial. using wounds created in a rabbit model, the authors applied varying levels of negative pressure along with passive drainage as a control in an attempt to study the effects of active wound drainage in a clinical setting. the authors determined that a pressure of -75 mm hg to -80 mm hg had the most distinct effect on increasing wound drainage with little or no hemorrhage of coagulated vessels. as the pressure increased to -120 mm hg to -125 mm hg, extensive tissue edema was observed with separation of the adjacent muscle fibers secondary to the edema.
...[font=verdana, arial, helvetica, sans-serif]complication rates for all patients then were compared. the authors concluded that to avoid tissue damage negative pressure in active drainage systems should not exceed -80 mm hg; lower pressures were less likely to demonstrate postoperative hemorrhage.
this article doesn't say too much. we have hundreds of articles and tons of clinical research and better outcomes to back our product.
if you call paying 2 to 3 times a day more in rental fees and multiples more for dressing sets cost containment you need to step away from the cool aid. i'm not saying kci system is horrible or ineffective, but don't close your eyes to other options and allow their untainted results to weigh on their own merits. i have to say a roll of kerlix amd has to cost less than a very large dressing set from kci.
the rental fee is not 2-3 times more, unless you are paying retail and i don't know of a facility that pays retail. it is about $10 more per day. the dressings from blue sky are $50 per package, for kerlix. kci's medium dressing will cost you about the same and cover a whole lot more.
ask your kci rep if you can disconect the patient from the therapy and crimp the suction line to the wound and allow the patient to disconect for an hour or so without re-dressing the entire wound?
you can disconnect for up to 2 hours. we have a portable unit that makes disconnecting, other than for showering unecessary. that is one issue with other companies, their units that are labled portable are not truly portable. oh, and i am a kci rep.
do your research...of course kci the only game in town for many years has tons more studies, but don't discount another therapy option that has it roots well before the founder of kci made his first
i am basing my opinions on the numerous wounds that i have personally witnessed being saved with my product after a patient failed horribly with gauze and the feedback i get from customers about the other product out there. i am not saying that gauze never works, but kci does have better outcomes.