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Re: Negative Pressure Wound Pumps
Skippy #38629 03/06/09 9:40 AM
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I Have also been told of a cheap ,realiable,plentiful alternative............................................

Maggots and Leeches

And still being used today.

Amazing Technology


Live and Let live.
Re: Negative Pressure Wound Pumps
Skippy #38635 03/06/09 11:10 AM
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Super Hero
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The trouble with that method is:- when they have done their work ... how can you be sure that you've got rid of them all? smile


If you don't inspect ... don't expect.
Re: Negative Pressure Wound Pumps
Geoff Hannis #38637 03/06/09 11:23 AM
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Hero
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Sounds like management


If you think hiring professionals is expensive, try hiring amateurs!
Re: Negative Pressure Wound Pumps
Skippy #38649 03/06/09 2:36 PM
Joined: Aug 2004
Posts: 237
Master
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Also see report number CEP08017 on the Centre for Evidence-based Purchasing website…

http://www.pasa.nhs.uk/PASAWeb/NHSprocurement/CEP/CEPproducts/CEP+catalogue.htm

Lots of other useful info in there too. wink


There are things that are known and there are things that are unknown. In-between there are doors.
Re: Negative Pressure Wound Pumps
John Stewart #38650 03/06/09 3:31 PM
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I've just spoken to our Tissue Viability team, you brush the maggots off with we gauze. If some have gone down in to a deep wound you cover the areato make it dark and they come to the surface.
Remember maggots are used to clean slough off wounds when the wound is clean they die of hunger and decompose coming out with the normal wound exudate.

Vaccuum therapies are only used on clean wounds after the maggots have done their job.

Robert

I hope you don't read this at lunch time.


My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
Re: Negative Pressure Wound Pumps
RoJo #38651 03/06/09 3:40 PM
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Super Hero
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Let's hear it for those little guys (pity, though, that they have to be sacrificed)!

Long Live Low-Life ... indeed! smile

As I've mentioned before (and, yes, I seem to be repeating myself more and more these days), surely stuff like this, and letting bacteria do what they're so good at (that is, eating up the [censored]), and then nanotechnology is the future of medicine? Truly biomedical you could say.


If you don't inspect ... don't expect.
Re: Negative Pressure Wound Pumps
Skippy #38657 03/06/09 5:40 PM
Joined: Mar 2007
Posts: 115
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But what about open abdomens, these are fab for these patients. Not so much for drainage but for maintaining a sterile environment for a gaping hole!
in the olden days we used to pack out with gauze soaked in saline, then cross our fingers and wait for the bowel to reduce back into the abdominal cavity, and hope for no infection to appear.
Now we can dress, clearly assess for infection because the dressings are transparent and control any exudate which in the olden days used to pool nicely in the crevices and fester.

When patients are properly assessed for suitability for the treatment, and managed by a team who are suitably trained, this treatment in my experience is like magic!
Defo contributes to reduced hospital stay, infection control and comfort of patients.
When using the old fashioned gauze dressings, strapping tape and you weigh up the cost of:
1) dressings when they need to be changed 2/3/4 times a day because they become soaked in exudate
2) sterile equipment & ppe when changing dressings 2/3/4 times a day
3) bedding and laundry costing when exudate escapes sodden dressings
4) nursing time when changing dressings and bedding up to 5 times a day.
5) additional complex antibiotic cover for infected wounds
6)Extended bed occupancy
Then possibly cost comparison is less of an issue because the vacuum therapy dressings are left intact for longer than one day (unless needing to be patched which is not at all expensive).
I do agree with Johns comments and think that prevention is much better than cure in many cases. But then this is not always possible...which is a whole other thread!

Re: Negative Pressure Wound Pumps
Quinny #38660 03/06/09 7:36 PM
Joined: Feb 2004
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Super Hero
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Very good, Quinny. Can we assume you're not talking about the maggots, then?


If you don't inspect ... don't expect.
Re: Negative Pressure Wound Pumps
Geoff Hannis #38682 04/06/09 11:55 AM
Joined: Feb 2009
Posts: 5
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Talley Medical make one of these devices. Might be worth looking at.

Re: Negative Pressure Wound Pumps
Skippy #40027 06/08/09 10:11 AM
Joined: Apr 2007
Posts: 12
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Can I add my late five pennies to this one:

I have found it very difficult to communicate with KCI who seem to do here own thing when it comes to working on site!! or is this me having a bad day?

Anyways fortunately I believe there is more competition appearing in this area which will force prices down!

Has this product or service found its way into the hands of NHS Supply Chain?

Lastly never fear I believe emerging technology will monitor performance of such products.

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