Objectives: To evaluate the feasibility of open chest management with our modified negative pressure wound therapy immediately after cardiac surgery as a therapy for atypical tamponade.

Methods: Open chest with modified negative pressure wound therapy was performed immediately after cardiac surgery. The surface of the heart and the vessels were covered with non-adherent siliconized gauze. The sternal halves were stented using edge-cut disposable syringes to maintain a larger mediastinal cavity. Approximately 45 mm of distance was kept between the sternal edges. A trimmed sterile polyvinyl foam sponge was inserted into the mediastinum, the entire wound was sealed and negative pressure (-50 to -75 mmHg) was applied using a suction generator. Delayed chest closure was performed in a standard manner once the haemodynamic status was stabilizsed.

Results: The mortality rate was 3/15 (20%) patients. Deep sternal wound infection occurred in 1/15 (6.7%) patients. Five patients were extubated during the open chest management. Sternal closure was delayed for median of 3 days after the initial surgery. There was no incidence of bleeding complications or need for additional haemostatic procedures.

Conclusions: Negative pressure wound therapy performed immediately after cardiac surgery was feasible in our small number of patients.

Clinical Registration Number: Study ID: 2020-149.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9336566PMC
http://dx.doi.org/10.1093/icvts/ivac041DOI Listing

Publication Analysis

Top Keywords

negative pressure
20
open chest
16
pressure wound
16
wound therapy
16
cardiac surgery
16
chest management
12
modified negative
12
feasibility open
8
management modified
8
therapy cardiac
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!