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Simplified Negative Pressure Wound Therapy With Instillation: Advances and Recommendations

Gabriel, Allen MD; Rauen, Brigitta RN

doi: 10.1097/PSN.0000000000000033
Departments: Wound Care Management

Positive results have been demonstrated with the adjunctive use of negative pressure wound therapy (NPWT) and instillation (NPWTi) for stalled and/or complex wounds. With these combined therapies, instillation assists in wound bed preparation and cleansing by loosening soluble material in the wound bed, which can be subsequently removed during the NPWT phase. Previously reported instilled solutions have included saline, topical cleansers, and antiseptics. Recently, a new NPWTi system (V.A.C. VeraFlo™ Therapy, KCI USA, Inc., San Antonio, TX) has been introduced that includes automated, volumetrically controlled delivery of solutions and new foam dressings specifically designed for use with NPWTi. We present the latest NPWTi technologies, provide nursing recommendations for patient management, and conclude with a case study.

Allen Gabriel, MD, is the Chief of Plastic and Maxillofacial Surgery at PeaceHealth Medical Group in Vancouver, WA. He is a member of the American Society of Plastic Surgeons and a Fellow of the American College of Surgeons. He also holds an Assistant Professorship at Loma Linda University Medical Center.

Brigitta Rauen, RN, is a Registered Nurse for the Orthopedic/Plastic Unit at PeaceHealth Medical Group in Vancouver, WA. She also works as a preceptor to newly hired RNs and Senior Practicum nursing students.

Address Correspondence to Allen Gabriel, MD, PeaceHealth Medical Group Plastic Surgery, 505 NE 87th Ave, Bldg A, Suite 250, Vancouver, WA 98864 (e-mail:

Dr. Gabriel has a consultant agreement with KCI USA, Inc. Brigitta Rauen has a one-time agreement for a poster presentation for KCI USA, Inc.

Copyright © 2014 by American Society of Plastic Surgical Nurses