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首页> 外文期刊>The Journal of trauma >Feasibility of Negative Pressure Wound Therapy During Intercontinental Aeromedical Evacuation of Combat Casualties
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Feasibility of Negative Pressure Wound Therapy During Intercontinental Aeromedical Evacuation of Combat Casualties

机译：洲际航空医疗人员撤离战斗伤亡期间负压伤口治疗的可行性

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Objective: The objective of this study was to assess the feasibility of utilizing negative pressure wound therapy (NPWT) for the treatment of wartime soft-tissue wounds during intercontinental aeromedical evacuation. Background: Attempts to use NPWT during early phases of overseas contingency operations resulted in occasional vacuum system failures and potentially contributed to wound complications. These anecdotal episodes led to a perception that NPWT during aeromedical evacuation carried a high risk of wound complications and limited its use. As a result, NPWT was not frequently applied in the management of soft-tissue wounds before US casualty arrival in the continental United States (CONUS) for wounds sustained in the combat theaters. Concurrently, early NPWT on the traumatic wounds of host nation casualties not requiring aeromedical evacuation seemed to provide many benefits typically associated with the therapy such as decreased infection rates, earlier wound closure, and improved pain management. Methods: On a daily basis, study investigators reviewed the trauma in-patient census at Landstuhl Regional Medical Center, Germany, to identify patient candidates with soft-tissue extremity or torso wounds that required packing. Patient demographics, injuries, and previous wound treatments were recorded. Surgeons inspected wounds in the operating room and applied a NPWT dressing if deemed appropriate. NPWT was continued throughout the remainder of the patient's hospitalization and also during aeromedical evacuation to CONUS. A study investigator escorted the patient during aeromedical evacuation to educate the flight crews, to record the impact on crew workload, and to troubleshoot the system if necessary. Results: Thirty enrolled patients with 41 separate wounds flew from Germany to CONUS with a portable NPWT system (VAC Freedom System; Kinetic Concepts Incorporated, San Antonio, TX). All 30 patients arrived at the destination facilities with intact and function...
机译：目的：本研究的目的是评估在洲际航空医疗疏散期间使用负压伤口疗法（NPWT）治疗战时软组织伤口的可行性。背景：在海外应急行动的早期尝试使用NPWT会导致真空系统偶尔出现故障，并可能导致伤口并发症。这些轶事使人们认识到，NPWT在航空医疗后送过程中存在伤口并发症的高风险，并限制了其使用。结果，在美国伤亡人员到达美国大陆（CONUS）之前，NPWT并不经常用于软组织伤口的处理，因为这些伤口是在战场上遭受的。同时，在不需要进行航空医疗后送的东道国伤亡人员的创伤性伤口上进行早期NPWT似乎可以提供许多通常与治疗相关的益处，例如降低感染率，更早闭合伤口和改善疼痛管理。方法：每天，研究人员对德国Landstuhl地区医疗中心的创伤住院病人普查进行回顾，以确定患有软组织末端或躯干伤口且需要打包的患者。记录患者的人口统计资料，受伤情况和以前的伤口治疗情况。外科医生检查了手术室中的伤口，并在认为合适的情况下使用了NPWT敷料。在患者的其余住院期间以及在航空医疗撤离至CONUS的过程中，NPWT继续进行。一名研究调查员在航空医疗后送过程中陪同患者，对机组人员进行教育，记录对机组人员工作量的影响，并在必要时对系统进行故障排除。结果：30名有41个单独伤口的登记患者通过便携式NPWT系统（VAC Freedom System; Kinetic Concepts Incorporated，德克萨斯州圣安东尼奥市）从德国飞往CONUS。全部30名患者完好无损地到达目的地设施。

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