Application of Cyclical Negative Pressure Wound Therapy in Paediatric Scald Burns

Year : 2024 | Volume : | : | Page : –

Prof Dr Ravi Kumar Chittoria

  1. Professor, Department of Plastic Surgery Jawaharlal Institute of Postgraduate Medical Education and Research Puducherry India


Managing pediatric scald burns poses a considerable challenge in promoting patient well-being and ensuring effective wound care. Negative pressure wound therapy (NPWT) is a unique method that applies negative pressure to the wound by means of a vacuum device. This technique improves wound circulation, supports granulation, and aids in exudate removal. The NPWT system, introduced by Morykwas and Argenta, has become a widely applied and influential method for healing both simple and complex wounds.The conventional NPWT system offers continuous and intermittent modes. In comparison to the continuous mode, the intermittent mode has demonstrated enhanced wound perfusion and granulation tissue formation in animal models. It alternates between -125 mmHg for five minutes and a two-minute resting phase. However, the intermittent mode’s clinical application faces challenges due to the pain experienced during the system’s initiation phase. To address this, the cyclic mode minimizes pain while maintaining the efficacy of the intermittent mode.
In a study conducted at a tertiary care hospital in South India, a one-year-old male child with scald burns on the right hand and both legs received cyclical negative pressure wound therapy (CNPWT). The treatment protocol involved fluctuating negative pressure between 0 and 125 mmHg. The child underwent two cycles of CNPWT as part of the therapeutic intervention, demonstrating its potential as an effective and less painful approach in managing pediatric scald burns. The use of CNPWT in pediatric burn care is promising, as it offers several advantages over traditional wound management techniques. By applying cyclical negative pressure, CNPWT promotes wound healing by improving blood flow, reducing edema, and removing excess exudate. Moreover, CNPWT is well-tolerated by pediatric patients and can be adjusted to accommodate their unique physiological needs. This case highlights the feasibility and potential benefits of CNPWT in treating pediatric scald burns, suggesting it as a valuable addition to the armamentarium of wound care strategies for pediatric patients.

Keywords: CNPWT, NPWT, scald burns, scalp, wound, paediatric wound therapy

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Ahead of Print Subscription Original Research
Received March 12, 2024
Accepted April 5, 2024
Published May 16, 2024