Malin Malmsjö
Professor
Effects of vacuum-assisted closure on central hemodynamics in a sternotomy wound model
Author
Summary, in English
Several authors have reported promising results with vacuum-assisted closure therapy in poststernotomy mediastinitis. The aim of this study was to investigate the hemodynamic outcome following the application of six negative pressures on an open sternotomy wound. Six 70-kg pigs underwent median sternotomy followed by vacuum-assisted closure therapy. Six negative pressures (-50, -75, -100, -125, -150, and -175mmHg) were applied to each pig for 30min each while hemodynamic parameters were measured. An increase in cardiac output was observed at -75mmHg when compared to the other five pressures: -50mmHg (P<0.05; CI 0.12-1.13l/min), -100mmHg (P<0.001; CI 0.34-1.32l/min), -125mmHg (P<0.001; CI 0.51-1.52l/min), -150mmHg (P<0.001; CI 0.50-1.47l/min), and -175mmHg (P<0.05; CI 0.13-1.17l/min). A decrease in systemic vascular resistance was observed at -75mmHg when compared to -125mmHg (P<0.01; CI 108-552dyn.s/cm(5)) and -150mmHg (P<0.01; CI 90-543dyn.s/cm(5)), but not compared to the other pressures. No change (P=ns) was observed in heart frequency, mean arterial pressure or central venous pressure. Our data demonstrates that vacuum-assisted closure therapy of -50 to -175mmHg does not impair the central hemodynamics in a porcine sternotomy model.
Department/s
- Thoracic Surgery
- Medicine, Lund
- Anesthesiology and Intensive Care
Publishing year
2004
Language
English
Pages
666-671
Publication/Series
Interactive Cardiovascular and Thoracic Surgery
Volume
3
Issue
4
Document type
Journal article
Publisher
European Association of Cardio-Thoracic Surgery
Topic
- Cardiac and Cardiovascular Systems
- Surgery
Status
Published
ISBN/ISSN/Other
- ISSN: 1569-9285