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Vacuum-assisted closure in the paediatric patient with post-cardiotomy mediastinitis
Authors:I. R. Ramnarine   A. McLean  J. C. S. Pollock
Affiliation:

Royal Hospital for Sick Children, Dalnair Street, Glasgow G3 8SJ, UK

Abstract:Mediastinitis has a high mortality and is a major cause for concern in the neonatal cardiac surgical population. Vacuum-Assisted Closure (V.A.C.) is a newly established technique for expediting healing in the management of wounds resistant to established treatments; this includes the treatment of post-cardiotomy mediastinitis in the adult cardiac surgical patient. We describe the previously unreported use of the V.A.C. device for the successful treatment of post-cardiotomy mediastinitis in an infant. The device also improved the mechanics of respiration. We discuss potential risks and benefits of V.A.C. and suggest guidelines for its use.
Keywords:Cardiac surgery   Sternotomy infection   Negative pressure therapy
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