From: Complex pleural empyema can be safely treated with vacuum-assisted closure
Variable | P1 | P2 | P3 | P4 | P5 | P6 | P7 | P8 |
---|---|---|---|---|---|---|---|---|
Immediate/delayed Creation of OWT | Delayed | Delayed | Delayed | Immediate | Immediate | Delayed | Delayed | Immediate |
Number of Interventions before OWT and VAC | 2 | 1 | 1 | 0 | 0 | 1 | 1 | 0 |
Art of Intervention | Restpneum. Débridement | Débridement | Chest Tube | - | - | Chest Tube | Restpneu. | - |
Indication of OWT+VAC | Sepsis | Bleeding Fistula | Failed primary Th. | Osteomyelitis | Fistula | Failed primary Th. | Sepsis | Muscle necrosis |
P.o. mechanical ventilation after VAC | Yes | No | No | No | No | Yes | Yes | No |
Number of VAC Changes in OR | 4 | 2 | 2 | 1 | 0 | 5 | 3 | 0 |
Max. Suction mm Hg | - 75 | - 125 | - 125 | - 125 | - 100 | - 100 | - 75 | - 125 |
Hospitalization in days after VAC | 22 | 45 | 17 | 15 | 14 | 38 | 47 (exitus) | 8 |
Antibiotic Therapy, in days | 10 | 12 | 7 | 6 | 7 | 19 | 47 | 6 |
Clinical outpatient VAC | No | No | No | Yes | Yes | No | - | Yes |
Outcome | Healed | Healed | Healed | Healed | Healed | Healed | Died of Sepsis | Healed |
Closing planned | Yes | Yes | Yes | Yes | Yes | Yes | - | Yes |
Chest wall closed | No* | No* | Yes | Yes | Yes | Yes | - | Yes |
OWT Duration, in days | not closed | not closed | 51 | 39 | 31 | 164 | - | 59 |