Disposable DMF NPWT system, by Mark Portou

Mark

NPT is recomended in 1.5.9 by NICE 2015 for DFU after debridement

What are the problems?

Each of 5 boroughs around the Royal Free has completely different mechanism for out patient wound care

Sometimes can take upwards of 3 weeks to safely d/c pt with NPT

We are in the business of treating patients not wounds

SNAP therapy system

Single patient use disposable nPWT system

75 100 125 pressure options

20 consecutuive patients

LoS, SINBAD, Wound area and Mobility assessmsent

Clinical photography of wound area

Mostly as a bridge to comunity VAC: 59%

ASK MARK: What was the difference between “admission avoidance” and “OPA application”?

8 week vs 11 weeks reduction in time to 50% size reduction.

18 day reduction in mean LOS

1/3 of patients did not then need the community VAC (? 1/3 of the 1/3) ? ASK MARK

Network analysis of arterial centre OOH cover, by Ayman Zyada

Study stimulated by research for another paper

VS and NVR list 62 vascular arterial sites

However - only 52 do full arterial work A sites

10 do not do any arterial work

Of the 52 A sites

90% do have in hours vascular

But quite a few more don’t have OOH vascular specific on call on site