Table 3.
Recommended guidelines of NPWT/ROCF pressure settings for paediatric wounds/conditions
| Wound type/condition | Negative pressure setting (mmHg) | |||
|---|---|---|---|---|
| Newborn/infant (birth to 2 years) | Child (> 2 to 12 years) | Adolescent (> 12 to 21 years) | References | |
| Sternal | −50 to −75* continuous | −50 to −75† continuous | −50 to −75‡ continuous | • Baharestani (4) * |
| • Agarwal et al. (26) * | ||||
| • Salazard et al. (37) * | ||||
| • Kadohama et al. (38) * | ||||
| • McCord et al. (39) *,†,‡ | ||||
| • Bookout et al. (40) † | ||||
| Omphalocele/ gastroschisis | −50 to −75* continuous | • Gabriel and Gollin (8) * | ||
| • Kilbride et al. (9) * | ||||
| Enterocutaneous fistula | −50 to −75* continuous | −75 to −125† continuous | −75 continuous | • McCord et al. (39) *,† |
| • Caniano et al. (6) † | ||||
| Abdominal compartment syndrome | −50 to −75* continuous | −50 to −125† continuous | −75 to −125‡ continuous | • Caniano et al. (6) *,† |
| • Bookout et al. (40) † | ||||
| • Gabriel et al. (19) ‡ | ||||
| Spinal | −50 to −75* continuous | −75 to −100‡ continuous | −75 to −125† continuous | • Canavese et al. (41) *,† |
| • Horn et al. (42) *,† | ||||
| • Butter et al. (11) ‡ | ||||
| Pilonidal disease | −50 to −75 continuous | −50 to −125† continuous | −75 to −125‡ continuous | • Caniano et al. (6) †,‡ |
| • Butter et al. (11) ‡ | ||||
| Pressure ulcer | −50 to −75* continuous | −75 to −125† continuous | −75 to −125‡ continuous | • McCord et al. (39) *,†,‡ |
| • Caniano et al. (6) † | ||||
| • Gabriel et al. (19) †,‡ | ||||
| Extremity wounds | −50 to −75* continuous | −75 to −100† continuous | −75 to −125‡ continuous | • McCord et al. (39) *,†,‡ |
| • Mooney et al. (13) † | ||||
| • Baharestani (4) †,‡ | ||||
| Fasciotomy wounds | −50 to −75* continuous | −75 to −100† continuous | −75 to −125‡ continuous | • Baharestani (4) *,‡ |
| • Gabriel et al. (19) †,‡ | ||||
| Burns | −50 to −75 continuous | −75 to −125† continuous | −75 to −125‡ continuous | • Schintler et al. (15) † |
| • Trop et al. (43) ‡ | ||||
| Postgraft wounds | −50 to −75* continuous | −75 to −100† continuous | −75 to −125‡ Continuous | • Taub et al. (17) * |
| • Gabriel et al. (19) †,‡ | ||||
Note: Pressure settings based on panel expert opinion and/or literature. Symbols (* † ‡) identify reference(s) supporting stated pressure level for specified wound type/condition and age range.