The Cardiothoracic Surgery Dept of the PICO Implementation Hub
Combat the repercussions
The PICO Implementation Hub contains everything you need to know about PICO sNPWT.
- Evidence that supports its use, with insights and recommendations from an international panel
- Tools to help build a business case for wider use of PICO sNPWT in your setting
- Instructional posters, checklists, pathways and protocols to share quickly and easily with colleagues
You can tailor your experience at every step, reading, watching and sharing content in the order and at a pace which suits you.
This is the cardiothoracic surgery programme
- Specifically - cardiothoracic surgery via median sternotomy
- e.g. cardiothoracic surgery for coronary artery bypass grafting (CABG)
Accredited by the Royal College of Surgeons of England*
On demand webinar: How can cardiac surgeons combat the repercussions of surgical site complications?
In cardiothoracic surgery (via median sternotomy) if a patient develops a surgical site infection (SSI), and particularly a deep sternal wound infection (DSWI) (mediastinitis), there is a high mortality rate.
You can justifiably consider that All cardiothoracic surgery should be considered high risk because of the high mortality risk from mediastinitis.
In this webinar cardiothoracic surgeons can learn about strategies, including NPWT, to reduce the SSI and DSWI rate with the associated implications on healthcare resources from the clinical experience of 2 consultant surgeons.
Learning Objectives
- Describe the impact of surgical site complications that can occur after cardiac surgery and the main risk factors that can increase the consequences.
- Discuss the benefit and limitations of using bilateral internal mammary artery (BIMA) in CABG.
- Recall the evidence that supports the use of single use NPWT to reduce the impact of surgical site complications ( in a cost effective way).
- Recognise that there are differentiating mechanisms of action (MOA) for PICO◊ sNPWT over other forms of NPWT.
Surgical site infections: What is the scale of the problem in cardiothoracic surgery?
Recognition of which patients are at risk of surgical site complications, and to what extent, is essential in managing that risk and guide appropriate use of interventions.
You should be able to realistically know your own SSI or SSC rate.
Here we describe the data from the best epidemiological studies to detail the SSI prevalence in general and in this surgical indication.
Learning Objectives
- Discover key insights into surveillance for SSI
- Understand the scale of the problem of SSI
- Recall the SSI prevalence in this surgical indication from epidemiological studies
The Cardiothoracic Surgery Dept of the Virtual Centre of Excellence
Combat the repercussions
To support the successful implementation of incisional NPWT into your surgical care pathway we have developed an online preceptorship – the Virtual Centre of Excellence.
The Virtual Centre of Excellence comprises five surgical departments, each providing dedicated insight and information intended to help support you in surgical site complication (SSC) prevention with PICO◊ sNPWT.
To better understand how to effectively implement PICO sNPWT as part of SSC prevention a consensus publication was developed by an internationally recognised expert panel experienced in establishing and embedding the prophylactic use of PICO sNPWT as the standard post-operative management for the prevention of SSCs.
Learning Objectives
- How to establish a case for changing to incisional NPWT prophylaxis using PICO sNPWT with benchmark auditing of SSC outcomes and business case development.
- Help to optimise outcomes by accurate identification of the most appropriate patient group at risk of developing SSCs based upon pre-operative risk assessment.
- Best practice sharing to enable successful implementation of bespoke closed surgical incision management pathways and protocols using PICO sNPWT within the surgical care pathway including practical tools, pragmatic tactics and compliance support.
- How to help drive consistency and reduce variation in the delivery of closed surgical incision management pathways using PICO sNPWT through protocol expansion into multiple surgical specialities and care settings.