Mary Anne R. Obst, BSN, RN, CCRN, CWON

Rapid Communication

Early-stage Management of Complex Wounds Using Negative Pressure Wound Therapy With Instillation and a Dressing With Through Holes

05/20/2019

Jane Harrigan ;

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

Aaron Wodash ;

Stina Bjurstrom ;

The authors present their experiences of using NPWTi-d with ROCF-CC, along with rationales for wound care decisions.

The authors present their...

05/20/2019

Wounds

Use of a novel silicone backed fabric (NSBF) to reduce peri-incision tension and support healing of complex wounds

Introduction: Incision separation and dehiscence can be due to peri-incision skin tension related to body location, body habitus, and tissue mobility. This incisional separation can cause...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

Janice Chevrette , FNP-C, CWOCN, CFCN;

05/26/2022

Enteric Fistula Management Decision Making Framework

Introduction: Enteric fistulas and poorly sited ostomies can challenge patients and providers on multiple fronts. Caring for adjacent wounds, controlling effluent, preventing leaks, and m...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

05/26/2022

Challenges of Necrotizing Soft Tissue Infections: A Multidiscipline Approach

Introduction: Necrotizing soft tissue infections (NSTI) are characterized clinically by fulminant tissue destruction, systemic signs of toxicity, and high mortality. According to Hakkarai...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

Aaron Fox ;

05/26/2022

Trauma and Burn Wound Therapy: A Multi-case Series

Introduction: A 2021 press release from the American College of Surgeons notes that we are experiencing a national surge in injuries, including a significant increase in gunshot wounds. O...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

Laura Soloway , PhD, MPH;

Amy Law , MBA;

Christine Bongards , PhD;

Rhea Mathew , BS;

Daniel J. Spangler , BS;

Hadley Hudson ;

05/26/2022

SAWC Insights

Trauma and Burn Wound Therapy: A Multi-case Series

04/06/2022

Laura Gaglione , BSN, RN, CWON;

Maja Backstrom , RN, WCC, OMS;

Angela Smith , BSN, RN, CWON;

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

In the authors’ experience, trauma and burn wounds benefit from the use of hypochlorous acid–preserved wound cleanser (HAPWOC). The therapy described here was effective in healing complex wounds when used in conjunction with NPWT-i and when...

In the authors’ experience,...

04/06/2022

Wounds

Surgical Reconstruction of Peri-fistula/stomal Soft Tissue: Revise, Isolate, Skin Graft, Pouch

Introduction: A leaking ostomy or fistula pouch is devastating to the patient and provider. In some situations, the soft tissue around the fistula or ostomy makes it impossible to apply a...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

08/19/2021

Negative pressure wound therapy with instillation of hypochlorous* acid solution makes a clinical difference in observable ways: a case series.

This case series describes 6 patients, whose wound’s utilized NPWT instillation with saline and transitioned over to hypochlorous acid solution.

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

01/28/2021

Management of Nonviable Tissue Buildup in Abdominal Wounds

Abstract Body: In cases where full closure is not achieved after open abdominal surgery, patients are left with open cutaneous wounds with knotted, heavy sutures at the wound base, provid...

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

Michael D. Kalos , DNP, RN, CWOCN;

Kaitlin Nelson ;

11/23/2020

Isolation of Enteric Fistulas to Allow Adjacent Skin Graft Placement

Abstract Body: Wounds near fistulas and ostomies are typically not good candidates for skin grafting due to the risk of effluent contamination; however, not grafting these wounds can dela...

Michael D. Kalos , DNP, RN, CWOCN;

Kaitlin Nelson ;

Mary Anne R. Obst , BSN, RN, CCRN, CWON;

11/23/2020