Effect of high perioperative oxygen supplementation on surgical site infections.
نویسندگان
چکیده
Over the past 15 years, several randomized controlled trials, long-term follow-up studies, meta-analyses, and editorials have been published in regard to the effect of a high fraction of inspired oxygen concentration (FiO(2)) during the perioperative period on the incidence of surgical site infections. Although the evidence is not uniformly favorable for all types of surgeries, a beneficial association of 80% FiO(2) has been documented among open abdominal procedures, especially colorectal surgeries.
منابع مشابه
Effect of perioperative oxygen supplementation on 30-day surgical site infection rate in abdominal, gynecologic, and breast surgery: the ISO2 randomized controlled trial.
BACKGROUND Benefits and limitations of supplementation with 80% fraction of inspired oxygen for preventing surgical site infections have not yet been clearly defined. Some studies have reported benefits in colorectal surgery, whereas trials in abdominal and gynecologic surgery have reported either no effect or a deleterious effect. METHODS Controlled, randomized, assessor-blind multicenter tr...
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BACKGROUND A high perioperative inspiratory oxygen fraction may reduce the risk of surgical site infections, as bacterial eradication by neutrophils depends on wound oxygen tension. Two trials have shown that a high perioperative inspiratory oxygen fraction (FiO(2) = 0.80) significantly reduced risk of surgical site infections after elective colorectal surgery, but a third trial was stopped ear...
متن کاملSurgical site infections and supplemental perioperative oxygen in colorectal surgery patients: a systematic review.
BACKGROUND Four randomized trials have evaluated the impact of supplemental perioperative oxygen on the incidence of surgical site infections (SSIs), with mixed results. The objectives of this meta-analysis were: (1) To evaluate further the effect of supplemental perioperative oxygen on SSIs after colorectal surgery; and (2) to generate a strategy for future studies to determine definitively th...
متن کاملPerioperative supplemental oxygen therapy and surgical site infection: a meta-analysis of randomized controlled trials.
OBJECTIVE To conduct a meta-analysis of randomized controlled trials in which high inspired oxygen concentrations were compared with standard concentrations to assess the effect on the development of surgical site infections (SSIs). DATA SOURCES A systematic literature search was conducted using the MEDLINE, EMBASE, and Cochrane databases and included a manual search of references of original...
متن کاملEvidence update on prevention of surgical site infection.
PURPOSE OF REVIEW Surgical site infection (SSI) is a common healthcare-associated infection and complicates up to 10-20% of operations with considerable strain on healthcare resources. Apart from the widely adopted use of appropriate hair removal, antibiotic prophylaxis, avoidance of hypothermia and perioperative glycaemic control to reduce SSIs, this review has considered new research and syst...
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ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 57 10 شماره
صفحات -
تاریخ انتشار 2013