tailieunhanh - Báo cáo y học: "Intraoperative PaO2 is not related to the development of surgical site infections after major cardiac surgery"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Intraoperative PaO2 is not related to the development of surgical site infections after major cardiac surgery. | Bustamante et al. Journal of Cardiothoracic Surgery 2011 6 4 http content 6 1 4 JCTS JOURNAL OF CARDIOTHORACIC SURGERY LETTERS TO THE EDITOR Open Access Intraoperative PaO2 is not related to the development of surgical site infections after major cardiac surgery Il Ini S Di I - s m S Fn 1C I I I f I S m S 12 c r i r I V ì w r A It S r -73 I r K S S-. I f _ I EIAm 75 Juan Bustamante Eduardo lamayo Francisco Javier Alvarez Israel Garcia-Cuenca Santiago Florez Inma Fierro3 José Ignacio Gomez-Herreras4 Abstract Background The perioperative use of high inspired oxygen fraction FIO2 for preventing surgical site infections SSIs has demonstrated a reduction in their incidence in some types of surgery however there exist some discrepancies in this respect. The aim of this study was to analyze the relationship between PaO2 values and SSIs in cardiac patients. Methods We designed a prospective study in which 1 024 patients undergoing cardiac surgery were analyzed. Results SSIs were observed in of patients. There was not significant difference in mortality at 30 days between patients with and without SSIs. In the uni and multivariate analysis no differences in function of the inspired oxygen fraction administrated were observed. Conclusions We observed that the PaO2 in adult cardiac surgery patients was not related to SSI rate. Dear Editor The potential clinical benefits of the perioperative use of high inspired oxygen fraction FIO2 for preventing surgical site infections SSIs have attracted great interest in recent years. Trials by Greif et al. 1 and Belda et al. 2 demonstrated that SSIs decreased significantly following colon surgery in patients who received 80 oxygen intraoperatively and for the first hours following surgery. In the sphere of cardiac surgery SSIs are serious complications associated with extended hospital stay increased hospital costs and higher mortality and morbidity rates 3 . Thus in 2005 our Department of Anesthesiology