Perioperative hypothermia and incidence of surgical wound infection: a bibliographic study
نویسندگان
چکیده
The purpose of this review article was to understand and analyze the scientific production related to the occurrence of perioperative hypothermia and the incidence of infection on the surgical site. For this purpose, a search was conducted in the databases LILACS, MEDLINE, PubMed, CINAHL and Cochrane, using the health science descriptors DECS, from 2004 to 2009. A total of 91 articles were found. After eliminating duplicate items and using selection criteria for inclusion, six manuscripts remained for analysis. The studies were classified as retrospective, prospective, case studies, and clinical trials. After analysis, the majority of studies showed that hypothermia must be prevented during the perioperative period to reduce complications in the healing process of the surgical incision. Therefore, unadverted hypothermia directly influences in surgical site healing, increasing the incidence of infection in the surgical wound.
منابع مشابه
Perioperative complications of hypothermia.
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Perioperative hypothermia is a common and serious complication of anesthesia and surgery. Core body temperature, which is normally regulated to within a few tenths of a degree centigrade, can fall by as much as 6 degrees C during anesthesia. The combination of anesthetic-induced impairment of thermoregulatory control and exposure to a cool operating room environment causes most surgical patient...
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Wound infection following surgery is a relatively common and serious complication. Perioperative hypothermia increases risk of surgical wound infection by several mechanisms including cutaneous vasoconstriction and a decrease in the activity of the immune system. This paper reviews these mechanisms and concludes that both prevention of hypothermia and application of local and systemic heat may ...
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Perioperative hypothermia is common in high-risk surgical patients. Anaesthesia impairs central thermoregulation, allowing re-distribution of body heat. Cool ambient temperatures and high-volume fluid administration accelerate loss of heat to the environment. Randomized, controlled trials have proven that mild hypothermia increases the incidence of wound infection and prolongs hospitalization, ...
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عنوان ژورنال:
دوره 12 شماره
صفحات -
تاریخ انتشار 2014