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Forced-Air Warming and Resistive Heating Devices. Updated Perspectives on Safety and Surgical Site Infections

机译:强制空气加热和电阻加热装置。关于安全性和手术部位感染的最新观点

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摘要

>Introduction: Perioperative hypothermia is one of the most common phenomena seen among surgical patients, leading to numerous adverse outcomes such as intraoperative blood loss, cardiac events, coagulopathy, increased hospital stay and associated costs. Forced air warming (FAW) and resistive heating (RH) are the two most commonly used and widely studied devices to prevent perioperative hypothermia. The effect of FAW on operating room laminar flow and surgical site infection is unclear and we initiated an extensive literature search in order to get a scientific insight of this aspect.>Material and Methods: The literature search was conducted using the Medline search engine, PubMed, Cochrane review, google scholar, and OSU library.>Results: Out of 92 Articles considered initially for review we selected a total of 73 relevant references. Currently there is no robust evidence to support that FAW can increase SSIs. In addition, both of the two warming devices present safety problems.>Conclusion: As unbiased independent reviewers, we advise clinicians to weigh the risks and benefits when using either one of these devices; no change in the current practice is necessary until further data emerges.
机译:>简介:围手术期体温过低是外科患者中最常见的现象之一,导致许多不良后果,例如术中失血,心脏事件,凝血病,住院时间延长以及相关费用。强制空气加热(FAW)和电阻加热(RH)是防止围手术期体温过低的两种最常用和广泛研究的设备。一汽对手术室层流和手术部位感染的影响尚不清楚,我们进行了广泛的文献检索,以获得对这方面的科学见解。>材料和方法: >结果::在最初考虑进行审查的92篇文章中,我们总共选择了73篇相关参考文献。当前,没有强有力的证据支持一汽可以提高SSI。此外,这两种加热设备都存在安全问题。在进一步的数据出现之前,无需改变当前的做法。

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