- Preventing post-op infection
Link:www.nice.org.uk/nicemedia/pdf/CG74NICEGuideline.pdf
- Considerable morbidity and even mortality
- Occurs in 5-20%
- Interventions
- Well established
- Antibiotic prophylaxis (NICE SSI)
- Clean surgery with prosthesis
- Clean contaminated
- Contaminated
- NOT for clean non-prosthetic uncomplicated surgery
- Hand hygeine
- Aseptic technique during invasive procudures
- Thermoregulation
- Less certain
- Face masks, theatre traffic
- Regional anaesthesia
- Inspired O₂ (80%)
- Glycaemic control
- Speculative
- Goal directed fluid therapy
- Minimising blood transfusions
- Enhanced recovery
- Avoidance of selected opioids