Toggle Main Menu Toggle Search

Open Access padlockePrints

The Newcastle University research output collection, currently available on ePrints, will shortly be moving to a new open repository platform, Figshare. To prepare for the data migration we have paused adding new content to ePrints, and will resume once the new repository is launched. During this time you will continue to have access to ePrints (but no new content will appear). We will share updates here when available.

Tissue oxygen saturation, measured by near-infrared spectroscopy, and its relationship to surgical-site infections

Lookup NU author(s): Dr David Harrison, Professor Gerard StansbyORCiD

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.

Abstract

Background: Surgical-site infections (SSIs) are common after major abdominal and groin bypass surgery. Tissue oxygen tension has been shown to predict these infections accurately. This study assessed whether a non-invasive measurement of tissue oxygenation, tissue oxygen saturation as measured by spectrophotometry, was as accurate. Methods: Fifty-nine patients having major abdominal or groin bypass surgery had tissue oxygen saturation measured by near-infrared spectrophotometry at the incision site and in the arm before operation, and at 12, 24 and 48 It after surgery. Masked outcome assessments for SSI were made at 7 and 30 days after operation. Results: In this retrospective analysis, 17 patients (29 per cent) developed an SSI. At 12 h after operation there was a significant difference in tissue oxygen saturation at the surgical site between patients who developed an SSI and those who did not (mean(s.d.) 43.4(18.1) versus 55.8(22.0) per cent; P = 0.032). These oxygen saturation readings were found to be more specific and sensitive in predicting SSIs than the National Nosocomial Infection Surveillance system. Discussion: There is a difference in postoperative surgical-site oxygen saturation between patients who subsequently develop SSIs and those who do not. Prediction of SSIs provides opportunities for intervention and prevention.

Publication metadata

Author(s): Ives CL, Harrison DK, Stansby GP

Publication type: Article

Publication status: Published

Journal: British Journal of Surgery

Year: 2007

Volume: 94

Issue: 1

Pages: 87-91

ISSN (print): 0007-1323

ISSN (electronic): 1365-2168

Publisher: Wiley-Blackwell

URL: http://dx.doi.org/10.1002/bjs.5533

DOI: 10.1002/bjs.5533

Altmetrics

Altmetrics provided by Altmetric

Share