Please see Bibliography of References for a list of abstracts, manuscripts and posters.
Ives CL, Harrison DK, Stansby GS. Br J Surg. 2007;94(1):87-91.
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 ovgenation, 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 h 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) versus55.8(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 inpostoperative surgical-site oxygen saturation between patients who subsequently develop SSls and those who do not. Prediction of SSIs provides opportunities for intervention and prevention.