Skip to main content

Does Intraoperative Core Hypothermia Increase the Incidence of Surgical Wound Infections and Prolong Hospitalization?

  • Chapter
Thermal Balance in Health and Disease

Part of the book series: APS Advances in Pharmacological Sciences ((APS))

Abstract

Wound infections are among the most common serious complications of anesthesia and surgery. The reported incidence of wound infections in patients having two or more factors increasing risk of infection (e.g., abdominal surgery, surgery lasting more than 2 hours, “contaminated” or “dirty-infected” wounds, or three or more underlying diagnoses), ranges from 8 to 27% (1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Haley, RW, Culver, DH, Morgan, WM, White, JW, Emori, TG, Hooton, TM (1985): Identifying patients at high risk of surgical wound infection: A simple multivariate index of patient susceptibility and wound contamination. Am J Epidemiol 121, 206–215.

    PubMed  CAS  Google Scholar 

  2. Van Oss, CJ, Absolam, DR, Moore, LL, Park, BH, Humbert J R (1980): Effect of temperature on the Chemotaxis, phagocytic engulfment, digestion and O2 consumption of human polymorphonuclear leukocytes. J Reticuloendothel Soc 27, 561–565.

    PubMed  Google Scholar 

  3. Burke, JF (1961): The effective period of preventive antibiotic action in experimental incisions and dermal lesions. Surgery 50,161–168.

    PubMed  CAS  Google Scholar 

  4. Miles, AA, Miles, EM, Burke, J (1957): The value and duration of defence reactions of the skin to the primary lodgement of bacteria. Br J of Exp Path 38, 79–97.

    CAS  Google Scholar 

  5. Hynson, J, Sessler, DI (1992): Intraoperative warming therapies: A comparison of three devices. J Clin Anesth 4, 194–199.

    Article  PubMed  CAS  Google Scholar 

  6. Kurz, A, Kurz, M, Poeschl, G, Faryniak, B, Redi, G, Hackl, W (1993): Forced-air warming maintains intraoperative normothermia better than circulating-water mattresses. Anesth Analg 77, 89–95.

    PubMed  CAS  Google Scholar 

  7. Cork, RC, Vaughan, RW, Humphrey, LS (1983): Precision and accuracy of intraoperative temperature monitoring. Anesth Analg 62, 211–214.

    Article  PubMed  CAS  Google Scholar 

  8. Sessler, DI (1991): Temperature disturbances. In: Critical Care Practice. Hoyt J, Allen S, Tennesen A eds. Philadelphia: WB Saunders, 400–412.

    Google Scholar 

  9. Hales, JRS (1985): Skin arteriovenous anastomoses, their control and role in thermoregulation. In: Cardiovascular Shunts: Phylogenetic, Ontogenetic and Clinical Aspects. Johansen, K, Burggren, W eds. Copenhagen: Munksgaard, 433–451.

    Google Scholar 

  10. Sessler, DI, Moayeri, A, Stoen, R, Glosten, B, Hynson, J, McGuire, J (1990): Thermoregulatory vasoconstriction decreases cutaneous heat loss. Anesthesiology 73, 656–660.

    Article  PubMed  CAS  Google Scholar 

  11. Sheffield, CW, Hopf, HW, Sessler, DI, Schroeder, M, Hunt, TK, West, J (1993): Local heat reverses the decrease in subcutaneous oxygen tension produced by thermoregulatory vasoconstriction (abstract). Anesth Analg 76, S389.

    Google Scholar 

  12. Valeri, RC, Cassidy, G, Khuri, S, Feingold, H, Ragno, G, Altschule, MD (1987): Hypothermia-induced reversible platelet dysfunction. Ann Surg 205, 175–181.

    Article  PubMed  CAS  Google Scholar 

  13. Bremmelgaard, A, Raahave, D, Beir-Holgersen, R, Pedersen, JV, Andersen, S, Sorensen, AI (1989): Computer-aided surveillance of surgical infections and identification of risk factors. J Hosp Infect 13, 18.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Birkhäuser Verlag Basel

About this chapter

Cite this chapter

Kurz, A., Sessler, D.I., Lenhardt, R., Narzt, E., Huemer, G., Lackner, F. (1994). Does Intraoperative Core Hypothermia Increase the Incidence of Surgical Wound Infections and Prolong Hospitalization?. In: Zeisberger, E., Schönbaum, E., Lomax, P. (eds) Thermal Balance in Health and Disease. APS Advances in Pharmacological Sciences. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-7429-8_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-0348-7429-8_36

  • Publisher Name: Birkhäuser Basel

  • Print ISBN: 978-3-0348-7431-1

  • Online ISBN: 978-3-0348-7429-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics