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Titolo:
The influence of 2 surgical bandage systems on wound tissue oxygen tension
Autore:
Plattner, O; Akca, O; Herbst, F; Arkilic, CF; Fugger, R; Barlan, M; Kurz, A; Hopf, H; Werba, A; Sessler, DI;
Indirizzi:
Univ Vienna, Dept Anesthesiol & Gen Intens Care, Vienna, Austria Univ Vienna Vienna Austria esthesiol & Gen Intens Care, Vienna, Austria Univ Vienna, Dept Gen Surg, Vienna, Austria Univ Vienna Vienna AustriaUniv Vienna, Dept Gen Surg, Vienna, Austria Washington Univ, Dept Anesthesiol, St Louis, MO USA Washington Univ St Louis MO USA Univ, Dept Anesthesiol, St Louis, MO USA Univ Calif San Francisco, Wound Healing Lab, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Univ Calif San Francisco, Dept Anesthesia, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Univ Calif San Francisco, Dept Perioperat Care & Surg, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Ludwig Boltzmann Inst Clin Anesthesia & Intens Ca, Vienna, Austria Ludwig Boltzmann Inst Clin Anesthesia & Intens Ca Vienna Austria ustria
Titolo Testata:
ARCHIVES OF SURGERY
fascicolo: 7, volume: 135, anno: 2000,
pagine: 818 - 822
SICI:
0004-0010(200007)135:7<818:TIO2SB>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE-PATIENTS; CIGARETTE-SMOKING; BLOOD-FLOW; INFECTION; SKIN; RISK; HOSPITALIZATION; NORMOTHERMIA; PERFUSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Sessler, DI Univ Vienna, Dept Anesthesiol & Gen Intens Care, Waehringer Guertel 18, Vienna, Austria Univ Vienna Waehringer Guertel 18 Vienna Austria na, Austria
Citazione:
O. Plattner et al., "The influence of 2 surgical bandage systems on wound tissue oxygen tension", ARCH SURG, 135(7), 2000, pp. 818-822

Abstract

Hypothesis: Local wound heating improves tissue oxygen tension in postoperative patients. Setting: University hospital. Patients: Forty normothermic and well-hydrated patients recovering from elective open abdominal surgery. Interventions: A comparison between an experimental bandage system (Warm-Up; Augustine Medical Inc, Eden Prairie, Minn) and conventional gauze covered with elastic adhesive (Medipore Dress-it; 3M, St Paul, Minn). The experimental system is heated to 38 degrees C and does not touch the wound. Main Outcome Measures: Subcutaneous tissue oxygen tension was measured postoperatively and on the first postoperative day. In a subgroup, we also evaluated the effects of bandage pressure per se on tissue oxygen. Results: Initial postoperative tissue oxygen tensions were approximately 30 mm Hg greater with the experimental bandage, even before warming. Subcutaneous oxygen tension during heating remained significantly greater in patients with the warmed bandage than the conventional elastic bandage (116 +/- 40 vs 85 +/- 34 mm Hg, respectively) while the patients were breathing approximately 50% oxygen. The difference was smaller on the first postoperativeday, but still statistically significant (82 +/- 30 vs 65 +/- 22 mm Hg, respectively). In the subgroup analysis, tissue oxygen tension increased significantly by 12 +/- 4 mm Hg when the heating bandage was substituted for a conventional bandage (P<.001). Conclusion: In normothermic and well-hydrated surgical patients, much benefit from the heating bandage system appears to result from pressure relief These data suggest that relieving wound pressure markedly improves tissue perfusion and oxygenation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 19:59:20