3
➤ The use of supplemental oxygen for patients requiring mechanical
ventilation is now an unresolved issue and no longer an essential
practice.
➤ As an additional approach, consider the use of antiseptic-impregnated
sutures at wound closure, particularly in colorectal surgery cases.
➤ In the OR and the post-acute care unit, during patients' postoperative
days 1-2 monitor and maintain blood glucose levels between 110-150
mg/dL in patients who are hyperglycemic, regardless of diabetes
status.
• Postoperative blood glucose control that targets levels <110 mg/dL has been
associated with a risk of significantly lowering the blood glucose level and
increasing the risk of stroke or death.
➤ As an additional approach, consider the use of negative pressure
dressings in the postoperative setting.
• The authors added negative pressure dressings as an additional approach, as some
studies support their use in patients who have undergone abdominal surgery or
joint arthroplasty.
• Evidence suggests that the benefit increases with age and body mass index.
➤ This pocket guide highlights practical recommendations to assist
acute care hospitals in implementing and prioritizing SSI prevention
efforts.
➤ It is based on a synthesis of evidence, theoretical rationale,
current practices, practical considerations, author consensus, and
consideration of potential harm, where applicable.
➤ No guideline or expert guidance document can anticipate all clinical
situations. This pocket guide is not meant to be a substitute for
individual clinical judgment by qualified professionals.
