Minimization of Surgical Site Infections for Pts Undergoing Colorectal Surgery
| Status: | Completed |
|---|---|
| Conditions: | Colorectal Cancer, Infectious Disease, Hospital |
| Therapuetic Areas: | Immunology / Infectious Diseases, Oncology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/14/2017 |
| Start Date: | April 2007 |
| End Date: | February 2010 |
This is a comparison, at this VA Hospital, of standard operating room management in
colorectal surgery to a more rigid management using an additional five previously tested
treatments to determine if this changes the rate of post operative wound infections.
colorectal surgery to a more rigid management using an additional five previously tested
treatments to determine if this changes the rate of post operative wound infections.
A comparison between standard operating room:
1. use of pre-op bowel prep (Golytely or Phosphosoda,plus 3 doses of oral
antibiotics(Erythromycin and Neomycin), and fleets enema the day before surgery
2. Standard anesthesia FiO2 (approx. 30-50%)during surgery
3. Standard IV fluids during surgery(greater than 200cc per hour)
4. Standard post-op O2 by mask for 2 hours
To extended operating room procedures of:
1. No po antibiotics or pre-op bowel prep other than enema prior to surgery
2. Skin warming at least 15 minutes prior to and during surgery(core temp 36C+)
3. IOBAN drapes and Plastic wound protectors used during surgery
4. Restricted IV fluids less than 200cc per hour during surgery
5. Increased FiO2 to 80% during surgery and 2 hours after by mask
Monitoring for post-op wound infections at discharge and up to 30days post-op
1. use of pre-op bowel prep (Golytely or Phosphosoda,plus 3 doses of oral
antibiotics(Erythromycin and Neomycin), and fleets enema the day before surgery
2. Standard anesthesia FiO2 (approx. 30-50%)during surgery
3. Standard IV fluids during surgery(greater than 200cc per hour)
4. Standard post-op O2 by mask for 2 hours
To extended operating room procedures of:
1. No po antibiotics or pre-op bowel prep other than enema prior to surgery
2. Skin warming at least 15 minutes prior to and during surgery(core temp 36C+)
3. IOBAN drapes and Plastic wound protectors used during surgery
4. Restricted IV fluids less than 200cc per hour during surgery
5. Increased FiO2 to 80% during surgery and 2 hours after by mask
Monitoring for post-op wound infections at discharge and up to 30days post-op
Inclusion Criteria:
- Scheduled VA adult elective colorectal surgery patient
Exclusion Criteria:
- Non VA adults, emergent colorectal surgery, scheduled multiple surgery procedures,pts
with other infections being treated
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