Cardiac Surgery Clinical Trial
Official title:
The Influence of a Warmed Surgical Bandage System on Subcutaneous Tiisue Oxygen Tension After Cardiac Surgery
Warmed Surgical Bandage may improve tissue oxygenation and thus on the long run reduce wound infections
Wound infections are common and serious complications of anesthesia and surgery. The
morbidity associated with surgical infections is considerable and includes substantial
prolongation of hospitalization.
The wound infection risk in patients undergoing cardiac surgery ranges from 0.8 to 17.7%
including both superficial and deep sternal infections.
Major factors influencing the incidence of surgical wound infection other than site and
complexity of surgery, underlying illness, timely administration of prophylactic
antibiotics, intraoperative patient temperature, hypovolemia and tissue oxygen tension. The
primary determinant of tissue oxygen availability is local perfusion. Thermoregulatory
status is one of the major factors influencing tissue perfusion. Local warming induces pre-
capillary vasodilation and improves tissue oxygenation. Local warming of surgical wounds may
provide a simple and inexpensive way to reduce perioperative wound complications.
Specifically, we will test the hypothesis that Warm- Up therapy increases postoperative
tissue oxygen tension in patients undergoing cardiopulmonary bypass.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Basic Science
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