naa a22 4500 510744451 CHVBK 20180411083040.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12630-012-9858-6 doi (NATIONALLICENCE)springer-10.1007/s12630-012-9858-6 Review article: The anesthesiologist's role in the prevention of surgical site infections [Elektronische Daten] [Shawn Forbes, Richard McLean] Article de synthèse: Le rôle de l'anesthésiologiste dans la prévention des infections des cicatrices opératoires Purpose: To highlight the role of anesthesiologists in the prophylaxis of surgical site infections (SSIs) and to recognize the central role they play in quality improvement initiatives for the prevention of SSIs. Source: The medical literature was searched with a focus on three interventions affecting the risk of SSIs: preoperative antibiotic administration, perioperative normothermia, and perioperative hyperoxia. The literature was also searched for examples of initiatives in patient safety and quality improvement that highlight the role of anesthesiologists in preventing SSIs. Principal findings: The timely administration of preoperative antibiotics and the maintenance of perioperative normothermia have been shown to reduce the risk of SSI significantly. Perioperative hyperoxia in the prevention of SSIs remains controversial but may improve outcomes in specific subsets of the surgical population. Initiatives in quality improvement show the challenges faced by many centres to improve upon these processes of care, but they also highlight the role of anesthesiologists as champions in the multidisciplinary efforts for the prevention of SSIs. Conclusions: Anesthesiologists are responsible for many of the processes of care shown to impact the risk for SSIs, and they play an important role in the prevention of SSIs. Their leadership in the multidisciplinary efforts to improve the quality of the surgical patient is of critical importance. Canadian Anesthesiologists' Society, 2012 Forbes Shawn Department of Surgery, McMaster University, Hamilton, ON, Canada aut McLean Richard Department of Anesthesiology, McMaster University, 1200 Main Street West, Room 2E37, L8N 3Z5, Hamilton, ON, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 176-183 0832-610X 60:2<176 2013 60 12630 https://doi.org/10.1007/s12630-012-9858-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-012-9858-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Forbes Shawn Department of Surgery, McMaster University, Hamilton, ON, Canada aut NATIONALLICENCE 700 1- McLean Richard Department of Anesthesiology, McMaster University, 1200 Main Street West, Room 2E37, L8N 3Z5, Hamilton, ON, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/2(2013-02-01), 176-183 0832-610X 60:2<176 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer