Jah McLernan

Degree Name

Master of Science in Nursing (MSN)

Document Type

Major Paper

School

School of Nursing

Department

Nursing

Date of Original Version

12-1-2019

Abstract

Surgical site infections (SSIs) are among the most preventable infections acquired in the healthcare setting today. The potential for improved patient care and reduced healthcare spending by decreasing SSIs could save millions of US healthcare dollars and at the same time lead to better patient outcomes. The purpose of this systematic review was to explore whether high concentration oxygen delivered to surgical patients undergoing intraabdominal surgery decreases SSI. A systematic review was conducted to determine if high concentration oxygen decreases surgical site infection. Databases were searched, and inclusion and exclusion criteria were applied to select the articles for this systematic review. The PRISMA framework was used to guide the review and a total of six studies were critically analyzed. Two data collection tables were created for each article, one that illustrated the design of the study and one that illustrated the results. The CASP checklist was utilized to appraise each article critically. Finally, a cross-study analysis was conducted to compare the studies. Of the six studies, two were statistically significant 1and showed a decrease in SSI, contradicting earlier findings. Based on all the available research at this time, the use of high concentration oxygen during the intraoperative phase to decrease SSI should be followed if patient specifics and facility resources allow. Further studies will need to focus on standardized protocols specific to each abdominal surgery.

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