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Surgical Smoke Nearly Killed Me - Subscribe to Outpatient Surgery Magazine - February 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • F E B R U A R U Y 2 0 1 8 For the first time in 18 years, the Centers for Disease Control and Prevention updated its Guideline for Prevention of Surgical Site Infection (osmag.net/3xYKjP). The CDC's new and updated recommendations address pre-op bathing, skin prep- ping, patient warming, glucose man- agement and more. Researchers looked at more than 170 high-quali- ty studies to issue the recommenda- tions. Here are 9 takeaways: • Patients should shower or bathe their entire body with soap (antimicrobial or non-antimicro- bial) or an antiseptic agent on at least the night before surgery. • Patients should receive antimicrobial prophylaxis before cesarean delivery. • Skin prep in the OR should be done with an alcohol-based agent, unless contraindicated. • For clean and clean-contaminated procedures, additional pro- phylactic antimicrobial agent doses should not be administered after the surgical incision is closed in the OR, even when a drain is being used. • Topical antimicrobial agents should not be applied to the sur- gical incision. • During surgery, patients' blood glucose levels should be less than 200 mg/dL throughout the operation. NEW RULES CDC Updates SSI-Prevention Guidelines • ASEPTIC TECHNIQUE It's estimated that about half of SSIs are deemed preventable using evidence- based strategies.

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