Aorn JournalPub Date : 2025-06-01DOI: 10.1002/aorn.14352
Liang Qin Liu, Sinead Mehigan
{"title":"Surgical Site Infections and the Use of Forced-Air Warming Devices During Surgical Procedures: A Systematic Review and Meta-Analysis.","authors":"Liang Qin Liu, Sinead Mehigan","doi":"10.1002/aorn.14352","DOIUrl":"10.1002/aorn.14352","url":null,"abstract":"<p><p>Forced-air warming (FAW) is effective in preventing hypothermia, yet its effect on surgical site infections (SSIs) remains debated. This systematic review synthesizes available evidence on the effect of FAW devices on SSI incidence among surgical patients. We searched several databases and identified 14 studies, including randomized controlled trials, nonrandomized controlled trials, and observational studies, that compared FAW devices to other warming methods or no warming in adult patients undergoing elective or emergency surgeries. The Effective Public Health Practice Project tool was used for quality assessment, and a narrative synthesis and meta-analysis were performed. The pooled analysis did not show a significant increase in SSI risk with FAW use. However, heterogeneity in study designs and small sample sizes limit the generalizability of findings. Future research should focus on larger, multicenter randomized controlled trials in diverse surgical settings and documenting patient characteristics and anesthetic methods.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 6","pages":"438-448"},"PeriodicalIF":0.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14335
Margaret Kuehl, Kimberly Mitchell, Mark Crucero, Stephanie Gore, Mary Hook
{"title":"The Association Between OR Traffic and Airborne Microbial Counts During Two Types of Abdominal Surgeries.","authors":"Margaret Kuehl, Kimberly Mitchell, Mark Crucero, Stephanie Gore, Mary Hook","doi":"10.1002/aorn.14335","DOIUrl":"https://doi.org/10.1002/aorn.14335","url":null,"abstract":"<p><p>Airborne contamination via OR traffic (ie, number of personnel and door openings, personnel movement) can contribute to the deposit of microbes on surfaces and contribute to surgical site infections. Researchers at a midwestern health system used a mixed-methods approach to evaluate the association between OR traffic and microbial deposits during colon surgeries and abdominal hysterectomies using nonparticipant observations and agar settle plate testing. Door openings were at the low end of published rates, although some openings were for nonessential reasons. Door openings were strongly correlated with surgery duration (r<sub>58</sub> = 0.72, P < .0001). Total microbial deposits were weakly correlated with increased door openings (r<sub>58</sub> = 0.37, P < .004) and personnel (r<sub>58</sub> = 0.27, P = .034), but most (83%) of the wound zone deposit values were below the established threshold. Perioperative personnel may be able to reduce microbial contamination risk by decreasing OR traffic.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"344-360"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14336
{"title":"Robotic-Assisted Surgery Shows Promise in Breast Reconstruction.","authors":"","doi":"10.1002/aorn.14336","DOIUrl":"https://doi.org/10.1002/aorn.14336","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"P8-P9"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14338
{"title":"The History of Robotic-Assisted Surgery.","authors":"","doi":"10.1002/aorn.14338","DOIUrl":"https://doi.org/10.1002/aorn.14338","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"P10-P11"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}