Valencia, Spain | 16 - 18 May 2024 11th EORNA Congress Clinical Case Studies 29 Clinical Case studies 479 Implementation of cures with negative pressure in the immediate postoperative period Eukene Garcia Petuya1, Maria Inmaculada Reinoso2 1Hospital de San Eloy, bloque quirurgico, barakaldo, Spain, 2Hospital de San Eloy, planta de cirugia, barakaldo, Spain BACKGROUND: The surgical procedures included in the minimum surveillance of the national surveillance system for surgically located infections are procedures selected due to their great hospital relevance. On the one hand due to the frequency of interventions performed and on the other hand, given the high incidence of surgical infections that they entail. The latest report published by EPINE shows that SSIs are the first most common nosocomial infection (1). Surgical site infection is common after a laparotomy surgery and is associates with increased cost. Prophylactic Negative pressure wound therapy has previously been shown to reduce surgical site infection compared with conventional dressing (2). This mechanical treatment used as an adjuvant in wound healing; provides an occlusive and sterile healing environment that reduces bacterial load and promotes tissue granulation, stimulating healing by second or third intention, reducing wound surface area (3). Implement negative pressure therapy treatment in the closure of surgical wounds after the intervention, prevent surgical site infections (SSI); specifically incisional SSI, and dehiscences (3), in abdominal surgeries (4), limiting subsequent complications (5,6,7). OBJECTIVES: This case study aims to determine whether the application of prophylactic negative pressure wound therapy after laparotomy surgery is effective. DESIGN: It is a descriptive observational study, we used prophylactic negative pressure wound therapy after a laparotomy surgical in oncological patient previously chosen according to criteria evidence. MAIN FINDINGS: After the surgical intervention, the patient admitted to the ward with a negative pressure dressing. After five days without removing the dressing, the first cure performed without signs of infection or dehiscence. Finally, after medical discharge, the wound seems perfectly healed. Conclusion: The use of negative pressure wound therapy seems a good strategy with improved outcomes compared with conventional dressing. 230 Perioperative peadiatric skin disinfection and draping Sofia Jonsson1, Angelica Lotthagen1 1Karolinska University hospital, Stockholm, Childrens operating unit, Stockholm Background: In Sweden it´s mandatory to have a specialization after becoming R.N., working in the perioperative care. However, it is not in the content of the education how to care for the paediatric patients. Children are not small adults. Specific care is needed depending on the size of the child. It also depends on different diagnosis, anatomical and physical differences, and immature skin. Different draping is also needed. Working at a university clinic/hospital has as ongoing knowledge demand and therefore the continuing learning needs to secure the highest safe patient care and specifically in supporting a patient centered care. Aims: Illuminate the demands of education for operating room nurses working in peadiatric care, regarding skin disinfection and draping. Objectives: Peadiatric perioperative care. Skin disinfection and draping. Learning Standardization. Methods: Local obligatory guidelines, MYORCO website and workshops Results: New operating room nurses is shown where to locate the guidelines. MYORCO allows each new nurse within perioperative paediatric care, to ensure that practices are correctly followed. Allows the nurses to train by themselves. Conclusion: The higher staff turnover, the more educational support will be needed. It is important to have workshops and guidelines, but to also use the MYORCO website.
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