11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 46 168 Use advanced dressing in cardiac surgery: cost- benefit analysis Stefania Giuffrè1 2 1Policlinico of Milan, Milano, Italy, 2Grande Ospedale Metropolitano “Bianchi Melacrino Morelli” - Uffici Amministrativi, Reggio Calabria, Italy BACKGROUND: Cardiac surgery is a surgical specialty associated to a high risk of Surgical Site Infections (SSI) caused by very long surgical times, hemotransfusions, intraoperative hypothermia, and extracorporeal circulation. Coronary artery bypass graft (CABG) is considered the cardiac surgical procedure with the highest risk of SSI. SSI cause social and psychological distress to the patient and costs for the NHS. The choice of an appropriate dressing applied to the surgical wound can help reducing SSI and the costs related to them. Objectives: (March 2022-February 2023) Observational Study conducted in Cardiac Surgery of GOM Hospital in Reggio Calabria. The purpose was to identify a dressing that is effective in reducing the incidence of SSI, promoting healing processes, ensuring greater patient comfort, quality, and a good cost-benefit ratio. Methods: Review of the literature from 2010 to 2018 (10 studies). Enrolled 66 adult patients undergoing CABG with median sternal wound at high risk for SSI. The SSI risk scale was constructed on 7 variables with preoperative analysis (Age>70 years, BMI>27%, smoking, hypertension, diabetes, CKD, COPD) Three types of dressings were used and compared for surgical wound treatment: simple gauze, silver hydrofiber, and polyurethane foam at negative pressure. Results: • Effectiveness in preventing SSI: simple gauze 88.88%; silver hydrofiber 96.29%; polyurethane foam at NP 100%. • Wound healing times (within 12 days post-operative): simple gauze 61.11%; hydrofiber 88.88%; NP 85.71%. • Cost per unit piece: simple gauze 0.80€; hydrofiber 23€; NP 300€. • Infected wound resolution costs: simple gauze 14.196€; hydrofiber 2.632€; NP 0€. CONCLUSIONS: Simple gauze dressing is the cheapest but least effective to prevent SSI. Polyureatane foam at NP dressing is the most effective but also the most expensive. Instead, silver hydrofiber dressing is very effective and inexpensive. The authors conclude that silver hydrofiber dressing is the most convenient and effective. 191 Surgical Smoke in Türkiye: A Review of Nursing Theses Burçin Irmak1 2, Ayşe Gül Atay Doyğaci3 1, 2Ordu University, Ordu, Turkey, 3Baskent University, Health Services Vocational School, Ankara, Turkey Background: Surgical smoke is an important issue that negatively affects the operating room team. Objective: The aim of this study is to determine the postgraduate theses related to surgical smoke in the field of nursing in Türkiye. Methods: The study data were accessed on 5.7.2023 from the National Thesis Center Database of the Higher Education Council of Türkiye. Criteria for the inclusion of theses in the study were that it was made in the field of nursing, that the full text was reached, and that the research word included the phrase “surgical smoke”. 8 theses were included in the study. “Thesis Evaluation Form” was used to collect the data. The data were evaluated with descriptive statistical methods. Results: It was determined that the theses on the subject were made between 2017-2023, most of them were master’s theses (n=6), all of the master’s theses were descriptive, and the doctoral theses were experimental (n=1) and case-control (n=1) types. In the thesis, the sample group mainly consisted of health workers in the operating room. In the theses, health problems after surgical smoke exposure (n=4), attitudes and opinions towards surgical smoke (n=4), methods used to remove surgical smoke (n=3), use of protective equipment (n=3), and medical gas evacuation systems (n=2) were discussed. Conclusion: It was determined that the theses were carried out in the last seven years, that there was no thesis data in the field of nursing in Türkiye before, and that the research design was generally of a descriptive type. In line with these results, it is recommended to conduct randomized controlled intervention studies with a high level of evidence in graduate theses.
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