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March 20, 2023
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VIDEO: High flow oxygen decreases superficial surgical site infection rates

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LAS VEGAS — In this video from the American Academy of Orthopaedic Surgeons Annual Meeting, Joshua Layne Gary, MD, FAAOS, spoke about high perioperative oxygen to lower the risk of surgical site infection in orthopedic trauma patients.

“We enrolled 1,130 patients in a randomized prospective trial. These patients had high-energy pilon, tibial plateau and calcaneus fractures, and these patients were randomized to different levels of oxygen intraoperatively and then for 2 hours postoperatively,” Gary said. “The summary is that high flow oxygen can decrease surgical site infection (SSI) rates, but not for deep SSIs requiring return to the OR – only for the superficial infections that were treated with antibiotics alone,” he added.