Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Ideal Total Joint Arthroplasty Antibiotic Prophylaxis Unknown—Reply

Ideal Total Joint Arthroplasty Antibiotic Prophylaxis Unknown—Reply Letters the previous speculation is true, is what are the benefits of reviewed the Veterans Affairs Surgical Quality Improvement REBOA in those with delayed operative intervention? Resusci- Project Database to assess postoperative 30-day surgical site tative endovascular balloon occlusion of the aorta is supposed infections (SSIs), 7-day incidence of acute kidney injury (AKI), to offer hemodynamic stability in situations in which the and development of Clostridium difficile infection at 90 days definitive management is delayed/unavailable in severe trauma after cardiac, vascular, colorectal, and orthopedic surgery. They cases. By contrast, it was associated with increased mortality, concluded that longer duration of prophylactic antibiotics did complications,andnodifferenceinthe4-hourand24-hourtrans- not lead to decreased rate of SSI but rather increased rates of fusion requirements. It was also questioned whether the new AKI and C difficile infection. 7-Fr sheath would possibly reduce leg ischemia. This may be These results should be interpreted with caution for sev- true; however, to our knowledge, this hypothesis is currently eral reasons. The study population consists of a specific sub- unproven. The amputation rate is worthy of attention, as ampu- group of the general population, veterans, of whom 96% were tations were not common for uninjured patients before the adop- men, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Ideal Total Joint Arthroplasty Antibiotic Prophylaxis Unknown—Reply

Loading next page...
 
/lp/american-medical-association/ideal-total-joint-arthroplasty-antibiotic-prophylaxis-unknown-reply-zMOyWHbZg9
Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2019.2908
Publisher site
See Article on Publisher Site

Abstract

Letters the previous speculation is true, is what are the benefits of reviewed the Veterans Affairs Surgical Quality Improvement REBOA in those with delayed operative intervention? Resusci- Project Database to assess postoperative 30-day surgical site tative endovascular balloon occlusion of the aorta is supposed infections (SSIs), 7-day incidence of acute kidney injury (AKI), to offer hemodynamic stability in situations in which the and development of Clostridium difficile infection at 90 days definitive management is delayed/unavailable in severe trauma after cardiac, vascular, colorectal, and orthopedic surgery. They cases. By contrast, it was associated with increased mortality, concluded that longer duration of prophylactic antibiotics did complications,andnodifferenceinthe4-hourand24-hourtrans- not lead to decreased rate of SSI but rather increased rates of fusion requirements. It was also questioned whether the new AKI and C difficile infection. 7-Fr sheath would possibly reduce leg ischemia. This may be These results should be interpreted with caution for sev- true; however, to our knowledge, this hypothesis is currently eral reasons. The study population consists of a specific sub- unproven. The amputation rate is worthy of attention, as ampu- group of the general population, veterans, of whom 96% were tations were not common for uninjured patients before the adop- men,

Journal

JAMA SurgeryAmerican Medical Association

Published: Dec 28, 2019

References