surgical intervention prevention

• related: preop shaving, Infectious Disease, notes

• hyperglycemia: glucose < 180 during first 48 hours after sugery
• immunosuppression: reduce dose of agents
• tobacco: cease 30 days prior
• skin: shower night before
• hair removal: clip and not shave
• hypothermia: maintain temperature > 96.8
• hypovolemia: enure volume replacement
• incision drainage: sterile dressing 24-48 hours

• Preoperative shaving in the area of the planned incision increases the risk of SSI. Shaving causes microscopic abrasions of the skin, which promotes bacterial proliferation. Recommendations indicate only removing hair from the surgical site if it will interfere with the procedure, in which case clipping is preferred.