WFSA Response to 'Global Guidelines For the Prevention of Surgical Site Infection' published in The Lancet
In November 2016 the WHO published Global Guidelines For the Prevention of Surgical Site Infection. The WFSA welcomes and supports this initiative to improve global surgical site infection rates, however as WFSA members voiced serious concerns relating to Recommendation #1 on Perioperative Oxygenation, we have raised concerns to the World Health Organization.
The WFSA's response to the guidelines was published in the March 2017 edition of The Lancet Infectious Diseases expressing that:
"The World Federation of Societies of Anaesthesiologists (WFSA) calls on WHO to reconsider the wording of recommendation number one to reflect the preponderance of evidence that does not support the use of high-concentration FiO2 in the prevention of surgical site infections in intraoperative and postoperative settings. In routine clinical practice, the WFSA suggests low FiO2 concentrations (30–40%) for general anaesthesia in intubated patients intraoperatively, and suggests using FiO2 to maintain a normal peripheral oxygen saturation, above 93%, postoperatively."
To read the full statement please click here.