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October 2004, Volume 34 Number 10 , p 68 - 69


  • Susan Simmons Holcomb RN,BC, ARNP,BC, MN, PHD



  • Taking precautions before surgery

  • Reducing risks during surgery

  • Supporting healing after surgery


    IF YOUR PATIENT has had saphenous vein harvesting for coronary artery bypass graft (CABG) surgery, he's at risk for donor site infection. In this article, I'll describe how to care for the donor site before and after surgery to reduce the risk of complications. Check your facility's policy for more specific guidelines.

    Taking precautions before surgery

    Assess your patient for factors that affect the immune system and can impair healing, increasing the risk of developing leg wound infections: obesity, diabetes, female gender, older age, anemia, peripheral vascular disease, smoking, and a long preoperative hospital stay. Researchers suspect that women experience more donor site wound infections than men because women shave their legs, causing microtrauma ...

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