Journal articlesTracheostomies: a brief history

Tracheostomies: a brief history

29/06/17 | Surgical wounds | Edward White

Whilst much of wound care discussion within these pages may be focused on the healing of chronic wounds, and the catalogue of afflictions and treatment modalities that fall under such a classification, wounds arising from surgical intervention quite obviously also fall within the remit of the nurse and wound care specialist. Much thought and discussion is given over to those chronic, far too frequent wound cases that occupy journals and conferences every month, but what of surgical site wounds? Comparatively little coverage is given to these, yet satisfactory healing and prevention of postoperative surgical site infections (SSIs) is surely the primary goal of any nursing staff caring for surgical patients. Indeed, some 1632 SSIs were detected through inpatient or readmission surveillance in the UK in 2015/16 (Public Health England, 2016) — no trifling matter given the costs involved. Drain sites, intravenous sites, and surgical closures are all at risk, and can present quite a different challenge to macerated, chronic wounds.