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Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses

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https://www.readbyqxmd.com/read/30413359/single-blinded-randomized-controlled-study-on-use-of-interactive-distraction-versus-oral-midazolam-to-reduce-pediatric-preoperative-anxiety-emergence-delirium-and-postanesthesia-length-of-stay
#1
Barbara Stewart, Mary A Cazzell, Terri Pearcy
PURPOSE: The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1 minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient surgery. DESIGN: Single-blinded prospective design with randomized assignment to TBID or oral midazolam group was conducted at a large pediatric hospital in southwestern United States...
November 7, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30401602/the-effect-of-preoperative-oral-carbohydrate-administration-on-insulin-resistance-and-comfort-level-in-patients-undergoing-surgery
#2
Emine Onalan, Isil I Andsoy, Omer F Ersoy
PURPOSE: The aim of this study was to evaluate the effect of preoperative oral carbohydrate solution (OCS) administration on postoperative insulin resistance and patient comfort in elective laparoscopic cholecystectomy. DESIGN: Randomized controlled clinical study. METHODS: The experimental group received OCS. The control group did not eat or drink before surgery. Glucose and insulin level were measured at baseline, 2 hours before surgery, and at the first and third hour after surgery...
November 3, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30401601/implementation-of-physiological-scoring-to-determine-discharge-readiness-for-patients-undergoing-otolaryngology-head-and-neck-procedures
#3
Caroline C Revell, Andi N Rice, Dhanesh K Gupta, Virginia C Muckler
PURPOSE: This quality improvement project examined whether the use of a validated physiological scoring protocol to determine discharge readiness for surgical procedures proximal to the airway would decrease the time at which discharge criteria were met and postanesthesia care unit (PACU) length of stay. DESIGN: An observational pre-post design compared preimplementation recovery times to postimplementation recovery times. METHODS: PACU nurses were trained to use two physiological scoring protocols to determine when patients met discharge criteria and to document when discharge criteria were met...
November 3, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30392711/the-development-of-a-pediatric-medication-administration-guideline-for-preprocedure-nurse-callers
#4
Michele Acker, Nancy Deem
PURPOSE: This article describes the authors' development of a pediatric medication administration guideline for use by preprocedure nurse callers. Preprocedure refers to procedures done with general anesthesia such as surgery, endoscopy, or magnetic resonance imaging. DESIGN: This article describes a process improvement project. METHODS: The literature was searched using Cumulative Index to Nursing and Allied Health Literature, MEDLINE, Google Scholar, and Google...
November 1, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30389225/prophylactic-nalbuphine-to-prevent-neuraxial-opioid-induced-pruritus-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#5
Tito D Tubog, Jennifer L Harenberg, Kristina Buszta, Jennifer D Hestand
PURPOSE: Evaluate the efficacy of prophylactic nalbuphine in preventing neuraxial opioid-induced pruritus. DESIGN: Systematic review and meta-analysis. METHODS: Following the PRISMA statement, PubMed, CINAHL, Cochrane and EMBASE were searched for eligible studies. FINDINGS: A total of 17 trials consisting of 1,052 patients were evaluated. Compared to placebo, there is low quality of evidence that nalbuphine was effective in reducing the incidence of pruritus in all patient population (RR, 0...
October 30, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30385099/cognitive-rehearsal-training-to-prevent-lateral-violence-in-a-military-medical-facility
#6
Karen M O'Connell, Reneé L Garbark, Kelly Cavanaugh Nader
PURPOSE: This study's purpose was to determine the prevalence of lateral violence in a military facility and the effect of cognitive rehearsal training on its occurrence. DESIGN: A preintervention/postintervention study was conducted. METHODS: A quantitative exploration of nurses' perceptions of lateral violence occurrence within a military setting and the effect of an intervention was planned using the Negative Acts Questionnaire-Revised...
October 29, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30385098/randomized-clinical-trial-comparison-of-the-effect-of-verbal-education-and-education-booklet-on-preoperative-anxiety
#7
Kourosh Amini, Zaynab Alihossaini, Zaynab Ghahremani
PURPOSE: Comparing the effect of verbal education and education booklet on preoperative anxiety. DESIGN: This study was a randomized clinical trial. METHODS: Sixty patients were randomly allocated into three groups: control, booklet, and verbal education. The data were collected using Spielberger's State-Trait Anxiety Inventory before and after intervention. SPSS (version 20; IBM, Armonk, NY) with analysis of variance and the dependent t test were used for analysis...
October 29, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30366817/pediatric-emergence-delirium-a-case-study
#8
Mary C Kamienski, Maureen A McCartney, Michael Mcloughlin, Thomas Pallaria
The pathophysiology of emergence delirium (ED) remains a mystery. Using a case study approach, ED is discussed from a clinical perspective. The case is a 4-year-old male who had myringotomy tube placement while anesthetized with sevoflurane. The negative outcome for this child is presented. The epidemiology of the phenomena is reviewed and definitions are examined. Several methods to assess ED are presented, accompanied by a discussion of the development of assessment tools. Research findings are included that address the possible causes of ED including preoperative anxiety, rapid awakening, pain, and a predisposition for this phenomenon in certain children...
October 23, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30340960/safety-and-feasibility-of-early-oral-hydration-in-the-postanesthesia-care-unit-after-laparoscopic-cholecystectomy-a-prospective-randomized-and-controlled-study
#9
Menghang Wu, Lei Yang, Xiaoqi Zeng, Ting Wang, Anna Jia, Yunxia Zuo, Xiaorong Yin
PURPOSE: To assess the safety and feasibility of early oral hydration (EOH) in the postanesthesia care unit (PACU) after laparoscopic cholecystectomy. DESIGN: Prospective, randomized, controlled trial. METHODS: Patients were randomly assigned to the EOH group or the conventional oral hydration (COH) group. Outcomes were the incidence of nausea and vomiting, thirst scale, incidence of oropharyngeal discomfort, and patient satisfaction. FINDINGS: Compared with the COH group, the EOH group had lower incidence of nausea before and after the first drink in the ward (P < ...
October 17, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30340959/risk-factors-for-perioperative-hypothermia-a-literature-review
#10
Shawn Collins, Marisa Budds, Caitlin Raines, Vallire Hooper
PURPOSE: The purpose of this article was to review the literature to identify risk factors for the development of unplanned perioperative hypothermia and to evaluate the strength of the evidence for each risk factor. DESIGN: Comprehensive literature review METHODS: An evidence rating scale was used to evaluate the strength and quality of the research gathered. FINDINGS: At this time, only anecdotal evidence is available to guide our efforts in the maintenance of perioperative normothermia...
October 17, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30340958/postoperative-information-transfers-an-integrative-review
#11
Monica W Rose, Susan Newman, Courtney Brown
PURPOSE: The purpose of this integrative review was to synthesize and critique the literature related to protocols, checklists, and tools designed to facilitate information transfers, that is, handovers, from the operating room to postanesthesia care unit clinicians and to provide guidance for selecting an appropriate instrument. DESIGN: Integrative review of the literature. METHODS: Guided by the framework of Whittemore and Knafl, an integrative literature search was conducted and included literature sources dated January 2000 to January 2015...
October 16, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30337199/health-care-professionals-perceptions-of-the-arthroplasty-patient-experience-planning-phase-in-the-development-of-a-patient-reported-outcome-measure
#12
Louise H Strickland, Laura Kelly, Thomas W Hamilton, David W Murray, Hemant G Pandit, Crispin Jenkinson
PURPOSE: The aim of this study was to explore health care professionals' perceptions and perspectives of surgery and early recovery for patients undergoing lower limb arthroplasty. DESIGN: Thematic analysis with semi-structured qualitative interviews. METHODS: Following ethical approval, interviews were performed with recovery room nurses (n=3), ward nurses (n=2), surgeons (n=5), anesthesiologists (n=5), physiotherapists (n=5), and occupational therapists (n=2)...
October 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30337198/decreasing-catheter-associated-urinary-tract-infections-in-urologic-oncology-patients-discharged-with-an-indwelling-urinary-catheter-a-quality-improvement-project
#13
Tammy S Spencer, Mary Beth Flynn Makic, Kathy Shaw
PURPOSE: Few strategies exist regarding decreasing catheter-associated urinary tract infections (CAUTIs) in the outpatient urologic oncology population discharged with an indwelling urinary catheter (IUC). DESIGN: A quality improvement methodology using a premeasurement-postmeasurement structure was used to study the impact of process interventions on reducing CAUTIs. METHODS: Creation of IUC outpatient materials, an "IUC Removal Form," and bundling IUC supplies were translated to an outpatient and perioperative setting to reduce CAUTIs...
October 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30337197/are-postoperative-clinical-outcomes-influenced-by-length-of-stay-in-the-postanesthesia-care-unit
#14
Jamie Mann-Farrar, Elizabeth Egan, Andrew Higgins, Leigh Wysocki, Amanda Vaux, Elise Arndell, Elizabeth A Burmeister
PURPOSE: To compare clinical outcomes of patients who required a prolonged length of stay in the postanesthesia care unit (PACU) with a control group. DESIGN: A single-center purposive-sampled retrospective medical record and database audit. METHODS: Patients with prolonged PACU stays were compared to a group of patients whose stay was less than median for outcome measures: rapid response team (RRT) activation, cardiac arrest, unanticipated intensive care unit admissions, and survival to discharge...
October 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30316694/possible-effect-of-video-and-written-education-on-anxiety-of-patients-undergoing-coronary-angiography
#15
Esma Gökçe, Sevban Arslan
PURPOSE: The aim of this study was to investigate possible effects of video and written education on anxiety of patients undergoing coronary angiography. DESIGN: The study design was quasi-experimental. METHODS: This randomized controlled semitrial model included patients who underwent coronary angiography between October 2015 and May 2016 at the Department of Cardiology of a university hospital. The number of subjects determined by power analysis was 90 patients in three groups...
October 10, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30309755/tumescence-anesthesia-solution-assisted-laser-ablation-treatment-of-lower-limb-varicose-veins-the-effect-of-temperature-of-the-tumescence-anesthesia-solution-on-intraoperative-and-postoperative-pain-clinical-observations-and-comprehensive-nursing-care
#16
Li-Hua Luo, Zhu Chen, Li-Nan Hu, Cong Ma, En-Hua Xiao
PURPOSE: To investigate the effect of cold and room temperature tumescence anesthesia solution (TAS) on the treatment of lower limb varicose veins via endovenous laser ablation. DESIGN: On the basis of the TAS temperature, patients were divided into two groups: group A (n = 26) received room temperature (24°C) TAS, and group B (n = 25) received cold (4°C) TAS. METHODS: A numerical rating scale was used to evaluate pain. Perioperative and intraoperative nursing care and clinical observations were performed following a generalized standard...
October 8, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30293792/nurses-knowledge-attitudes-and-barriers-toward-pain-management-among-postoperative-patients-in-jordan
#17
Noordeen Shoqirat, Deema Mahasneh, Omar Al-Khawaldeh, Lourance Al Hadid
PURPOSE: The purpose of this study was to measure nurses' knowledge, attitudes, and barriers regarding pain management (PM) of postoperative patients in Jordan. DESIGN: A descriptive survey research design was used. METHODS: This descriptive study adopted a modified version of the "Knowledge and Attitudes Survey Regarding Pain" tool, administered to 120 nurses working in surgical wards. FINDINGS: Nurses had inadequate knowledge of PM, with a mean knowledge score of 63...
October 4, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30270047/effect-of-preemptive-acetaminophen-administered-within-1-hour-of-general-anesthesia-on-gastric-residual-volume-and-ph-in-children
#18
Constance N Burke, Rebecca D'Agostino, Alan R Tait, Shobha Malviya, Terri Voepel-Lewis
PURPOSE: Determine whether preoperative oral acetaminophen increases gastric residual volume and lowers gastric pH. DESIGN: Prospective, randomized. METHODS: Healthy children, 1 to 14 years, having elective magnetic resonance imaging (MRI) were randomized to oral acetaminophen within 1 hour of induction versus fasting. Gastric volume and pH were measured immediately after intubation. Adverse events were documented from induction through 72 hours post MRI...
September 27, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30270046/implementation-of-a-standardized-preoperative-diabetes-medication-guideline-and-its-effect-on-day-of-procedure-blood-glucose-levels
#19
Danielle K Cuevas, Michael T Rucker, Douglas T Johnson, Christopher Crerar, Kenneth Wofford, Raymond Bonds
PURPOSE: The purpose of this project was to determine the effect of implementation of a preoperative diabetes medication management guideline on day of procedure blood glucose (BG) levels. DESIGN: This project was designed as pre- and postimplementation process improvement project based on the Iowa Model of evidence-based practice. METHODS: Anesthesia providers were surveyed for knowledge and confidence before and following education. Surgical patients with diabetes were provided instructions for all classes of prescribed diabetes medications...
September 27, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/30245033/the-effect-of-education-on-the-anxiety-level-of-patients-before-thyroidectomy
#20
Derya Gezer, Sevban Arslan
PURPOSE: The present study aims to evaluate the effect of preoperative education on the level of anxiety provided to patients scheduled for thyroidectomy using education brochures on the level of anxiety. DESIGN: The study design was quasi-experimental. METHODS: The study data were collected using the Patient Information Form and the Turkish version of the Anxiety Specific to Surgery Questionnaire (ASSQ). Study group patients were informed by brochure before 24 hours...
September 20, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
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