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Nursing AND Perioperative

Christa Boer, Hugo R Touw, Stephan A Loer
PURPOSE OF REVIEW: This narrative review summarizes recent insights into the role of remote monitoring of vital signs in the postoperative period in surgical wards. RECENT FINDINGS: Despite recent improvements in the safety of anesthesia and surgical procedures, postoperative complication rates are still unacceptably high. This is partly attributable to the intermittent provision of personal care to patients by nurses and ward physicians. Continuous remote monitoring of vital functions in the early postoperative period may reduce these complication rates...
August 7, 2018: Current Opinion in Anaesthesiology
Ian R Slade, Ron E Samet
Regional anesthesia for the acute trauma patient is increasing due to the growing appreciation of its benefits, development of newer techniques and equipment, and more robust training. Block procedures are expanding beyond perioperative interventions performed exclusively by anesthesiologists to paramedics on scene, emergency medicine physicians, and nurse-led services using these techniques early in trauma pain management. Special considerations and indications apply to trauma victims compared with the elective patient and must be appreciated to optimize safety and clinical outcomes...
September 2018: Anesthesiology Clinics
Maria Jaensson, Karin Falk-Brynhildsen, Brigid M Gillespie, Fan Y Wallentin, Ulrica Nilsson
PURPOSE: To psychometrically test the Perceived Perioperative Competence Scale-Revised (PPCS-R) in the Swedish context. DESIGN: Cross-sectional survey. METHODS: The 40-item PPCS-R was translated into Swedish using a forward-translation approach. A census of 2,902 registered nurse anesthetists (RNAs) and operating room (OR) nurses was drawn from a database of a national association in Sweden. FINDING: The response rate was 39% (n = 1,033; 528 RNAs and 505 OR nurses)...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Janie T Best, Barbara Musgrave, Karen Pratt, Raquel Hill, Cheryl Evans, Diane Corbitt
PURPOSE: Practice guidelines for acute pain management in perioperative patients recommend providing consistent perioperative pain education that includes medication and behavioral techniques to control pain. However, literature indicates that most nurses deliver patient education based on personal preferences, time limitations, and availability of teaching aids. The purpose of this study was to evaluate patient satisfaction with scripted preoperative pain management education for patients undergoing outpatient abdominal surgery...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Jacque A Crosson
Continued advancements in perioperative care and anesthesia technology have improved surgical outcomes and accelerated the patient's ability to resume preoperative activities. With the current emphasis on decreased utilization of expensive hospital resources, a shorter length of stay while maintaining patient satisfaction is encouraged for maximum reimbursement. Through the implementation of evidence-based protocols that standardize care and promote patient medical optimization, the surgical stress response, complications, and time spent in the hospital can be reduced...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Kathy Healy, Anne O'Sullivan, Lavinia McCarthy
Inadvertent perioperative hypothermia (IPH) is a common problem associated with perioperative patients which can have significant consequences for them during surgery and in the immediate postoperative period. Recognising and managing IPH remains an important aspect of perioperative nursing and is a significant factor in maintaining patient safety, achieving positive surgical outcomes and patient satisfaction. A nurse-led clinical audit was undertaken in the operating theatre department of a major teaching hospital in Ireland to establish the incidence and management of IPH in the department...
July 31, 2018: Journal of Perioperative Practice
Ann-Catrin Blomberg, Birgitta Bisholt, Lillemor Lindwall
Aim: To obtain an understanding of operating theatre nurses' experiences of responsibility for patient care and safety in perioperative practice. Design: A hermeneutic design were used. Method: Data were collected during 2012 from 15 operating theatre nurses who participated in individual interviews. The text was analyzed by hermeneutical text interpretation. Findings: The texts revealed two main themes: A formal external responsibility and personal ethical value...
July 2018: Nursing Open
Lena Danielsson, Marie-Louise Lundström, Inger K Holmström, Birgitta Kerstis
Aim: The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia. Design: Qualitative design. Methods: Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis. Results: The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites"...
July 2018: Nursing Open
Robert K Eastlack, Justin B Ledesma, Stacie Tran, Amrit Khalsa, Paul Park, Praveen V Mummaneni, Dean Chou, Adam S Kanter, Neel Anand, Pierce Nunley, Frank La Marca, Richard G Fessler, Juan S Uribe, Gregory M Mundis
INTRODUCTION: MIS correction for ASD may reduce the need the need for postoperative skilled nursing (SNF) or rehabilitation facility placement following surgery. The likelihood of requiring placement in a facility, rather than home disposition, may be influenced by a variety of factors. Additionally, the association of discharge location on outcomes and complication rates has not been elucidated in these patients. In this study, we aimed to define factors predicting disposition to SNF/rehab, and the rates of complications occurring in patients sent home vs...
July 10, 2018: World Neurosurgery
Amalia Sillero, Adelaida Zabalegui
Background: Knowing the organizational factors that predict burnout in perioperative nurses is paramount for improving the care of patients and promoting nurses' psychosocial well-being and health. Objective: To determine the influence of organizational factors of the perioperative nurse's work environment on the three burnout dimensions: emotional exhaustion, despersonalization, and personal accomplishment. Method: A cross-sectional study was conducted among 136 nurses in a perioperative care unit at a university hospital in Barcelona, Spain...
2018: Clinical Practice and Epidemiology in Mental Health: CP & EMH
Evagelia Laopoulou, Petros Papagiorgis, Chrysa Chrysovitsanou, Chrysoula Tsiou, Sotirios Plakas, Georgia Fouka
This study investigated the level of nurses' knowledge regarding the perioperative care of neurological patients. An author-developed questionnaire of 20 items was used in a sample of 94 hospital nurses serving in the neurology, surgery and anesthesiology departments and the intensive care unit. The average percentage of participants with correct answers was 49.2%. The mean value of participants' score was 9.8 ±3.4. Preexisting experience in the care of cases with multiple sclerosis and Parkinson's disease was positively related to the level of knowledge (p = 0...
January 1, 2018: Journal of Perioperative Practice
Prani Paka, Sarah R Lieber, Ruth-Ann Lee, Chirag S Desai, Robert E Dupuis, Alfred Sidney Barritt
AIM: To investigate the relationship between post-liver transplantation (LT) glycemic control and LT outcomes. METHODS: A qualitative systematic review on relevant prospective interventions designed to control glucose levels including insulin protocols. Studies investigating an association between glycemic control and post-LT outcomes such as mortality, graft rejection, and infection rate were reviewed. PubMed, EMBASE, and other databases were searched through October 2016...
June 28, 2018: World Journal of Transplantation
Cindy Yeoh, Luis Tollinche
We report a case of a 35 year old woman with colon cancer metastatic to liver and lung who presented for exploratory laparotomy and/placement of hepatic arterial infusion pump for chemotherapy. Surgical course was notable for aberrant hepatic artery anatomy requiring extended dissection time, vascular surgery consultation, and use of substantial methylene blue to aid in visualization. Of note, patient's history was also significant for anxiety and depression, for which she was being treated with the selective serotonin reuptake inhibitor (SSRI) duloxetine (Cymbalta)...
June 2018: Anesthesiology case reports
Eveline T Engelen, Roger Eg Schutgens, Evelien P Mauser-Bunschoten, Robert Jj van Es, Karin Pm van Galen
BACKGROUND: Individuals on continuous treatment with vitamin K antagonists (VKAs) or direct oral anticoagulants (DOACs) are at increased risk of bleeding complications during and after oral or dental procedures. Anticoagulant treatment is preferably continued at the same dose, since dose reduction or discontinuation of treatment is associated with an increased risk of thromboembolism. The use of haemostatic measures during or after the procedure (or both) could enable continuation of the oral anticoagulant treatment...
July 2, 2018: Cochrane Database of Systematic Reviews
(no author information available yet)
No abstract text is available yet for this article.
July 2018: AORN Journal
Anamari Bulatovic
Positioning patients for orthopedic procedures can be a daunting experience for nurses because of the wide variety of orthopedic procedures and available positioners. Understanding what to use for a particular procedure can help perioperative nurses feel more confident and allow them to provide the safest patient care possible. This knowledge also helps avoid workflow delays because of missing or incorrect equipment. Educators or senior staff nurses can provide access to information and education that will help ensure that nurses provide efficient, safe care for patients undergoing orthopedic procedures...
July 2018: AORN Journal
Fang Bo, Wei Gu, Xiao-Wan Ling, Yi-Qun Wu, Yue-Ping Wang
PURPOSE: To analyze the perioperative nursing characteristics about severe periodontitis patients with immediate zygomatic implantation, and to summarize the clinical nursing experience. METHODS: Preoperatively, all patients received psychological counseling, oral hygiene instruction, and periodontal care with necessary means after physical examination. Cooperative procedures were preformed between nurses and surgeon during operation. After operation, nursing interventions were given including wound care, pain control, ice compression, appropriate diet and close follow-up...
February 2018: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Ulrich J Spreng, Vegard Dahl, Johan Ræder
Background and objective Perioperative low-dose ketamine has been useful for postoperative analgesia. In this study we wanted to assess the analgesic effect and possible side-effects of perioperative low-dose S (+) ketamine when added to a regime of non-opioid multimodal pain prophylaxis. Methods Seventy-seven patients scheduled for haemorrhoidectomy were enrolled in this randomized, double-blind, controlled study. They received oral paracetamol 1-2 g, total intravenous anaesthesia, intravenous 8 mg dexamethasone, 30 mg ketorolac and local infiltration with bupivacaine/epinephrine...
April 1, 2010: Scandinavian Journal of Pain
Fen Xue, Fang Huang
Background: To investigate the effect of psychological intervention on nutrient status of perioperative patients with lung cancer. Methods: Overall, 176 lung cancer patients admitted to Shanghai Pulmonary Hospital, Shanghai China from 2015 to 2016 were divided into control group (n=88) and study group (n=88). Conventional nursing strategy was adopted for patients in control group, while psychological nursing strategy was implemented for those in the study group, and the specific nursing efficiency was compared between the two groups...
April 2018: Iranian Journal of Public Health
Nicole Lay Tin Tan, Justin Lindley Hunt, Stella May Gwini
BACKGROUND: Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program components is unknown. This before-and-after quality improvement study was designed to determine whether adding 'non-surgical' components, to pre-existing 'surgical' components, in an Australian private healthcare setting, would improve patient recovery after total hip replacement...
June 13, 2018: BMC Anesthesiology
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