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Nursing AND Perioperative

Katheryn Hope Wilkinson, Cecilia G Ethun, Matthew Hembrook, Meena Bedi, John Charlson, Harveshp Mogal, Susan Tsai, Kathleen Christians, Thuy B Tran, George Poultsides, Valerie Grignol, John Harrison Howard, Jennifer Tseng, Kevin K Roggin, Konstantinos Chouliaras, Konstantinos Votanopoulos, Darren Cullinan, Ryan C Fields, Sharon Weber, Thomas Clark Gamblin, Kenneth Cardona, Callisia N Clarke
BACKGROUND: The postoperative outcomes of elderly patients undergoing resection of retroperitoneal sarcomas (RPS) have not been widely studied. METHODS: Patients undergoing surgical resection for primary or recurrent RPS between 2000 and 2015 at participating US Sarcoma Collaborative institutions were identified. Patient demographics, perioperative morbidity, mortality, length of stay, discharge to home, disease-specific survival, and disease-free survival were compared between elderly (≥70 y, n = 171) and nonelderly (<70 y, n = 494) patients...
January 2019: Journal of Surgical Research
Alexandra C Hatchell, Anthony R Sandre, Matthew McRae, Forough Farrokhyar, Ronen Avram
BACKGROUND: The success of salvage procedures for failing digital replants (FR) is poorly documented. We sought to evaluate the success of salvage procedures for FR and factors contributing to successes and failures of replants. METHODS: Adult patients who presented to our center between January 1, 2000 and December 31, 2015, suffered ≥1 digital amputation(s), and underwent digital replantation were included. Preoperative, perioperative, and postoperative details were recorded...
November 29, 2018: Microsurgery
Tahrin Mahmood, Maria Mylopoulos, Darius Bagli, Rita Damignani, Faizal Aminmohamed Haji
BACKGROUND: The surgical safety checklist is an evidence-based global initiative designed to reduce perioperative morbidity and mortality. However, the expounded benefits of the surgical safety checklist have not been realized in naturalistic settings. This may be related to the quality of surgical safety checklists being performed in operating rooms. METHODS: In this explanatory, sequential, mixed-methods study, 2 trained observers used a standardized tool to record the compliance and quality of the surgical safety checklist completed during 51 surgeries performed at a pediatric academic hospital...
November 24, 2018: Surgery
Colleen Mattioni, Linda Wilson
No abstract text is available yet for this article.
December 2018: AORN Journal
Donald R Bacon, Kim A Stewart
AORN conducted its 16th annual compensation survey for perioperative nurses in June 2018. A multiple regression model was used to examine how several variables, including job title, education level, certification, experience, and geographic region, affect perioperative nurse compensation. Comparisons between the 2018 data and data from previous years are presented. The effects of other forms of compensation (eg, on-call compensation, overtime, bonuses, shift differentials, benefits) on total compensation also are examined...
December 2018: AORN Journal
Hege Kristin Aslaksen Kaldheim, Ådel Bergland, Mia Alexandra Ølnes, Kristin Hofsø, Alfhild Dihle, Johan Creutzfeldt, Chao Zhang, Simen Alexander Steindal
OBJECTIVES: Simulation-based learning has been extensively explored, especially in baccalaureate nursing programmes. Recently, simulation-based learning has been introduced in perioperative nursing. The aim of this scoping review is to investigate work published on the use of simulation-based learning in the field of perioperative nursing. DESIGN AND DATA SOURCES: A scoping review was conducted using the methodological framework of Arksey and O'Malley to identify a broad range of relevant literature, regardless of study design...
September 21, 2018: Nurse Education Today
Paul-Jer Chen
Generally regarding as a safe treatment for Parkinson's disease (PD) for the past 20 years, deep brain stimulation (DBS) is also an example of precision medicine where surgeons need to titrate individual patient's stimulating electrodes one by one down to the scale of micrometer for the maximum therapeutic effect. In order to prevent operation induced psychiatric complications and minimize any other potential side effects, we have followed 103 patients received this treatment provided by a single surgeon in the same medical institution from 2004 to 2017...
December 2018: BioMedicine
Ulrica Nilsson, Camilla Göras, Fan Yang Wallentin, Anna Ehrenberg, Maria Unbeck
PURPOSE: To validate the Swedish Safety Attitudes Questionnaire-operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team. DESIGN: Cross-sectional questionnaire study. METHODS: 541 surgical team members including perioperative nurses, physicians, and licensed practical nurses at three Swedish hospitals were included. FINDINGS: For the total sample, the Cronbach's α for the six factors ranged from 0...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Stacey Cuomo, Megan Abate, Celeste Springer, Denise Kessel, Deirdre Bracken, Erica Fischer-Cartlidge
Nurse practitioners play a pivotal role as members of the perioperative team. This article outlines the evolution of presurgical testing from the vantage of generic testing to one that is tailored to the patient's clinical presentation and the type of surgery to be performed, whether it is high, intermediate, or low risk. Emphasis is placed on indicated testing, screening tools to identify patients at risk for perioperative complications, the optimization of patients before undergoing major cancer surgery, and enhanced recovery after surgery...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Erebouni Arakelian, Gudrun Rudolfsson, Anna Rask-Andersen, Roma Runeson-Broberg, Robert Wålinder
PURPOSE: To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace. DESIGN: Qualitative design. METHODS: Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud. FINDINGS: Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone's equal value and resulting in a feeling of homelikeness...
November 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Alexander N Goel, Govind Raghavan, Maie A St John, Jennifer L Long
Importance: Thirty-day hospital readmissions have substantial direct costs and are increasingly used as a measure of quality care. However, data regarding the risk factors and reasons for readmissions in head and neck cancer surgery reconstruction are lacking. Objective: To describe the rate, risk factors, and causes of 30-day readmission in patients with head and neck cancer following free or pedicled flap reconstruction. Design, Setting, and Participants: This retrospective, population-based cohort study analyzed medical records from the Nationwide Readmissions Database of 9487 patients undergoing pedicled or free flap reconstruction of head and neck oncologic defects between January 1, 2010, and December 31, 2014...
November 8, 2018: JAMA Facial Plastic Surgery
Ferid Krupić, Kemal Grbić, Svemir Čustović, Eric Hamrin Senorski, Kristian Samuelsson
Aim To explore the experience of anaesthetist nurses in brief meetings with immigrant patients in the perioperative setting. Methods The study was conducted through open individualised interviews using open-ended questions. Eighteen anaesthetist nurses (six men and twelve women) participated in the interviews. Their age varied between 35 and 65 and they had worked as anaesthetist nurses for a period between six and twenty eight years. The text was analysed using qualitative content analysis. Results Meetings with immigrant patients made nurses with less experience to prepare more, to study behaviour of these patients and to ask their older colleagues for advice...
February 1, 2019: Medicinski Glasnik
Jamie E Anderson, Aliyu Baba Ndajiwo, Susuti Aaron Nuhu, Olubunmi Aiyedun Lawal, Joseph O Amedu, Emmanuel A Ameh
BACKGROUND: This is a baseline assessment of surgical capacity in the Federal Capital Territory (FCT), in preparation for the creation of a National Surgical, Obstetric, Anesthesia, and Nursing Plan. METHODS: In October 2017, all 10 of the 11 secondary hospitals in FCT that provide surgical and/or obstetric care were surveyed using a modified World Health Organization Hospital Assessment Tool and a qualitative semi-structured hospital interview tool of the medical Director (MdD)...
November 7, 2018: World Journal of Surgery
Nia A Luxton, Patti Shih, Muhammad Aziz Rahman
For patients who smoke, electronic cigarettes may offer a pathway to achieve tobacco abstinence and reduce the risk of postoperative complications. Clinicians have a pivotal role in supporting smoking cessation by patients with lung cancer and coronary artery disease throughout the perioperative period of cardiothoracic surgery. However, the views of Australian cardiothoracic clinicians on electronic cigarettes and smoking cessation are unknown. Semi-structured interviews were conducted with 52 cardiothoracic surgeons, anaesthetists, nurses and physiotherapists in six hospitals in Sydney and thematically analysed...
November 7, 2018: International Journal of Environmental Research and Public Health
Scott L Zuckerman, Jaims Lim, Nikita Lakomkin, Khoi D Than, Justin S Smith, Christopher I Shaffrey, Clinton J Devin
BACKGROUND: Adult spinal deformity (ASD) operations are complex and often require a multi-surgeon team. Simultaneously, it is the responsibility of academic spine surgeons to train future complex spine surgeons. Our objective was to assess the impact of resident/fellow involvement (RFI) on ASD surgery in four areas: 1) perioperative outcomes, 2) length of stay (LOS), 3) discharge status, and 4) complications. METHODS: Adults undergoing thoracolumbar spinal deformity correction between 2008 and 2014 were identified in the National Surgical Quality Improvement Program (NSQIP) database...
October 31, 2018: World Neurosurgery
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
Reshmi Mathew, Kathleen Markey, Jill Murphy, Brid O' Brien
PURPOSE: The purpose of this integrative literature review is to examine the evidence on factors affecting patient safety during robotic-assisted and laparoscopic surgeries. DESIGN: Systematic review of papers published between 2011 and 2016 that identified factors affecting safety during robotic-assisted and laparoscopic surgeries, in the areas of colorectal, general, urological, and gynecological surgeries. METHODS: A systematic literature search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and Medline databases were performed...
November 2018: Journal of Nursing Scholarship
Lisa Croke
No abstract text is available yet for this article.
November 2018: AORN Journal
Lisa Spruce
Unplanned perioperative hypothermia is a common occurrence and can negatively affect a patient's postoperative course. Perioperative nurses are responsible for identifying patients at risk for hypothermia and working with the entire surgical team to prevent this complication from occurring. Multiple interventions can be implemented to address hypothermia, including active or passive warming and warm IV and irrigation fluids. This Back to Basics article addresses patient assessment concerns, identifies a variety of evidence-based interventions that can prevent or mitigate perioperative patient temperature changes, and provides basic steps for perioperative RNs to follow to help prevent perioperative hypothermia in their patients...
November 2018: AORN Journal
Grace Carlos, May Saulan
The surgical robot is a complex tool that surgeons use to perform a variety of minimally invasive procedures. Perioperative nurses play a vital role in patient care when the surgical robot is in use; a key goal is to ensure optimal patient safety while using this complex, innovative technology. Robotics proficiency requires extensive and continuous education for all members of the perioperative team. Successful robotics programs should employ focused initiatives and a multidisciplinary approach for the prevention and management of robotic emergencies...
November 2018: AORN Journal
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