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https://www.readbyqxmd.com/read/27931708/perianesthesia-management-succession
#1
Maureen V Iacono
No abstract text is available yet for this article.
December 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27931703/guidelines-for-the-perianesthesia-care-of-the-duchenne-muscular-dystrophy-becker-muscular-dystrophy-patient
#2
Barbara A Alliod, Rebecca A Ash
More patients suffering with Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are presenting to perianesthesia settings for emergent and nonemergent treatment and care. A group of collaborative health care providers at Rush University Medical Center in Chicago developed a multidisciplinary DMD/BMD Task Force to study this disorder and create a set of guidelines to aid those engaging in the planning, execution of care, and recovery of this unique population in the perianesthesia setting...
December 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27931700/pediatric-tonsillectomy-and-ketorolac
#3
Lesley D Phillips-Reed, Paul N Austin, Ricardo E Rodriguez
BACKGROUND: The use of ketorolac in children undergoing tonsillectomy remains limited because of the concern about postoperative bleeding. METHODS: A search was performed addressing the question: For patients undergoing a surgical tonsillectomy, does a weight-appropriate single dose of intravenous ketorolac affect the incidence of postoperative hemorrhage? RESULTS: Five systematic reviews met the inclusion criteria. A Cochrane Review included 15 studies with 1,101 pediatric subjects and focused on perioperative bleeding requiring intervention...
December 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27444770/ergonomics-in-the-perianesthesia-setting
#4
Theresa Clifford
No abstract text is available yet for this article.
August 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27444764/perianesthetic-considerations-for-the-breastfeeding-mother
#5
Amber Brook Smathers, Shawn Collins, Ian Hewer
Breastfeeding has been shown to be beneficial in the development of infants, but sometimes, the breastfeeding mother may require anesthesia. It is important for perianesthesia caregivers to understand how the breastfed infant may be affected by the anesthetic medications received by the breastfeeding mother. This article reviews current literature on drug transfer into breast milk and specifically how anesthetic drugs may affect breastfed infants. The pharmacokinetics of drug transfer during lactation is described as well as considerations for perianesthesia providers when caring for breastfeeding patients...
August 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27444762/staff-developed-pacu-acuity-scoring-grid
#6
Ellen Halfpap
PURPOSE: The goal of this project was to design a tool to classify patients in the postanesthesia care unit (PACU) for acuity as defined by nursing interventions. DESIGN: An instrument development and validation approach was used. METHODS: A PACU acuity scoring grid was developed using the American Society of PeriAnesthesia Nurses (ASPAN) professional guidelines and Rothman Index concepts to help classify patients by acuity and determine PACU acuity class...
August 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27332346/improving-emr-usability-critical-elements-when-designing-perioperative-emergencies-template
#7
Mary Rachel Romero, Allison Staub
Perianesthesia nursing care involves monitoring of unexpected outcomes before and after surgical and anesthetic procedures. When adverse events occur, reviewing patient data is critical to provide appropriate intervention. Current EMR software systems are limited in structure and are not cohesive in recording adverse events. Users tend to develop workarounds when systems fail to capture workflow. Analysis of adverse incident is incomplete because data entered is not retrievable. Narrative data, while sometimes necessary, cannot easily be analyzed or linked to the structured portion of the record...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27037178/patient-acuity-in-perianesthesia-practice-guest-editorial
#8
EDITORIAL
Maureen V Iacono
No abstract text is available yet for this article.
April 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/27037170/reducing-the-incidence-of-postoperative-nausea-and-vomiting-begins-with-risk-screening-an-evaluation-of-the-evidence
#9
Christopher A Smith, Lisa Ruth-Sahd
Postoperative nausea and vomiting (PONV) is a daily concern for patients and perianesthesia nurses. PONV is experienced by approximately one third of all surgical patients. Identification of patients at risk for PONV through preoperative risk assessment is an effective means in reducing the incidence of PONV. Perianesthesia nurses are positioned to implement such risk assessments by using simplified risk scores to identify moderate to high-risk patients. Risk assessment allows for facilitation of targeted prophylaxis which positively impacts the patients' surgical outcome and experience...
April 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26847787/the-international-collaboration-of-perianesthesia-nurses-is-born
#10
Joni M Brady, Susan Fossum
No abstract text is available yet for this article.
February 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26847783/development-of-a-formalized-pediatric-visitation-program-in-the-pacu-through-evidence-based-practice
#11
Sheila Nadeau, Sandy Larson, Virginia Bennick, Tammy Bergan, Lisa Martin, Kim Senst, Sarah Griffith, Roxanne Wait
IDENTIFICATION OF THE PROBLEM: The national trend and 2003 American Society of PeriAnesthesia Nurses position statement supports visitation during Phase I care. Nurses at our institution had an inconsistent practice of rejoining families with their child during this period. PURPOSE: The purpose of this project was to investigate nurses' attitudes and beliefs toward family-centered care. A formalized pediatric visitation program was also created. METHODOLOGY: A survey was used to evaluate nurses' attitudes and beliefs regarding family-centered care...
February 2016: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26596388/obstructive-sleep-apnea-and-the-adult-perioperative-patient
#12
Dennis L Spence, Tony Han, Jason McGuire, Darren Couture
Obstructive sleep apnea (OSA) is a chronic condition of upper airway obstruction during sleep. It is associated with significant morbidity and mortality and increases the perioperative risks of surgical patients. Thus, it is essential that perianesthesia nurses understand how to identify and manage patients with known or suspected OSA. This continuing education article will review the pathophysiology of OSA, discuss the effects of anesthesia and opioids on the sleep architecture of the OSA patients, describe the effects of OSA on postoperative complications, review the latest evidence on screening for undiagnosed OSA in the adult surgical patient, and review the perioperative management principles for patients with OSA...
December 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26596384/first-peripherally-inserted-central-catheter-under-ultrasound-guidance-in-a-greek-intensive-care-unit-a-new-role-for-greek-perianesthesia-nurses
#13
Evangelos A Konstantinou, Theodoros A Katsoulas, George Fildissis, Pavlos M Myrianthefs, Panagiotis Kiekkas, George I Baltopoulos
We present a case of a 67-year-old Caucasian female who was admitted to the pulmonary clinic of a general hospital in Athens with fever and respiratory symptoms. A lung biopsy was ordered because a clinical diagnosis of interstitial lung disease was suspected. The patient was then hospitalized in the intensive care unit. Because of the fact that peripheral catheterization was impossible and the prospect of further long-term hospitalization, the patient was referred to a vascular access nursing team composed of perianesthesia nurses to advance a peripherally inserted central catheter and support the line during treatment...
December 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26408511/samba-consensus-guidelines-for-the-management-of-postoperative-nausea-and-vomiting-an-executive-summary-for-perianesthesia-nurses
#14
Vallire D Hooper
No abstract text is available yet for this article.
October 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26210563/local-anesthesia-toxicity-and-lipid-rescue
#15
Kim A Noble
Regional anesthesia as a treatment modality for the control of surgical pain has been in practice since the late 1880s with the introduction of cocaine. The use of lipid emulsion therapy as an emerging treatment for the rare but life-threatening development of local anesthesia systemic toxicity (LAST) has been in the animal literature for approximately 20 years, and case reports have documented successful results with this treatment in humans. The perianesthesia nurse has a significant role in the assessment, communication with the anesthesia care provider, and the emergent management of the patient experiencing LAST...
August 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26210561/implementation-of-a-phase-i-caregiver-visitation-program-for-a-specialized-pediatric-population
#16
Katherine E Houle, John Belew, Blaine Miller
Phase I caregiver visitation practice has been endorsed and encouraged by the American Society of PeriAnesthesia Nurses, yet implementation has not been widespread. Literature has described benefits of visitation for patients and their caregivers. This article reports on a Phase I caregiver visitation program at a specialty care hospital. The steps of implementation and guidelines for both the health care team and the patient's caregivers are outlined. Visitation is recognized as promoting patient safety during Phase I recovery...
August 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26003763/pain-management-for-older-african-americans-in-the-perianesthesia-setting-the-eight-i-s
#17
Staja S Booker, Keela A Herr
National legislation (Affordable Care Act) emphasizes quality and equitable pain care for all patient populations, but frequently, pain management is not effective and equitable in African American (AA) elders, placing them at higher risk for severe pain and persistent pain. Research shows that AAs are less likely to receive guideline-based pain care. This underscores the need for perianesthesia nurses to be knowledgeable and capable of integrating cultural practices and evidence-based recommendations into their care of older AAs to ensure adequate pain management in this vulnerable population...
June 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26003761/renewing-perianesthesia-passion-inspiring-excellence
#18
EDITORIAL
Armi D Holcomb
No abstract text is available yet for this article.
June 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/25813297/decreasing-the-length-of-stay-in-phase-i-postanesthesia-care-unit-an-evidence-based-approach
#19
Janet M McLaren, Joan A Reynolds, Margaret M Cox, Julie S Lyall, Maureen McCarthy, Ellen M McNoble, Veronica R Petersen
Patient length of stay (LOS) in the postanesthesia care unit (PACU) Phase I and Phase II influences patient throughput, staff nurse satisfaction, and financial expenditure. The purpose of this project was to determine if re-education of nursing staff would decrease the LOS in Phase I PACU. The goals of the leadership team were to implement a plan that would result in a decreased LOS, decreased financial expenditure, increased patient throughput, and a change in culture of the work environment. Methods included re-education of nursing staff on American Society of Perianesthesia Nursing (ASPAN) Standards for patient care in Phase I and Phase II PACU...
April 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/25707725/delivering-quality-pain-management-the-challenge-for-nurses
#20
Kim Hayes, Debra B Gordon
The delivery of high-quality pain management in the perioperative environment can be challenging and difficult to quantify. Commonly used tools in delivering care, such as pain intensity ratings, individual pain experience reporting, assessments of individual patients' expectations, and patient satisfaction scores, have limitations and are not always useful when addressing quality improvement measures. Despite clinical advances in pain management, patients continue to experience inadequate pain control and inconsistent pain management practices...
March 2015: AORN Journal
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