keyword
https://read.qxmd.com/read/38392615/state-of-the-art-in-pediatric-anesthesia-a-narrative-review-about-the-use-of-preoperative-time
#1
REVIEW
Fabio Sbaraglia, Christian Cuomo, Filomena Della Sala, Rossano Festa, Rossella Garra, Federica Maiellare, Daniela Maria Micci, Domenico Posa, Cecilia Maria Pizzo, Angela Pusateri, Michelangelo Mario Spano, Monica Lucente, Marco Rossi
This review delves into the challenge of pediatric anesthesia, underscoring the necessity for tailored perioperative approaches due to children's distinctive anatomical and physiological characteristics. Because of the vulnerability of pediatric patients to critical incidents during anesthesia, provider skills are of primary importance. Yet, almost equal importance must be granted to the adoption of a careful preanesthetic mindset toward patients and their families that recognizes the interwoven relationship between children and parents...
February 6, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/37906193/virtual-reality-based-intervention-to-reduce-preoperative-anxiety-in-adults-undergoing-elective-surgery-a-randomized-clinical-trial
#2
RANDOMIZED CONTROLLED TRIAL
Pak Lung Chiu, Huiyuan Li, Kevin Yi-Lwern Yap, Ka-Man Carmen Lam, Pui-Ling Renee Yip, Cho Lee Wong
IMPORTANCE: Preoperative anxiety is common among adult patients undergoing elective surgery and is associated with negative outcomes. Virtual reality (VR)-based interventions have been considered simpler, safer, and more effective for reducing anxiety in patients undergoing surgery than conventional care. OBJECTIVE: To examine the effectiveness of a VR-based intervention with preoperative education in reducing preoperative anxiety among adult patients undergoing elective surgery...
October 2, 2023: JAMA Network Open
https://read.qxmd.com/read/37771697/perceptions-and-attitudes-of-patients-and-health-care-stakeholders-on-implementing-a-telehealth-service-for-preoperative-evaluation-a-qualitative-analysis
#3
JOURNAL ARTICLE
Eileen Lew, Sean F J Tan, Agnes Teo, Ban L Sng, Elaine P M Lum
BACKGROUND: Studies suggest that preoperative evaluation can be effectively conducted through telehealth. As the COVID-19 pandemic has accelerated digital transformation, we hypothesize that a new telehealth model of care may be feasibly implemented for preoperative evaluation at our institution. This qualitative study seeks to evaluate the attitudes and perception of elective surgery patients and health care providers toward telehealth conducted for preanesthesia evaluation. METHODS: At a tertiary women's hospital in Asia, health care providers and elective surgery patients were recruited by convenience and snowball sampling to undergo one-on-one semistructured interviews regarding a new telehealth model of care for preanesthesia evaluation, under-pinned by the Normalization Process Theory...
2023: Telemedicine reports
https://read.qxmd.com/read/37653830/the-impact-of-a-preanesthesia-assessment-clinic-on-scheduled-elective-case-cancelations-at-a-thai-university-hospital
#4
JOURNAL ARTICLE
Wariya Vongchaiudomchoke, Pitchapa Wongcharoen, Mingkwan Wongyingsinn
Elective surgical case cancelations negatively impact healthcare systems and patient dissatisfaction. Preanesthesia assessment clinics (PACs) have been established in many countries to facilitate preoperative medical optimization. However, their benefits for elective procedure cancelations in Thailand have not been formally assessed. This study evaluated the impact of a PAC on scheduled elective surgical case cancelations at a Thai university hospital. A retrospective cross-sectional study was conducted for the period covering from May 2016 to April 2017...
August 25, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37523220/anesthesia-teleconsultation-quality-medicoeconomic-interest-and-patient-satisfaction-of-preoperative-assessment-a-prospective-observational-study
#5
JOURNAL ARTICLE
Cyril Quemeneur, Frédéric Le Saché, Corentyn Ayrault, Ecaterina Griscenco, Julien Raft, Philippe N'Guyen, Grégory Destruhaut, Damien Classaux, Roman Rozov, Jérémy Boussier, Jean-Michel Constantin, Sébastien Bloc
Background: Telemedicine can be defined as the use of telecommunication technology for performing medical acts remotely by health professionals. Currently in anesthesia, teleconsultation (TC) is becoming widespread, although the benefit and quality have not been well evaluated. The objective of this study was to assess the quality, the patient satisfaction, as well as the ecological and medicoeconomic impacts of the preanesthesia TC. Methods: This prospective observational multicentric study was approved by the Société Française d'Anesthésie-Réanimation ethics committee...
July 26, 2023: Telemedicine Journal and E-health
https://read.qxmd.com/read/37450641/using-preanesthesia-clinic-visits-to-improve-advance-directives-completion-an-interrupted-time-series-analysis
#6
JOURNAL ARTICLE
Rubabin Tooba, Susannah Rose, Charles Modlin, Chen Liang, Edward J Mascha, Silvia Perez-Protto
BACKGROUND: Advance directives documentation can increase the likelihood that patient's wishes are respected if they become incapacitated. Unfortunately, completion rates are suboptimal overall, and disparities may exist, especially for vulnerable groups. We assessed whether implementing an initiative to standardize advance directives discussions during preanesthesia visits was associated with changes in rates of advance directives completion over time, and whether the association depends on race, insurance type, or income...
October 1, 2023: Anesthesia and Analgesia
https://read.qxmd.com/read/36935388/effect-of-patient-decision-aids-on-choice-between-sugammadex-and-neostigmine-in-surgical-patients-under-general-anesthesia-a-multicenter-randomized-controlled-trial
#7
JOURNAL ARTICLE
Li-Kai Wang, Yao-Tsung Lin, Jui-Tai Chen, Winnie Lan, Kuo-Chuan Hung, Jen-Yin Chen, Kuei-Jung Liu, Yu-Chun Yen, Yun-Yun Chou, Yih-Giun Cherng, Ka-Wai Tam
BACKGROUND: Shared decision-making using patient decision aids (PtDAs) has been established for more than a decade, but few studies have evaluated its efficacy in Asian countries. We evaluated the application of PtDAs in a decision conflict between two muscle relaxant reversal agents-neostigmine and sugammadex-and performed sequential analysis for hospital location and operating room turnover rate. METHODS: This two-group, outcome assessor-blind, randomized controlled trial included 3132 surgical patients from two medical centres, admitted between March 2020 and August 2020...
December 5, 2022: Korean Journal of Anesthesiology
https://read.qxmd.com/read/36909083/the-impact-of-physician-race-and-sex-on-patient-ranking-of-physician-competence-and-perception-of-leadership-ability
#8
JOURNAL ARTICLE
Lauren K Dunn, Elizabeth Pham, Emmad Kabil, Amanda M Kleiman, Ebony J Hilton, Genevieve R Lyons, Jennie Z Ma, Edward C Nemergut, Katherine T Forkin
Background Biases affect patient perceptions of their physician and influence the physician-patient relationship. While racial disparities in care and inequities in the healthcare workforce are well-documented, the impact of physician race on patient perceptions remains unclear. We aimed to investigate the association of physician race and sex on patient perceptions during simulated preoperative encounters. Methods Three hundred patients recruited consecutively in the Preanesthesia Evaluation and Testing Center viewed pictures of 4 anesthesiologists (black male, white male, black female, white female) in random order while listening to a set of paired audio recordings describing general anesthesia...
February 2023: Curēus
https://read.qxmd.com/read/36503992/patient-and-provider-satisfaction-with-telehealth-preanesthesia-examinations
#9
JOURNAL ARTICLE
David Landry, Caleb Magee, Colby Nelson, Austin Justice, Susan McMullan
PURPOSE: Telehealth has become commonplace in many healthcare systems across the United States. Due to the COVID-19 pandemic, a large academic medical center in the southeast USA has increased the use of telehealth in the anesthesia department to complete preanesthetic assessments before the patient's surgery. This has allowed high-risk patient populations to limit potential exposure to COVID-19 and limit the financial burden of traveling from neighboring counties to complete their preanesthetic assessment in person...
June 2023: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/36417372/risk-factors-associated-with-pressure-injuries-in-surgical-patients-a-retrospective-case-control-study
#10
JOURNAL ARTICLE
Jung Yoon Kim, Hyun Hee Lee
PURPOSE: This study aimed to identify predictive risk factors for pressure injury (PI) occurring during surgery. DESIGN: Retrospective case-control study. SUBJECTS AND SETTING: Data on records of 6070 patients hospitalized for surgery at Seoul National University Bundang Hospital located in Seoul Korea. Data were collected between May 2013 and December 2014. METHODS: Anonymized data from patients were accessed via electronic health records, nursing records, direct patient assessment, surgical, clinical laboratory, and anesthesia records, preanesthesia status evaluations, and PI incident reports, and transfusion and extracorporeal circulation reports...
November 2022: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/35841317/identification-of-preanesthetic-history-elements-by-a-natural-language-processing-engine
#11
JOURNAL ARTICLE
Harrison S Suh, Jeffrey L Tully, Minhthy N Meineke, Ruth S Waterman, Rodney A Gabriel
BACKGROUND: Methods that can automate, support, and streamline the preanesthesia evaluation process may improve resource utilization and efficiency. Natural language processing (NLP) involves the extraction of relevant information from unstructured text data. We describe the utilization of a clinical NLP pipeline intended to identify elements relevant to preoperative medical history by analyzing clinical notes. We hypothesize that the NLP pipeline would identify a significant portion of pertinent history captured by a perioperative provider...
December 1, 2022: Anesthesia and Analgesia
https://read.qxmd.com/read/35619081/focal-points-of-preanesthesia-evaluations-for-electroconvulsive-therapy-in-patients-with-depression-a-retrospective-analysis-of-clinical-characteristics-in-nonremission
#12
JOURNAL ARTICLE
Lei Zou, Xiao Li, Qibin Chen, Feng Lv, Su Min
BACKGROUND: This study explored the patient clinical characteristics that may affect electroconvulsive therapy (ECT) efficacy to enable improved focus during evaluations and preparation for ECT. METHODS: Patients were enrolled for ECT at the Department of Psychiatry and Anesthesiology of the First Affiliated Hospital of Chongqing Medical University from December 2017 to January 2019. The primary outcome in our study was defined as the development of nonremission...
May 26, 2022: BMC Anesthesiology
https://read.qxmd.com/read/35577656/smoking-cessation-counseling-in-the-preanesthesia-testing-clinic-a-quality-improvement-initiative
#13
JOURNAL ARTICLE
Danielle Schaaf
PURPOSE: To determine the feasibility and effectiveness of an Advanced Practice Provider (APP) led smoking cessation counseling service integrated into the preanesthesia evaluation for adults preparing for an elective procedure who smoke. DESIGN: Quasi experimental study. METHODS: An educational in-service was provided to staff members in the Preanesthesia Testing Clinic prior to the integration of the smoking cessation counseling intervention...
May 13, 2022: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/35351397/external-validation-of-the-acta-port-transfusion-risk-score-in-older-cardiac-surgery-patients-at-risk-of-frailty
#14
JOURNAL ARTICLE
Eline A Vlot, Lisette M Vernooij, Stephan A Loer, Eric P A van Dongen, Peter G Noordzij
OBJECTIVES: Accurate preoperative transfusion risk stratification may serve to better manage older patients undergoing cardiac surgery. Therefore, the aim of the present study was to externally validate the existing Association of Cardiothoracic Anesthetists perioperative risk of blood transfusion (ACTA-PORT) score in a population ≥70 years of age scheduled for cardiac surgery. Furthermore, the study authors investigated the additional prognostic value of individual frailty variables to this transfusion risk score...
August 2022: Journal of Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/34760638/rapid-screening-for-mutations-associated-with-malignant-hyperthermia-using-high-resolution-melting-curve-analysis
#15
JOURNAL ARTICLE
I-Min Su, Po-Kai Wang, Chun-Yu Chen, Hsien-Tse Huang, Yuan-Ji Day
OBJECTIVES: The diagnosis of malignant hyperthermia (MH) is based on clinical signs or laboratory testing. The gold standard laboratory test is the in vitro contracture test, although it is invasive, expensive, and only performed at specialized centers. Genetic diagnosis is another option, although direct mutation screening is a laborious task. Therefore, we evaluated whether high-resolution melting (HRM) curve analysis could be used as a rapid screening tool to target MH-associated mutations...
October 2021: Tzu chi medical journal
https://read.qxmd.com/read/34649158/virtual-preoperative-assessment-in-surgical-patients-a-systematic-review-and-meta-analysis
#16
REVIEW
Kevin Zhang, Matin Rashid-Kolvear, Rida Waseem, Marina Englesakis, Frances Chung
STUDY OBJECTIVE: Preoperative assessment is a standard evaluation, traditionally done in-person in a preanesthesia clinic, for patients who will be undergoing a procedure involving anesthesia. Given the increased adoption of virtual care during the coronavirus disease 2019 (COVID-19) pandemic, the purpose of this systematic review and meta-analysis is to review the effectiveness of virtual preoperative assessment for the evaluation of surgical patients. DESIGN: Systematic review and meta-analysis...
December 2021: Journal of Clinical Anesthesia
https://read.qxmd.com/read/34644199/a-retrospective-analysis-of-patients-undergoing-telemedicine-evaluation-in-the-preanesthesia-testing-clinic-at-h-lee-moffitt-cancer-center
#17
JOURNAL ARTICLE
Nasrin N Aldawoodi, Aaron R Muncey, Andrew A Serdiuk, Melissa D Miller, Mark M Hanna, Jose M Laborde, Rosemarie E Garcia Getting
BACKGROUND: Telemedicine for preanesthesia evaluation can decrease access disparities by minimizing commuting, time off work, and lifestyle disruptions from frequent medical visits. We report our experience with the first 120 patients undergoing telemedicine preanesthesia evaluation at Moffitt Cancer Center. METHODS: This is a retrospective analysis of 120 patients seen via telemedicine for preanesthesia evaluation compared with an in-person cohort meeting telemedicine criteria had it been available...
January 2021: Cancer Control: Journal of the Moffitt Cancer Center
https://read.qxmd.com/read/34608053/telemedicine-for-preanesthesia-evaluation-review-of-current-literature-and-recommendations-for-future-implementation
#18
REVIEW
Omaira Azizad, Girish P Joshi
PURPOSE OF REVIEW: The in-person preanesthesia visit serves multiple purposes including identification and optimization of comorbid conditions as well as patient education. However, it imposes a significant burden on patients and healthcare providers. In this review, we define the scope of telemedicine and present the most up-to-date literature supporting its role for the preanesthesia evaluation. The opportunities and challenges are discussed and approaches to implementation of telemedicine in preanesthesia care are offered...
December 1, 2021: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/34540991/effects-of-preoperative-oral-carbohydrate-on-cirrhotic-patients-under-endoscopic-therapy-with-anesthesia-a-randomized-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Yan Wang, Yichun Tu, Zhenglv Liu, Hui Li, Hongtan Chen, Baoli Cheng, Xiangming Fang
Preoperative fasting causes significant perioperative discomfort in patients. Preoperative oral carbohydrate (POC) is an important element of the enhanced recovery after surgery protocol, but its effect on cirrhotic patients who tend to have abnormal gastric emptying remains unclarified. We investigated the influence of POC on gastric emptying and preprocedural well-being in cirrhotic patients. A prospective, randomized, controlled study of cirrhotic patients with gastroesophageal varices scheduled for elective therapeutic endoscopy under intravenous anesthesia was conducted...
2021: BioMed Research International
https://read.qxmd.com/read/34540424/complex-pathology-and-management-in-the-obstetric-patient-a-narrative-review-for-the-anesthesiologist
#20
REVIEW
Lia Metzger, Menachem Teitelbaum, Garret Weber, Sangeeta Kumaraswami
Pregnant patients may present with multiple complex comorbidities that can affect peripartum management and anesthetic care. The preanesthesia clinic is the ideal setting for early evaluation of high-risk pregnant patients. Comorbidities may include cardiovascular pathology such as valvular abnormalities, septal defects, aortopathies, arrythmias and cardiomyopathies. Additional comorbidities include pulmonary conditions such as obstructive sleep apnea as well as preexisting neuromuscular and skeletal disorders that may impact anesthetic management...
August 2021: Curēus
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