Journal of perioperative practice最新文献

{"title":"The trained team is the intervention.","authors":"Carolina Britton","doi":"10.1177/17504589261488690","DOIUrl":"https://doi.org/10.1177/17504589261488690","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":"36 11","pages":"611"},"PeriodicalIF":0.9,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative anaesthetic and cardiology MDT: Enhancing perioperative efficiency in elective non-cardiac surgery.","authors":"Prasanthi Sivakumaran, Chitra Gopinathan, Alcira Serrano-Gomez, Saad Saheecha, Fahad Farooqi","doi":"10.1177/17504589261489023","DOIUrl":"https://doi.org/10.1177/17504589261489023","url":null,"abstract":"<p><strong>Background: </strong>Delays in obtaining specialist cardiology input for elective non-cardiac surgery can postpone definitive perioperative decision-making, increase short-notice cancellations and reduce theatre efficiency. In January 2021, our NHS trust introduced a weekly virtual Preoperative Anaesthetic and Cardiology Multidisciplinary Team meeting as a pathway redesign to improve access to specialist perioperative cardiovascular assessment.</p><p><strong>Methods: </strong>We conducted a retrospective service evaluation of consecutive Preoperative Anaesthetic and Cardiology Multidisciplinary Team referrals between 1 January 2021 and 31 December 2024. Registry data were reviewed for referral indication, specialty, time from referral to first multidisciplinary team review and initial multidisciplinary team outcome. The impact on cardiology outpatient activity was estimated by comparing the Preoperative Anaesthetic and Cardiology Multidisciplinary Team pathway with the previous practice whereby non-emergency pre-assessment referrals were directed to a routine cardiology clinic.</p><p><strong>Results: </strong>A total of 869 patients were reviewed; four were excluded because of incomplete records, leaving 865 analysable cases. Mean time from referral to first multidisciplinary team review was under 14 days. In a typical 1-h meeting, six to ten cases were discussed (mean 8), with a mean discussion time of approximately 8 min per patient. At first review, 64% of patients received a definitive advisory outcome: 62% were considered fit to proceed and 2% unfit for surgery. The remaining 36% required further action; 24% were triaged to cardiology clinic and 12% were managed through expedited investigation or treatment adjustment pathways. Compared with the pre-existing pathway, this represented a 76% reduction in pre-assessment referrals to a general cardiology clinic, equivalent to 657 outpatient appointments avoided over 4 years.</p><p><strong>Conclusions: </strong>A virtual anaesthetic-cardiology multidisciplinary team can provide timely specialist perioperative cardiovascular decision-making, reduce reliance on outpatient cardiology review and support elective pathway efficiency. This model is pragmatic, reproducible and may be valuable for NHS organisations seeking to streamline preoperative assessment while preserving access to specialist input for patients who need it most - a promising strategy for addressing elective surgery backlogs.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261489023"},"PeriodicalIF":0.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of prehabilitation into perioperative care: A multidomain cross-sectional analysis of prehabilitation practice among anaesthetists across academic and non-academic settings.","authors":"Ram Singh, Armanullah Khan, Prakash Gondode, Aritra Kundu, Tiajem Jamir, Sakshi Duggal","doi":"10.1177/17504589261485192","DOIUrl":"https://doi.org/10.1177/17504589261485192","url":null,"abstract":"<p><strong>Background: </strong>Prehabilitation is recognised as an important component of perioperative optimisation. Data regarding anaesthetists' involvement in prehabilitation and factors influencing its implementation are limited.</p><p><strong>Aim: </strong>To evaluate the understanding, adoption, access and implementation of prehabilitation among anaesthetists in India and identify factors associated with implementation behaviour.</p><p><strong>Methods: </strong>A nationwide survey of anaesthetists was conducted using a validated questionnaire assessing knowledge, role engagement, system support, implementation, barriers and innovation readiness. Quantitative data underwent correlation and regression analyses; qualitative responses were thematically mapped to the Consolidated Framework for Implementation Research.</p><p><strong>Results: </strong>Among 259 respondents, awareness of prehabilitation was high, but only 32.4% routinely referred patients. Higher Implementation Scores were noted in enhanced recovery after surgery-based settings. Digital readiness, current understanding, enhanced recovery after surgery practice and academic association independently predicted implementation. Qualitative findings emphasised structured referral pathways, multidisciplinary collaboration and organisational support involving the wider perioperative team.</p><p><strong>Conclusion: </strong>Despite positive perceptions, prehabilitation implementation remains limited. Organisational readiness, enhanced recovery after surgery integration and digital enablement may be key drivers of adoption.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261485192"},"PeriodicalIF":0.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the documentation of intraoperative use of tourniquets using an operation note template in a single centre.","authors":"Jason Thomas, Fergus McCabe, Shane Farrington, Niall Hogan","doi":"10.1177/17504589261476940","DOIUrl":"https://doi.org/10.1177/17504589261476940","url":null,"abstract":"<p><strong>Aim: </strong>Tourniquet use is common practice in operative theatres, specifically in trauma and orthopaedic surgery. Documentation is important for having postoperative records in case of a complication. Having a system in place can ensure consistency of documentation. Our aim was to improve the documentation surrounding tourniquet use in our department.</p><p><strong>Methods: </strong>This is a prospective, two-stage, closed-loop audit of departmental operative notes against the British Orthopaedic Association Standard for Trauma standards for tourniquet use. Our intervention was the introduction of a specific tourniquet section in the operative note template along with departmental teaching sessions. A second cycle audit was performed post-intervention.</p><p><strong>Results: </strong>Substantial improvements in documentation across all domains were found during the second cycle audit.</p><p><strong>Discussion: </strong>Surgeons were aware of their low rate of documentation, although this only improved after the first cycle. Similar audits have shown comparable shortcomings and subsequent promising results following the implementation of an electronic template.</p><p><strong>Conclusions: </strong>Operative templates improved the completeness of documentation regarding tourniquet use across all domains.</p><p><strong>Recommendations: </strong>Continuation of this audit nationwide, with the introduction of an electronic template, can be beneficial, both departmentally and for patient safety.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261476940"},"PeriodicalIF":0.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of postoperative hypothermia in the cardiovascular surgery intensive care unit: A qualitative study based on insights from nurses.","authors":"Ali Balkan, Zeliha Ozdemir Koken","doi":"10.1177/17504589261485196","DOIUrl":"https://doi.org/10.1177/17504589261485196","url":null,"abstract":"<p><strong>Background: </strong>Monitoring and managing postoperative hypothermia in patients undergoing cardiac surgery is essential. Nevertheless, little is known about nurses' experiences in assessing and managing postoperative hypothermia after cardiac surgery, highlighting the need for studies to explore their clinical experiences and perspectives.</p><p><strong>Objective: </strong>This study aimed to explore the experiences of cardiovascular surgery intensive care unit nurses in managing postoperative hypothermia after cardiovascular surgery.</p><p><strong>Methods: </strong>This interpretative/constructivist phenomenological study was conducted with 12 nurses working in a cardiovascular surgery intensive care unit. Data were collected through in-depth online interviews using a semi-structured questionnaire and analysed using content analysis. Participants were selected purposively to obtain diverse perspectives on postoperative hypothermia management.</p><p><strong>Results: </strong>Data analysis identified five themes and 35 sub-themes: clinical challenges associated with postoperative hypothermia, strategies for managing postoperative hypothermia, barriers to effective postoperative hypothermia management, strategies for achieving standardised practices and suggestions for improving postoperative hypothermia management. Nurses emphasised early recognition, continuous temperature monitoring and timely interventions to prevent postoperative hypothermia-related complications.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first qualitative study focusing on postoperative hypothermia management in a cardiovascular surgery intensive care unit. Findings highlight the need for advanced warming technologies, ongoing staff education and standardised protocols. Enhancing healthcare professionals' knowledge and developing evidence-based protocols and care bundles are essential for optimising perioperative hypothermia management.Reporting:COREQ (the consolidated criteria for reporting qualitative research).</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261485196"},"PeriodicalIF":0.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of antibiotic prophylaxis on wound infection incidence after elective laparoscopic cholecystectomy.","authors":"Maged Rihan","doi":"10.1177/17504589231223014","DOIUrl":"10.1177/17504589231223014","url":null,"abstract":"<p><strong>Aim: </strong>There have been controversies about whether prophylactic antibiotics are necessary in elective laparoscopic cholecystectomy. The aim of this study is to analyse the effect of different risk factors and antibiotic prophylaxis on the rate of wound infection following elective laparoscopic cholecystectomy.</p><p><strong>Methods: </strong>This is a retrospective study of patients with elective laparoscopic cholecystectomy from January 2021 to December 2022. The evaluated factors were: gender, age, diabetes, smoking, body mass index, haemoglobin level, American Society of Anesthesiologists physical status classification, surgery duration, intraoperative bile spillage and use of antibiotic prophylaxis.</p><p><strong>Results: </strong>This study included 243 patients. The incidence of wound infection was significantly higher in male patients (p = 0.021). There was no statistically significant correlation between other risk factors and postoperative wound infection.</p><p><strong>Conclusion: </strong>Elective laparoscopic cholecystectomy patients do not benefit from antibiotic prophylaxis, which should be limited to complicated and acute cases.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"590-595"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of wearable devices in pre-anaesthesia check-up facilitation: A scoping review.","authors":"Suvashis Dash, Anjishnujit Bandyopadhyay, Sunaakshi Puri, Bharat Yalla","doi":"10.1177/17504589261421007","DOIUrl":"10.1177/17504589261421007","url":null,"abstract":"<p><strong>Background: </strong>The global population rise has increased surgeries to over 300 million annually. Operations on patients with multiple comorbidities contribute to postoperative complications affecting 15%-20% of surgical patients. Traditional pre-anaesthesia check-up (PAC) relies on snapshot assessments, potentially missing dynamic health changes. This review explored the integration of wearable technology in preoperative assessment to enhance monitoring through continuous data collection.</p><p><strong>Methods: </strong>This scoping review was conducted according to PRISMA ScR guidelines. Literature search performed across PubMed, Google Scholar, Embase and Scopus. Inductive thematic analysis, following Braun and Clarke, was used to synthesise findings. Risk of bias was assessed using the Mixed Methods Appraisal Tool.</p><p><strong>Results: </strong>A total of 17 full-text articles were included, and thematic analysis revealed: <b>Benefits:</b> Wearable devices enable continuous monitoring of physiological parameters and improve patient engagement. <b>Challenges:</b> Implementation barriers include data accuracy concerns and healthcare provider training needs. <b>Future Directions:</b> Advances in sensor technology may enhance personalised medicine. Most studies focused on limb-worn devices, showing correlations with functional tests. Risk of bias was low to moderate, with methodological rigour but limited sample sizes.</p><p><strong>Conclusion: </strong>Integrating wearable technology into PAC can improve surgical outcomes. Addressing implementation challenges is crucial for optimising perioperative care for surgical patients.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"581-589"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship of spirituality and religious coping with acceptance of illness in oncological surgery patients.","authors":"Hatice Demirdağ, Meftun Akgün, Nilüfer Ceyhan, Nur Seskir, Arzu Altin, Elif Hamarat","doi":"10.1177/17504589251388001","DOIUrl":"10.1177/17504589251388001","url":null,"abstract":"<p><p>This study aimed to examine the level of acceptance of illness and its relationship with spirituality and religious coping in oncological surgery patients. The study was conducted with 95 patients who underwent oncological surgery in the general surgery clinic of a hospital. The study data were collected using the Acceptance of Illness Scale, Religious Coping Scale, Spirituality Scale, and Patient Identification Form. Data were analysed using the Statistical Package for Social Sciences 25 (SPSS) software package. Patients were observed to accept the illness at a moderate level. Levels of acceptance of illness varied according to duration of illness, duration of treatment, and perception of illness. Patients had high spiritual wellbeing and positive religious coping strategies. Nevertheless, acceptance of illness was not found to be correlated with spirituality and religious coping. Perioperative care practitioners and specialists play an important role in supporting patients' psychosocial and spiritual needs. Integrating spiritual assessment into perioperative care can improve disease adaptation and surgical outcomes.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"536-544"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between health literacy and preoperative anxiety among surgical patients: A cross-sectional survey study.","authors":"Funda Çetinkaya, Emine Uslu","doi":"10.1177/17504589261441562","DOIUrl":"10.1177/17504589261441562","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine whether there is a relationship between patients' health literacy levels and their preoperative anxiety during the preoperative period.</p><p><strong>Design: </strong>An analytical cross-sectional study.</p><p><strong>Methods: </strong>The research was conducted with 204 patients hospitalised in the surgical clinics of a hospital between May and December 2023. Data were collected through face-to-face interviews using a patient information form, the Health Literacy Scale, and the Amsterdam Preoperative Anxiety and Information Scale.</p><p><strong>Results: </strong>A positive, low-level, and statistically significant correlation was observed between total Health Literacy Scale and total Amsterdam Preoperative Anxiety and Information Scale scores (Spearman ρ = 0.257, <i>p</i> < 0.001; <i>r</i> = 0.266, <i>p</i> < 0.001). Simple linear regression analysis confirmed that the Health Literacy Scale alone was a significant predictor of preoperative anxiety (<i>B</i> = 0.074, 95% confidence interval = [0.036-0.113], <i>p</i> < 0.001). However, in a multiple linear regression model considering age, educational history, previous surgical experience, chronic disease, and ongoing medication use, the Health Literacy Scale was no longer an independent predictor of Amsterdam Preoperative Anxiety and Information Scale scores (<i>B</i> = 0.040, <i>p</i> = 0.123).</p><p><strong>Conclusion: </strong>These findings indicate that although health literacy was associated with preoperative anxiety in univariate analyses, its effect was not independent when potential demographic and clinical confounding factors were considered.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"560-569"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative smoking cessation: Is it a trigger for long-term abstinence?","authors":"Yanay Shaked, Joseph Azuri, Tomer Tzur, Omri Schwarztuch Gildor","doi":"10.1177/17504589261417460","DOIUrl":"10.1177/17504589261417460","url":null,"abstract":"<p><p>Perioperative smoking cessation reduces wound-healing complications, yet its long-term effect on sustained abstinence after elective plastic surgery remains uncertain. This study examined patients who underwent elective plastic surgery and participated in a follow-up interview to assess whether adherence to short-term perioperative smoking cessation instructions was associated with continued abstinence post-surgery. All smokers were instructed to quit at least 4 weeks prior to surgery and remain abstinent for at least 4 weeks afterwards. Patients were categorised as either compliant or non-compliant with preoperative guidance. The findings suggest that elective plastic surgery may serve as a teachable moment that extends the immediate smoke-free period; however, short-term instructions alone seldom result in lasting abstinence. Integrating structured cessation programmes with perioperative counselling may be required to transform temporary compliance into enduring behavioural change.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"570-576"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}