Journal of perioperative practice最新文献

A randomised pilot study evaluating music therapy and virtual reality mindfulness sessions for reducing anxiety and stress in patients undergoing first-time elective cardiac surgery. 一项随机试点研究评估了音乐疗法和虚拟现实正念课程对首次接受选择性心脏手术的患者减轻焦虑和压力的作用。

IF 1

Journal of perioperative practice Pub Date : 2025-10-04 DOI: 10.1177/17504589251370291

Bhuvaneswari Krishnamoorthy, Moslem Abdelghafar, Rick Air, Joshua Halyckyj-Smith, Angelo Citarella, Edward McLaughlin, Heather Iles-Smith, Rebecca Elliott, James Barnard, Azita Rajai, Rajamiyer Venkateswaran

{"title":"A randomised pilot study evaluating music therapy and virtual reality mindfulness sessions for reducing anxiety and stress in patients undergoing first-time elective cardiac surgery.","authors":"Bhuvaneswari Krishnamoorthy, Moslem Abdelghafar, Rick Air, Joshua Halyckyj-Smith, Angelo Citarella, Edward McLaughlin, Heather Iles-Smith, Rebecca Elliott, James Barnard, Azita Rajai, Rajamiyer Venkateswaran","doi":"10.1177/17504589251370291","DOIUrl":"https://doi.org/10.1177/17504589251370291","url":null,"abstract":"Cardiac surgery patients may experience stress and anxiety, negatively impacting recovery. Pharmacological treatments are frequently used but may result in side effects. We aimed to assess the effectiveness of immersive virtual reality mindfulness and music therapy in reducing preoperative and postoperative anxiety. Between March and July 2024, 36 participants were randomised to 15 min of either virtual reality (n = 19) or music therapy (n = 17) preoperatively and on postoperative day 3. Primary endpoints were anxiety levels and salivary cortisol, assessed before and after intervention using the paired Wilcoxon test. Median age was 66 (interquartile range = 58-73); 64% were male. Both music therapy and virtual reality groups showed significant preoperative Spielberger State-Trait Anxiety Inventory score reductions after intervention: music therapy from 40 (30-48) to 23 (21-24) and virtual reality from 40 (31-54) to 23 (20-35) (both p < 0.001); there was no significant difference between groups (p = 0.7). Median virtual reality immersion and absorption scores were 90/100 (interquartile range = 80-90; 80-94). Cortisol levels did not significantly change. Postoperatively, 21 patients participated (virtual reality n = 11, music therapy n = 8), showing reduced anxiety: music therapy from 31 (26-32) to 23 (20-27), virtual reality from 33 (23-41) to 24 (22-30). Results show feasibility, tolerability, and preliminary evidence of anxiety reduction, supporting further research into music therapy and virtual reality for cardiac surgery patients. The trial was registered with the International Standard Randomised Controlled Trial Number Registry (ISRCTN51014051) (https://doi.org/10.1186/ISRCTN51014051).","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251370291"},"PeriodicalIF":1.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226105","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}

引用次数: 0

Addressing human factors in the recognition and management of local anaesthetic systemic toxicity. 在识别和处理局部麻醉剂全身毒性时考虑人为因素。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2024-07-26 DOI: 10.1177/17504589241264403

Niamh Eb Curtain, Debora Gugelmin-Almeida

引用次数: 0

Perioperative hiccup mystery: A comprehensive case report. 围手术期呃逆之谜1例综合报道。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-02-10 DOI: 10.1177/17504589251318121

Cheila Batista, Joana Correia Brandão, Sofia Valente, Alexandra Guedes

引用次数: 0

Effects of inhaled anaesthetic agents on the oxygen dissociation curve: An updated discussion. 吸入麻醉剂对氧解离曲线的影响：最新讨论。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-02-24 DOI: 10.1177/17504589251320809

Amarjeet Kumar, Manjunath N

引用次数: 0

Effect of preprocedure anxiety and oestrogen levels on Postoperative Nausea and Vomiting in patients undergoing diagnostic laparoscopy and hysteroscopy for infertility: A prospective observational pilot study. 术前焦虑和雌激素水平对因不孕而接受诊断性腹腔镜和宫腔镜检查的患者术后恶心和呕吐的影响：前瞻性观察试验研究。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2024-09-20 DOI: 10.1177/17504589241278472

Vishnu Narayanan Mr, Anjaleekrishna K, Puneet Khanna, Bikash Ranjan Ray, Rahul Kumar Anand, Akhil Kant Singh, Neena Malhotra, K Aparna Sharma, Reeta Mahey, Seema Singhal, Ankita Maheshwari

{"title":"Effect of preprocedure anxiety and oestrogen levels on Postoperative Nausea and Vomiting in patients undergoing diagnostic laparoscopy and hysteroscopy for infertility: A prospective observational pilot study.","authors":"Vishnu Narayanan Mr, Anjaleekrishna K, Puneet Khanna, Bikash Ranjan Ray, Rahul Kumar Anand, Akhil Kant Singh, Neena Malhotra, K Aparna Sharma, Reeta Mahey, Seema Singhal, Ankita Maheshwari","doi":"10.1177/17504589241278472","DOIUrl":"10.1177/17504589241278472","url":null,"abstract":"Background: Females undergoing laparoscopic gynaecological surgeries have a high incidence of postoperative nausea and vomiting. Apart from the established risk factors, hormonal, psychological, genetic and ethnic factors may also contribute to postoperative nausea and vomiting. This study aimed to evaluate the relationship between preoperative anxiety and serum oestrogen level with postoperative nausea and vomiting in patients undergoing diagnostic laparoscopy - hysteroscopy for infertility.Methods: In total, 100 female patients, between the ages of 20-40 years, undergoing diagnostic laparoscopy - hysteroscopy for infertility were recruited for this study. Preoperative anxiety level was assessed using Depression, Anxiety and Stress Scale-21 (DASS-21) Questionnaire. Serum oestrogen samples were taken before anaesthesia. Postoperative nausea and vomiting grading was rated with 0-3 Likert-type scale. An association of anxiety and oestrogen levels to postoperative nausea and vomiting was done.Results: The analysis between median DASS 21 scores to postoperative nausea and vomiting grading showed no association between DASS 21 scores and postoperative nausea and vomiting grades. Comparing the mean oestrogen levels in patients among each grade of postoperative nausea and vomiting showed no significant difference in the mean oestrogen levels.Conclusion: Our study did not find evidence of a significant association between serum oestrogen levels, preoperative anxiety, and postoperative nausea and vomiting.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"471-478"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297168","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}

引用次数: 0

Language-specific approaches to reduce perioperative stress and anxiety related to anaesthesia for patients with limited English proficiency: A narrative review. 针对英语水平有限的患者减少围手术期应激和焦虑的语言特异性方法：一篇叙述性综述。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-02-13 DOI: 10.1177/17504589251316744

Kanwarpreet Kaur Dhaliwal, Sherry Sandhu, Nitasha Puri, Amolpreet Toor

{"title":"Language-specific approaches to reduce perioperative stress and anxiety related to anaesthesia for patients with limited English proficiency: A narrative review.","authors":"Kanwarpreet Kaur Dhaliwal, Sherry Sandhu, Nitasha Puri, Amolpreet Toor","doi":"10.1177/17504589251316744","DOIUrl":"10.1177/17504589251316744","url":null,"abstract":"Many patients experience perioperative anxiety due to a variety of different reasons. Essential processes of shared decision-making and informed consent may help to mitigate anxiety, yet language barriers may hinder this particularly in diverse patient populations. As such, language-specific approaches in anaesthesia care play a crucial role in reducing perioperative stress and anxiety among patients with limited English proficiency. This review examines which methods during anaesthetic assessments and shared decision-making processes enable anaesthetists to communicate effectively with patients who have limited English proficiency and thereby reduce perioperative stress. Findings suggest that collaborating with patients in their native language significantly reduces anxiety and improves understanding, while transcreation - culturally adapted translation - enhances the effectiveness of communication. To decrease perioperative anxiety among populations with limited English proficiency and improve surgical outcomes, it is important to enhance anaesthesia-focused training for interpreters, increase diversity in the anaesthesia field, and develop culturally relevant patient education materials.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"443-449"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415418","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}

引用次数: 0

Perioperative management of the patient on cannabis and cannabinoids: A review. 大麻和大麻素患者的围手术期管理：综述。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-02-22 DOI: 10.1177/17504589251320804

Maria Scheuermann, Guy Hans, Davina Wildemeersch

{"title":"Perioperative management of the patient on cannabis and cannabinoids: A review.","authors":"Maria Scheuermann, Guy Hans, Davina Wildemeersch","doi":"10.1177/17504589251320804","DOIUrl":"10.1177/17504589251320804","url":null,"abstract":"Background: The rise in global cannabis use has led anaesthetists to encounter an increasing number of patients on cannabis and cannabinoids. With cannabis influencing the perioperative period, anaesthetists will face associated challenges managing these patients.Objective: This review aims to summarise this literature on perioperative care for patients with long-term cannabis consumption or cannabis use disorder.Methods: This review was conducted based on the PRISMA 2020 statement. A literature search was performed using Medline and Cochrane library databases to identify relevant reports published from 2003 to 2023. This search yielded 209 records. After screening, 17 articles were included.Results: Preoperative screening of patients for chronic cannabis use or cannabis use disorder can be valuable, due to the increased risk of postoperative myocardial infarction, more postoperative pain and opioid use. Moreover, regarding respiratory management, anaesthetists should prepare to manage bronchospasm and consider adjustments in ventilation. During the perioperative period, attention should be paid to potential interactions between anticoagulant medications and cannabinoids.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"456-462"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477102","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}

引用次数: 0

Surgical and anaesthesia care: Indispensable to equitable health care. 外科和麻醉护理：对公平的卫生保健不可或缺。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-08-30 DOI: 10.1177/17504589251369714

Valentina Camarda

引用次数: 0

Enhanced recovery after caesarean section: Implementation of an ERAC protocol in a tertiary obstetric hospital. 加强剖腹产后的恢复：在一家三级产科医院实施 ERAC 方案。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2024-06-12 DOI: 10.1177/17504589241256458

Rian Crandon, Nicholas Storr, Sofia Padhy, Paula Parker, Stacey Lun, Ian Hughes, Melissa Pietrobuono, Paula Carter

{"title":"Enhanced recovery after caesarean section: Implementation of an ERAC protocol in a tertiary obstetric hospital.","authors":"Rian Crandon, Nicholas Storr, Sofia Padhy, Paula Parker, Stacey Lun, Ian Hughes, Melissa Pietrobuono, Paula Carter","doi":"10.1177/17504589241256458","DOIUrl":"10.1177/17504589241256458","url":null,"abstract":"Objective: Assess safety and efficacy of an Enhanced Recovery After Caesarean protocol.Background: Caesarean sections are among the most commonly performed surgeries worldwide, but have been associated with postoperative chronic pain and opioid abuse.Methods: ASA 2 females, over 18 years, non-primiparous, repeat elective LSCS. Primary outcomes were length of stay and opioid consumption. Secondary outcomes were pain scores, functional assessment scores, pruritus, nausea and vomiting.Results: A total of 579 women divided into standard care (389 patients) and enhanced recovery after caesarean groups (190 patients). Enhanced recovery after caesarean associated with reduced length of stay, 50.8 hours (interquartile range 48.6, 53.6) versus 72.2 hours (interquartile range 53.2, 75.7) in standard care. Enhanced recovery after caesarean associated with reduced opioid consumption, median 10 (interquartile range 0, 27.5mg) versus 120mg (interquartile range 90, 145mg) in standard care at 24 hours and 30 (interquartile range 7.7, 67.5mg) versus 177.5mg (interquartile range 132.5, 222.5 mg) at 48 hours. Pain scores reduced from moderate to mild in the enhanced recovery after caesarean. functional assessment scores trend towards improved function in the enhanced recovery after caesarean group (Functional assessment scores B 8.9% in enhanced recovery after caesarean versus 147% in standard care). Increased pruritus in the enhanced recovery after caesarean with 41.6% compared with 9.3% in standard care. Nausea and vomiting increased in enhanced recovery after caesarean group 48.9% versus 11.6% in standard care.Conclusion: Enhanced recovery after caesarean associated with a reduction in length of stay, opioid consumption and improved pain scores with an increase in side effects.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"479-488"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311881","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}

引用次数: 0

Robotic bedside assistance: When surgical evolution outruns regulation. 机器人床边辅助：当外科手术的进化超过了规则。

IF 1

Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-09-19 DOI: 10.1177/17504589251367128

Carmine Civilli

引用次数: 0