Francis X Cedeño-Rodriguez, Hans W Hess Arcelay, José I Acosta Julbe, Emil Varas-Rodríguez, Jerry Cruz, Francisco Otero, Kenneth Cintron, Julian Girod
{"title":"Pulmonary embolism following bilateral quadriceps tendon repair with unilateral tourniquet use: A case report.","authors":"Francis X Cedeño-Rodriguez, Hans W Hess Arcelay, José I Acosta Julbe, Emil Varas-Rodríguez, Jerry Cruz, Francisco Otero, Kenneth Cintron, Julian Girod","doi":"10.1177/17504589241305299","DOIUrl":"https://doi.org/10.1177/17504589241305299","url":null,"abstract":"<p><strong>Case: </strong>An active healthy 68-year-old male sustained a bilateral quadriceps tendon rupture while running. He underwent a simultaneous bilateral quadriceps tendon repair in a dual-surgeon approach. The right quadriceps tendon was repaired with a tourniquet, while the left quadriceps tendon tear was repaired without one. Postoperatively, the patient developed deep vein thrombosis in the right leg, which led to a bilateral pulmonary embolism. This case illustrates a potential complication of tourniquet use in patients undergoing quadriceps tendon repairs.</p><p><strong>Conclusion: </strong>The use of tourniquets in orthopaedic surgeries may be associated with potential risks, such as development of venous thromboembolism including deep vein thrombosis and pulmonary embolism. This case highlights the importance of carefully considering tourniquet use for quadriceps tendon repairs and close postoperative monitoring, early mobility, and thromboprophylaxis to prevent severe complications.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241305299"},"PeriodicalIF":1.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053706","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}
Amani H Abdel-Wahab, Ghada M Abo Elfad, Ahmed Mohamed Aboelfadl, Mustafa Bahloul, Marwa Mahmoud Abdel Rady
{"title":"Effect of different doses of oral olanzapine to prevent postoperative nausea and vomiting after laparoscopic surgery in high-risk patients: A randomised controlled trial.","authors":"Amani H Abdel-Wahab, Ghada M Abo Elfad, Ahmed Mohamed Aboelfadl, Mustafa Bahloul, Marwa Mahmoud Abdel Rady","doi":"10.1177/17504589241308820","DOIUrl":"https://doi.org/10.1177/17504589241308820","url":null,"abstract":"<p><strong>Background: </strong>We conducted this study to compare the efficacy of oral 10 and 5 mg olanzapine for the prevention of postoperative nausea and vomiting.</p><p><strong>Methods: </strong>Notably, 135 female patients between the ages of 18 and 50 years, classed as American Society of Anaesthesiologists I and II, who underwent elective laparoscopic gynaecological surgery under general anaesthesia were randomly assigned to one of three groups (45 each) to receive perioperative 5 or 10 mg oral olanzapine (OL5 and OL10 groups), or a placebo (in the control group). Postoperation, we recorded the occurrence and severity of postoperative nausea and vomiting within 24 h, the number of patients who received antiemetics and any associated side effects.</p><p><strong>Results: </strong>Postoperative nausea was more prevalent in the control group (23 patients) than in OL5 and OL10 groups (13 and three patients, respectively); Group OL10 had the lowest severity of nausea. There was no incidence of vomiting in the OL10 group, and only one patient required antiemetics; in the OL5 group, three patients required antiemetics and eight patients in the control group needed antiemetics.</p><p><strong>Conclusion: </strong>Olanzapine 10 mg had a higher effect than the lower concentration of 5 mg or control in reducing the incidence of postoperative nausea and vomiting in the first postoperative 24 h.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241308820"},"PeriodicalIF":1.2,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048095","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}
Alan M Smeltz, Andrew Huffman, Robert S Isaak, Xinming An, Gregory Balfanz
{"title":"Perceived problems associated with perioperative blood product preparation.","authors":"Alan M Smeltz, Andrew Huffman, Robert S Isaak, Xinming An, Gregory Balfanz","doi":"10.1177/17504589241311699","DOIUrl":"https://doi.org/10.1177/17504589241311699","url":null,"abstract":"<p><p>Timely blood product preparation is important for patients undergoing surgery with a high risk of blood loss. However, in circumstances where no blood refrigerators exist in the operating room theatre complex, numerous potential problem sources during blood product preparation may lead to delays, and tense interpersonal interactions between anaesthesia and blood bank personnel can ensue. To evaluate this at our institution, an anonymous online survey was sent to anaesthesia providers and blood bank technologists. The primary outcome was to determine what blood preparation time anaesthesia providers believed was reasonable to expect, compared to the institutional standard of 90 min. Of the 75 (36%) anaesthesia providers surveyed, 94.9% considered <90 min was reasonable for blood to be prepared and 79.7% considered <60 min was reasonable. There were 92 (42%) total survey respondents, with 54.8% reporting problems to occur 'frequently' or 'always'. The perceived frequency of 18 different possible problem sources was identified. Overall, the results suggest problems with perioperative blood product preparation occur frequently and the expectations of the anaesthetic team around preparation time and availability of blood products are not met. Many potential problem areas were identified that warrant further investigation into the ongoing efforts to improve workflow and interdisciplinary interactions.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241311699"},"PeriodicalIF":1.2,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013187","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}
Darcy Fay, Tayla Fay, Wayne Hoskins, Roger Bingham
{"title":"Appropriate tourniquet use in surgery: A literature review.","authors":"Darcy Fay, Tayla Fay, Wayne Hoskins, Roger Bingham","doi":"10.1177/17504589241309534","DOIUrl":"https://doi.org/10.1177/17504589241309534","url":null,"abstract":"<p><strong>Background: </strong>Tourniquet use is ubiquitous in the operating theatre. However, optimal tourniquet usage is unclear, including type, pressure, inflation time, or whether a tourniquet should be used at all. This study reports a literature review of tourniquet use, comparing type, pressure, duration, effectiveness, and the spectrum of complications in an adult surgical population.</p><p><strong>Results: </strong>Data regarding population size, surgery performed, tourniquet type, tourniquet location, total tourniquet inflation time, timing of inflation and deflation, pressure, and complications were recorded. Postoperative tourniquet-related pain was the commonest adverse event. Other complications included venous thromboembolism, wound healing issues, neuropathy, and abrasions. Findings suggest that most surgeons use standardised pressures.</p><p><strong>Conclusion: </strong>Tourniquets are associated with a spectrum of complications. It is unclear whether tourniquet use provides better surgical outcomes. If tourniquets are used, surgeons should minimise the application pressure and duration. This may be achieved through a patient-centred approach and careful use of padding.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241309534"},"PeriodicalIF":1.2,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013174","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":"Association of distorted memories, psychiatric symptoms, and quality of life in postoperative ICU patients after 12 months: A cross-sectional study.","authors":"Tomohide Fukuda, Naoki Watanabe, Satoko Miyazaki, Saori Terachi, Yoshiko Kinoshita","doi":"10.1177/17504589241308817","DOIUrl":"https://doi.org/10.1177/17504589241308817","url":null,"abstract":"<p><p>Intensive care unit patients often experience memory disturbances, including missing or delusional memories. These memory distortions can contribute to the development of psychiatric disorders, such as anxiety and depression. In addition, distorted memories may adversely affect long-term quality of life. However, the association between distorted memories, psychiatric symptoms, and quality of life remains to be fully elucidated in intensive care unit patients. Accordingly, this study explored the relationship between memory distortion, psychiatric symptoms, and long-term quality of life in intensive care unit patients following scheduled surgery. Among 24 patients, 13 experienced memory distortions 12 months post-intensive care unit discharge. These patients exhibited significantly higher anxiety and depression symptoms 1 month after discharge. In addition, over 25% of patients reported low mental quality of life, and over 50% had low physical quality of life 1 year later. These findings suggest that memory distortions can negatively impact both mental and physical recovery, underscoring the need for interventions to preserve factual memory and enhance patient autonomy post-intensive care unit.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241308817"},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013177","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":"Real-time ultrasound-guided thoracic epidural placement: Illustrating the techniques and reporting on prospective observational study.","authors":"Karuna Sutthibenjakul, Jatuporn Pakpirom, Sirikarn Siripruekpong, Somrutai Boonchuduang","doi":"10.1177/17504589241302221","DOIUrl":"https://doi.org/10.1177/17504589241302221","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess the feasibility of real-time ultrasound-guided thoracic epidural placement.</p><p><strong>Methods: </strong>A prospective observational study was conducted in 20 patients undergoing elective abdominal and thoracic surgery. The procedure, performed with patients in a lateral position, involved three sequential steps: (1) identification of the interlaminar gap, (2) advancement of the Touhy needle, and (3) identification of the epidural space. Success was defined as the catheter insertion with achieving sensory blockade. The estimated and actual epidural depth, thoracic epidural placement success rate and procedural time were recorded.</p><p><strong>Results: </strong>The average age and body mass index were 62.1 ± 8.9 years and 22.4 ± 4.4 kg/m<sup>2</sup>. Thoracic epidural placement was successful in 18 patients (90%, 95% confidence interval: 77-100), and at first attempt in 12 of those (66.7%). The thoracic epidural placement times and total procedural time were 5 (4-6.75) min and 19.5 ± 5.4 min, respectively. The correlation between ultrasound-estimated epidural depth and actual depth was 0.81.</p><p><strong>Conclusion: </strong>Ultrasound guidance enhances thoracic epidural success rates and reduces attempts and skin punctures.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241302221"},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013191","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":"Academic writing: Key components, structure, and avoiding plagiarism.","authors":"Carolina Britton","doi":"10.1177/17504589241310405","DOIUrl":"https://doi.org/10.1177/17504589241310405","url":null,"abstract":"<p><p>This article aims to provide perioperative practitioners with an overview of the fundamentals of academic writing in undertaking academic work, conducting research or producing evidence-based essays in their professional activity (such as to support business cases, innovation or improvement work). It focuses on the key components and the structure of a piece of academic quality, on the review of the literature and on the fundamentals of avoiding plagiarism.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241310405"},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013171","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}
Ravi Patel, Dilen Parmar, Ajay Bhojwani, Rohit Singh, Rajpal Nandra, Robin Banerjee
{"title":"Examining perioperative factors in latex-allergic reactions.","authors":"Ravi Patel, Dilen Parmar, Ajay Bhojwani, Rohit Singh, Rajpal Nandra, Robin Banerjee","doi":"10.1177/17504589241311106","DOIUrl":"https://doi.org/10.1177/17504589241311106","url":null,"abstract":"<p><p>Despite the implementation of latex-free gloves, the issue of natural rubber latex hypersensitivity persists within medical practice, posing challenges for both patients and health care professionals. A comprehensive understanding of the demographic groups susceptible to this condition is essential, along with the establishment of robust perioperative assessment and management protocols aimed at minimising complications and enhancing safety. This article endeavours to delve into the intricacies of perioperative management concerning latex hypersensitivity among patients, while also elucidating its ramifications for health care practitioners.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241311106"},"PeriodicalIF":1.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013180","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":"Comparison of intravenous dexmedetomidine and ketamine with femoral nerve block for positional pain before spinal anaesthesia in patients with fracture femur: A prospective randomised study.","authors":"Jyotsna Ch V, Sapna Annaji Nikhar, Akhya Kumar Kar, Padmaja Durga","doi":"10.1177/17504589231224559","DOIUrl":"https://doi.org/10.1177/17504589231224559","url":null,"abstract":"<p><strong>Introduction: </strong>Patient positioning for spinal anaesthesia in patients with femur fracture is extremely painful and various methods have been tried to reduce mobilisation pain.</p><p><strong>Aim: </strong>To compare the analgesic efficacy of intravenous dexmedetomidine, ketamine and femoral nerve block in patients posted for fractured femur for alleviating the positional pain before spinal anaesthesia.</p><p><strong>Materials and methods: </strong>A total of 75 patients (25 per group) of American Society of Anaesthetists Grade I-III patients of age group 18-80 years with fractured femur scheduled for elective surgery. All patients in Group C (n = 25) were given the femoral nerve block, Group D (n = 25) were given intravenous dexmedetomidine 0.5µg/kg and Group K (n = 25) were given intravenous ketamine 0.3mg/kg. The parameters assessed were quantitative relief of pain by a numerical rating scale and patient satisfaction score, quality of patient positioning and time to perform spinal anaesthesia along with hemodynamics and sedation score.</p><p><strong>Results: </strong>The pain scores and patient satisfaction scores were significantly decreased in all three groups but were much significantly lower in Group K.</p><p><strong>Conclusion: </strong>Ketamine was found to be superior to the other two groups in terms of reducing positional pain.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589231224559"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972435","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}