Journal of perioperative practice最新文献_第10页

Anaesthetic management of deep brain stimulation in obesity treatment: A case report. 脑深部刺激麻醉治疗肥胖症1例。

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2025-03-29 DOI: 10.1177/17504589251328529

Catarina Espírito Santo Ferros, Rita Reis Aguiar, Manuela Casal

引用次数: 0

Capnography in the Post Anaesthesia Care Unit: A quality improvement study. 麻醉后护理病房的导管造影：质量改进研究。

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2025-03-31 DOI: 10.1177/17504589251330599

Amanda McClanahan, Amanda Hantouli, Leeza Struwe, Kelly Gonzales

引用次数: 0

Compliance with care standards and professional knowledge of operating theatre personnel before, during and after laparoscopic bariatric surgery: A study in public hospitals in Iran. 腹腔镜减肥手术前、中、术后手术室人员对护理标准的依从性及专业知识的了解：伊朗公立医院的研究

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2024-12-05 DOI: 10.1177/17504589241300274

Zahra Kouhestani, Mohammad Sadegh Aboutalebi, Mahshad Izadan, Akram Aarabi, Sorour Mosleh

{"title":"Compliance with care standards and professional knowledge of operating theatre personnel before, during and after laparoscopic bariatric surgery: A study in public hospitals in Iran.","authors":"Zahra Kouhestani, Mohammad Sadegh Aboutalebi, Mahshad Izadan, Akram Aarabi, Sorour Mosleh","doi":"10.1177/17504589241300274","DOIUrl":"10.1177/17504589241300274","url":null,"abstract":"Introduction: By adhering to care standards, many adverse outcomes for patients, such as pressure injuries, tissue necrosis and patient falls, can be prevented. The aim of this study was to investigate the level of compliance with care standards before, during and after various types of bariatric surgeries.Materials and methods: This study was a cross-sectional descriptive study conducted in the operating theatres of selected teaching hospitals in Isfahan (Iran). The study sample consisted of all operating theatre personnel in the selected teaching hospitals who met the inclusion criteria. Compliance with care standards was measured using a researcher-developed checklist. A researcher-developed questionnaire with 43 true/false questions was used to evaluate the operating theatre personnel's professional knowledge. The data were analysed using SPSS version 20 and descriptive and inferential statistics.Results: The mean score of adherence to care standards and the mean score of professional knowledge of operating theatre personnel regarding care of laparoscopic bariatric surgery were 78.35 ± 9.49 and 29.45 ± 6.17, respectively. There is no significant relationship between these two variables, with a two-tailed significance (Sig.) of 0.056 and a correlation coefficient (r) of 0.199.Discussion and conclusion: In general, it can be concluded that the specific knowledge of the local operating theatre personnel regarding minimally invasive laparoscopic surgery care is at an intermediate level. Requirements for training in this area were therefore successfully identified. In addition, not all operating theatre personnel adhere to the standards of care for patients undergoing laparoscopic bariatric surgery. This non-adherence could be due to insufficient training or the absence of established standards in hospitals.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"285-292"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786929","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

Efficacy of the intravenous formulation of fentanyl citrate administered orally as premedication in paediatric patients undergoing open cardiac surgery. 枸橼酸芬太尼静脉制剂在接受心脏直视手术的儿科患者中作为药物前口服的疗效。

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2024-12-19 DOI: 10.1177/17504589241301311

Islam Mohamed Elbardan, Ahmed Sayed Shehab, Ahmed Galaleldin Yacout, Ibrahim Mabrouk Mabrouk

{"title":"Efficacy of the intravenous formulation of fentanyl citrate administered orally as premedication in paediatric patients undergoing open cardiac surgery.","authors":"Islam Mohamed Elbardan, Ahmed Sayed Shehab, Ahmed Galaleldin Yacout, Ibrahim Mabrouk Mabrouk","doi":"10.1177/17504589241301311","DOIUrl":"10.1177/17504589241301311","url":null,"abstract":"Background: Recently, fentanyl has become prevalent as a sedative premedication.Methods: A non-inferiority parallel design quadruple-blinded randomised controlled trial of 1- to 7-year-old children scheduled for elective cardiac surgery was conducted. Participants were assigned a 1:1 allocation ratio to a control group (n = 50) given a parenteral formulation of midazolam 0.5 mg/kg and an intervention group (n = 50) given a parenteral formulation of fentanyl 10 μg/kg 30 min before admission to the operating room.Results: Fentanyl was shown to be inferior when compared to midazolam during inhalational induction but not in the 'after premedication' and 'during separation' periods. A lower percentage of children disliked the medication in the fentanyl group.Conclusions: A parenteral formulation of fentanyl can be a satisfactory alternative when given orally as a sedative pre-anaesthetic medication in paediatric cardiac surgery before admission to the operating room.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"326-335"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865812","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

Evaluation and comparison of the effect of same versus different anaesthetist on preoperative visits on preoperative anxiety and quality of recovery: A randomised controlled trial. 评估和比较相同麻醉师和不同麻醉师对术前访视、术前焦虑和恢复质量的影响：一项随机对照试验。

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2025-09-08 DOI: 10.1177/17504589251370538

Geetanjali T Chilkoti, Vinesh Meena, Swati Jain, Ashok Kumar Saxena, Spirha Tiwari

{"title":"Evaluation and comparison of the effect of same versus different anaesthetist on preoperative visits on preoperative anxiety and quality of recovery: A randomised controlled trial.","authors":"Geetanjali T Chilkoti, Vinesh Meena, Swati Jain, Ashok Kumar Saxena, Spirha Tiwari","doi":"10.1177/17504589251370538","DOIUrl":"10.1177/17504589251370538","url":null,"abstract":"Background: Preoperative anxiety is one of the leading causes of morbidity in the perioperative period. Quality of Recovery (QoR)is a recent and valid questionnaire to assess recovery process in this time.Methods: Ninety patients were visited by an anaesthetist twice in the preoperative period, by either the same or a different anaesthetist. The effect of the visits was evaluated on the basis of preoperative anxiety, and QoR.Results: The mean APAIS (Amsterdam Preoperative Anxiety and Information Scale) result for the group with visits from different anaesthetists was significantly higher when compared to the group which received visits from the same anaesthetist (16.09 [14.51 to 17.67]) vs (12.40 [10.82 to 13.98]) (p = 0.002). However, time taken to discharge, QoR, and the Numeric Rating Scale (NRS) pain score were not significantly affected by the intervention.Conclusion: Providing preoperative visits by the same anaesthetist may considerably lower preoperative anxiety.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"336-340"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016355","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

Effect of volume control ventilation versus pressure control ventilation with volume-guaranteed mode on intraoperative respiratory mechanics and postoperative pulmonary functions in patients undergoing scoliosis surgery: A randomised control trial. 量控通气与保量压控通气对脊柱侧凸手术患者术中呼吸力学和术后肺功能的影响：一项随机对照试验

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Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2025-06-14 DOI: 10.1177/17504589241287513

Kadali Vejendla, Srilata Moningi, Shibani Padhy, Padmaja Durga

{"title":"Effect of volume control ventilation versus pressure control ventilation with volume-guaranteed mode on intraoperative respiratory mechanics and postoperative pulmonary functions in patients undergoing scoliosis surgery: A randomised control trial.","authors":"Kadali Vejendla, Srilata Moningi, Shibani Padhy, Padmaja Durga","doi":"10.1177/17504589241287513","DOIUrl":"10.1177/17504589241287513","url":null,"abstract":"Background: Posterior spinal fusion surgery for thoracolumbar scoliosis in the prone position, places the patient at high risk of pulmonary complications. The pressure-controlled ventilation volume-guaranteed mode regulates the inspiratory pressure limits to achieve a set tidal volume with the lowest airway pressure. We hypothesised that pressure-controlled ventilation volume-guaranteed mode would result in improved pulmonary mechanics, gas exchange and lower incidence of atelectasis than ventilation volume-guaranteed mode in patients undergoing corrective surgery for scoliosis in the prone position.Methods: Patients of thoracolumbar scoliosis scheduled for posterior spinal fusion surgery were randomly allocated to the ventilation volume-guaranteed (n = 24) or pressure-controlled ventilation volume-guaranteed group (n = 27). As primary endpoints, peak airway pressure (Ppeak), dynamic lung compliance (Cdyn) and arterial blood gas parameters were evaluated at predefined time points. Screening for atelectasis was done by lung ultrasonography on intensive care unit arrival.Results: Pressure-controlled ventilation volume-guaranteed resulted in significantly reduced Ppeak and Cdyn as well as lower PaCO2 and arterial to end-tidal carbon dioxide gradient. Both the groups were comparable with regard to oxygenation, hemodynamic variables and total lung ultrasound scores.Conclusion: Pressure-controlled ventilation volume-guaranteed confers significant advantages like improved airway mechanics and lower dead space ventilation in patients undergoing corrective surgery for scoliosis.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"267-274"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144294995","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

Comparison of low molecular weight heparins with direct oral anticoagulants for the prevention of venous thromboembolism in major abdominopelvic surgeries: A systematic review and meta-analysis. 低分子肝素与直接口服抗凝剂预防大骨盆手术静脉血栓栓塞的比较：一项系统综述和荟萃分析。

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Journal of perioperative practice Pub Date : 2026-04-30 DOI: 10.1177/17504589261440451

Shajie Ur Rehman Usmani, Syeda Zainab Kazmi, Syed Muhammad Moaaz Bin Sultan, Arooba Iqbal, Zobia Ahmad, Javeria Malik, Daniel McBurney Morgan

{"title":"Comparison of low molecular weight heparins with direct oral anticoagulants for the prevention of venous thromboembolism in major abdominopelvic surgeries: A systematic review and meta-analysis.","authors":"Shajie Ur Rehman Usmani, Syeda Zainab Kazmi, Syed Muhammad Moaaz Bin Sultan, Arooba Iqbal, Zobia Ahmad, Javeria Malik, Daniel McBurney Morgan","doi":"10.1177/17504589261440451","DOIUrl":"https://doi.org/10.1177/17504589261440451","url":null,"abstract":"Introduction: Venous thromboembolism is the leading cause of postoperative death in patients undergoing oncological surgery. This systematic review and meta-analysis compares the efficacy of low-molecular-weight heparin with direct oral anticoagulants in preventing venous thromboembolism in major abdominopelvic surgeries.Methods: This systematic review was conducted according to a predefined protocol registered in PROSPERO (ID: 1307005) and is reported in accordance with the PRISMA 2020 statement. A search was conducted in the Cochrane Library, PubMed Central/Medline, and Google Scholar from 2000 until September 2024. The analysis was performed using RevMan 5.4.1.Results: A total of seven studies were included. There was no significant difference in incidence of venous thromboembolism (Risked Ratio = 1.77, p = 0.08), major bleeding events (RR = 0.60, p = 0.51), or pulmonary embolism incidence (Risked Ratio = 3.38, p = 0.17) among the seven included studies. A subgroup analysis of five studies performed for incidence of venous thromboembolism in gynaecological procedures also showed an insignificant difference between the two groups.Conclusions: Direct oral anticoagulants offer efficacy and safety comparable to low-molecular-weight heparins. Further large-scale randomised controlled trials are needed to validate these findings.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261440451"},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821064","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

Unnecessary sleepovers? A retrospective audit identifying day surgery rates and reasons for overnight admission following elective urology procedures. 不必要的过夜吗?回顾性审计确定日间手术率和夜间住院的原因后，选择性泌尿外科手术。

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Journal of perioperative practice Pub Date : 2026-04-25 DOI: 10.1177/17504589261441425

Joshua Louis Siegert, Leena Nagappan

{"title":"Unnecessary sleepovers? A retrospective audit identifying day surgery rates and reasons for overnight admission following elective urology procedures.","authors":"Joshua Louis Siegert, Leena Nagappan","doi":"10.1177/17504589261441425","DOIUrl":"https://doi.org/10.1177/17504589261441425","url":null,"abstract":"Same-day discharge after elective surgery improves hospital efficiency, reduces costs, and enhances patient outcomes. This audit evaluated current practice at Fiona Stanley Hospital, Perth, for elective urological procedures often considered appropriate for day surgery according to the British Association of Day Surgery (BADS) directory. A retrospective review of elective cases performed between 31 August 2023 and 31 August 2024 was undertaken. Of 241 patients audited, 16 met exclusion criteria, 87 (38.7%) were completed as day cases, and 138 (61.3%) were admitted overnight. Common reasons for overnight admission included administration of intravenous antibiotics, awaiting urinary catheter removal/trial of void, continuous bladder irrigation, and social or non-medical factors. In a large number of cases, there was no documented justification for overnight admission. Late arrival at the ward following a surgical procedure was common in those admitted overnight. This audit demonstrates scope to improve same-day discharge rates through improved theatre scheduling, preoperative planning and careful consideration regarding the necessity of certain intra and postoperative interventions.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261441425"},"PeriodicalIF":1.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783623","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

Intraoperative competence, more than the sum of its parts: A scoping review. 术中能力，大于其各部分之和：范围审查。

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Journal of perioperative practice Pub Date : 2026-04-02 DOI: 10.1177/17504589251409975

Penelope Sweeting, Jutharat Attawet, Elaine Correia Moll, Kim M Caudwell

{"title":"Intraoperative competence, more than the sum of its parts: A scoping review.","authors":"Penelope Sweeting, Jutharat Attawet, Elaine Correia Moll, Kim M Caudwell","doi":"10.1177/17504589251409975","DOIUrl":"https://doi.org/10.1177/17504589251409975","url":null,"abstract":"Aim: To explore the holistic nature of intraoperative nurse competence and its assessment methods.Background: Safe and effective nursing care in the intraoperative setting requires specialised knowledge, skills and attributes. Understanding what makes a competent intraoperative nurse and how to measure it is necessary to set professional expectations and inform future education initiatives.Methods: A scoping review of peer-reviewed studies published from 2009 was conducted following the Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews guidelines.Results: Fifteen studies from eight different countries were included. Studies described similar competency domains, related to perioperative-specific technical skills and knowledge, and individual non-technical skills that enabled effective teamwork and collaboration. The Perceived Perioperative Competence Scale-Revised (PPCS-R) was the most frequently used assessment tool. Potential gaps in the competency domains included those related to patient assessment and cultural competence.Conclusion: Intraoperative nursing competence is complex and multidimensional, involving both technical and interpersonal capabilities. Challenges arise when assessing self-reported competence, and current approaches to measurement may need to expand their scope to ensure that competencies required for contemporary practice are adequately captured and measured.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251409975"},"PeriodicalIF":1.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595343","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

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. 静脉注射右美托咪定和氯胺酮联合股神经阻滞治疗脊柱麻醉前股骨骨折患者体位疼痛的比较：一项前瞻性随机研究。

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Journal of perioperative practice Pub Date : 2026-04-01 Epub Date: 2025-01-13 DOI: 10.1177/17504589231224559

Jyotsna Ch V, Sapna Annaji Nikhar, Akhya Kumar Kar, Padmaja Durga

{"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":"10.1177/17504589231224559","url":null,"abstract":"Introduction: Patient positioning for spinal anaesthesia in patients with femur fracture is extremely painful and various methods have been tried to reduce mobilisation pain.Aim: 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.Materials and methods: 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.Results: The pain scores and patient satisfaction scores were significantly decreased in all three groups but were much significantly lower in Group K.Conclusion: Ketamine was found to be superior to the other two groups in terms of reducing positional pain.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"179-185"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","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}

引用次数: 0