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Journal of perioperative practice最新文献

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Efficacy of intratracheal dexmedetomidine on recovery from general anaesthesia in paediatric patients undergoing lower abdominal surgeries: A randomised controlled trial. 气管内注射右美托咪定对接受下腹部手术的儿科患者从全身麻醉中恢复的疗效：随机对照试验。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-03 DOI: 10.1177/17504589241231197
Marwa Mahmoud Abdel Rady, W. Ali, Fatma Batity Mansour, Ekram Abdullah Othman, G. M. Abo Elfadl
{"title":"Efficacy of intratracheal dexmedetomidine on recovery from general anaesthesia in paediatric patients undergoing lower abdominal surgeries: A randomised controlled trial.","authors":"Marwa Mahmoud Abdel Rady, W. Ali, Fatma Batity Mansour, Ekram Abdullah Othman, G. M. Abo Elfadl","doi":"10.1177/17504589241231197","DOIUrl":"https://doi.org/10.1177/17504589241231197","url":null,"abstract":"BACKGROUND\u0000This study investigated the effectiveness of intratracheal dexmedetomidine in reducing untoward laryngeal responses in paediatrics undergoing lower abdominal surgeries.\u0000\u0000\u0000METHODS\u0000This trial included 60 patients divided into two groups scheduled for lower abdominal surgeries. Group D were given intratracheal dexmedetomidine at a dosage of 0.5mg/kg, while Group C received intratracheal saline (0.9%). The cough severity score, the Paediatric Objective Pain Scale for pain assessment, awareness, extubation, emergence agitation score, Ramsay sedation score and adverse effects were recorded.\u0000\u0000\u0000RESULTS\u0000There was a significant difference in the incidence of coughing severity between Groups D and C both at extubation and after five minutes of extubation (p < 0.001). The median scores of the Paediatric Objective Pain Scales and the median agitation scales of Group D were significantly lower over the first four hours (p < 0.050). The mean time to first request rescue analgesia was significantly longer in the D group than in the control group (p < 0.001). The mean total consumption of rescue analgesia in the first 24 hours postoperatively was significantly lower in the dexmedetomidine group (p < 0.050). Awareness and extubation times were comparable in both groups, and none of the subjects reported any adverse effects.\u0000\u0000\u0000CONCLUSION\u0000In the current study, lower abdominal surgery patients who received intratracheal dexmedetomidine at a dose of 0.5mg/kg 30 minutes before the completion of the procedure experienced smooth extubation and balanced anaesthetic recovery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140748251","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
Writing for publication: Where do I start? 为出版物写作：从哪里开始？
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 DOI: 10.1177/17504589241234184
{"title":"Writing for publication: Where do I start?","authors":"","doi":"10.1177/17504589241234184","DOIUrl":"https://doi.org/10.1177/17504589241234184","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769296","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
A perioperative overview of a retained surgical swab in spinal surgery: Case report and prevention protocol. 脊柱手术中留置手术拭子的围手术期概述：病例报告和预防方案。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 Epub Date: 2023-04-26 DOI: 10.1177/17504589231163685
Shahnawaz Haleem, Mohamed Hassan Mahmoud, Gurvinder Singh Kainth, Rajesh Botchu, Md Faizul Hassan, Petr Rehousek
{"title":"A perioperative overview of a retained surgical swab in spinal surgery: Case report and prevention protocol.","authors":"Shahnawaz Haleem, Mohamed Hassan Mahmoud, Gurvinder Singh Kainth, Rajesh Botchu, Md Faizul Hassan, Petr Rehousek","doi":"10.1177/17504589231163685","DOIUrl":"10.1177/17504589231163685","url":null,"abstract":"<p><strong>Introduction: </strong>Retained wound swabs although classified as a 'never event' and well documented in many surgical specialties are uncommon in spinal surgery. The aim of this article is to highlight the perioperative circumstances of an incident of a retained surgical swab and present a prevention protocol, in an attempt to eliminate its incidence.</p><p><strong>Case report: </strong>The perioperative management of a 53-year-old male undergoing spinal surgery in whom a surgical swab was retained is reported. In addition to existing safety procedures such as the World Health Organization checklist, a Retained Surgical Swab-Prevention Protocol was implemented in our hospital and is presented to eliminate the occurrence of this 'never event' occurring again.</p><p><strong>Conclusion: </strong>Retained surgical swabs or instruments are rare in spinal surgery occurring mostly in the lumbar spine, during emergency and prolonged procedures in patients with high body mass index. Maintaining a high index of suspicion and utilising a prevention protocol will prevent further harm to the patient.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379400","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
Design and implementation of a training programme on ultrasound-guided lower limb peripheral nerve blockade: An Advanced Clinical Practitioner's personal journey. 超声引导下肢周围神经阻滞培训计划的设计与实施：一名高级临床医师的个人历程。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 Epub Date: 2023-03-22 DOI: 10.1177/17504589231159201
Shailen Soobhug
{"title":"Design and implementation of a training programme on ultrasound-guided lower limb peripheral nerve blockade: An Advanced Clinical Practitioner's personal journey.","authors":"Shailen Soobhug","doi":"10.1177/17504589231159201","DOIUrl":"10.1177/17504589231159201","url":null,"abstract":"<p><p>Increased demand in services, workforce pressures and continued financial constraints has resulted in a significant expansion in advanced clinical practice roles in the United Kingdom. This article will describe the personal experience of a perioperative Advanced Clinical Practitioner in the design and implementation of a training programme to achieve competence in ultrasound-guided lower limb peripheral nerve blockade. Three specific lower limb peripheral nerve blockade were included in the training programme, namely sciatic nerve block at the popliteal fossa, saphenous nerve block, and femoral nerve block. Key service drivers underpinning development, rationale for Advanced Clinical Practitioner involvement in lower limb peripheral nerve blockade and governance will also be discussed.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9154386","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
The introduction of a Surgical Care Practitioner training programme to an acute National Health Service trust and an exploration of the interrelationships between Surgical Care Practitioners, their trainers and surgical trainees. 将外科护理从业人员培训计划引入一家急症国民健康服务托管机构，并探讨外科护理从业人员、其培训师和外科受训人员之间的相互关系。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 Epub Date: 2023-04-19 DOI: 10.1177/17504589231163684
Phoebe Carter, Jemima Carter, Paul Carter
{"title":"The introduction of a Surgical Care Practitioner training programme to an acute National Health Service trust and an exploration of the interrelationships between Surgical Care Practitioners, their trainers and surgical trainees.","authors":"Phoebe Carter, Jemima Carter, Paul Carter","doi":"10.1177/17504589231163684","DOIUrl":"10.1177/17504589231163684","url":null,"abstract":"<p><p>This study aimed to explore the impact of the introduction of a Surgical Care Practitioner programme on junior surgical training within an acute National Health Service trust. A qualitative methodology of semi-structured interviews was used to gather information from eight Surgical Care Practitioners, eight surgical trainees and eight consultant grade trainers. The authors found an overall positive and mutually beneficial outcome of the training programme, with surgical trainees unanimous that the presence of the Surgical Care Practitioners freed them up for more time to be spent in theatre, as well as acting as highly experienced surgical assistants when the trainees were operating on their own. This study found significant mutual benefits to surgical trainees and Surgical Care Practitioners, as well as smoother running of the wards, theatres and the clinical firms through the addition of a highly skilled and versatile Surgical Care Practitioner workforce.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9384871","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
Perioperative management of adults with traumatic brain injury. 成人脑外伤患者的围手术期管理。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 Epub Date: 2023-08-31 DOI: 10.1177/17504589231187798
Chinazo Okeke, Jenny Zhang, Tom Bashford, Matthew Seah
{"title":"Perioperative management of adults with traumatic brain injury.","authors":"Chinazo Okeke, Jenny Zhang, Tom Bashford, Matthew Seah","doi":"10.1177/17504589231187798","DOIUrl":"10.1177/17504589231187798","url":null,"abstract":"<p><p>Despite advances in management strategy, traumatic brain injury remains strongly associated with neurological impairment and mortality. Management of traumatic brain injury requires careful and targeted management of the physiological consequences which extend beyond the scope of the primary impact to the cranium. Here, we present a review of the principles of its acute management in adults. We outline the procedure which patients are assessed and the critical physiological variables which must be monitored to prevent further neurological damage. We describe current interventional strategies from the context of the underlying physiological mechanisms and recent clinical data and identify persisting challenges in traumatic brain injury management and potential avenues of future progress.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10996293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122645","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
An overview of bone cement: Perioperative considerations, complications, outcomes and future implications. 骨水泥概述：围手术期注意事项、并发症、结果和未来影响。
IF 1.2
Journal of perioperative practice Pub Date : 2024-04-01 Epub Date: 2023-05-26 DOI: 10.1177/17504589231169861
Ravi Patel, Greg Mcconaghie, Jeremy Webb, Georgina Laing, Richard Roach, Robin Banerjee
{"title":"An overview of bone cement: Perioperative considerations, complications, outcomes and future implications.","authors":"Ravi Patel, Greg Mcconaghie, Jeremy Webb, Georgina Laing, Richard Roach, Robin Banerjee","doi":"10.1177/17504589231169861","DOIUrl":"10.1177/17504589231169861","url":null,"abstract":"<p><p>Polymethyl methacrylate is commonly known as bone cement and is widely used for implant fixation in various orthopaedic arthroplasty and trauma surgery. The first bone cement use in orthopaedics is widely accredited to the famous English surgeon, John Charnley, who in 1958, used it for total hip arthroplasty. Since then, there have been many developments in cementing techniques in arthroplasty surgery. This overview aims to cover the perioperative considerations of bone cement, including cementing techniques, current outcomes and complications such as bone cement implantation syndrome. The overview will additionally consider future developments involving bone cement in orthopaedic arthroplasty.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525454","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
Five historical innovations that have shaped modern orthopaedic surgery. 塑造现代骨科手术的五项历史性创新。
IF 1.2
Journal of perioperative practice Pub Date : 2024-03-01 Epub Date: 2023-08-19 DOI: 10.1177/17504589231179302
Ravi Patel, Greg Mcconaghie, Jeremy Webb, Georgina Laing, Matthew Philpott, Richard Roach, Wilhelm Wagner, Shin-Jae Rhee, Robin Banerjee
{"title":"Five historical innovations that have shaped modern orthopaedic surgery.","authors":"Ravi Patel, Greg Mcconaghie, Jeremy Webb, Georgina Laing, Matthew Philpott, Richard Roach, Wilhelm Wagner, Shin-Jae Rhee, Robin Banerjee","doi":"10.1177/17504589231179302","DOIUrl":"10.1177/17504589231179302","url":null,"abstract":"<p><p>Throughout history, many innovations have contributed to the development of modern orthopaedic surgery, improving patient outcomes and expanding the range of treatment options available to patients. This article explores five key historical innovations that have shaped modern orthopaedic surgery: X-ray imaging, bone cement, the Thomas splint, the Pneumatic tourniquet and robotic-assisted surgery. We will review the development, impact and significance of each innovation, highlighting their contributions to the field of orthopaedic surgery and their ongoing relevance in contemporary and perioperative practice.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10083130","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
Prophylactic cryoprecipitate transfusion in patients undergoing scoliosis surgery: A randomised-controlled trial. 脊柱侧弯手术患者的预防性低温沉淀输血：随机对照试验
IF 1.2
Journal of perioperative practice Pub Date : 2024-03-01 Epub Date: 2022-11-23 DOI: 10.1177/17504589221132393
Tarek I Ismail, Rabab Ss Mahrous
{"title":"Prophylactic cryoprecipitate transfusion in patients undergoing scoliosis surgery: A randomised-controlled trial.","authors":"Tarek I Ismail, Rabab Ss Mahrous","doi":"10.1177/17504589221132393","DOIUrl":"10.1177/17504589221132393","url":null,"abstract":"<p><strong>Background: </strong>Scoliosis surgeries in adults often have a high risk of massive blood loss and significant transfusion of blood products during and after surgery. It is not known whether early cryoprecipitate therapy is useful in reducing blood loss and transfusion requirements. The objective of this randomised, prospective placebo control study was to evaluate whether prophylactic administration of cryoprecipitate would reduce blood loss and transfusion requirements during scoliosis surgery.</p><p><strong>Methods: </strong>Eighty adult patients scheduled to undergo elective scoliosis correction were randomly assigned to receive either ten units of cryoprecipitate before incision (cryo group) or an equivalent volume of 0.9% saline (placebo group). Blood loss, transfusion requirements, coagulation parameters and complications were assessed.</p><p><strong>Results: </strong>No significant differences were found in the volume of transfused blood products, intraoperative estimated blood loss between the intervention and placebo groups. Postoperative blood loss was significantly lower in the cry group when compared to the other group. During adult surgical correction of scoliosis, prophylactic administration of cryoprecipitate did not diminish the amount of transfused blood products or decrease intraoperative blood loss.</p><p><strong>Conclusion: </strong>It could be concluded that the prophylactic administration of cryoprecipitate shows no differences in intraoperative blood loss and transfusion requirements during scoliosis surgery.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40506877","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
Shaping modern surgery - orthopaedic surgery. 塑造现代外科--矫形外科。
IF 1.2
Journal of perioperative practice Pub Date : 2024-03-01 DOI: 10.1177/17504589231224467
Julie Quick
{"title":"Shaping modern surgery - orthopaedic surgery.","authors":"Julie Quick","doi":"10.1177/17504589231224467","DOIUrl":"10.1177/17504589231224467","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997711","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
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