Journal of perioperative practice最新文献_第2页

Anaesthetic management of deep brain stimulation in obesity treatment: A case report.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-29 DOI: 10.1177/17504589251328529

Catarina Espírito Santo Ferros, Rita Reis Aguiar, Manuela Casal

引用次数: 0

Effects of prone positioning on cerebral oxygenation in patients undergoing spine surgery under general anaesthesia.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-28 DOI: 10.1177/17504589251329242

Rahul Goyal, Bhavna Hooda, Shalendra Singh, Priya Taank, Abhishek Mishra, Arashdeep Singh

{"title":"Effects of prone positioning on cerebral oxygenation in patients undergoing spine surgery under general anaesthesia.","authors":"Rahul Goyal, Bhavna Hooda, Shalendra Singh, Priya Taank, Abhishek Mishra, Arashdeep Singh","doi":"10.1177/17504589251329242","DOIUrl":"https://doi.org/10.1177/17504589251329242","url":null,"abstract":"Background: Under general anaesthesia, the impact of body positioning on different organs is mostly determined by the subsequent changes in the cardiovascular system, which are monitored with standard monitors. However, there is no objective method of neuromonitoring, therefore impacts on brain homeostasis are mainly conjectural. Near-infrared spectroscopy is a non-invasive method for monitoring tissue cerebral oxygenation. In this study, we aimed to observe the effects of the prone position on cerebral oxygenation in patients under general anaesthesia.Methods: The study involved 44 patients undergoing spine surgeries in a prone position under general anaesthesia. Regional oxygen saturation readings were initially taken in the supine position and monitored continuously after transitioning to the prone position. A decrease in regional oxygen saturation of more than 20% was considered clinically significant.Results: A significant drop in blood pressure (p = 0.02) and heart rate (p = 0.04) was observed after positioning patients prone under general anaesthesia. In addition, end-tidal carbon dioxide levels rose notably after 30 min in the prone position (p = 0.017). Importantly, while no significant differences were found in cerebral oxygenation between the supine and prone positions, one patient did experience right-sided vision loss postoperatively.Conclusion: Using near-infrared spectroscopy monitors is recommended for patients with comorbidities and those undergoing surgeries with extended durations in the prone position.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251329242"},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731961","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

An evaluation of pre-registration research teaching provision for operating department practice students.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-28 DOI: 10.1177/17504589251326820

Victoria Cadman, Adele Nightingale

{"title":"An evaluation of pre-registration research teaching provision for operating department practice students.","authors":"Victoria Cadman, Adele Nightingale","doi":"10.1177/17504589251326820","DOIUrl":"https://doi.org/10.1177/17504589251326820","url":null,"abstract":"Background: Understanding and engaging in and with research is a professional obligation of both student and registered operating department practitioners. This study was designed to explore how research is embedded into operating department practice undergraduate pre-registration curriculum.Method: Data collection took place via a questionnaire sent to programme leaders at Higher Education Institutions who deliver Health and Care Professions Council-validated operating department practice programmes. Overall, 30 higher education institutions were invited to participate, with 14 higher education institutions completing the questionnaire. The data were thematically analysed.Findings: It was identified that some aspects of research are embedded throughout operating department practice programmes, with a broad focus on research methodologies, methods and ethical considerations. The evidence supports the hypothesis that operating department practitioner students are undertaking primary and secondary research. However, there is limited evidence of dissemination. This work has identified the perceived barriers and challenges to embedding research in undergraduate programmes and the limited use of enrichment activities. This has led the authors to identify some areas worthy of further exploration and recommendations for the future.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251326820"},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731958","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

Making the case for service user involvement in the operating department practice curriculum: A discussion paper.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-26 DOI: 10.1177/17504589241302940

Emil Siwadi, Mel Hughes

{"title":"Making the case for service user involvement in the operating department practice curriculum: A discussion paper.","authors":"Emil Siwadi, Mel Hughes","doi":"10.1177/17504589241302940","DOIUrl":"https://doi.org/10.1177/17504589241302940","url":null,"abstract":"This article discusses the case for improving service user involvement in a UK-based operating department practice (ODP) degree programme. The term 'service user' is a broad phrase referring to those who use or are affected by the services of Health and Care Professions Council-registered professionals. In 2018, the Health and Care Professions Council set a mandatory requirement for service user engagement within all 15 HCPC-registered Allied Health Professions. Despite this, there is a lack of published literature on this topic, particularly in relation to operating department practice education. The authors, who are involved in operating department practice education and service user engagement at one UK university, discuss their proactive integration of service user involvement in the operating department practice curriculum through a well-established partnership. The article identifies various formats of service user involvement, utilisation of a humanisation framework, evaluating the impact on students and highlights the transformative potential of experiential learning. The authors advocate for knowledge sharing to build an empirical foundation for service user involvement in operating department practice education nationwide.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241302940"},"PeriodicalIF":1.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711522","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

Refining perioperative care: From evidence to practice. 完善围手术期护理：从证据到实践。

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-25 DOI: 10.1177/17504589251330112

Antonia Gerontati

引用次数: 0

Perioperative analgesic effect of preemptive ultrasound-guided rectus sheath block and transversus abdominis plane block with dexmedetomidine versus dexamethasone for laparoscopic surgery in paediatrics: A randomised trial.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-22 DOI: 10.1177/17504589241278806

Marwa Mahmoud Abdel Rady, Ghada A El Fadl, Hany Ahmed Ibraheem El-Morabaa, Kirolos Gamal Reda, Wesam Nashat Ali

{"title":"Perioperative analgesic effect of preemptive ultrasound-guided rectus sheath block and transversus abdominis plane block with dexmedetomidine versus dexamethasone for laparoscopic surgery in paediatrics: A randomised trial.","authors":"Marwa Mahmoud Abdel Rady, Ghada A El Fadl, Hany Ahmed Ibraheem El-Morabaa, Kirolos Gamal Reda, Wesam Nashat Ali","doi":"10.1177/17504589241278806","DOIUrl":"https://doi.org/10.1177/17504589241278806","url":null,"abstract":"Background: We aimed to assess the impact of the rectus sheath and transversus abdominis plane blocks on postoperative pain alleviation and recovery in children undergoing laparoscopic appendicectomies.Methods: Ninety patients got a transversus abdominis plane block and rectus sheath block and were randomly divided into three groups. Each patient had taken 2.5ml of 0.5% bupivacaine (1.25mg/kg). Group 1: 0.3mg/kg of dexamethasone was added to the bupivacaine. Group 2: 1μg/kg of dexmedetomidine was added to the bupivacaine. Group 3: received only bupivacaine. We recorded analgesic usage overall, postoperative pain score, time until initial analgesic use, side effects and satisfaction score.Results: The dexmedetomidine group had a significantly longer mean time to initial rescue analgesia (13.13 ± 2.81) compared to the control and dexamethasone groups (11.6 ± 2.99, 7.27 ± 2; p < 0.001). Within the first 24 hours following surgery, the dexmedetomidine group consumed considerably less rescue analgesia (490.5 ± 129) than the dexamethasone and control groups (556 ± 210.4, 811.5 ± 333.9; p < 0.0001). With better satisfaction, fewer analgesics were taken, and fewer side effects and lower postoperative pain levels were observed in the dexmedetomidine group.Conclusions: Dexmedetomidine in combined transversus abdominis plane and rectus sheath blocks can enhance postoperative pain relief, decrease analgesic use and hasten postoperative recovery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241278806"},"PeriodicalIF":1.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677384","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

Perceptual distortions under stress in operating theatre personnel: An initial inquiry.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-22 DOI: 10.1177/17504589251328545

Rachel Forney, Michael J Asken, Catherine Bernal

引用次数: 0

Clinicoepidemiological profile of acute postoperative hyponatraemia in patients undergoing joint replacement surgery: A prospective observational study.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-20 DOI: 10.1177/17504589251326791

Soumya Sarkar, Deepak Gautam, Rahul Kumar Anand, Devansh Goyal, Sahil Batra, Rajesh Malhotra, Puneet Khanna, Dalim Kumar Baidya

{"title":"Clinicoepidemiological profile of acute postoperative hyponatraemia in patients undergoing joint replacement surgery: A prospective observational study.","authors":"Soumya Sarkar, Deepak Gautam, Rahul Kumar Anand, Devansh Goyal, Sahil Batra, Rajesh Malhotra, Puneet Khanna, Dalim Kumar Baidya","doi":"10.1177/17504589251326791","DOIUrl":"https://doi.org/10.1177/17504589251326791","url":null,"abstract":"Background: Postoperative hyponatraemia is frequently misunderstood or undiagnosed after orthopaedic surgery, such as total knee and hip replacements, which is associated with increased morbidity. Limited and primarily retrospective literature exists on postoperative hyponatraemia in hip and knee arthroplasties. Key risk factors include preoperative hyponatraemia, older age, female sex, lower body weight, fluid imbalance, and surgical stress.Methods: This prospective observational study aimed to investigate the incidence of postoperative hyponatraemia and associated factors in 225 orthopaedic surgical patients. Pre-existing hypornatremia cases were excluded. The patients' serum sodium, potassium, blood urea nitrogen, creatinine, glucose, and haemoglobin levels were measured before the surgery and on the first postoperative day.Results: Postoperative hyponatraemia was detected in 30.6% (n = 69) of the 225 participating patients; among them, 91.6% had mild, 7.2% had moderate, and 1.4% had severe hyponatraemia. People with diabetes (odds ratio = 3.4; 95% confidence interval 1.36-13.4) and patients with blood loss > 300 mL (odds ratio = 10.3; 95% confidence interval 2.98-16) were more susceptible. Patients with hyponatraemia experienced an extended hospital stay.Conclusion: One-third of the normonatraemic orthopaedic surgical patients developed postoperative hyponatraemia. Significant risk factors identified include diabetes and intraoperative blood loss exceeding 300 mL. This study allows for a focused evaluation of how surgical procedures influence sodium levels by excluding patients with preoperative hyponatraemia, unlike previous research studies.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251326791"},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671299","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

Agile working, poly-skilling and advanced practice roles: A discourse analysis of strategic planning in England and implications for perioperative care.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-20 DOI: 10.1177/17504589251322318

Carolina Britton, Della Freeth

{"title":"Agile working, poly-skilling and advanced practice roles: A discourse analysis of strategic planning in England and implications for perioperative care.","authors":"Carolina Britton, Della Freeth","doi":"10.1177/17504589251322318","DOIUrl":"https://doi.org/10.1177/17504589251322318","url":null,"abstract":"Efforts to help the NHS recover from the global pandemic have included the establishment of new Surgical Hubs to ramp up elective surgical activity since 2022, a new 10-year Workforce Plan released in 2023, a review of the state of the NHS by Lord Darzi in 2024, and a new Budget for government spending soon after. Implicit in all measures to improve surgical activity in the United Kingdom is the need for transformation in the workforce. England's 42 Local Integrated Care Systems were established in 2022 and launched strategy documents to set a direction of travel, including on workforce. In this article, the strategies for NHS workforce transformation in England were subjected to a critical discourse enquiry to explore dominant and emergent 'speech communities', and to detect any emphasis on perioperative care. Findings revealed an advocative nature in the texts, a common ideology around workforce ('one team, one workforce', expressing optimism, togetherness and partnership) and the legitimisation of training for agile working, poly-skilling and advanced practice roles, as specific ways over the challenges it currently faces. In conclusion, perioperative care workforce transformation can deploy these sub-strategies, and further work is needed to explore the feasibility and effectiveness of specific interventions designed to deliver them.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251322318"},"PeriodicalIF":1.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671298","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

Iranian perioperative nurses' lived experiences of moral distress: A phenomenological study.

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-13 DOI: 10.1177/17504589251314993

Mahboobeh Khosravani, Sara Solymani, Mohaddeseh Mohsenpour

{"title":"Iranian perioperative nurses' lived experiences of moral distress: A phenomenological study.","authors":"Mahboobeh Khosravani, Sara Solymani, Mohaddeseh Mohsenpour","doi":"10.1177/17504589251314993","DOIUrl":"https://doi.org/10.1177/17504589251314993","url":null,"abstract":"Objective: The present study was performed with the aim of exploring the experiences of moral distress among perioperative nurses in Iran, specifically focusing on their encounters with anaesthetised patients. Despite its significance, this issue has received limited attention from researchers.Methods: A phenomenological study based on Van Manen's six-research-activities approach was employed in this study. The phenomenon was perioperative nurses experience of moral distress. Perioperative nurses in two general hospitals in Iran were purposefully invited as participants. Semi-structured individual interviews were performed using open-ended questions, and two focus groups were conducted. Interviews were recorded using a digital sound recorder and typed word for word upon the participant's consent. Thematic analysis was performed by hermeneutic phenomenological reflection.Finding: Lived experiences of perioperative nurses of moral distress were derived from three main themes: psychological confusion, low self-esteem, and struggle to look after oneself.Conclusion: The findings of the present study revealed that perioperative nurses experienced moral distress as a negative feeling which threatens their humanity and professional work. Understanding this experience can empower nurses to uphold their values and encourages managers and researchers to intervene to reduce moral distress.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251314993"},"PeriodicalIF":1.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626249","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