Journal of perioperative practice最新文献

{"title":"Efficacy of brief preoperative cognitive screening using animal fluency test and six-item screener for prediction of postoperative delirium in older patients undergoing orthopaedic surgery: A prospective observational study.","authors":"Ghazala Anis Fatima, Sukhyanti Kerai, Sonia Wadhawan, Rahil Singh, Farah Husain, Munisha Agarwal","doi":"10.1177/17504589251390408","DOIUrl":"10.1177/17504589251390408","url":null,"abstract":"<p><strong>Background: </strong>Preoperative cognitive impairment is a strong risk factor for the development of postoperative delirium in older patients. The cognitive screening of patients in low- and middle-income countries remains a challenge due to socio-economic and cultural differences.</p><p><strong>Method: </strong>This study was performed in 153 older patients undergoing lower limb orthopaedic surgery. Patients who were unable to speak and understand the Hindi language, patients with hearing (unaided) or speaking impairment, and patients with altered mental status were excluded. One day prior to the scheduled surgery, cognitive screening of patients using the animal fluency test and six-item screener was performed. Patients were screened daily for postoperative delirium using the confusion assessment method until 3 days after the surgery.</p><p><strong>Results: </strong>The incidence of postoperative delirium was 6% in our study population. We found that statistically significant difference between the patients who developed postoperative delirium and those who remained unaffected, in terms of frailty, animal fluency test score, and duration of surgery. Frailty and the duration of surgery independently affected postoperative delirium. The receiver operating characteristic curve of animal fluency test and six-item screener showed areas under the curve of 0.796 and 0.656, respectively. The best cut-off point of animal fluency test for prediction of postoperative delirium was less than 8.50 with a sensitivity of 77.8% and a specificity of 66%.</p><p><strong>Conclusion: </strong>The preoperative cognitive screening using animal fluency test can predict the occurrence of postoperative delirium with fair accuracy in older patients undergoing orthopaedic surgery. In contrast, the six-item screener demonstrated a weak association with postoperative delirium within our study population.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"552-559"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655389","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":"Precision postoperative pain management: A multidimensional matter.","authors":"Timothy Trewren, Timothy Falloon, Samuel West, Brandon Stretton, Joshua Kovoor, Aashray Gupta, Stephen Bacchi","doi":"10.1177/17504589251391942","DOIUrl":"10.1177/17504589251391942","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"533-535"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702172","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}

{"title":"Patient satisfaction with perioperative care using the Spanish version of the EVAN-G Questionnaire.","authors":"Andrés Mauricio Obando Rondón, Beatriz Jaramillo-Zarama, Daniela María Ramírez-Orozco, Camila Estévez Ramírez, José Daniel Guerra Toro, Carlos Alberto Triana Schöonewolff","doi":"10.1177/17504589251388273","DOIUrl":"10.1177/17504589251388273","url":null,"abstract":"<p><strong>Introduction: </strong>Patient satisfaction is a patient reported outcome measure that contributes to the evaluation of the services we provide as health care professionals. We aimed to identify factors associated with satisfaction with perioperative care in adults undergoing surgery.</p><p><strong>Methods: </strong>Cross-sectional study in which the Evaluation du Vécu de l'Anesthésie Générale (EVAN-G) questionnaire, validated and translated into Spanish, was administered to adults scheduled for elective surgery. Global satisfaction values and scores for its domains were recorded. Bivariate analyses were conducted between scores and sociodemographic/clinical characteristics of patients.</p><p><strong>Results: </strong>A total of 115 patients were analysed. The dimension with the highest score was <i>Attention</i> (87.3%), while the lowest scores were <i>Pain</i> (68.8%) and <i>Waiting</i> (68.5%). The overall satisfaction index was 79.1%. There were no significant correlations between scores and patient characteristics.</p><p><strong>Conclusions: </strong>Patients were close to an ideal satisfaction score with perioperative care. Our weakest domains were <i>Pain</i> and <i>Waiting</i>, and future strategies should be designed to improve these aspects.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"545-551"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524454","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":"The third mind in the theatre: Are we ready for an algorithmic colleague?","authors":"Roy William Walker","doi":"10.1177/17504589261476383","DOIUrl":"https://doi.org/10.1177/17504589261476383","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":"36 10","pages":"531-532"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991640","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":"Perioperative efficiency of sugammadex following minimally invasive gastric sleeve surgery: A superiority trial.","authors":"Mawadah Samad, Macey Sutherland, Donald Ganier, David Broussard, Joseph Koveleskie, Vaughn E Nossaman, Bobby D Nossaman","doi":"10.1177/17504589241267859","DOIUrl":"10.1177/17504589241267859","url":null,"abstract":"<p><strong>Background: </strong>Studies have proposed that the routine use of sugammadex could provide perioperative time savings and a reduction in the incidence of postoperative nausea and vomiting. The purpose of this study was to test the effectiveness of sugammadex on perioperative times and on the incidences of adverse events when compared with the active control, neostigmine, for minimally invasive gastric sleeve surgery.</p><p><strong>Methods: </strong>Following institutional review board approval, patient characteristics, type of primary neuromuscular blocking reversal agents, operating room discharge times, post-anaesthesia care unit recovery times, and incidences of and treatment for postoperative nausea and vomiting and orotracheal reintubation were the measures of interest. Superiority testing determined the between-group means differences of the reversal agents on the two perioperative time periods of interest.</p><p><strong>Results: </strong>Superiority testing demonstrated no improvement of the two perioperative times with sugammadex. There was no clinical difference in the incidence of postoperative nausea and vomiting or in the number of antiemetic doses received in the post-anaesthesia care unit between the two groups. Finally, the two orotracheal reintubations in the post-anaesthesia care unit were in the sugammadex administered group.</p><p><strong>Conclusion: </strong>These results with sugammadex provide no perioperative time savings or reduce the incidence and treatment for postoperative nausea and vomiting in the post-anaesthesia care unit when compared with neostigmine.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"596-602"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917536","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":"Laryngeal Mask Airway Protector™ in obese patients for laparoscopic cholecystectomies: A case series.","authors":"Vinisha Rv, Anisha Pauline Paul, Aruna Parameswari, Mahesh Vakamudi, Akilandeswari Manickam","doi":"10.1177/17504589251412252","DOIUrl":"10.1177/17504589251412252","url":null,"abstract":"<p><p>The development of second-generation supraglottic airway devices in clinical practice has led to a progressively growing trend wherein supraglottic airway devices are favoured instead of tracheal intubation for airway management in laparoscopic surgeries. The clinical advantages of two large-volume gastric drainage channels to prevent aspiration and an integrated cuff pressure indicator called the Cuff pilot™ for application of higher respiratory pressure have resulted in the Laryngeal Mask Airway Protector™ rising in popularity. There are limited studies for the use of this device in obese patients. We describe our initial experiences with the use of the Laryngeal Mask Airway Protector in ten obese patients undergoing laparoscopic cholecystectomies at a tertiary care centre in India. In all patients, we found the Laryngeal Mask Airway Protector to have good first-attempt successful device placement, higher oropharyngeal leak or sealing pressures, adequate ventilation, excellent fibreoptic glottic views, and improved gastric drainage. This case series demonstrates that the Laryngeal Mask Airway Protector may be a safe and acceptable alternative for moderately obese patients when used by a clinically experienced anaesthetist.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"603-608"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107649","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":"When the tourniquet tightens: A case series of haemodynamic complications in orthopaedic surgery.","authors":"Shibani Padhy, Akhya K Kar, G Poojitha Reddy","doi":"10.1177/17504589261485203","DOIUrl":"https://doi.org/10.1177/17504589261485203","url":null,"abstract":"<p><p>Pneumatic tourniquets are widely used in orthopaedic surgery to provide a bloodless operative field and limit blood loss. Although regarded as safe, their use is associated with physiological and clinical complications that may occasionally be severe. We conducted a retrospective review of prospectively collected data over a 5-year period for adverse haemodynamic events during tourniquet use. Five patients (approximate incidence of 0.25%) developed significant haemodynamic complications with tourniquet in situ. The reported complications included acute haemodynamic instability at the time of inflation and deflation, persistent bleeding despite tourniquet application, venous oozing from partial deflation, fat embolism syndrome, and delayed hypotension following release in revision arthroplasty. All patients improved with appropriate supportive management and recovered without long-term sequelae. Awareness of the risks of tourniquet use, with vigilant monitoring, and timely management are essential for patient safety. This series adds to the limited literature on tourniquet-related haemodynamic complications and underlines the importance of careful perioperative vigilance.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261485203"},"PeriodicalIF":0.9,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041217","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":"Effectiveness of a Nurse-led Thoracolumbar Surgery Care Package on quality of life and clinical outcomes: A randomised controlled trial.","authors":"Jaspreet Kaur, Monaliza, Manju Dhandapani, Vishal Kumar, Navneet Singla","doi":"10.1177/17504589261479082","DOIUrl":"https://doi.org/10.1177/17504589261479082","url":null,"abstract":"<p><strong>Background: </strong>Evidence on nurse-led perioperative interventions for patients undergoing thoracolumbar surgery remains limited. This study evaluated the effectiveness of a Nurse-Led Thoracolumbar Surgery Care Package on quality of life and clinical outcomes.</p><p><strong>Methods: </strong>A randomised controlled trial was conducted among 100 patients undergoing thoracolumbar surgery. After informed consent was obtained, participants were allocated to an experimental group receiving the care package plus routine care or a control group receiving routine care alone. Pain, neurological status, functional independence, and quality of life were assessed.</p><p><strong>Results: </strong>Back pain scores declined in both groups, with greater improvement in the experimental group. Neurological status and functional independence improved in both groups. Physical quality-of-life scores were higher in the experimental group.</p><p><strong>Conclusion: </strong>The Nurse-Led Thoracolumbar Surgery Care Package reduced postoperative back pain and improved physical quality of life. Structured nurse-led interventions focused on holistic care enhance postoperative recovery following thoracolumbar surgery.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261479082"},"PeriodicalIF":0.9,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031562","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":"Clearing the air on surgical smoke: Why National Health Service trusts must act.","authors":"Daniel Rodger","doi":"10.1177/17504589251390745","DOIUrl":"10.1177/17504589251390745","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"461-463"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460173","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":"Early and ultra-early mobilisation following elective hip and knee arthroplasty: Benefits, barriers, and safety considerations.","authors":"Jason Thomas, Nikhil Agarwal, Paul Gaston","doi":"10.1177/17504589251412244","DOIUrl":"10.1177/17504589251412244","url":null,"abstract":"<p><strong>Background: </strong>Hip and knee arthroplasty are amongst the most performed elective orthopaedic surgeries. Enhanced recovery after surgery is a vital practice in orthopaedic surgery, of which early mobilisation is a key component. As these protocols become more refined with evolving evidence, they advocate for ultra-early mobilisation, defined here as ambulation within 12 h following surgery, or Day 0 postoperatively.</p><p><strong>Aim: </strong>This scoping review collates the available evidence on early and ultra-early mobilisation after hip and knee arthroplasty, highlighting perioperative benefits, barriers to implementation, clinical outcomes, and safety considerations. The secondary aim was to investigate the additional benefit to ultra-early mobilisation compared with early mobilisation.</p><p><strong>Findings: </strong>Evidence from available publications suggests that ultra-early mobilisation is a superior method of rehabilitation compared with early and standard mobilisation protocols. Ultra-early mobilisation distinctly leads to a reduction in length of hospital stays without increasing adverse events. Limitations to conducting these protocols have been identified, including staffing availability, orthostatic hypotension, inefficient analgesia, and operative scheduling.</p><p><strong>Conclusion: </strong>Ultra-early mobilisation appears feasible, safe, and worth implementing into clinical practice. Future research should consider standardising definitions, evaluating patient-reported outcomes for ultra-early versus early comparison, and exploring incorporation of ultra-early protocols into ERAS pathways.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"504-510"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198144","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}