{"title":"Do the current continuous professional development approaches for registered nurses and operating department practitioners within perioperative care meet their learning needs?","authors":"Teopista Namubiru Ssemakula","doi":"10.1177/17504589251316391","DOIUrl":"https://doi.org/10.1177/17504589251316391","url":null,"abstract":"<p><p>In the highly specialised and rapidly evolving field of perioperative care, continuous professional development is essential for maintaining the competencies of healthcare professionals, directly impacting patient safety and the quality of care. This project aimed to assess the effectiveness of current continuous professional development approaches in meeting the learning needs of registered nurses and operating department practitioners within perioperative care in a United Kingdom National Health Service Trust hospital. A comprehensive self-assessment strategy was intended to evaluate the condition of current continuous professional development approaches, identify areas for improvement, and explore innovative uptake for improvement. Using a mixed-methods design, data were collected via an online survey of 76 participants. The data demonstrated significant knowledge, skill, and competency deficiencies, revealing that many current continuous professional development approaches lacked accessibility and relevance. This study may provide valuable insights for refining continuous professional development programmes to meet evolving learning needs better and improve patient outcomes.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251316391"},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415417","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":"Language-specific approaches to reduce perioperative stress and anxiety related to anaesthesia for patients with limited English proficiency: A narrative review.","authors":"Kanwarpreet Kaur Dhaliwal, Sherry Sandhu, Nitasha Puri, Amolpreet Toor","doi":"10.1177/17504589251316744","DOIUrl":"https://doi.org/10.1177/17504589251316744","url":null,"abstract":"<p><p>Many patients experience perioperative anxiety due to a variety of different reasons. Essential processes of shared decision-making and informed consent may help to mitigate anxiety, yet language barriers may hinder this particularly in diverse patient populations. As such, language-specific approaches in anaesthesia care play a crucial role in reducing perioperative stress and anxiety among patients with limited English proficiency. This review examines which methods during anaesthetic assessments and shared decision-making processes enable anaesthetists to communicate effectively with patients who have limited English proficiency and thereby reduce perioperative stress. Findings suggest that collaborating with patients in their native language significantly reduces anxiety and improves understanding, while transcreation - culturally adapted translation - enhances the effectiveness of communication. To decrease perioperative anxiety among populations with limited English proficiency and improve surgical outcomes, it is important to enhance anaesthesia-focused training for interpreters, increase diversity in the anaesthesia field, and develop culturally relevant patient education materials.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251316744"},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415418","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}
Mohamed Askar, Yasmine Zedan, Owain Davies, Alun John
{"title":"Risk factors of blood transfusion following primary total hip replacement.","authors":"Mohamed Askar, Yasmine Zedan, Owain Davies, Alun John","doi":"10.1177/17504589251317325","DOIUrl":"https://doi.org/10.1177/17504589251317325","url":null,"abstract":"<p><strong>Background: </strong>Total hip replacement is a quality of life-enhancing procedure. Postoperative blood transfusion is a risk factor compromising the outcome of total hip replacement and increasing the risk of deep infection. The aim of this study is to determine the risk factors for postoperative blood transfusion after total hip replacement.</p><p><strong>Methods: </strong>In this retrospective study, 3901 patients underwent primary total hip replacement, in the period between January 2015 and December 2023. The mean age of the participants was 67.3 (SD: 12.6) years, and 61% of them were females. Participants were divided into 'transfusion' and 'non-transfusion' groups.</p><p><strong>Results: </strong>Forty-two patients (1.1%) received blood transfusion after total hip replacement. In a multivariable logistic regression analysis, preoperative haemoglobin was the only independent risk factor that reduced the odds of postoperative transfusion by 0.3 (95% confidence interval: 0.23-0.39) for every 1 g/dL increase.</p><p><strong>Conclusion: </strong>Postoperative blood transfusion is a rare, yet potentially serious, occurrence after total hip replacement. In this study, preoperative haemoglobin level was the only independent risk factor associated with postoperative transfusion. We recommend aiming to achieve minimum preoperative haemoglobin level of 13 g/dL to minimise the risk of postoperative transfusion.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251317325"},"PeriodicalIF":1.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415419","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}
Cheila Batista, Joana Correia Brandão, Sofia Valente, Alexandra Guedes
{"title":"Perioperative hiccup mystery: A comprehensive case report.","authors":"Cheila Batista, Joana Correia Brandão, Sofia Valente, Alexandra Guedes","doi":"10.1177/17504589251318121","DOIUrl":"https://doi.org/10.1177/17504589251318121","url":null,"abstract":"<p><p>Persistent hiccups in the perioperative setting, although uncommon, can substantially impact a patient's wellbeing and recovery after surgery. We present a case of a 51-year-old male who developed persistent hiccups during total knee replacement surgery under neuraxial anaesthesia. The hiccups persisted postoperatively, leading to multidisciplinary interventions, including the introduction of central-acting muscle relaxant, baclofen. This case highlights the complexity of managing persistent hiccups in the perioperative period, where both aetiology and treatment are multifactorial, emphasising the need for further research in this field.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251318121"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383466","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}
Ameer Nsair, Michael Mullerad, Oleg Goldin, Gilad E Amiel, Michael Reumi, Kamil Malshy, Azik Hoffman
{"title":"Risk factors for urinary septic shock following ureteroscopy for stone disease.","authors":"Ameer Nsair, Michael Mullerad, Oleg Goldin, Gilad E Amiel, Michael Reumi, Kamil Malshy, Azik Hoffman","doi":"10.1177/17504589251318120","DOIUrl":"https://doi.org/10.1177/17504589251318120","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to identify risk factors associated with urinary septic shock following ureteroscopy.</p><p><strong>Methods: </strong>A retrospective review was conducted on patients who underwent ureteroscopy between 2010 and 2021. Data collected included demographics and preoperative variables. Septic shock was defined as the need for vasopressors for sepsis. A comparison was made between patients who developed septic shock and a randomly selected control group (N = 115). Multivariate logistic regression was used to identify independent risk factors.</p><p><strong>Results: </strong>Of 5000 ureteroscopy procedures, 20 cases of septic shock were identified. These patients were older, had a higher median body mass index, more hypertension, higher preoperative urinary drainage, longer drainage duration and positive preoperative urine cultures. On multivariate analysis, age over 55 years, body mass index above 26 and positive preoperative urine culture were significant predictors of septic shock.</p><p><strong>Conclusion: </strong>Consistent with findings reported in previous studies, older age, higher body mass index and positive preoperative urine cultures are key risk factors for postureteroscopy septic shock. Enhanced safety measures are essential for high-risk patients.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251318120"},"PeriodicalIF":1.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383469","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}
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}