Journal of perioperative practice最新文献_第2页

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

IF 1.2

Journal of perioperative practice Pub 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":"https://doi.org/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":"17504589241287513"},"PeriodicalIF":1.2,"publicationDate":"2025-06-14","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

The holistic care of a patient undergoing lower limb amputation: A case study. 一例下肢截肢病人的整体护理：个案研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-13 DOI: 10.1177/17504589251330440

Taylah Natasha Berry

引用次数: 0

Green artificial intelligence: Pioneering sustainable innovation in health technologies. 绿色人工智能：引领健康技术的可持续创新。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-13 DOI: 10.1177/17504589251346638

Valentina Bellini, Elena Bignami

引用次数: 0

Artificial intelligence in perioperative medicine education: A feasibility test of case-based learning. 人工智能在围手术期医学教育中的应用：基于案例学习的可行性检验。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-13 DOI: 10.1177/17504589251346634

Timothy Trewren, Nicholas Fitzgerald, Sarah Jaensch, Olivia Nguyen, Alexander Tsymbal, Christina Gao, Brandon Stretton, Stewart Anderson, D-Yin Lin, Dario Winterton, Galina Gheihman, Guy Ludbrook, Kelly Bratkovic, Stephen Bacchi

{"title":"Artificial intelligence in perioperative medicine education: A feasibility test of case-based learning.","authors":"Timothy Trewren, Nicholas Fitzgerald, Sarah Jaensch, Olivia Nguyen, Alexander Tsymbal, Christina Gao, Brandon Stretton, Stewart Anderson, D-Yin Lin, Dario Winterton, Galina Gheihman, Guy Ludbrook, Kelly Bratkovic, Stephen Bacchi","doi":"10.1177/17504589251346634","DOIUrl":"https://doi.org/10.1177/17504589251346634","url":null,"abstract":"The use of artificial intelligence in medicine is rapidly expanding. Large language models, such as ChatGPT, have the potential to enhance perioperative medicine through education and clinical practice. However, concerns remain regarding the accuracy of these models, particularly the risk of hallucinations, generating factually incorrect outputs. This feasibility test explores the use of a large language model-enabled platform to assist in case-based education in perioperative clinical cases.Methods: Five perioperative cases addressing core topics were developed and uploaded to a custom large language model platform. The large language model platform allows free-text questions to be asked to the artificial intelligence, which then uses the derived cases to provide answers. Anaesthetic trainees engaged with the artificial intelligence, asking questions to obtain information regarding history, examination, and investigations. Artificial intelligence question-and-answer pairs were then evaluated independently in duplicate for the presence of inappropriate responses, including hallucinations.Results: The large language model responded appropriately to nearly all questions, with no hallucinations observed. The proportion of questions that were answered appropriately was 99.3% (543/547). In the four instances of inappropriate responses, the large language model declined to provide information in the case description rather than hallucinate.Conclusion: The large language model appears capable of supporting the delivery of case-based perioperative medicine content with a high degree of accuracy.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251346634"},"PeriodicalIF":1.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286655","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

Paediatric perioperative care: Priority to publish. 儿科围手术期护理：优先发表。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub Date: 2025-05-21 DOI: 10.1177/17504589251335222

Carolina Britton

引用次数: 0

Preoperative nebulised lidocaine for children with mild symptoms of upper respiratory tract infections: A randomised controlled trial. 术前雾化利多卡因治疗上呼吸道感染轻度症状患儿：一项随机对照试验

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub Date: 2024-09-18 DOI: 10.1177/17504589241276651

Anouar Jarraya, Manel Kammoun, Olfa Cherif, Jaouhar Khcherem, Amir Abdelhedi, Riadh Mhiri

{"title":"Preoperative nebulised lidocaine for children with mild symptoms of upper respiratory tract infections: A randomised controlled trial.","authors":"Anouar Jarraya, Manel Kammoun, Olfa Cherif, Jaouhar Khcherem, Amir Abdelhedi, Riadh Mhiri","doi":"10.1177/17504589241276651","DOIUrl":"10.1177/17504589241276651","url":null,"abstract":"Nebulised lidocaine was previously used in infants and children undergoing flexible bronchoscopy and was safe and beneficial. The aim of this randomised controlled trial was to assess the impact of preoperative nebulised lidocaine on the incidence of perioperative respiratory adverse events in children aged one to five years proposed for ilioinguinal ambulatory surgery while having mild symptoms of upper respiratory tract infection. Patients were randomly allocated to one of the two groups of the study: Group L (lidocaine) received 4 mg/kg of nebulised lidocaine 2% (0.2 ml/kg), and Group P (placebo) received 0.2 ml/kg of normal saline nebulisation, 30 minutes before anaesthesia. Nebulised lidocaine reduced the risk of bronchospasm, with p = 0.003 and a risk ratio (RR) = 0.326 [0.140-0.760], and prolonged oxygen support postoperatively, with p = 0.004 and RR = 0.222 [0.067-0.732]. It also reduced the risk of hospitalisation, with p = 0.001 and RR = 0.138 [0.033-0.577]. No side effects for nebulised lidocaine 2% were noted. Preoperative nebulised lidocaine seems to be a safe and efficient premedication for children with upper respiratory tract infections.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":"35 6","pages":"278-284"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112052","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 pathways for children with neurodevelopmental conditions and behaviours that challenge: An evaluation of parent experiences for service improvement. 神经发育障碍和行为障碍儿童的围手术期路径：评估家长经验，改善服务。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub Date: 2024-08-06 DOI: 10.1177/17504589241253487

Natalie Ong, Hema Ahuja, Jonathan de Lima, Gail Tomsic, Pankaj Garg, Natalie Silove, Bobbi Henao Urrego, Andrew Weatherall

{"title":"Perioperative pathways for children with neurodevelopmental conditions and behaviours that challenge: An evaluation of parent experiences for service improvement.","authors":"Natalie Ong, Hema Ahuja, Jonathan de Lima, Gail Tomsic, Pankaj Garg, Natalie Silove, Bobbi Henao Urrego, Andrew Weatherall","doi":"10.1177/17504589241253487","DOIUrl":"10.1177/17504589241253487","url":null,"abstract":"Previous research shows that children and young people with neurodevelopmental conditions experience greater challenges accessing care in hospitals and having their health needs met.Aim: To elicit experiences of parents of children with neurodevelopmental conditions using a new perioperative pathway.Method: Parents of children accessing an adapted perioperative clinical pathway in a tertiary children's hospital between July 2019 and December 2020 were invited to participate. A mixed method study was conducted comprising a short survey questionnaire followed by telephonic interviews.Results: From 67 postal surveys sent out, 20 were completed. Six out of 20 parents participated in phone interviews and one parent submitted written prose. Parents were positive about their experiences. Six themes emerged: Negative past experiences (highlighting the need for adapted perioperative pathways); Reasonable adjustments (improving child and parent's hospital journey); Facilitating communication, convenience and collaboration; Parent's satisfaction and relief; Barriers to overcome and Areas in need of improvement were discussed.Conclusion: Parents of children with neurodevelopmental conditions report great satisfaction and relief from their experiences of a more efficient, streamlined and stress-free way for their child to have tests or procedures done. Parents report improved communication, convenience and collaboration with staff resulted in timely, safe and high-quality care.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"258-268"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898530","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

Making the case for service user involvement in the operating department practice curriculum: A discussion paper. 让服务使用者参与营运部门实务课程：讨论文件。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub 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":"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":"244-248"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711522","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

The enhanced recovery after surgery protocol in paediatric surgery: The analysis of the protocol principles based on a survey among Polish clinical centres. 加强儿科手术后恢复方案：基于波兰临床中心调查的方案原则分析。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub Date: 2024-09-18 DOI: 10.1177/17504589241277001

Michal Jerzy Pasierbek, Anna Modrzyk, Wojciech Korlacki

{"title":"The enhanced recovery after surgery protocol in paediatric surgery: The analysis of the protocol principles based on a survey among Polish clinical centres.","authors":"Michal Jerzy Pasierbek, Anna Modrzyk, Wojciech Korlacki","doi":"10.1177/17504589241277001","DOIUrl":"10.1177/17504589241277001","url":null,"abstract":"Introduction: The enhanced recovery after surgery (ERAS) protocol is a complex set of measures that improves patient outcomes in the adult population. The main goal of the protocol is to sustain homeostasis by mitigating the metabolic stress induced by surgical procedures. Hence, the search for similar solutions in paediatric patients since the benefits in the paediatric population are less well known.Material and methods: The principles of the ERAS protocol were presented. A questionnaire survey was prepared to assess the preparation for the implementation of ERAS in paediatric surgery departments. Heads of all 19 clinical centres from Poland providing colorectal surgery in children were invited to participate. Seven centres responded to the survey. The questionnaire included four general questions related to the familiarity with ERAS and specific questions about the implementation of the 23-item protocol.Results: Five centres confirmed familiarity with the principles of the protocol and two of them confirmed the use of ERAS. The lowest number of implemented procedures was six, while the highest number was 18 out of 23. No centre implemented the zero fluid balance strategy. However, as many as five of the seven centres avoided preoperative fasting, three centres avoided mechanical bowel preparation, and three respondents used early oral nutrition in the postoperative period.Conclusions: The ERAS protocol is commonly used and accepted worldwide. Other surgical teams may use the information contained in the manuscript to create or improve their ERAS protocol.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":"35 6","pages":"269-277"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112055","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 examination of the literature surrounding leadership and change management to implement a Golden Theatre Initiative: Reducing inefficiencies within a neurosurgical operating department. 研究有关领导力和变革管理的文献，以实施 "黄金剧院计划"：降低神经外科手术部门的低效率。

IF 1.2

Journal of perioperative practice Pub Date : 2025-06-01 Epub Date: 2024-09-20 DOI: 10.1177/17504589241276643

Helen Louise Fowler

{"title":"An examination of the literature surrounding leadership and change management to implement a Golden Theatre Initiative: Reducing inefficiencies within a neurosurgical operating department.","authors":"Helen Louise Fowler","doi":"10.1177/17504589241276643","DOIUrl":"10.1177/17504589241276643","url":null,"abstract":"Following the COVID-19 pandemic, National Health Service trusts nationwide are faced with a significant backlog of patients to clear, furthering the strain on the National Health Service. In an era where sustainability and efficient management of National Health Services is of paramount importance, the introduction of a Golden Theatre Initiative could alleviate day-to-day pressures and assist in the smooth running of a modern-day theatre department. Preoperative burdens on patients can be both physical and psychological, resulting in fears and anxiety surrounding the unknown. It is not uncommon for elective procedures to be cancelled last minute due to pressures; however, this can hugely impact the willingness of a patient to comply in the future, with a potential adverse effect on their health. Cost-effectiveness, reduction on waiting lists and overall negative patient impact, in addition to an improvement on first case start times following the introduction of the Golden Patient Initiative, have been observed nationally. It is believed with the introduction of a Golden Theatre Initiative; these improvements could greatly change the current running of elective waiting lists nationally.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"234-243"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297167","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