{"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":"<p><p>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.</p>","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}
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Material and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}
{"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":"<p><p>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.</p>","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}
Andrew Attard Montalto, Stephanie Mifsud, Justin Deguara, Petramay Attard Cortis
{"title":"Perceived authority gradients among anaesthetic teams in Malta.","authors":"Andrew Attard Montalto, Stephanie Mifsud, Justin Deguara, Petramay Attard Cortis","doi":"10.1177/17504589241232509","DOIUrl":"10.1177/17504589241232509","url":null,"abstract":"<p><p>Over the decades, cases like those of Elaine Bromiley, who passed away after a 'cannot intubate, cannot ventilate' scenario, have prompted deeper analyses of team dynamics and authority gradients. It is thought that a steep authority gradient may have impeded lifesaving communication between members of the anaesthetic team, leading to her death. Using an online questionnaire, we carried out a cross-sectional observational study exploring the perceived authority gradients within anaesthetic teams in the main operating theatres at Mater Dei Hospital, Malta. Nurses were found to experience a steeper authority gradient than anaesthetists. They were less comfortable making suggestions to and also felt like the suggestions they made were less listened to by lead anaesthetists. To a lesser extent, females also experienced a steeper authority gradient. Increasing age and grade were associated with a flatter authority gradient. Further research needs to be carried out to identify the underlying reasons behind the steeper perceived authority gradient affecting nurses. Interventions are being planned to attempt to decrease the perceived authority gradient.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"216-225"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865943","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}
Jeomin Kang, Songyi Lee, Jueun Jung, Yiseul Sim, Yoojin Lee, Boyoung Park, Kyungja Kim
{"title":"A survey on factors distracting operating theatre staff during surgery in Korea.","authors":"Jeomin Kang, Songyi Lee, Jueun Jung, Yiseul Sim, Yoojin Lee, Boyoung Park, Kyungja Kim","doi":"10.1177/17504589251340153","DOIUrl":"https://doi.org/10.1177/17504589251340153","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify disruptions perceived by operating theatre staff to improve concentration, patient safety and quality of care.</p><p><strong>Methods: </strong>A survey of 156 medical staff at a tertiary hospital in Seoul analysed disruptions using the chi-square (χ<sup>2</sup>) test according to participant characteristics.</p><p><strong>Findings: </strong>Equipment issues were the most disruptive, with 91.7% reporting 'equipment availability'. Frequently experienced factors included 'surgery-related discussions' and 'operating theatre temperature'. The 'absence of the surgical team' was rated the most disruptive (90.4%) and the most negatively impactful (93.6%).</p><p><strong>Conclusions: </strong>The most disruptive factor perceived by the operating theatre staff was equipment issues, emphasising the need for strategies to minimise disruptions. Addressing these issues is crucial to improving operating theatre efficiency, patient safety and quality of care.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251340153"},"PeriodicalIF":1.2,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192361","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":"Anaesthesia mumps - the unseen puffy problem: A case report.","authors":"Yaal Elango, Ramya Natarajan","doi":"10.1177/17504589251343722","DOIUrl":"https://doi.org/10.1177/17504589251343722","url":null,"abstract":"<p><strong>Background: </strong>Acute postoperative sialadenitis, often referred to as 'anaesthesia mumps', is a rare and transient condition that may occur following surgery. While it is generally benign, the anaesthetist must be aware of this rare possibility when a postoperative patient presents with swelling of the parotid glands.</p><p><strong>Case presentation: </strong>We report the case of a 59-year-old female patient who underwent a staging laparotomy with combined general and epidural anaesthesia. In the postoperative period, she developed an acute onset swelling of the bilateral parotid glands, which subsequently resolved without any complications.</p><p><strong>Conclusion: </strong>This case report highlights the importance of considering anaesthesia mumps in the differential diagnosis of postoperative parotid swelling. It further explores potential risk factors associated with this condition and discusses relevant prevention strategies and management approaches.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251343722"},"PeriodicalIF":1.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143754","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 anaesthetic management of an elderly high-risk male with cardiac ochronosis undergoing aortic valve replacement with coronary artery bypass graft: A case report.","authors":"Nareshkumar Thiruvenkitasamy, Siddharth Manimozhi","doi":"10.1177/17504589241268633","DOIUrl":"10.1177/17504589241268633","url":null,"abstract":"<p><p>Alkaptonuria is a rare autosomal recessive congenital disorder of metabolism that affects 1 in 250,000 live births. It manifests as ochronosis and degenerative arthritis due to the accumulation of homogentistic acid in cartilage and heart valves along with precipitation of renal, salivary, pancreatic and gall bladder calculi. It is noted to cause cardiac valve stenosis and regurgitation secondary to calcification leading to cardiac failure in 10% of patients. Through this report, we present a successful perioperative anaesthetic management of a 74-year-old man with cardiac ochronosis, who underwent an aortic valve replacement with coronary artery bypass graft surgery at our centre.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"163-166"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917535","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":"Implementation of research, education and leadership placements into Operating Department Practitioner training: A 4-pillar practice-based learning approach.","authors":"Victoria Cadman, Helen Batty, Jennifer Law","doi":"10.1177/17504589241276743","DOIUrl":"10.1177/17504589241276743","url":null,"abstract":"<p><p>Practice-based learning has traditionally focused on clinical practice in pre-registration courses. However, recent national strategies emphasise the importance of incorporation of all four pillars, clinical, education, leadership and research, into practice-based learning (placements). This article details the introduction of practice-based learning in research, education and leadership alongside clinical placements for BSc Operating Department Practice students at Sheffield Hallam University. It provides insights into the benefits of this approach, outlines the components of each placement with examples of completed projects, shares feedback from students and practice partners and addresses challenges. The authors advocate for adoption of this approach across all pre-registration Operating Department Practice courses, to ensure a workforce capable of meeting evolving health care needs and driving the Operating Department Practice profession forwards.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"183-188"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476540","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}
Taha Ashraf Qureshi, Muzima Jeelani, Mohammad Naveed, Arifa Ameen, Afaq Jalali, Hadeeqa Aejaz, Tabasum Shafi, Ayaz Gull
{"title":"Skin testing - A valued tool for assessing adverse reactions to anaesthetic agents in patients allergic to multiple drugs: A case report from a secondary-level hospital.","authors":"Taha Ashraf Qureshi, Muzima Jeelani, Mohammad Naveed, Arifa Ameen, Afaq Jalali, Hadeeqa Aejaz, Tabasum Shafi, Ayaz Gull","doi":"10.1177/17504589241299632","DOIUrl":"10.1177/17504589241299632","url":null,"abstract":"<p><p>Patients with allergy to multiple drugs who have experienced anaphylaxis multiple times present a significant challenge in perioperative management. This report presents a 27-year-old female patient diagnosed with cholelithiasis scheduled for cholecystectomy. The patient has a history of adverse reaction to multiple drugs, including Amoxicillin/Clavulanic acid, Cefpodoxime, Levofloxacin and two additional drugs (one analgesic and the other multivitamin) each resulting in symptoms suggestive of anaphylaxis on separate occasions. However, the patient has demonstrated tolerance to Amikacin and Paracetamol on several occasions. Given the patient's drug hypersensitivity state, the patient's anaesthetist sought clearance for use of anaesthetic drugs and disinfectants prior to surgery. Comprehensive skin testing was conducted for the same, and all drugs tested negative. The outcomes of this testing guided the selection of anaesthesia agents, ensuring safe perioperative care. Subsequently, surgery was performed, using Succinylcholine, Propofol, Rocuronium, Atropine and Neostigmine for general anaesthesia and Chlorhexidine for disinfection, and the postoperative period was uneventful. This case highlights the significance of preoperative assessment and drug testing in patients with a history of drug allergies or anaphylaxis to multiple drugs, to prevent any perioperative complications.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"167-170"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645077","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":"Refining perioperative care: From evidence to practice.","authors":"Antonia Gerontati","doi":"10.1177/17504589251330112","DOIUrl":"10.1177/17504589251330112","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"155"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701703","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}