Journal of perioperative practice最新文献_第4页

Early discharge with elevated C-reactive protein levels is safe after endoscopic-assisted coronary bypass grafting: Optimisation of postoperative care. 内镜辅助冠状动脉搭桥术后c反应蛋白水平升高的早期出院是安全的：优化术后护理。

IF 1.2

Journal of perioperative practice Pub Date : 2025-05-01 Epub Date: 2024-12-18 DOI: 10.1177/17504589241305296

De Qing Görtzen, Fleur Sampon, Naomi Timmermans, Joost Ter Woorst, Ferdi Akca

{"title":"Early discharge with elevated C-reactive protein levels is safe after endoscopic-assisted coronary bypass grafting: Optimisation of postoperative care.","authors":"De Qing Görtzen, Fleur Sampon, Naomi Timmermans, Joost Ter Woorst, Ferdi Akca","doi":"10.1177/17504589241305296","DOIUrl":"10.1177/17504589241305296","url":null,"abstract":"Objective: This study describes the perioperative kinetics of C-reactive protein in patients undergoing endoscopic coronary artery bypass grafting for single target vessel left anterior descending disease, with early postoperative discharge.Methods: From July 2021 to April 2024, patients were included in this single-centre retrospective study (N = 208), excluding C-reactive protein-modulating complications. Perioperative and 14-day follow-up C-reactive protein levels and clinical signs of infections were analysed.Results: After endoscopic coronary artery bypass grafting, the C-reactive protein values on the first postoperative day were 44 [24-65] and 140 [88-200] mg/L at Day 3. Most patients were discharged after 3 days (64.4%), regardless of the level of C-reactive protein, and the majority experienced a return of C-reactive protein levels to baseline during follow-up, 6 [6-15] mg/L. Two patients had an infection requiring intervention and readmission (1.0%).Conclusion: The return of C-reactive protein to baseline levels at follow-up and the low incidence of clinical infections suggest that patients can be discharged safely, and prolonged hospitalisation is unnecessary. For perioperative care practitioners, these findings underscore the value of shorter hospital admissions in optimising resource use and improving patient flow, enhancing both patient outcomes and operational efficiency.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"199-206"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847682","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

Does the experience of the endoscopic vein harvester matter to the quality of the vein conduit: A critical thematic literature review. 内窥镜静脉采集器的经验是否影响静脉导管的质量：重要专题文献综述。

IF 1.2

Journal of perioperative practice Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/17504589241288512

Michael Kay, Youssef Abouelela, Sam Raaj, Bhuvaneswari Krishnamoorthy

{"title":"Does the experience of the endoscopic vein harvester matter to the quality of the vein conduit: A critical thematic literature review.","authors":"Michael Kay, Youssef Abouelela, Sam Raaj, Bhuvaneswari Krishnamoorthy","doi":"10.1177/17504589241288512","DOIUrl":"10.1177/17504589241288512","url":null,"abstract":"Coronary artery bypass graft surgery remains the golden standard surgical option for multiple vessel disease. Harvesting the long saphenous vein using endoscopic vein harvesting requires advanced surgical skills dexterity, but the lack of a national standardised training programme allows for variance in the learning curve and the quality of the vein during the learning cycle is unknown. A search of bibliographic databases: CINHAL Plus, Embase, Pubmed and the Cochrane register for randomised controlled trials identified 11 articles eligible for review. The themes emerging were learning curve-associated injuries to the long saphenous vein, intimal wall remodelling of the long saphenous vein and incidence of graft patency rates. Harvesting practitioners with less than 100 cases of experience inflict more conduit injuries leading to endothelial remodelling and narrowed vein grafts at the six-month point resulting in lumen loss. Practitioners with more than 100 cases demonstrated reduced learning curve-related injuries on the conduit. Adopting a formalised structured training programme such as the Manchester Endoscopic Learning Tool has shown to reduce endothelial injury to the long saphenous vein minimising early vein graft failure during the learning cycle.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"171-182"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476538","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

Academic writing: Key components, structure, and avoiding plagiarism. 学术写作：关键成分、结构和避免抄袭。

IF 1.2

Journal of perioperative practice Pub Date : 2025-05-01 Epub Date: 2025-01-17 DOI: 10.1177/17504589241310405

Carolina Britton

引用次数: 0

Clinical implementation of the Validated Intraoperative Bleeding Scale: Perioperative patient management and effective team communication from the nurses' perspective. 经验证的术中出血量表的临床实施：从护士角度看围手术期患者管理和有效的团队沟通。

IF 1.2

Journal of perioperative practice Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/17504589241287744

Clare Sewell, Becky L Whiteman, Flavia C Morone Pinto, Steve Leung

{"title":"Clinical implementation of the Validated Intraoperative Bleeding Scale: Perioperative patient management and effective team communication from the nurses' perspective.","authors":"Clare Sewell, Becky L Whiteman, Flavia C Morone Pinto, Steve Leung","doi":"10.1177/17504589241287744","DOIUrl":"10.1177/17504589241287744","url":null,"abstract":"Major bleeding represents a critical scenario that can quickly evolve into life threatening, thereby compromising patient safety. A Validated Intraoperative Bleeding Scale called VIBe Scale was introduced and studied as part of a quality improvement initiative. This study evaluated the clinical implementation of the VIBe Scale in perioperative patient management and team communication from the nurses' perspectives. A descriptive study was undertaken, incorporating introductory lecture, simulation of major bleeding event and post-lecture questionnaire with 33 operating room nurses. Despite many participants not previously having experience of the VIBe Scale in practice, over two-thirds reported the scale could improve situational awareness. Furthermore, nearly two-thirds reported they could see the utility of the VIBe Scale as a tool to improve communication. Our study shows that the VIBe Scale is an easily understood concept, has the potential to increase situational awareness and can support team communication around intraoperative bleeding events.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"189-198"},"PeriodicalIF":1.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476536","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

Nociceptive and non-nociceptive pain in critical care patients after cardiac surgery. 心脏手术后危重病人的伤害性和非伤害性疼痛。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-30 DOI: 10.1177/17504589251329284

Yesim Yaman Aktas, Esra Özkan

{"title":"Nociceptive and non-nociceptive pain in critical care patients after cardiac surgery.","authors":"Yesim Yaman Aktas, Esra Özkan","doi":"10.1177/17504589251329284","DOIUrl":"https://doi.org/10.1177/17504589251329284","url":null,"abstract":"Aim: To assess pain intensity during nociceptive (endotracheal suctioning) and non-nociceptive (body temperature measurement) procedures in critically ill patients after cardiac surgery.Methods: A descriptive and cross-sectional design was carried out. The study sample consisted of 60 critically ill patients. The study used the Critical Care Pain Observation Scale, the Behavioural Pain Scale, the Ramsey Sedation Scale and Physiological Parameter Form for data collection. Pain was assessed before, during, and 20 min after endotracheal suctioning and body temperature measurement in the study.Results: The pain scores were found to be statistically significant differences during endotracheal suctioning and body temperature measurement (p < 0.001). Pain scores were found to be higher during endotracheal suctioning, which is a nociceptive procedure (p < 0.05). Systolic and diastolic blood pressure, heart rate scores were also determined to be statistically higher during endotracheal suctioning (p < 0.05).Conclusion: Pain scores and physiological parameters were found to be higher during endotracheal suctioning, a procedure known to be nociceptive. Critical care nurses are recommended to follow pain assessment protocols.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251329284"},"PeriodicalIF":1.2,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000582","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

Operating Department Practitioner's research priorities: A Delphi study. 运营部门从业者的研究重点：德尔菲研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-22 DOI: 10.1177/17504589251330423

Adele Nightingale, Victoria Cadman, Victoria McIntyre, Serene Pachniuk, Harrison Murdoch

{"title":"Operating Department Practitioner's research priorities: A Delphi study.","authors":"Adele Nightingale, Victoria Cadman, Victoria McIntyre, Serene Pachniuk, Harrison Murdoch","doi":"10.1177/17504589251330423","DOIUrl":"https://doi.org/10.1177/17504589251330423","url":null,"abstract":"With the 2022 Allied Health Professions' Research and Innovation Strategy and the College of Operating Department Practitioners joining the Council for Allied Health Professions Research, understanding the Operating Department Practitioner profession's vision for research and innovation and identifying its research priorities has become important. This Delphi study aimed to establish research priorities for the Operating Department Practitioner profession. Questionnaires were distributed to Operating Department Practitioners using College of Operating Department Practitioners and social media networks. Round 1 saw 49 eligible responses; this reduced to 21 in Round 2 and 17 in Round 3. Thirty-one research priorities were identified by consensus. Priority rank was determined by mean score, percentage agreement, and coefficient of variance. By reaching a consensus, Operating Department Practitioners co-created research priorities and identified several themes that will contribute to professional development and patient care and support funding opportunities. The five key themes were Workforce Transformation, Education, Patient Safety and Experience, Innovation and Technology, and Theatre Culture.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589251330423"},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986026","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

Perineural dexamethasone: A bad habit that is hard to break. 神经周围地塞米松：一个很难改掉的坏习惯。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-22 DOI: 10.1177/17504589251335225

Alessandro De Cassai, Serkan Tulgar, Burhan Dost

引用次数: 0

Successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult intubation due to limited mouth opening: A case report. 手术切口及视像喉镜下气管插管成功治疗因开口受限而插管困难患者1例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-08 DOI: 10.1177/17504589241276665

Begüm Nemika Gökdemir, Nedim Çekmen, Ahmet Çağrı Uysal

{"title":"Successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult intubation due to limited mouth opening: A case report.","authors":"Begüm Nemika Gökdemir, Nedim Çekmen, Ahmet Çağrı Uysal","doi":"10.1177/17504589241276665","DOIUrl":"https://doi.org/10.1177/17504589241276665","url":null,"abstract":"Difficult ventilation and intubation in anaesthesia are highly complex and challenging for the anaesthetist. We aim to present a case of successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult ventilation and intubation due to a limited mouth opening. A patient was an 81-year-old female scheduled for oral surgery for lip cancer. The patient's American Society of Anesthesiologists (ASA) physical classification was class III, and the oral airway was assessed as a Mallampati Class IV. A comprehensive preoperative evaluation of the patient revealed limited mouth opening (distance between incisors 1cm) and multiple decayed and broken teeth. A 2cm surgical incision of the skin was performed by plastic surgery under local anaesthesia and sedation without general anaesthesia. A high-flow nasal cannula (HFNO) was used for preoxygenation and to prevent desaturation during a difficult intubation. The oral cavity was topicalised with 2% lidocaine, and after the topical nasal vasoconstrictor to the nasal cavity, we selected a 7.0mm nasal flexible endotracheal tube (ETT). We inserted it into the right nostril with a video laryngoscope under local anaesthesia and sedation without general anaesthesia, and then, the patient's nasotracheal intubation was successfully performed. A multidisciplinary team approach to airway management should include all participants in planned patient care in the operating room, intensive care unit (ICU), post-anaesthesia care unit, or ward.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241276665"},"PeriodicalIF":1.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812666","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

Predictors of paediatric difficult intubation according to the experience of a university hospital in a low- and middle-income country: A prospective observational study. 根据中低收入国家大学医院的经验预测儿科困难插管的因素：前瞻性观察研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-08-09 DOI: 10.1177/17504589241264404

Anouar Jarraya, Manel Kammoun, Hind Ketata, Hasna Bouchaira, Saloua Ammar, Riadh Mhiri

{"title":"Predictors of paediatric difficult intubation according to the experience of a university hospital in a low- and middle-income country: A prospective observational study.","authors":"Anouar Jarraya, Manel Kammoun, Hind Ketata, Hasna Bouchaira, Saloua Ammar, Riadh Mhiri","doi":"10.1177/17504589241264404","DOIUrl":"10.1177/17504589241264404","url":null,"abstract":"Background: Difficult airway management is one of the main challenges in paediatric anaesthesia, particularly in low- and middle-income countries.Aims: The aim of this study was to investigate the main predictors of difficult paediatric intubation.Methods: In this observational study, we included all children aged less than five years undergoing intra-abdominal surgery with endotracheal intubation. Patients were divided into two groups according to the incidence of difficult intubation. Then, we investigated predictors for difficult paediatric intubation.Results: We included 217 children, and difficult intubation was observed in 10% of them. Predictors were as follows: Mallampati III-IV class (adjusted odds ratio = 2.21; 95% confidence interval = 1.1-6.4), limited mouth opening (adjusted odds ratio = 2.4; 95% confidence interval = 1.8-3.5), facial dysmorphia (adjusted odds ratio = 2.6; 95% confidence interval = 1.32-7.4) and anaesthesia without muscle relaxant (adjusted odds ratio = 1.8; 95% confidence interval = 1.0-5.1) or without opioids during crash inductions (adjusted odds ratio = 1.7; 95% confidence interval = 1.01-4.8).Conclusion: Facial dysmorphia and limited mouth opening were predictors of difficult intubation in children. Furthermore, it seems that Mallampati class and anaesthesia technique may also predict challenging intubation, which may guide us to change our perioperative practice.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"136-142"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907836","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

It's all about the visuals. 这都是关于视觉效果。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2025-04-04 DOI: 10.1177/17504589251318505

Jasper Joseph Carag Ballecer

引用次数: 0