Journal of perioperative practice最新文献_第4页

Clearing the air on surgical smoke: Why National Health Service trusts must act. 清理手术烟雾：为什么国民健康服务信托必须采取行动。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-06 DOI: 10.1177/17504589251390745

Daniel Rodger

引用次数: 0

Early and ultra-early mobilisation following elective hip and knee arthroplasty: Benefits, barriers, and safety considerations. 择期髋关节和膝关节置换术后的早期和超早期活动：益处、障碍和安全考虑。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2026-02-14 DOI: 10.1177/17504589251412244

Jason Thomas, Nikhil Agarwal, Paul Gaston

{"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":"Background: 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.Aim: 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.Findings: 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.Conclusion: 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.","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}

引用次数: 0

Preoperative anxiety in the paediatric population in a tertiary hospital: A descriptive cross-sectional study. 一家三级医院儿科患者的术前焦虑：一项描述性横断面研究。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2024-05-08 DOI: 10.1177/17504589241239196

Adriana Carbó, Laura Michavila, Bibiana Ros, Daniel Tresandi, Carlos Ramirez-Paesano, Purificación Matute, Enrique Carrero

{"title":"Preoperative anxiety in the paediatric population in a tertiary hospital: A descriptive cross-sectional study.","authors":"Adriana Carbó, Laura Michavila, Bibiana Ros, Daniel Tresandi, Carlos Ramirez-Paesano, Purificación Matute, Enrique Carrero","doi":"10.1177/17504589241239196","DOIUrl":"10.1177/17504589241239196","url":null,"abstract":"Aim: To analyse preoperative paediatric anxiety in a tertiary hospital and influencing factors.Design and methods: This study was designed as a descriptive cross-sectional study. One hundred patients between two and 12 years old who underwent elective surgical intervention were included. All patients received oral or written information about the anaesthetic-surgical process and waited in a playroom before surgery. Preoperative paediatric anxiety was assessed using the modified Yale Preoperative Anxiety Scale and its short form. Collaboration during anaesthesia induction was evaluated using the Induction Compliance Checklist and postoperative pain evaluated using Wong-Baker Scale. We performed a descriptive and comparative analysis of the results overall.Results: We found a high incidence of preoperative anxiety, especially during anaesthetic induction. Children aged two to five years, female sex and otorhinolaryngology surgery were associated with a higher incidence of preoperative anxiety.Conclusions: Providing oral and written information and waiting in the playing room before surgery are insufficient measures to prevent preoperative paediatric anxiety.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"518-528"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877475","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

Addressing the gap in perioperative AKI risk identification: A two-phase project of a renal risk-stratification tool implementation. 解决围手术期AKI风险识别的差距：肾脏风险分层工具实施的两阶段项目。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1177/17504589251390746

Reed S Halterman, Shannon Broxton, Taylor Folkard, Kylie Guy, Lauren Ruth, Christine Sosebee, Akbar Herekar

引用次数: 0

Effectiveness of demonstration on surgical safety knowledge and skills among operating theatre practitioners at AIIMS Bhopal. 印度博帕尔医学院手术室从业人员手术安全知识和技能示范的有效性。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-18 DOI: 10.1177/17504589251388274

Sandhya Kumari Sinha, R Velmurugan, A P Kumarasamy

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Early detection of Ogilvie syndrome as the key to successful postoperative management: A case report. 早期发现奥吉维综合征是术后成功治疗的关键：1例报告。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2026-04-25 DOI: 10.1177/17504589261440440

Joshua Christian Suyanto, Mariza Fitriati

{"title":"Early detection of Ogilvie syndrome as the key to successful postoperative management: A case report.","authors":"Joshua Christian Suyanto, Mariza Fitriati","doi":"10.1177/17504589261440440","DOIUrl":"10.1177/17504589261440440","url":null,"abstract":"Ogilvie syndrome is a rare complication in postoperative patients, including in caesarean section. The syndrome was characterised by gastrointestinal tract obstruction without a precise mechanical cause. The lateness in diagnosis and therapy can cause intestinal perforation, leading to fatalities. This report aims to highlight that early detection and prompt multidisciplinary management are key to preventing severe complications of Ogilvie syndrome in postoperative caesarean section patients. A 35-year-old woman without any previous known medical comorbidities and with a prior caesarean section for undiagnosed placenta percreta was diagnosed with Ogilvie syndrome during the current pregnancy. Postoperatively, the patient indicated severe ileus accompanied by abdominal pain and fever, which did not improve. Within the first 24 h after the indications emerged, an interdisciplinary discussion for diagnostic confirmation was conducted, involving anaesthesia, digestive surgery, and obstetrics. Conservative management, pharmacology, and surgical decompression were performed to manage the complications. With early detection, integrated therapy, and close monitoring, Ogilvie syndrome in this patient was successfully resolved, and severe complications were prevented. The patient was subsequently discharged in stable condition.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"511-517"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783641","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

Risk factors for postoperative acute kidney injury in major non-cardiac surgery: Systematic review with meta-analysis. 重大非心脏手术术后急性肾损伤的危险因素：荟萃分析的系统回顾。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1177/17504589251390407

Deanne Castro-Crisóstomo, José Caballero-Alvarado, Gino Vásquez-Paredes, Alexandra Rodríguez-Angulo, Joaquin Sarmiento-Falen, Carlos Zavaleta-Corvera

{"title":"Risk factors for postoperative acute kidney injury in major non-cardiac surgery: Systematic review with meta-analysis.","authors":"Deanne Castro-Crisóstomo, José Caballero-Alvarado, Gino Vásquez-Paredes, Alexandra Rodríguez-Angulo, Joaquin Sarmiento-Falen, Carlos Zavaleta-Corvera","doi":"10.1177/17504589251390407","DOIUrl":"10.1177/17504589251390407","url":null,"abstract":"Introduction: Identifying risk factors for acute kidney injury (AKI) following major non-cardiac surgery is challenging due to heterogeneous findings and variable relevance across published studies. This complexity hinders the development of a standardised prognostic model.Methods: A systematic review and meta-analysis were conducted based on an extensive literature search (2002-2022) in PubMed, Scopus, Web of Science, Cochrane Central, LILACS, and Dart Europe. Studies were independently screened and selected, with extraction of relevant preoperative and intraoperative variables. Meta-analysis was performed using RevMan 5.4.Results: Out of 533 studies, ten met inclusion criteria. Significant risk factors for postoperative AKI included diabetes mellitus (OR: 1.65, CI: 1.20-2.27), hypertension (OR: 1.86, CI: 1.36-2.54), ACE inhibitors or ARBs use (OR: 1.76, CI: 1.48-2.09), ischaemic heart disease (OR: 1.93, CI: 1.55-2.41), and male sex (OR: 1.28, CI: 1.07-1.53). Protective factors were female sex (OR: 0.72, CI: 0.54-0.96) and higher preoperative haemoglobin (MD: -0.41, CI: -0.52 to -0.30). Trends without statistical significance were noted for older age, low glomerular filtration rate, prolonged operative time, and higher serum creatinine.Conclusions: Comorbidities and certain pharmacological treatments significantly elevate postoperative AKI risk. These findings underscore the need for vigilant preoperative risk stratification.PROSPERO registration:CRD420251111455.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"489-497"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145640512","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

Strengthening perioperative practice. 加强围手术期练习。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2026-08-17 DOI: 10.1177/17504589261466426

Bhuvaneswari Krishnamoorthy

引用次数: 0

Effect of surgical site infection bundles in cardiac surgery: Incidence, microbiology, and risk factors. 心脏外科手术部位感染束的影响：发生率、微生物学和危险因素。

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-10-27 DOI: 10.1177/17504589251377677

Jamal Qaddumi, Sari Taleb Mohammad Abo Hania, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Wesam Taher Almagharbeh, Yahya H Al-Rshoud, Asem Abdalrahim, Mean Aljezawi, Mohammad Suliman, Zaid Al-Amoush

{"title":"Effect of surgical site infection bundles in cardiac surgery: Incidence, microbiology, and risk factors.","authors":"Jamal Qaddumi, Sari Taleb Mohammad Abo Hania, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Wesam Taher Almagharbeh, Yahya H Al-Rshoud, Asem Abdalrahim, Mean Aljezawi, Mohammad Suliman, Zaid Al-Amoush","doi":"10.1177/17504589251377677","DOIUrl":"10.1177/17504589251377677","url":null,"abstract":"Background: Surgical site infections are the second most common type of healthcare-associated infection.Objective: This study aimed to assess the incidence and associated risk factors of surgical site infection after implementing surgical site infection bundles in cardiac surgery.Methods: This study employed a quantitative descriptive methodology, encompassing a retrospective analysis of surgical site infection incidence following cardiac surgeries. It also included a prospective experimental approach to evaluate the effectiveness of surgical site infection bundles compared to routine care, conducted across hospitals in the West Bank. In total, 222 cardiac surgery patients were included in this study.Findings: Among patients undergoing cardiac surgery, 70% underwent coronary artery bypass graft. Furthermore, males were the majority (70.3%), and 45% were either overweight or obese. Hypertension was the higher prevalent chronic disease (72.5%). The incidence rate of surgical site infection was 7.2%. Adherence to the surgical prophylaxis protocol (Bundle) was associated with a reduction in surgical site infection rates, and the incidence of surgical site infection was higher among the conventional group compared with surgical site infection bundle group (10.9% vs. 3.6%). Higher mean level of glucose, high BMI, and having respiratory chronic disease were factors associated with surgical site infection in patients who underwent cardiac surgery.Conclusion: Adherence to the surgical prophylaxis protocol (Bundle) was associated with a reduction in surgical site infection rates.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"466-476"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373166","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

Mini C-Arm: Are the risks truly 'mini' to theatre practitioners? 迷你c型臂：对戏剧从业者来说风险真的“小”吗？

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Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-05 DOI: 10.1177/17504589251388271

Ana C Benítez, Karolina Brook

{"title":"Mini C-Arm: Are the risks truly 'mini' to theatre practitioners?","authors":"Ana C Benítez, Karolina Brook","doi":"10.1177/17504589251388271","DOIUrl":"10.1177/17504589251388271","url":null,"abstract":"The Mini C-Arm device is increasingly being used in orthopaedic and extremity surgeries, due to the understanding that it minimises radiation exposure and scatter radiation when compared to a conventional C-Arm. However, concerns persist when considering occupational exposure to individuals who routinely partake in procedures with this tool. Anaesthesia providers, surgeons, and scrub practitioners, in particular, are often positioned near the Mini C-Arm during these procedures and may be subject to multiple repetitive doses of radiation from a higher volume of cases. Unlike circulating staff that may leave the room or position themselves further from the radiation source, some practitioners often remain near the patient and within the scatter field. This review synthesises the current literature to evaluate the extent of cumulative exposures related to the Mini C-Arm, taking special consideration of anaesthesia providers due to their cumulative exposure, but also applicable to other operating room personnel who are often in close proximity to the tool. Although the Mini C-Arm could offer reductions in direct radiation and scatter, it should not be considered a negligible risk. Appropriate shielding, adherence to safety protocols, ongoing education, and proper use have been shown to reduce occupational exposure to radiation and are essential to protect health care workers from radiation hazards.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"484-488"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453097","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