Journal of perioperative practice最新文献_第5页

Improving analgesia research after total knee arthroplasty: Objective metrics, opioid monitoring, and operator factors. 改进全膝关节置换术后镇痛研究：客观指标、阿片类药物监测和操作因素。

IF 0.9

Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-11-17 DOI: 10.1177/17504589251391931

Mingxuan Liu, Hanjun Ma, Ju Liao, Qunqiang Luo

引用次数: 0

Retrograde intubation as a rescue strategy in a patient with distorted laryngeal anatomy after tracheal resection and anastomosis: A case report. 气管切除吻合后喉解剖畸形患者行逆行插管抢救1例。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-31 DOI: 10.1177/17504589261480033

Sivalakshmi Rajendran, Rajesh Kumar Kodali, Mahesh Vakamudi, Aruna Parameshwari

引用次数: 0

Prehabilitation in metabolic and bariatric surgery: A global overview of scientific literature. 代谢和减肥手术的预适应：科学文献的全球概述。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-21 DOI: 10.1177/17504589261473163

Amanda Farias E Farias, Guilherme Torres Vilarino, Ananda Quaresma Nascimento, Lucas Santos da Silveira, Alexandro Andrade, Darlan Laurício Matte

{"title":"Prehabilitation in metabolic and bariatric surgery: A global overview of scientific literature.","authors":"Amanda Farias E Farias, Guilherme Torres Vilarino, Ananda Quaresma Nascimento, Lucas Santos da Silveira, Alexandro Andrade, Darlan Laurício Matte","doi":"10.1177/17504589261473163","DOIUrl":"https://doi.org/10.1177/17504589261473163","url":null,"abstract":"Prehabilitation has emerged as a promising strategy to optimise outcomes in metabolic and bariatric surgery; however, scientific output in this field remains limited and fragmented. This study aimed to map and characterise international research on prehabilitation for metabolic and bariatric surgery. A systematic search of eight databases and the grey literature (to March 2025) identified studies in English, Spanish, and Portuguese. Bibliometric analyses were used to investigate performance, keyword co-occurrence, and co-citation networks. Thirty-five studies were retrieved, with the number increasing after 2020, predominantly from the United States and Canada, published in 22 journals. Collaboration networks remain incipient. This bibliometric analysis highlights the recent growth of research on prehabilitation in metabolic and bariatric surgery, concentrated in North American institutions, revealing fragmented collaboration and geographical imbalance, while underscoring the need for standardisation, international cooperation, and evaluation of relevant clinical outcomes.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261473163"},"PeriodicalIF":0.9,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798908","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

Construction and application of an intraoperative nursing quality indicator system for liver transplantation based on the structure-process-outcome model. 基于结构-过程-结果模型的肝移植术中护理质量指标体系构建及应用

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-15 DOI: 10.1177/17504589261466583

Xiaotong Cao, Qian Zhang, Haoming Zhou, Yun Xia, Jincui Wei, Haiwei Zhang

{"title":"Construction and application of an intraoperative nursing quality indicator system for liver transplantation based on the structure-process-outcome model.","authors":"Xiaotong Cao, Qian Zhang, Haoming Zhou, Yun Xia, Jincui Wei, Haiwei Zhang","doi":"10.1177/17504589261466583","DOIUrl":"https://doi.org/10.1177/17504589261466583","url":null,"abstract":"Objective: To develop and evaluate an intraoperative nursing quality indicator system for liver transplantation based on the structure-process-outcome (SPO) model.Methods: A two-phase mixed-methods study was conducted. In phase I, an initial indicator framework was developed through literature review and refined through two rounds of Delphi consultation with 25 experts. The Analytic Hierarchy Process was used to determine indicator weights. In phase II, the system was applied in 128 liver transplant recipients. Patients receiving routine care from January to June 2025 formed the control group (n = 64), while those managed using the indicator system from July to December 2025 formed the intervention group (n = 64). Nursing quality scores, perioperative complications, and surgeon satisfaction were compared.Results: The final system included 3 first-level, 10 second-level, and 42 third-level indicators, with process indicators receiving the highest weighting (45.6%). Compared with the control group, the intervention group showed significantly higher nursing quality scores, lower rates of intraoperative hypothermia and pressure injuries, and higher surgeon satisfaction scores (all p < 0.05).Conclusion: The SPO-based indicator system improved the standardisation and quality of intraoperative nursing care in liver transplantation and may support perioperative quality improvement in transplant practice.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261466583"},"PeriodicalIF":0.9,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765365","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

Barriers and facilitators to implementation of enhanced recovery after surgery protocols in resource-constrained hospitals: A mixed-methods study from a semi-urban government teaching hospital. 资源受限医院实施增强术后康复方案的障碍和促进因素：一项来自半城市政府教学医院的混合方法研究

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-13 DOI: 10.1177/17504589261464834

Rudraksh Kesharwani, Rishabh Rao Singaraju, Dhruvin Patel, Anushka Singh

{"title":"Barriers and facilitators to implementation of enhanced recovery after surgery protocols in resource-constrained hospitals: A mixed-methods study from a semi-urban government teaching hospital.","authors":"Rudraksh Kesharwani, Rishabh Rao Singaraju, Dhruvin Patel, Anushka Singh","doi":"10.1177/17504589261464834","DOIUrl":"10.1177/17504589261464834","url":null,"abstract":"Introduction: Enhanced recovery after surgery pathways improve postoperative outcomes, yet consistent implementation remains challenging, particularly in resource-constrained settings. Previous observations identified variability in adherence to key enhanced recovery after surgery components, including delayed mobilisation and prolonged postoperative device use. This study aimed to identify barriers and facilitators influencing enhanced recovery after surgery implementation from the perspective of multidisciplinary perioperative staff.Methods: A sequential explanatory mixed-methods study was conducted in a government teaching hospital providing gastrointestinal surgical services in a semi-urban setting. Perioperative healthcare providers completed a structured questionnaire assessing barriers across workflow, resources, training, communication and documentation domains. Semi-structured interviews with purposively selected participants explored contextual factors affecting protocol delivery. Quantitative data were analysed using descriptive and inferential statistical analysis, while qualitative data underwent thematic analysis.Results: A total of 259 healthcare providers participated across surgical, anaesthesia, nursing, theatre and ward roles. Workflow pressures, staffing shortages and inconsistent training exposure were the most reported barriers. Communication gaps and documentation challenges were also common. Leadership involvement, multidisciplinary collaboration and structured workflows were identified as key facilitators.Conclusion: Enhanced recovery after surgery implementation is primarily influenced by workflow factors rather than knowledge alone. Addressing staffing, training, communication and documentation systems may improve consistency and sustainability of ERAS delivery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261464834"},"PeriodicalIF":0.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723896","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

Patterns and phenotypes of enhanced recovery after surgery implementation in gynaecological oncology: A latent class analysis. 在妇科肿瘤学手术实施后增强恢复的模式和表型：一个潜在的类分析。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-13 DOI: 10.1177/17504589261473161

Vasilios Pergialiotis, Dimitrios Haidopoulos, Alexandros Daponte, Dimitrios Tsolakidis, Stamatios Petousis, Ioannis Kalogiannidis, Maria Fanaki, Emmanouil Stamatakis, Theodoros Lappas, Nikolaos Thomakos

{"title":"Patterns and phenotypes of enhanced recovery after surgery implementation in gynaecological oncology: A latent class analysis.","authors":"Vasilios Pergialiotis, Dimitrios Haidopoulos, Alexandros Daponte, Dimitrios Tsolakidis, Stamatios Petousis, Ioannis Kalogiannidis, Maria Fanaki, Emmanouil Stamatakis, Theodoros Lappas, Nikolaos Thomakos","doi":"10.1177/17504589261473161","DOIUrl":"10.1177/17504589261473161","url":null,"abstract":"Objective: Enhanced recovery after surgery protocols are widely recommended, yet their real-world implementation remains inconsistent due to multiple barriers. This study aimed to characterise implementation patterns during early enhanced recovery after surgery adoption.Methods: We analysed 300 consecutive patients undergoing elective surgery for gynaecological malignancies across five tertiary centres. Enhanced recovery after surgery components were defined per international guidelines and coded as binary adherence indicators. Latent class analysis was used to identify implementation phenotypes based on patterns of enhanced recovery after surgery delivery. Institutional variation and known adherence barriers were also evaluated to assess their clinical impact.Results: Four enhanced recovery after surgery implementation phenotypes emerged: global implementation, anaesthesia-limited, postoperative-restricted, and drain-permissive. Phenotype classification demonstrated high certainty (median posterior probability 0.99) and varied significantly across institutions (p < 0.001; Cramer's V = 0.60). Poor baseline performance status and increased surgical complexity were associated with reduced adherence to anaesthesia-related and postoperative components. In contrast, the drain-permissive phenotype appeared independent of these factors, suggesting a physician-driven pattern.Conclusion: Enhanced recovery after surgery implementation in gynaecological oncology clusters into distinct, clinically meaningful phenotypes rather than random variation. Recognising these structured patterns may support the development of targeted, institution-specific quality improvement strategies.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261473161"},"PeriodicalIF":0.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726131","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 room nurses' experiences of providing shadowing education to nursing students: A qualitative descriptive study. 手术室护士对护生进行影子教育的经验：一项质性描述性研究。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-13 DOI: 10.1177/17504589261472836

Kentaro Hara, Kayoko Kusuhara, Shoko Eto, Misa Tomooka, Airi Matsushita, Yoshie Nishikido, Shinji Horikawa, Takahiro Inoue, Sachie Furushima

{"title":"Operating room nurses' experiences of providing shadowing education to nursing students: A qualitative descriptive study.","authors":"Kentaro Hara, Kayoko Kusuhara, Shoko Eto, Misa Tomooka, Airi Matsushita, Yoshie Nishikido, Shinji Horikawa, Takahiro Inoue, Sachie Furushima","doi":"10.1177/17504589261472836","DOIUrl":"10.1177/17504589261472836","url":null,"abstract":"Operating room nurses increasingly provide shadowing education to nursing students within high-acuity surgical environments, yet little is known about how they experience this educational role. This qualitative descriptive study explored how operating room nurses experience providing shadowing education and the strategies they use to sustain it. Semi-structured interviews were conducted with ten operating room nurses at a national acute care medical centre in Japan and analysed using inductive qualitative content analysis. Four categories were identified: perceived cognitive workload; professional growth and identity reinforcement; organisational and workflow challenges and adaptive instructional strategies. Participants described dividing attention between patient safety, surgical workflow and student supervision, while also experiencing reflective practice and strengthened professional identity. They used deliberate strategies to integrate teaching into surgical flow without compromising safety. Findings were synthesised into a preliminary conceptual model intended to guide future development and evaluation of shadowing education in perioperative practice.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261472836"},"PeriodicalIF":0.9,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726577","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

Permitted does not mean consumed: Real-world drinking behaviour after the implementation of a liberal fasting protocol. 允许并不意味着消费：现实世界的饮酒行为后，实施自由禁食协议。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-12 DOI: 10.1177/17504589261472835

Jonathan Mathers, Marianne Emblem, Nina Melkevik, Kari Røttingen, Per K Langbakk, Ib Jammer, Øyvind Sverre Svendsen

{"title":"Permitted does not mean consumed: Real-world drinking behaviour after the implementation of a liberal fasting protocol.","authors":"Jonathan Mathers, Marianne Emblem, Nina Melkevik, Kari Røttingen, Per K Langbakk, Ib Jammer, Øyvind Sverre Svendsen","doi":"10.1177/17504589261472835","DOIUrl":"https://doi.org/10.1177/17504589261472835","url":null,"abstract":"Background: Liberal preoperative fasting protocols permit clear-fluid intake up to 1 h before anaesthesia. Such policies define what patients are allowed to drink rather than what they actually consume. Real-world drinking behaviour under such protocols remains poorly characterised.Methods: We conducted a descriptive observational study following the implementation of a liberal clear-fluid fasting protocol. Patient-reported timing of the last fluid intake was recorded at induction of anaesthesia at two time points, 4 and 8 months after implementation. In a separate exploratory substudy, drinking behaviour was characterised in 25 patients by serial measurement of fluid consumption over 1 h.Results: At 4 months, 37 of 58 patients (64%) reported drinking within the final hour before anaesthesia. At 8 months, after reinforcement of the protocol and inclusion of black coffee as a permitted clear fluid, 51 of 73 patients (70%) reported drinking within 1 h. In the exploratory substudy, drinking patterns were highly heterogeneous, ranging from immediate consumption to no intake despite availability.Conclusion: Removal of traditional fasting barriers does not standardise patient behaviour. Liberal fasting protocols are permissive and actual preoperative fluid intake is often limited. These findings have implications for how permitted intake is interpreted in physiological and protocol implementation contexts.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261472835"},"PeriodicalIF":0.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713923","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

Global research trends in perioperative pressure injury prevention: A bibliometric analysis from repositioning to technology-assisted strategies. 围手术期压力损伤预防的全球研究趋势：从重新定位到技术辅助策略的文献计量学分析。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-12 DOI: 10.1177/17504589261468694

Nova Maryani, Cahyo Budiyantoro, Bowo Adiyanto, Ardi Pramono

{"title":"Global research trends in perioperative pressure injury prevention: A bibliometric analysis from repositioning to technology-assisted strategies.","authors":"Nova Maryani, Cahyo Budiyantoro, Bowo Adiyanto, Ardi Pramono","doi":"10.1177/17504589261468694","DOIUrl":"https://doi.org/10.1177/17504589261468694","url":null,"abstract":"Background: Perioperative pressure injuries remain a major patient safety challenge, particularly among critically ill and immobilised patients. Although repositioning remains a cornerstone of prevention, recent advances indicate a transition towards interdisciplinary and technology-assisted prevention strategies.Aim: This study aimed to analyse global research trends and the thematic evolution of perioperative pressure injury prevention through bibliometric analysis.Methods: A bibliometric analysis was conducted using 1155 Scopus-indexed publications up to 2025, analysed using VOSviewer and Bibliometrix.Results: Research productivity increased substantially after 2015. The United States and the United Kingdom were the leading contributors. Keyword clustering identified major themes including critical care, repositioning, wound management, and technological innovation. The overlay visualisation demonstrated a transition from conventional repositioning towards machine learning, pressure monitoring systems, and predictive prevention approaches.Conclusion: Perioperative pressure injury prevention research is evolving towards predictive, interdisciplinary, and technology-assisted prevention systems, with direct implications for perioperative teams in preoperative assessment, intraoperative positioning, and postoperative monitoring.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261468694"},"PeriodicalIF":0.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713926","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 impact of double gloving on bacterial glove contamination: An analysis of moisture film in spinal surgery. 双套手套对细菌污染的影响：脊柱手术中湿膜的分析。

IF 0.9

Journal of perioperative practice Pub Date : 2026-08-12 DOI: 10.1177/17504589261466584

Javier-Fernando Noriega Urena, Anna-Lena Hauser, Samira Murad, Veronica Moruno Moreno, Jan Mrozewicz, Friederike Lemm, Christa Mock, Tobias Lange, Tobias L Schulte, Alexander von Glinski

{"title":"The impact of double gloving on bacterial glove contamination: An analysis of moisture film in spinal surgery.","authors":"Javier-Fernando Noriega Urena, Anna-Lena Hauser, Samira Murad, Veronica Moruno Moreno, Jan Mrozewicz, Friederike Lemm, Christa Mock, Tobias Lange, Tobias L Schulte, Alexander von Glinski","doi":"10.1177/17504589261466584","DOIUrl":"https://doi.org/10.1177/17504589261466584","url":null,"abstract":"This prospective single-centre pilot study examined whether the double-gloving technique affects fluid accumulation between glove layers and possible bacterial contamination during spinal surgery. Surgical site infections remain a major complication in spine surgery. While double gloving reduces contamination from glove perforations, the microenvironment between glove layers has not previously been studied. A total of 32 spinal procedures were analysed. In the experimental group, the outer glove cuff completely covered the inner glove cuff, whereas in the control group, approximately 1 cm of the inner cuff remained visible. Interglove fluid formation and bacterial contamination were assessed. Fluid accumulation occurred only in the experimental group. Thirty interglove fluid swabs were cultured. Twenty-nine (96.7%) showed no bacterial growth, while one (3.3%) yielded Staphylococcus epidermidis. No fluid formation occurred in the control group. These findings suggest that glove cuff configuration influences wrist moisture dynamics. Larger multicentre studies are needed to determine potential clinical relevance for surgical site infection risk.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261466584"},"PeriodicalIF":0.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148713870","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