Journal of perioperative practice最新文献_第5页

Perioperative anaesthetic management of an elderly high-risk male with cardiac ochronosis undergoing aortic valve replacement with coronary artery bypass graft: A case report. 对一名接受主动脉瓣置换术和冠状动脉旁路移植术的高危老年男性患者的围手术期麻醉管理：病例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-12 DOI: 10.1177/17504589241268633

Nareshkumar Thiruvenkitasamy, Siddharth Manimozhi

引用次数: 0

Lateral versus supine position for tracheal extubation among infants after intraabdominal surgery: A randomised controlled trial. 腹腔手术后婴儿气管插管时采取侧卧位还是仰卧位？随机对照试验。

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-12 DOI: 10.1177/17504589241261184

Anouar Jarraya, Manel Kammoun, Hasna Bouchaira, Hind Ketata, Faiza Safi, Amel Ben Hamad

{"title":"Lateral versus supine position for tracheal extubation among infants after intraabdominal surgery: A randomised controlled trial.","authors":"Anouar Jarraya, Manel Kammoun, Hasna Bouchaira, Hind Ketata, Faiza Safi, Amel Ben Hamad","doi":"10.1177/17504589241261184","DOIUrl":"https://doi.org/10.1177/17504589241261184","url":null,"abstract":"In this prospective randomised controlled trial, we compared the impact of the lateral versus supine position for tracheal extubation among infants aged two months to two years after intraabdominal surgery on the incidence of respiratory adverse events that may occur after extubation. The anaesthesia protocol was standardised. Among the 120 infants included (60 in each group), the demographic and perioperative data were comparable between both groups. The incidence of perioperative respiratory adverse events after tracheal extubation was 21.6% and 5% in the supine and lateral position groups, respectively, with p = 0.007 and odds ratio = 3.87; 95% confidence interval: 1.18-12.6. Lateral position also reduced the incidence of airway obstruction with p = 0.004 and odds ratio = 11.8; 95% confidence interval: 1.46-95.3 and oxygen desaturation below 92% with p = 0.008 and odds ratio = 11.8; 95% confidence interval: 1.46-95. The lateral position seems to be practical and beneficial for tracheal extubation among infants.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917534","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

Identification and optimisation of perioperative factors for patients with von Willebrand disease undergoing elective total hip and knee arthroplasty. 识别并优化接受择期全髋关节和膝关节置换术的 von Willebrand 病患者的围手术期因素。

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-12 DOI: 10.1177/17504589241270251

Ravi Patel, Steven Golding, Rajpal Nandra, Robin Banerjee

引用次数: 0

Perioperative efficiency of sugammadex following minimally invasive gastric sleeve surgery: A superiority trial. 微创胃袖状手术后使用苏麦卡的围手术期效率：优越性试验

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-12 DOI: 10.1177/17504589241267859

Mawadah Samad, Macey Sutherland, Donald Ganier, David Broussard, Joseph Koveleskie, Vaughn E Nossaman, Bobby D Nossaman

{"title":"Perioperative efficiency of sugammadex following minimally invasive gastric sleeve surgery: A superiority trial.","authors":"Mawadah Samad, Macey Sutherland, Donald Ganier, David Broussard, Joseph Koveleskie, Vaughn E Nossaman, Bobby D Nossaman","doi":"10.1177/17504589241267859","DOIUrl":"https://doi.org/10.1177/17504589241267859","url":null,"abstract":"Background: Studies have proposed that the routine use of sugammadex could provide perioperative time savings and a reduction in the incidence of postoperative nausea and vomiting. The purpose of this study was to test the effectiveness of sugammadex on perioperative times and on the incidences of adverse events when compared with the active control, neostigmine, for minimally invasive gastric sleeve surgery.Methods: Following institutional review board approval, patient characteristics, type of primary neuromuscular blocking reversal agents, operating room discharge times, post-anaesthesia care unit recovery times, and incidences of and treatment for postoperative nausea and vomiting and orotracheal reintubation were the measures of interest. Superiority testing determined the between-group means differences of the reversal agents on the two perioperative time periods of interest.Results: Superiority testing demonstrated no improvement of the two perioperative times with sugammadex. There was no clinical difference in the incidence of postoperative nausea and vomiting or in the number of antiemetic doses received in the post-anaesthesia care unit between the two groups. Finally, the two orotracheal reintubations in the post-anaesthesia care unit were in the sugammadex administered group.Conclusion: These results with sugammadex provide no perioperative time savings or reduce the incidence and treatment for postoperative nausea and vomiting in the post-anaesthesia care unit when compared with neostigmine.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917536","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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-09","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

The effect of longer epidural duration after open pancreaticoduodenectomy on pain and mobilisation: A retrospective single-centre analysis. 开腹胰十二指肠切除术后延长硬膜外持续时间对疼痛和活动能力的影响：单中心回顾性分析。

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-06 DOI: 10.1177/17504589241265826

James Tankel, Shahaf Shay, Ariel Wimpfheimer, Michael Neumann, Robert Berko, Petachia Reissman, Menahem Ben Haim, Amir Dagan

{"title":"The effect of longer epidural duration after open pancreaticoduodenectomy on pain and mobilisation: A retrospective single-centre analysis.","authors":"James Tankel, Shahaf Shay, Ariel Wimpfheimer, Michael Neumann, Robert Berko, Petachia Reissman, Menahem Ben Haim, Amir Dagan","doi":"10.1177/17504589241265826","DOIUrl":"https://doi.org/10.1177/17504589241265826","url":null,"abstract":"Background: The optimal length of epidural use following open pancreaticoduodenectomy has not been defined. The aim of this study was to investigate whether the length of patient-controlled epidural analgesia affected pain and ability to mobilise on epidural termination following open pancreaticoduodenectomy in the context of enhanced recovery after surgery.Methods: A retrospective single-centre cohort analysis was performed between November 2015 and December 2021 on patients who underwent open pancreaticoduodenectomy. As part of a continual review process of the enhanced recovery after surgery protocol, patient-controlled epidural analgesia duration changed allowing stratification of patients into either three- or five-day patient-controlled epidural analgesia groups.Results: Of the 196 patients identified, 157 were included with 80 (50.9%) and 77 (49.1%) allocated to the three-day and five-day patient-controlled epidural analgesia groups, respectively. Patient-controlled epidural analgesia termination on postoperative day 3 was associated with transiently higher pain and less mobilisation, although no greater rescue analgesia requirement. Conversely, longer patient-controlled epidural analgesia usage following open pancreaticoduodenectomy was associated with less pain and greater mobilisation in the immediate postoperative period.Conclusions: Earlier patient-controlled epidural analgesia termination transiently leads to increased pain and decreased mobilisation following open pancreaticoduodenectomy. Ensuring appropriate analgesia requirements or longer patient-controlled epidural analgesia usage should be considered to avoid patient discomfort and enhance recovery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894470","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 : 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":"https://doi.org/10.1177/17504589241253487","url":null,"abstract":"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":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898530","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, postoperative pain tolerance and analgesia consumption: A prospective cohort study. 术前焦虑、术后疼痛耐受性和镇痛药消耗量：一项前瞻性队列研究。

IF 1.2

Journal of perioperative practice Pub Date : 2024-08-06 DOI: 10.1177/17504589241253489

Jamal Qaddumi, Ali Mohammad Arda, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Asem Abdalrahim, Sa'd ALBashtawy, Omar Al Omari, Mahmoud Bashtawi, Rami Masa'deh, Zaid ALBashtawy, Khitam Ibrahem Mohammad, Bayan ALBashtawy, Ma'en Aljezawi, Haitham Khatatbeh, Wafa'a Ta'an, Mohammad Suliman, Khloud Al Dameery, Salam Bani Hani

{"title":"Preoperative anxiety, postoperative pain tolerance and analgesia consumption: A prospective cohort study.","authors":"Jamal Qaddumi, Ali Mohammad Arda, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Asem Abdalrahim, Sa'd ALBashtawy, Omar Al Omari, Mahmoud Bashtawi, Rami Masa'deh, Zaid ALBashtawy, Khitam Ibrahem Mohammad, Bayan ALBashtawy, Ma'en Aljezawi, Haitham Khatatbeh, Wafa'a Ta'an, Mohammad Suliman, Khloud Al Dameery, Salam Bani Hani","doi":"10.1177/17504589241253489","DOIUrl":"https://doi.org/10.1177/17504589241253489","url":null,"abstract":"Background: Anxiety affects the patient's perception of postoperative pain and causes a significant increase in the consumption of analgesia postoperatively.Objective: This study assesses the relationship between preoperative anxiety, postoperative pain and postoperative pethidine consumption.Methods: A prospective cohort design was used. Data were collected from 100 patients who were undergoing a laparoscopic cholecystectomy at St Joseph Hospital, Jerusalem. Pain-controlled analgesia with pethidine was utilised to manage pain throughout the postoperative period. The visual analogue scale scores and pethidine consumption of all patients were recorded.Findings: Participants' mean level of pain was higher in the preoperative period (mean visual analogue scale = 1.3) compared with their mean level of pain in the postoperative period (mean visual analogue scale = 0.5). There is a statistically significant difference between the participants' level of anxiety and postoperative pain level (p < 0.001). Gender, weight, level of education and smoking were predictors of developing preoperative anxiety. Also, gender, smoking and medication were statistically significant predictors of developing postoperative pain. Furthermore, gender, medical history and medication were statistically significant predictors of pethidine consumption postoperatively.Conclusions: The preoperative anxiety reduction intervention should be promoted and implemented as routine care for all surgical patients.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894508","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 human factors in the recognition and management of local anaesthetic systemic toxicity. 在识别和处理局部麻醉剂全身毒性时考虑人为因素。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-26 DOI: 10.1177/17504589241264403

Niamh Eb Curtain, Debora Gugelmin-Almeida

引用次数: 0

Clavipectoral fascial plane block for clavicle fracture surgery: a case report. 锁骨骨折手术中的锁骨筋膜平面阻滞：病例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-26 DOI: 10.1177/17504589241264408

Cândida Sofia Pereira, Catarina Ferros, Inês Dinis, Dulce Pereira, Diogo Miguel, Manuel Vico

{"title":"Clavipectoral fascial plane block for clavicle fracture surgery: a case report.","authors":"Cândida Sofia Pereira, Catarina Ferros, Inês Dinis, Dulce Pereira, Diogo Miguel, Manuel Vico","doi":"10.1177/17504589241264408","DOIUrl":"https://doi.org/10.1177/17504589241264408","url":null,"abstract":"Background: Regional anaesthesia can be an attractive alternative anaesthetic approach in clavicle surgery, but it requires the peripheral block of multiple cervical and brachial nerves that transmit nociceptive information. Deep cervical plexus blocks, as paravertebral nerve block, can lead to severe side effects, such as unilateral diaphragmatic paralysis.Case report: A 66-year-old male patient, American Society of Anesthesiologists physical status III, was scheduled for open reduction and internal fixation of the right clavicle with plates and screws after a high-energy trauma. Pre-anaesthetic evaluation revealed right hemopneumothorax and bilateral rib fractures. We decided to perform regional anaesthesia (superficial cervical plexus block and clavipectoral fascial plane block), combined with dexmedetomidine perfusion to avoid invasive mechanical ventilation and prevent additional pulmonary complications. The surgical procedure was successfully completed without any further anaesthesia requirements. The patient remained comfortable during the postoperative period.Conclusion: Regional anaesthesia for clavicle surgeries has the advantage of promoting non-opioid free anaesthesia. Effective pain control enhances patient satisfaction and reduces the length of stay in hospital. In our case report, a combined superficial cervical plexus block and clavipectoral fascial plane block was a safe and effective regional anaesthetic approach.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761424","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