Journal of perioperative practice最新文献_第6页

Prehabilitation before general surgery: Worth the effort? 普外科手术前的康复训练：值得付出努力吗？

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2023-12-27 DOI: 10.1177/17504589231214395

Joshua G Kovoor, Silas D Nann, Courtney Chambers, Kritika Mishra, Sahil Goel, Isabella Thompson, Dong Koh, Peter Litwin, Stephen Bacchi, Philip J Harford, Brandon Stretton, Aashray K Gupta

{"title":"Prehabilitation before general surgery: Worth the effort?","authors":"Joshua G Kovoor, Silas D Nann, Courtney Chambers, Kritika Mishra, Sahil Goel, Isabella Thompson, Dong Koh, Peter Litwin, Stephen Bacchi, Philip J Harford, Brandon Stretton, Aashray K Gupta","doi":"10.1177/17504589231214395","DOIUrl":"10.1177/17504589231214395","url":null,"abstract":"Prehabilitation, or interventions before surgery aimed at improving preoperative health and postoperative outcomes, has various forms. Although it may confer benefit to patients undergoing general surgery, this is not certain. Furthermore, although it may yield a net monetary gain, it is also likely to require substantial monetary and non-monetary investment. The impact of prehabilitation is highly variable and dependent on multiple factors. Physical function and pulmonary outcomes are likely to be improved by most forms of prehabilitation involving physical and multimodal exercise programmes. However, other surgical outcomes have demonstrated mixed results from prehabilitation. Within this issue, the measures used for evaluating baseline patient biopsychosocial health are important, and collecting sufficient data to accurately inform patient-centred prehabilitation programmes is only possible through thorough clinical and laboratory investigation and synthesised metrics such as cardiopulmonary exercise testing. Although a multimodal approach to prehabilitation is the current gold standard, societal factors may affect engagement with programmes that require a significant in-person activity. However, this is weighed against the substantial financial and non-financial investment that accompanies many programmes. The overall effectiveness and optimal mode of intervention across the discipline of general surgery remains unclear, and further research is needed to prove prehabilitation's full worth.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040584","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

Inadvertent perioperative hypothermia prevention strategies for urology surgical patients who received a blood transfusion: A retrospective analysis. 泌尿外科手术输血患者围手术期意外低体温预防策略：回顾性分析。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2024-01-11 DOI: 10.1177/17504589231215940

Kathryn Humphries, Tamara Page, Tina Donaldson, Sharon Blaney

{"title":"Inadvertent perioperative hypothermia prevention strategies for urology surgical patients who received a blood transfusion: A retrospective analysis.","authors":"Kathryn Humphries, Tamara Page, Tina Donaldson, Sharon Blaney","doi":"10.1177/17504589231215940","DOIUrl":"10.1177/17504589231215940","url":null,"abstract":"Objectives: This study aimed to establish whether hypothermia was present in patients who required a blood transfusion and underwent a urology procedure, as well as identify staff knowledge and understanding.Patients and methods: A staff survey was conducted with respondents from a range of clinical settings, with some staff working across more than one area. A retrospective review of 46 medical records was conducted between January 2021 and July 2022. All data were exported into an Excel spreadsheet and analysed.Results: Staff (70%) were unaware of guidelines informing thermoregulation practices; however, 90% understood the importance of normothermia in the perioperative environment. Medical record review demonstrated temperature monitoring and intervention implementation varied across the perioperative journey, with 20% of patients hypothermic on admission and 89% of the cohort having two or more risk factors.Conclusion: There is no formal process for the management of inadvertent perioperative hypothermia throughout the patient journey at the hospital. A variety of intrinsic factors (age, patient comorbidities, American Society of Anaesthesiologists score) and external factors (patient waiting times, anaesthetic modality, type of procedure, environmental influences), impact each patient's risk of inadvertent perioperative hypothermia.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418236","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

An audit of postoperative haemodynamic stability after intraoperative labetalol administration in non-cardiac surgery patients. 对非心脏手术患者术中使用拉贝洛尔后血流动力学稳定性的审计。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2024-02-11 DOI: 10.1177/17504589231223011

Benjamin B Cairns, Megan V McNeil, Andrew D Milne

{"title":"An audit of postoperative haemodynamic stability after intraoperative labetalol administration in non-cardiac surgery patients.","authors":"Benjamin B Cairns, Megan V McNeil, Andrew D Milne","doi":"10.1177/17504589231223011","DOIUrl":"10.1177/17504589231223011","url":null,"abstract":"Anaesthesiologists commonly use intravenous labetalol to adjust patient haemodynamics during surgical procedures. Cases of profound hypotension after continuous labetalol infusions have been reported; however, there is limited evidence regarding the safety of intraoperative labetalol boluses. This audit examined the frequency of postoperative hypotension and bradycardia in 292 adult non-cardiac surgery patients treated with intraoperative labetalol boluses. Blood pressure and heart rate data were collected from the post-anaesthesia care unit and on the floor units for 24 hours after surgery. The median total intraoperative labetalol dose was 10mg. A total of 30/292 patients had all-cause postoperative hypotension within 24 hours of surgery, 26 of which had other medical or surgical precipitants. Fifteen patients developed bradycardia. There were no deaths or intensive care unit admissions attributed to labetalol. This audit demonstrates a low risk of all-cause postoperative hypotension (10%) and bradycardia (5%) after the use of small IV doses of intraoperative labetalol.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11282684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724218","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

Introduction to the novel model of preoperative Multi - Domain Risk Stratification (pMDRS). 术前多领域风险分层（pMDRS）新模式简介。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2024-02-28 DOI: 10.1177/17504589241228137

Mayura Thilanka Iddagoda

引用次数: 0

Time to sign out. 该签退了。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2024-06-10 DOI: 10.1177/17504589241258340

Julie Quick

引用次数: 0

Anaesthesia management for liver transplantation: A narrative review. 肝移植的麻醉管理:一个叙述性的回顾。

IF 1.2

Journal of perioperative practice Pub Date : 2024-07-01 Epub Date: 2023-11-16 DOI: 10.1177/17504589231193551

Nedim Çekmen, Ahmed Uslu

{"title":"Anaesthesia management for liver transplantation: A narrative review.","authors":"Nedim Çekmen, Ahmed Uslu","doi":"10.1177/17504589231193551","DOIUrl":"10.1177/17504589231193551","url":null,"abstract":"Orthotopic liver transplantation is the definitive standard treatment for end-stage liver disease. Orthotopic liver transplantation anaesthesia management is a complex procedure that requires a multidisciplinary team approach. Understanding the complex pathophysiology of end-stage liver disease and its complications in the affected systems is essential for proper anaesthesia management in orthotopic liver transplantation. Orthotopic liver transplantation is a dynamic process, and preoperative optimisation is essential in these patients. Therefore, anaesthesiologists should focus on rapidly fluctuating physiology, haemodynamics, metabolic, and coagulation status in the anaesthesia management of these patients. Perioperative care and anaesthesia for orthotopic liver transplantation can be divided into preoperative evaluation, anaesthesia induction and management, dissection, anhepatic, neo-hepatic, and postoperative care, with essential anaesthetic considerations at each point. Considering the clinical situation, haemodynamic changes, misapplications, knowledge, attitude, and multimodal and multidisciplinary approach are vital in anaesthesia and the perioperative period. In our review, in line with the literature, we aimed to present the perioperative and anaesthesia management in orthotopic liver transplantation patients.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650097","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

Additional doses of prophylactic antibiotics post-arthroplasty: Are there any benefits? 关节置换术后追加预防性抗生素剂量：是否有任何益处？

IF 1.2

Journal of perioperative practice Pub Date : 2024-06-14 DOI: 10.1177/17504589241252019

James Adeosun, Essam Rama, Azeem Thahir, Matija Krkovic

引用次数: 0

Enhanced recovery after caesarean section: Implementation of an ERAC protocol in a tertiary obstetric hospital. 加强剖腹产后的恢复：在一家三级产科医院实施 ERAC 方案。

IF 1.2

Journal of perioperative practice Pub Date : 2024-06-12 DOI: 10.1177/17504589241256458

Rian Crandon, Nicholas Storr, Sofia Padhy, Paula Parker, Stacey Lun, Ian Hughes, Melissa Pietrobuono, Paula Carter

{"title":"Enhanced recovery after caesarean section: Implementation of an ERAC protocol in a tertiary obstetric hospital.","authors":"Rian Crandon, Nicholas Storr, Sofia Padhy, Paula Parker, Stacey Lun, Ian Hughes, Melissa Pietrobuono, Paula Carter","doi":"10.1177/17504589241256458","DOIUrl":"10.1177/17504589241256458","url":null,"abstract":"Objective: Assess safety and efficacy of an Enhanced Recovery After Caesarean protocol.Background: Caesarean sections are among the most commonly performed surgeries worldwide, but have been associated with postoperative chronic pain and opioid abuse.Methods: ASA 2 females, over 18 years, non-primiparous, repeat elective LSCS. Primary outcomes were length of stay and opioid consumption. Secondary outcomes were pain scores, functional assessment scores, pruritus, nausea and vomiting.Results: A total of 579 women divided into standard care (389 patients) and enhanced recovery after caesarean groups (190 patients). Enhanced recovery after caesarean associated with reduced length of stay, 50.8 hours (interquartile range 48.6, 53.6) versus 72.2 hours (interquartile range 53.2, 75.7) in standard care. Enhanced recovery after caesarean associated with reduced opioid consumption, median 10 (interquartile range 0, 27.5mg) versus 120mg (interquartile range 90, 145mg) in standard care at 24 hours and 30 (interquartile range 7.7, 67.5mg) versus 177.5mg (interquartile range 132.5, 222.5 mg) at 48 hours. Pain scores reduced from moderate to mild in the enhanced recovery after caesarean. functional assessment scores trend towards improved function in the enhanced recovery after caesarean group (Functional assessment scores B 8.9% in enhanced recovery after caesarean versus 147% in standard care). Increased pruritus in the enhanced recovery after caesarean with 41.6% compared with 9.3% in standard care. Nausea and vomiting increased in enhanced recovery after caesarean group 48.9% versus 11.6% in standard care.Conclusion: Enhanced recovery after caesarean associated with a reduction in length of stay, opioid consumption and improved pain scores with an increase in side effects.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311881","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

Beneath the surface: A historical exploration of trepanation practices across cultures and eras. 表面之下跨越文化和时代的颅骨切开术历史探索。

IF 1.2

Journal of perioperative practice Pub Date : 2024-06-04 DOI: 10.1177/17504589241253486

Ann Bates

{"title":"Beneath the surface: A historical exploration of trepanation practices across cultures and eras.","authors":"Ann Bates","doi":"10.1177/17504589241253486","DOIUrl":"https://doi.org/10.1177/17504589241253486","url":null,"abstract":"This research article explores the ancient origins of trepanation, unravelling its early instances and the associated cultural beliefs that have shaped cranial surgery. It scrutinises the medieval and Renaissance periods, elucidating the evolution of trepanation techniques within the context of advancements in medical knowledge and societal changes. In addition, the research investigates the diverse practices of trepanation across cultures, offering insights into the unique approaches, beliefs and rituals associated with this ancient surgical procedure. Examining the decline of trepanation in mainstream medicine, the article assesses the factors contributing to its diminishing prevalence and the emergence of alternative surgical methods. The study also delves into sporadic resurgences of trepanation in unconventional contexts, providing a nuanced understanding of its enduring fascination. In exploring trepanation's impact on modern medicine, the article sheds light on its contributions to the study of cranial anatomy, the evolution of surgical tools and the broader narrative of medical progress. Ultimately, this historical investigation contributes to a comprehensive understanding of trepanation, revealing the intricate interplay between medicine, culture and the human quest for knowledge and healing.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248791","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

Dexmedetomidine and surgical field visibility in nasal surgery: A systematic review and meta-analysis. 右美托咪定与鼻腔手术视野能见度：系统回顾和荟萃分析。

IF 1.2

Journal of perioperative practice Pub Date : 2024-06-03 DOI: 10.1177/17504589241252107

Brendon K Warner, C Cooper Munhall, Shaun A Nguyen, Rodney J Schlosser, George J Guldan, Ted A Meyer

{"title":"Dexmedetomidine and surgical field visibility in nasal surgery: A systematic review and meta-analysis.","authors":"Brendon K Warner, C Cooper Munhall, Shaun A Nguyen, Rodney J Schlosser, George J Guldan, Ted A Meyer","doi":"10.1177/17504589241252107","DOIUrl":"https://doi.org/10.1177/17504589241252107","url":null,"abstract":"Introduction: Nasal and sinus surgery, especially using endoscopy, relies upon adequate haemostasis to be safe and effective. Often other haemostatic methods, such as cautery are not viable, and other methods must be employed. This study examines the effectiveness of dexmedetomidine in controlled hypotension and for surgical field visibility in endoscopic sinus surgery and other nasal surgeries.Review methods: A literature search was conducted in PubMed, Scopus, CINAHL and Central for randomised controlled trials using dexmedetomidine for controlled hypotension in adult patients undergoing endoscopic sinus surgery or other nasal surgery. Meta-analysis of mean differences and single means were performed.Results: Of 935 identified studies, 31 met the inclusion criteria. A statistically significant difference in Fromme-Boezaart surgical field visibility scores was found comparing dexmedetomidine to placebo (p < 0.00001) and propofol (p < 0.0001), but not other agents. A significant difference in intraoperative blood loss volume was found compared with placebo (51.5mL, p < 0.00001) and propofol (13.6mL, p < 0.0001), but not other agents.Conclusion: Dexmedetomidine demonstrated significantly improved surgical field visibility and blood loss volume compared with placebo and propofol, but not other agents. Dexmedetomidine is viable and useful for controlled hypotension in nasal surgery. Choice of controlled hypotension agent should follow patient and procedure-specific considerations.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238332","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