Journal of perioperative practice最新文献

{"title":"A randomised controlled study on efficacy of midazolam and cartoon for decreasing preoperative anxiety in preschool children undergoing strabismus surgery.","authors":"Yuexi Jin, Yingchao Ye, Quanguang Wang, Kejian Shi, Thomas J Papadimos, Yun Xia, Zhangyan Chen, Wenxin Wu, Wanna Jiang, Zhousheng Jin, Le Liu, Yiquan Wu","doi":"10.1177/17504589241303111","DOIUrl":"https://doi.org/10.1177/17504589241303111","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect and influence of midazolam and cartoon on postoperative behaviour in reducing preoperative anxiety in preschool children.</p><p><strong>Methods: </strong>Three hundred children undergoing monocular strabismus correction were divided into three groups: midazolam (M), cartoon (C), and CM. Preoperative anxiety scores, cooperation scores during anaesthesia induction, awakening time, emergence agitation, and postoperative adverse behaviours were recorded.</p><p><strong>Result: </strong>The preoperative anxiety scores of group CM in the preoperative area and before anaesthesia induction were lower than those of group C and M. Compared with Group C, the cooperation scores of Group M and Group CM decreased significantly. And group M's awakening time was prolonged. The incidence of agitation during awakening and adverse behaviour 1 week after surgery and the cooperation scores in group CM was lower than in groups M and C. The anxiety levels were positively correlated with the agitation and behavioural changes.</p><p><strong>Conclusion: </strong>Watching cartoon videos combined with a low-dose midazolam shows efficacy in reducing preoperative anxiety in children.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241303111"},"PeriodicalIF":1.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855742","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}

{"title":"Exploration of attitudes towards research: Operating department practitioners and theatre nurses.","authors":"Nigel Conway, Amy Bradburn, Sarah Howcutt","doi":"10.1177/17504589241301204","DOIUrl":"https://doi.org/10.1177/17504589241301204","url":null,"abstract":"<p><strong>Background: </strong>A lack of awareness of who should conduct research, conflicting workload priorities, lack of research skills, lack of confidence and lack of supportive relationships are often cited as barriers for undertaking research within the perioperative environment. Building a robust research capacity for Operating Department Practitioners and Theatre Nurses to engage with and lead primary research is critical to develop perioperative clinical outcomes, and for professional and research excellence.</p><p><strong>Aims: </strong>This study aimed to explore the attitudes of Operating Department Practitioners and Theatre Nurses towards research.</p><p><strong>Methods: </strong>An online questionnaire was distributed nationally between 1 October 2022 and 31 December 2022. The questionnaire received 164 responses from 114 Operating Department Practitioners, 44 Theatre Nurses and 6 respondents identifying as other.</p><p><strong>Findings: </strong>These revealed that those with a positive attitude towards research were most likely to have obtained a Master's level qualification (i.e. MSc) and had gained experience in research post-registration. When explored further, the overall positive attitude to research was found to be possibly linked to a belief in the usefulness of research and to prior exposure. The findings of this study can be used to help support, inform and strengthen research in clinical practice and research career aspirations.</p><p><strong>Conclusion: </strong>Analysis of the data suggests that participants holding a Master of Science degree and having previous experience of research reported a more positive attitude to research. When the specific attitudes to research were explored individually, there was also some evidence that the overall positive attitude to research was more likely to be related to a belief in the usefulness of research.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241301204"},"PeriodicalIF":1.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855744","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}

{"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":"https://doi.org/10.1177/17504589241305296","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>From July 2021 to April 2024, patients were included in this single-centre retrospective study (<i>N</i> = 208), excluding C-reactive protein-modulating complications. Perioperative and 14-day follow-up C-reactive protein levels and clinical signs of infections were analysed.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241305296"},"PeriodicalIF":1.2,"publicationDate":"2024-12-18","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}

{"title":"Gastric ultrasound: Enhancing preoperative risk assessment and patient safety.","authors":"Luke Kar Man Chan","doi":"10.1177/17504589241302220","DOIUrl":"https://doi.org/10.1177/17504589241302220","url":null,"abstract":"<p><p>Perioperative pulmonary aspiration is a critical complication linked to significant morbidity and mortality, particularly in high-risk populations such as patients with diabetes, obesity, gastroparesis, or those using Glucagon-Like-Peptide-1 receptor agonists (GLP-1 RAs). Standard fasting protocols may not be appropriate for these patients, as they have increased propensity of delayed gastric emptying, hence increasing the complex of the preoperative risk assessment. Gastric ultrasound (GUS) provides a non-invasive, reliable method for assessing gastric content and volume, enabling anaesthesia professionals to make informed decisions regarding aspiration risk, airway management, and surgical scheduling. By identifying patients with elevated gastric volumes, GUS has the potential to reduce aspiration-related complications and unnecessary surgical cancellations.Despite its clear clinical benefits, the adoption of GUS in anaesthetic practice remains limited, primarily due to the technical skill required for accurate quantitative assessments. Qualitative evaluations of gastric contents are simpler for beginners, but precise volume measurements, essential for risk stratification, demand more extensive training. Recent studies demonstrate that with structured training, even novice operators can achieve high diagnostic accuracy. Artificial intelligence (AI) can further enhance GUS utility by automating volume calculations, guiding probe placement, and providing real-time feedback. These capabilities could significantly shorten the learning curve and improve consistency in risk assessment.Incorporating GUS and AI tools into anaesthesia training can overcome adoption barriers, enabling clinicians to more accurately assess aspiration risk and enhance patient safety in perioperative care.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241302220"},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814462","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}

{"title":"Compliance with care standards and professional knowledge of operating theatre personnel before, during and after laparoscopic bariatric surgery: A study in public hospitals in Iran.","authors":"Zahra Kouhestani, Mohammad Sadegh Aboutalebi, Mahshad Izadan, Akram Aarabi, Sorour Mosleh","doi":"10.1177/17504589241300274","DOIUrl":"https://doi.org/10.1177/17504589241300274","url":null,"abstract":"<p><strong>Introduction: </strong>By adhering to care standards, many adverse outcomes for patients, such as pressure injuries, tissue necrosis and patient falls, can be prevented. The aim of this study was to investigate the level of compliance with care standards before, during and after various types of bariatric surgeries.</p><p><strong>Materials and methods: </strong>This study was a cross-sectional descriptive study conducted in the operating theatres of selected teaching hospitals in Isfahan (Iran). The study sample consisted of all operating theatre personnel in the selected teaching hospitals who met the inclusion criteria. Compliance with care standards was measured using a researcher-developed checklist. A researcher-developed questionnaire with 43 true/false questions was used to evaluate the operating theatre personnel's professional knowledge. The data were analysed using SPSS version 20 and descriptive and inferential statistics.</p><p><strong>Results: </strong>The mean score of adherence to care standards and the mean score of professional knowledge of operating theatre personnel regarding care of laparoscopic bariatric surgery were 78.35 ± 9.49 and 29.45 ± 6.17, respectively. There is no significant relationship between these two variables, with a two-tailed significance (Sig.) of 0.056 and a correlation coefficient (r) of 0.199.</p><p><strong>Discussion and conclusion: </strong>In general, it can be concluded that the specific knowledge of the local operating theatre personnel regarding minimally invasive laparoscopic surgery care is at an intermediate level. Requirements for training in this area were therefore successfully identified. In addition, not all operating theatre personnel adhere to the standards of care for patients undergoing laparoscopic bariatric surgery. This non-adherence could be due to insufficient training or the absence of established standards in hospitals.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241300274"},"PeriodicalIF":1.2,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786929","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}

{"title":"A systematic review and meta-analysis on the efficacy and safety of the Baska mask versus other laryngeal mask airways during general anaesthesia.","authors":"Hammad Ali Fadlalmola, Amal Mohamed Elhusein, Abdalla Mohamed Osman, Hamza Hosean Balola, Elturabi Elsayed Ebrahim, Sitelgeel Hamouda Babiker, Nagwa Ibrahim Ghoneim, Raga Abdelfatah Ebrahim, Maha Abdalla Ali, Amani Abdelgader Mohammed, Ghada Siddig Eshag, Sara Elsadig Mohamed, Farida Rahamtalla Shaaeldein, Khaled Mohammed Al-Sayaghi","doi":"10.1177/17504589231186491","DOIUrl":"10.1177/17504589231186491","url":null,"abstract":"<p><strong>Background: </strong>The Baska mask is a supraglottic airway device used during general anaesthesia that combines features from various other devices. This systematic review aims to compare its efficacy and safety with other laryngeal mask airways.</p><p><strong>Methods: </strong>Randomised controlled trials were identified by searching PubMed, Scopus, Web of Science and Cochrane Library. RevMan software was used for meta-analysis, with mean difference and risk ratios calculated for continuous and dichotomous data, respectively, along with a 95% confidence interval.</p><p><strong>Results: </strong>The meta-analysis found that the Baska mask provides a better oropharyngeal seal pressure (mean difference = 7.03; 95% confidence interval = [6.00, 8.07], p < 0.00001) and a higher rate of maximal seal pressure (risk ratio = 18.38; 95% confidence interval = [2.53, 133.47], p = 0.004) compared to other laryngeal mask airways. However, the Baska mask had lower success rates in first-attempt insertion (risk ratio = 0.79; 95% confidence interval = [0.72, 0.86], p < 0.00001) and higher rates of insertion manipulation (risk ratio = 16.64; 95% confidence interval = [5.86, 47.24], p < 0.00001).</p><p><strong>Conclusion: </strong>The Baska mask offers better oropharyngeal seal pressure, but may be more difficult to insert than other laryngeal mask airways, without causing significant delays. The Baska mask appears as safe as other laryngeal mask airways, but larger trials are needed to support these findings.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"384-393"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937963","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}

{"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":"10.1177/17504589241264408","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case report: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"375-377"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","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}

{"title":"Perioperative Medical Associate Professionals wanted.","authors":"Carolina Britton","doi":"10.1177/17504589241293285","DOIUrl":"https://doi.org/10.1177/17504589241293285","url":null,"abstract":"","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":"34 12","pages":"371"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787112","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}

{"title":"A comparison of McGrath video laryngoscope and Macintosh laryngoscope during nasotracheal intubation: A randomised controlled study.","authors":"Alekhya Gangishetty, Nirmala Jonnavithula, Singam Geetha, Harshini Muthyala, Hareesh Peetha","doi":"10.1177/17504589241270202","DOIUrl":"10.1177/17504589241270202","url":null,"abstract":"<p><strong>Background: </strong>Nasotracheal intubation is challenging for anaesthesiologists in faciomaxillary injuries due to the anticipated difficult airways. The effectiveness of a non-channelled McGrath video laryngoscope was compared with a conventional Macintosh laryngoscope during nasotracheal intubation.</p><p><strong>Methods: </strong>Sixty American Society of Anaesthesiologists I-II patients aged between 18 and 60 years of both sexes undergoing elective faciomaxillary surgeries from September 2019 to February 2020 were prospectively randomised into two groups (Macintosh laryngoscope Group, McGrath video laryngoscope Group) of 30. The primary outcome was ease of intubation (Modified Intubation Difficulty Scale) and Nasotracheal intubation time (T1 time: from nostril to nasopharynx, T2 time: from nasopharynx until the first ETCO2, total time: T1 + T2). The secondary outcomes were Cormac Lehane grade, additional manoeuvres requirement, intubation failure, tracheostomy incidence and associated complications.</p><p><strong>Results: </strong>T1, T2 and total (T1 + T2) time (mean ± <i>SD</i>) were statistically prolonged in the McGrath video laryngoscope than Macintosh laryngoscope group, with p = 0.044, p = 0.000 and p = 0.000, respectively. The McGrath video laryngoscope facilitated a better laryngoscopic view (p = 0.002), favourable intubation difficulty scale scores, less lifting force (p = 0.002), reduced lip trauma (p = 0.002) and decreased Magill's forceps use (p = 0.002) than the Macintosh laryngoscope group.</p><p><strong>Conclusion: </strong>Despite longer intubation time, the non-channelled McGrath video laryngoscope offered favourable intubating conditions with superior glottis view, less lifting force and reduced Magill's forceps requirement, causing decreased airway trauma, lower intubation difficulty scale scores than Macintosh laryngoscope for nasotracheal intubation.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"378-383"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355509","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}

{"title":"Mental toughness and psychological performance skills in the operating room: Staff perceptions and implications for function and training.","authors":"Rachel Forney, Michael J Asken, Christopher Fan","doi":"10.1177/17504589241268639","DOIUrl":"10.1177/17504589241268639","url":null,"abstract":"<p><p>The importance of psychological performance skills (mental toughness) is recognised in many mission-critical professions. Similar importance has been suggested for nursing. Survey data demonstrate that surgical staff believe that such skills exert significant influence on surgical excellence, surgical errors and on managing surgical emergencies. However, few surgical staff receive such training. It is suggested that models exist to easily meet this training need and opportunity.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"372-374"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972003","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}