Journal of perioperative practice最新文献_第8页

Effect of pulsed radiofrequency to the suprascapular nerve (SSN) in treating frozen shoulder pain: A randomised controlled trial. 肩胛上神经（SSN）脉冲射频治疗肩周炎的效果：随机对照试验

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-06 DOI: 10.1177/17504589241235768

Ghada Mohammad Abo Elfadl, Ayman Mamdouh Osman, Yasmeen Alaa-Eldeen Elmasry, Sherif Sayed Abdelraheem, Manal Hassanien

{"title":"Effect of pulsed radiofrequency to the suprascapular nerve (SSN) in treating frozen shoulder pain: A randomised controlled trial.","authors":"Ghada Mohammad Abo Elfadl, Ayman Mamdouh Osman, Yasmeen Alaa-Eldeen Elmasry, Sherif Sayed Abdelraheem, Manal Hassanien","doi":"10.1177/17504589241235768","DOIUrl":"https://doi.org/10.1177/17504589241235768","url":null,"abstract":"Background: Treatment for frozen shoulder (FS) focuses on pain control and restoring movement and strength through physical therapy. We aimed to evaluate the efficacy of pulsed radiofrequency (PRF) lesioning of the suprascapular nerve for the treatment of FS pain.Methods: Forty patients with FS were enrolled and randomly assigned into the intervention group (n = 20) that received PRF and a control group (n = 20) which received medical treatment (NSAIDs). Patients were followed-up for a total of three months. The primary outcome was the pain intensity, measured by the Numeric Pain Rating Scale (NRS). The secondary outcomes included shoulder range of motion (ROM) evaluation measured by simple shoulder test (SST); Likert-type-based patient satisfaction scale; and any adverse events (AEs) throughout the treatment period. All results were measured at baseline, at the end of one week, four weeks and 12 weeks after treatment.Results: At 12 weeks post-procedure, the intervention group significantly improved their pain (NRS dropped to 2.80 ± 0.5) and there was significant improvement in range of motion (SST from 6.55% ± 2.0% to 76.50% ± 6.5) compared to control group.Conclusions: PRF lesioning of the SSN is a fast and effective modality in treating frozen shoulder pain and improving ROM for three months.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865942","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

Perceived authority gradients among anaesthetic teams in Malta. 马耳他麻醉团队中的权力梯度感知。

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-05 DOI: 10.1177/17504589241232509

Andrew Attard Montalto, Stephanie Mifsud, Justin Deguara, Petramay Attard Cortis

{"title":"Perceived authority gradients among anaesthetic teams in Malta.","authors":"Andrew Attard Montalto, Stephanie Mifsud, Justin Deguara, Petramay Attard Cortis","doi":"10.1177/17504589241232509","DOIUrl":"https://doi.org/10.1177/17504589241232509","url":null,"abstract":"Over the decades, cases like those of Elaine Bromiley, who passed away after a 'cannot intubate, cannot ventilate' scenario, have prompted deeper analyses of team dynamics and authority gradients. It is thought that a steep authority gradient may have impeded lifesaving communication between members of the anaesthetic team, leading to her death. Using an online questionnaire, we carried out a cross-sectional observational study exploring the perceived authority gradients within anaesthetic teams in the main operating theatres at Mater Dei Hospital, Malta. Nurses were found to experience a steeper authority gradient than anaesthetists. They were less comfortable making suggestions too and also felt like the suggestions they made were less listened to by lead anaesthetists. To a lesser extent, females also experienced a steeper authority gradient. Increasing age and grade were associated with a flatter authority gradient. Further research needs to be carried out to identify the underlying reasons behind the steeper perceived authority gradient affecting nurses. Interventions are being planned to attempt to decrease the perceived authority gradient.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865943","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 to research progress for perioperative care practitioners working in cardiothoracic surgery. 心胸外科围手术期护理从业人员取得研究进展的障碍。

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 Epub Date: 2023-06-29 DOI: 10.1177/17504589231176388

Carolina Relvas Britton, Sridhar Rathinam, Martin Birchall, Heather Iles-Smith, Bhuvaneswari Krishnamoorthy

{"title":"Barriers to research progress for perioperative care practitioners working in cardiothoracic surgery.","authors":"Carolina Relvas Britton, Sridhar Rathinam, Martin Birchall, Heather Iles-Smith, Bhuvaneswari Krishnamoorthy","doi":"10.1177/17504589231176388","DOIUrl":"10.1177/17504589231176388","url":null,"abstract":"Policy and research literature worldwide support the need to build research capacity and capability among non-medical practitioners within healthcare systems. However, there exists a paucity of evidence on whether practitioners in cardiothoracic surgery are attuned to this and on what barriers or enablers exist. A survey was carried out with non-medical practitioners working in cardiothoracic surgery in the United Kingdom to explore attitudes towards health research and audit, and to identify current challenges and barriers to surgical research and audit as perceived by cardiothoracic nurses and allied health professionals. A total of 160 completed questionnaires were returned. 99% of respondents supported the need for research and believed that evidence-based surgical care improves outcomes for patients. Seventy-two percent reported that their employer motivates them to take part in national research or audit but, only 22% were allocated time to do so within their role; 96% reported their interest in being involved in research and audit, yet only 30% believed they had the skills to undertake research, and 96% reported needing additional training. More work is needed to increase awareness, capacity and capability among cardiothoracic surgery care practitioners, and indeed other specialities to achieve research progress.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052341","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

Right place, no trace: A case report of postintubation bronchospasm. 正确的位置，没有痕迹：插管后支气管痉挛的病例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 Epub Date: 2023-08-24 DOI: 10.1177/17504589231180735

James P King, Nagendra K Natarajan

{"title":"Right place, no trace: A case report of postintubation bronchospasm.","authors":"James P King, Nagendra K Natarajan","doi":"10.1177/17504589231180735","DOIUrl":"10.1177/17504589231180735","url":null,"abstract":"Evidence suggests obesity correlates with airway hyperreactivity, which can result in severe bronchospasm. This report presents a 31-year-old female with a high body mass index who presented for a laparoscopic hysterectomy and bilateral salpingo-oophorectomy. She had no past medical or atopic history. After induction of anaesthesia and intubation, O2 saturation fell with no CO2 trace, breathing sounds or chest rise. Despite confirming endotracheal tube position by video laryngoscopy, the CO2 trace remained flat and mechanical ventilation was difficult with high airway pressures. Blood pressure was stable with no mucocutaneous signs of anaphylaxis. Administration of 100% O2, bronchodilators and steroids improved ventilation and oxygenation with a return of a CO2 trace. The operation was postponed. Prior to her subsequent surgery, the patient was premedicated with inhaled steroids and long-acting beta agonist with an uneventful induction and intubation. Giving a rising obese population, this case report aims to educate anaesthetists and anaesthetic practitioners as to the presentation, risk factors, mechanisms and management of uncommon, life-threatening postintubation bronchospasm.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10416041","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

Measuring operating theatre nurses' perceptions of safety culture using the SCORE questionnaire. 使用SCORE问卷测量手术室护士对安全文化的认知

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 Epub Date: 2023-02-22 DOI: 10.1177/17504589231151507

Justin Deguara, Josef Trapani, Stephen Ebejer

{"title":"Measuring operating theatre nurses' perceptions of safety culture using the SCORE questionnaire.","authors":"Justin Deguara, Josef Trapani, Stephen Ebejer","doi":"10.1177/17504589231151507","DOIUrl":"10.1177/17504589231151507","url":null,"abstract":"Background: Tackling operating theatre waiting lists may focus healthcare organisations' attention on increased productivity while downplaying safety concerns.Aim: To explore safety culture in a perioperative department from operating theatre practitioners' perspective.Method: Cross-sectional pen-and-paper survey among nurses in an operating theatre department in Malta using the Safety, Communication, Operational Reliability and Engagement questionnaire.Findings: The response rate was 71.2% (n = 146). Engagement domains and Organisational Safety Culture domains were perceived to be at an average level, apart from Unit Leadership which was perceived to be low. Burnout domains were perceived to be high or very high. Correlation analysis showed that leaders' recognition of staff feedback and input is associated with improved safety culture perceptions.Conclusion: An organisational win-win situation is achievable, whereby safety culture perceptions are improved, not necessarily by decreasing job demands such as tackling waiting lists, but by recognising operating theatre staff's input and involving them in work-related decisions.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46075295","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

Comparative evaluation between external jugular and internal jugular venous catheterization through landmark technique. 通过地标技术对颈外静脉和颈内静脉导管插入术进行比较评估。

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 Epub Date: 2023-03-22 DOI: 10.1177/17504589231154360

Hitesh Khanna, Sachin Shouche, Shalendra Singh

{"title":"Comparative evaluation between external jugular and internal jugular venous catheterization through landmark technique.","authors":"Hitesh Khanna, Sachin Shouche, Shalendra Singh","doi":"10.1177/17504589231154360","DOIUrl":"10.1177/17504589231154360","url":null,"abstract":"Background: Cannulation of a central vein is crucial in patients for hemodynamic management and when insertion of a peripheral line is not possible. The internal jugular vein is the preferred access site; however, in the case of not being accessible, the second cannulation site of choice is still unclear. The study aimed to access the feasibility of external jugular vein cannulation versus internal jugular vein cannulation in terms of success, cannulation time, number of attempts and complications.Materials and methods: In this prospective, randomised double-blinded study, 100 patients received 7Fr size triple-lumen central vein catheter either in the internal jugular vein (n = 50) or external jugular vein (n = 50) through the landmark technique as a part of anaesthetic care in the operation theatre. The number of attempts, cannulation time and incidence of complications in both the techniques were observed and recorded.Results: The success rate in internal jugular vein cannulation was 88%, while in the external jugular vein, it was 78% (p = 0.17). The external jugular vein cannulation was comparatively quicker in our study (p = 0.01). Similarly, elevated body mass index did not affect the success rate in the number of cannulations attempts in either group (p = 0.08). In terms of complications, the internal jugular vein group had a total of 20% and the external jugular vein group had 28% complications; however, the complications were more severe in the internal jugular vein group.Conclusion: Anaesthetists should rethink alternate routes for the insertion of central vein cannulation. The external jugular cannulation route is one of them.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9154385","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

Five historical innovations that have shaped modern urological surgery. 塑造现代泌尿外科手术的五项历史性创新。

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 Epub Date: 2023-12-27 DOI: 10.1177/17504589231214388

Ravi Patel, Chaitya Desai, Radhika Acharya, Dimit Raveshia, Saumil Shah, Harrypal Panesar, Neil Patel, Rohit Singh

引用次数: 0

Celebrating my operating department heroes. 庆祝我的手术部英雄

IF 1.2

Journal of perioperative practice Pub Date : 2024-05-01 DOI: 10.1177/17504589241240577

Paul Rawling

引用次数: 0

Impact of intraoperative fluid administration and complications in head and neck cancer free flap surgery at a tertiary care hospital of a low and middle-income country. 中低收入国家一家三甲医院头颈癌游离皮瓣手术中术中输液的影响和并发症。

IF 1.2

Journal of perioperative practice Pub Date : 2024-04-18 DOI: 10.1177/17504589241232507

W. Ghaffar, Faisal Shamim, Mujtaba Khalil, M. B. Abdul Ghaffar, Tahir Munir

引用次数: 0

Postoperative cognitive dysfunction: Review of pathophysiology, diagnostics and preventive strategies. 术后认知功能障碍：病理生理学、诊断和预防策略回顾。

IF 1.2

Journal of perioperative practice Pub Date : 2024-04-15 DOI: 10.1177/17504589241229909

Nenad Nešković, Dino Budrovac, Gordana Kristek, Borna Kovačić, S. Škiljić

引用次数: 0