Journal of perioperative practice最新文献_第8页

Patients' experiences of awake surgery under local anaesthesia: A qualitative literature review. 局部麻醉下清醒手术患者的经验：定性文献回顾。

IF 0.9

Journal of perioperative practice Pub Date : 2026-06-23 DOI: 10.1177/17504589261452125

Pernilla Gabrielsson, Janet Mattsson

{"title":"Patients' experiences of awake surgery under local anaesthesia: A qualitative literature review.","authors":"Pernilla Gabrielsson, Janet Mattsson","doi":"10.1177/17504589261452125","DOIUrl":"https://doi.org/10.1177/17504589261452125","url":null,"abstract":"Background: The growing adoption of local anaesthesia in surgical practice expands procedures that can be undertaken with patients fully awake. This shift introduces both opportunities and challenges for perioperative care, as patients remain conscious, and influenced by environmental, interpersonal and sensory factors.Aim: To synthesise and interpret adult patients' experiences of undergoing surgery while awake under local anaesthesia.Methods: A systematic qualitative literature review was conducted, drawing on peer-reviewed studies published between 2010 and 2025. An inductive analytic approach was applied. Nine studies were included.Results: Four overarching themes were identified: (1) the need for respectful, tailored communication; (2) the centrality of the perioperative team's presence and cohesion; (3) experiences of exposure, vulnerability and fluctuating control; and (4) strategies employed by patients to cope with intraoperative stressors. Across studies, continuous, person-centred communication and empathetic engagement reduced anxiety and enhanced perceived safety.Conclusions: In awake surgery, interpersonal communication, team behaviours and the environmental context profoundly shape patients' intraoperative experiences. Person-centred communication, ethical attentiveness and a supportive perioperative presence are essential to fostering trust, reducing distress and enabling meaningful patient involvement. Theatre nurses and Operating Department Practitioners play a pivotal role in sustaining a safe, humane environment for awake patients.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261452125"},"PeriodicalIF":0.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309566","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 of traditional versus generative AI patient education material on prehabilitation. 传统人工智能与生成人工智能患者康复教育材料的比较评价。

IF 0.9

Journal of perioperative practice Pub Date : 2026-06-23 DOI: 10.1177/17504589261454163

Aritra Kundu, Armanullah Khan, Sourav Saha, Prakash Gondode

{"title":"Comparative evaluation of traditional versus generative AI patient education material on prehabilitation.","authors":"Aritra Kundu, Armanullah Khan, Sourav Saha, Prakash Gondode","doi":"10.1177/17504589261454163","DOIUrl":"https://doi.org/10.1177/17504589261454163","url":null,"abstract":"Background: Effective patient education materials on prehabilitation are essential for optimising patients before surgery. With the growing use of generative artificial intelligence (AI) chatbots in health care communication, it is important to evaluate their suitability compared with established human-generated resources. We aimed to compare patient education materials on prehabilitation, generated by artificial intelligence chatbots (ChatGPT-4o, Gemini 2.5, and DeepSeek V3) with a National Health Service leaflet, assessing factual accuracy, readability, and emotional tone.Methods: A comparative observational study design was used. All four patient education materials were blinded and evaluated by ten experts using a 10-point Likert-type scale. Readability was assessed using the Flesch Reading Ease and the Flesch-Kincaid Grade Level. Sentiment analysis was done using an online tool. Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) scores were calculated.Results: National Health Service patient education material showed the highest mean ± SD accuracy scores 9.8 ± 0.3 from experts outperforming all artificial intelligence models (p = 0.000). Among artificial intelligence, Gemini scored highest. For readability, ChatGPT and the National Health Service were comparable. Sentiment analysis showed varying tones across all models. Patient Education Materials Assessment Tool for Printable Materials scores showed high understandability across all patient education materials (>75%), but actionability was highest for the National Health Service (93.3%).Conclusion: Artificial intelligence chatbots can generate readable and promising patient education materials. Traditional materials remain superior in accuracy and completeness. A hybrid 'human-in-the-loop' approach is recommended for effective patient education.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261454163"},"PeriodicalIF":0.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309582","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

Effect of verbal versus visual guidance on patient positioning for spinal anaesthesia: A comparative observational study. 言语与视觉引导对脊髓麻醉患者体位的影响：一项比较观察性研究。

IF 0.9

Journal of perioperative practice Pub Date : 2026-06-19 DOI: 10.1177/17504589261452129

Kaveri Madhu Chavan, Nagendra Bv, Aparnna Baburaj, Rashmitha Balloor

{"title":"Effect of verbal versus visual guidance on patient positioning for spinal anaesthesia: A comparative observational study.","authors":"Kaveri Madhu Chavan, Nagendra Bv, Aparnna Baburaj, Rashmitha Balloor","doi":"10.1177/17504589261452129","DOIUrl":"https://doi.org/10.1177/17504589261452129","url":null,"abstract":"Objective: The objective is to compare the effectiveness of verbal instructions alone versus verbal instructions combined with visual guidance in achieving optimal patient positioning for spinal anaesthesia.Methods: A comparative observational study was conducted among 70 adult patients undergoing elective surgery under spinal anaesthesia in the lateral decubitus position. Patients were divided into two groups: Group A received verbal instructions alone, while Group B received verbal instructions with visual guidance. Outcomes assessed included time taken for positioning, time for needle placement, number of attempts, first-pass success, and anaesthetist satisfaction.Results: Visual guidance improved patient positioning, reduced procedure time, decreased number of attempts, and increased first-pass success. Anaesthetist satisfaction was higher in the visual guidance group.Conclusion: Visual guidance is a simple and effective adjunct to verbal instructions, improving positioning and procedural efficiency in spinal anaesthesia.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261452129"},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279088","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

Safer local anaesthetic practices through multidisciplinary engagement: A pre-post intervention study. 通过多学科参与的更安全的局部麻醉实践：干预前后研究。

IF 0.9

Journal of perioperative practice Pub Date : 2026-06-16 DOI: 10.1177/17504589261454167

Cansu Ozdemir, Aksh Tailor, Chimba Mubanga, George Clews, Priya Krishnan

{"title":"Safer local anaesthetic practices through multidisciplinary engagement: A pre-post intervention study.","authors":"Cansu Ozdemir, Aksh Tailor, Chimba Mubanga, George Clews, Priya Krishnan","doi":"10.1177/17504589261454167","DOIUrl":"https://doi.org/10.1177/17504589261454167","url":null,"abstract":"Introduction: A fatal cardiac arrest in 2022 caused by a local anaesthetic overdose highlighted significant gaps in local anaesthetic safety, including inconsistent documentation, variable dosing practices, and inadequate communication. This quality improvement project aimed to improve local anaesthetic safety through standardised documentation, ideal body weight-based dosing, and structured multidisciplinary communication.Methods: A pre-post intervention study was conducted at a district general hospital in South East England. Baseline data were collected using structured questionnaires completed by Operating Department Practitioners during surgical cases. Interventions, informed by national anaesthetic safety guidance, included standardised local anaesthetic documentation, mandatory ideal body weight-based dose calculation, surgeon-led vial checks, and routine discussion of local anaesthetic use during preoperative briefings. Post-intervention data were collected using the same methodology across cases.Results: Documentation of local anaesthetic administration in the anaesthetic chart increased from 68% (19/28) pre-intervention to 91% (29/32) post-intervention. The use of ideal body weight-based dosing increased from 29% (8/28) to 94% (30/32). Discussion of local anaesthetic during the preoperative brief improved from 82% (23/28) to 100% (32/32). The number of local anaesthetic overdoses decreased from two cases pre-intervention to one case post-intervention, with no associated patient harm.Conclusion: Targeted multidisciplinary interventions, including standardised documentation, structured communication, and ideal body weight-based dosing, resulted in substantial improvements in local anaesthetic safety. These findings support the adoption of simple, scalable safety measures to reduce dosing errors and enhance perioperative patient safety.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261454167"},"PeriodicalIF":0.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266278","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

Audit of a dementia healthcare passport to improve quality of care and communication for people living with dementia when attending the operating theatre department. 审计痴呆症医疗护照，以提高痴呆症患者在手术室就诊时的护理质量和沟通。

IF 1

Journal of perioperative practice Pub Date : 2026-06-04 DOI: 10.1177/17504589261449171

Kellie Leatherbarrow, Robert Higgins, Christina Heaton, Helen Spickett

{"title":"Audit of a dementia healthcare passport to improve quality of care and communication for people living with dementia when attending the operating theatre department.","authors":"Kellie Leatherbarrow, Robert Higgins, Christina Heaton, Helen Spickett","doi":"10.1177/17504589261449171","DOIUrl":"https://doi.org/10.1177/17504589261449171","url":null,"abstract":"Introduction: An operating department can be a challenging fast-paced environment. This audit sought to identify patients living with dementia arriving for surgery that did not have information to support their care. People living with dementia are at increased risk of functional and cognitive decline upon admittance to hospital.Method: A baseline clinical audit involving stakeholders assessed current practices. The Living with Dementia Theatre Passport was introduced to present key information clearly and support communication during perioperative care.Results: Pre-intervention, none of the 12 patients had a 'This is Me' document, causing delays and increased costs. Post-intervention, 12 of 15 patients arrived with the Living with Dementia Theatre Passport. Feedback was overwhelmingly positive.Conclusion: The 'Living with Dementia Theatre Passport' has the potential to enhance the patient experience and healthcare outcomes during theatre procedures and to increase proficiency due to reduced costs associated with poor information gathering.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261449171"},"PeriodicalIF":1.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164919","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 passive smoking on perioperative outcomes among infants and children undergoing ambulatory surgery: An observational study from a low-resource country. 被动吸烟对接受门诊手术的婴儿和儿童围手术期结局的影响：一项来自资源匮乏国家的观察性研究。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-06-30 DOI: 10.1177/17504589251345624

Manel Kammoun, Hind Ketata, Amina Kallel, Kais Maatallah, Omar Terkaouchi, Sahar Elleuch, Anouar Jarraya

{"title":"The impact of passive smoking on perioperative outcomes among infants and children undergoing ambulatory surgery: An observational study from a low-resource country.","authors":"Manel Kammoun, Hind Ketata, Amina Kallel, Kais Maatallah, Omar Terkaouchi, Sahar Elleuch, Anouar Jarraya","doi":"10.1177/17504589251345624","DOIUrl":"10.1177/17504589251345624","url":null,"abstract":"Passive smoking among infants and children is still common in low-resource countries and may lead to several paediatric comorbidities. The aim of this study is to assess its impact on anaesthetic and surgical outcomes. In this prospective observational study, we included all children aged 6 months to 6 years, having American Society of Anaesthesiologists (ASA) I-II classes, and undergoing ambulatory ilioinguinal surgery. Patients were divided into two groups according to their environmental tobacco exposure. The anaesthesia protocol and surgical procedures were standardised for all patients. Demographic parameters were comparable in both groups. Passive smoking increased the risk of preoperative anxiety (risk ratio = 1.857; 95% confidence interval = 1.02-3.37). The incidence of perioperative respiratory adverse events was significantly increased from 14.8% among non-exposed children to 29.2% among the exposed (p = 0.003; risk ratio = 2.368; 95% confidence interval = 1.28-3.28). Passive smoking increased the incidence of delayed awakening from 19.4% to 38% (p = 0.0027; risk ratio = 1.76; 95% confidence interval = 1.04-5.34), and emergence delirium from 43.5% to 56.2% (p = 0.023; risk ratio = 1.669; 95% confidence interval = 1.037-2.684). Higher risks for hospital admission (risk ratio = 2.91; 95% confidence interval = 1.40-6.06), and delayed wound healing (risk ratio = 3.65; 95% confidence interval: 1.48-9.23) were correlated with the tobacco smoke exposure. Children exposed to the tobacco smoke have higher anaesthetic and surgical risks and may require particular cautions during their perioperative management.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"389-396"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529986","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

A call to action: Standardisation of intravaginal hygiene product reporting in preoperative evaluation. 行动呼吁：术前评估中阴道内卫生用品报告的标准化。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2024-11-12 DOI: 10.1177/17504589241297802

Alyssa Reese, Kathryn Hobika, Katelyn Donnelly, Raymond Richards, Peter Evancho, Abeer Eddib

引用次数: 0

The safety dialogue. 安全对话。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2026-05-16 DOI: 10.1177/17504589261442332

Carolina Britton

引用次数: 0

Perioperative analgesic effect of preemptive ultrasound-guided rectus sheath block and transversus abdominis plane block with dexmedetomidine versus dexamethasone for laparoscopic surgery in paediatrics: A randomised trial. 超声引导下右美托咪定与地塞米松在儿科腹腔镜手术中的围术期镇痛效果：一项随机试验。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-03-22 DOI: 10.1177/17504589241278806

Marwa Mahmoud Abdel Rady, Ghada A El Fadl, Hany Ahmed Ibraheem El-Morabaa, Kirolos Gamal Reda, Wesam Nashat Ali

{"title":"Perioperative analgesic effect of preemptive ultrasound-guided rectus sheath block and transversus abdominis plane block with dexmedetomidine versus dexamethasone for laparoscopic surgery in paediatrics: A randomised trial.","authors":"Marwa Mahmoud Abdel Rady, Ghada A El Fadl, Hany Ahmed Ibraheem El-Morabaa, Kirolos Gamal Reda, Wesam Nashat Ali","doi":"10.1177/17504589241278806","DOIUrl":"10.1177/17504589241278806","url":null,"abstract":"Background: We aimed to assess the impact of the rectus sheath and transversus abdominis plane blocks on postoperative pain alleviation and recovery in children undergoing laparoscopic appendicectomies.Methods: Ninety patients got a transversus abdominis plane block and rectus sheath block and were randomly divided into three groups. Each patient had taken 2.5ml of 0.5% bupivacaine (1.25mg/kg). Group 1: 0.3mg/kg of dexamethasone was added to the bupivacaine. Group 2: 1μg/kg of dexmedetomidine was added to the bupivacaine. Group 3: received only bupivacaine. We recorded analgesic usage overall, postoperative pain score, time until initial analgesic use, side effects and satisfaction score.Results: The dexmedetomidine group had a significantly longer mean time to initial rescue analgesia (13.13 ± 2.81) compared to the control and dexamethasone groups (11.6 ± 2.99, 7.27 ± 2; p < 0.001). Within the first 24 hours following surgery, the dexmedetomidine group consumed considerably less rescue analgesia (490.5 ± 129) than the dexamethasone and control groups (556 ± 210.4, 811.5 ± 333.9; p < 0.0001). With better satisfaction, fewer analgesics were taken, and fewer side effects and lower postoperative pain levels were observed in the dexmedetomidine group.Conclusions: Dexmedetomidine in combined transversus abdominis plane and rectus sheath blocks can enhance postoperative pain relief, decrease analgesic use and hasten postoperative recovery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"380-388"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677384","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

Anaesthesia mumps - the unseen puffy problem: A case report. 麻醉腮腺炎-看不见的浮肿问题：一个病例报告。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-05-24 DOI: 10.1177/17504589251343722

Yaal Elango, Ramya Natarajan

引用次数: 0