Journal of perioperative practice最新文献_第9页

Real-time ultrasound-guided thoracic epidural placement: Illustrating the techniques and reporting on prospective observational study. 实时超声引导下的胸椎硬膜外置入：说明技术并报告前瞻性观察研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-17 DOI: 10.1177/17504589241302221

Karuna Sutthibenjakul, Jatuporn Pakpirom, Sirikarn Siripruekpong, Somrutai Boonchuduang

{"title":"Real-time ultrasound-guided thoracic epidural placement: Illustrating the techniques and reporting on prospective observational study.","authors":"Karuna Sutthibenjakul, Jatuporn Pakpirom, Sirikarn Siripruekpong, Somrutai Boonchuduang","doi":"10.1177/17504589241302221","DOIUrl":"https://doi.org/10.1177/17504589241302221","url":null,"abstract":"Background: This study aimed to assess the feasibility of real-time ultrasound-guided thoracic epidural placement.Methods: A prospective observational study was conducted in 20 patients undergoing elective abdominal and thoracic surgery. The procedure, performed with patients in a lateral position, involved three sequential steps: (1) identification of the interlaminar gap, (2) advancement of the Touhy needle, and (3) identification of the epidural space. Success was defined as the catheter insertion with achieving sensory blockade. The estimated and actual epidural depth, thoracic epidural placement success rate and procedural time were recorded.Results: The average age and body mass index were 62.1 ± 8.9 years and 22.4 ± 4.4 kg/m2. Thoracic epidural placement was successful in 18 patients (90%, 95% confidence interval: 77-100), and at first attempt in 12 of those (66.7%). The thoracic epidural placement times and total procedural time were 5 (4-6.75) min and 19.5 ± 5.4 min, respectively. The correlation between ultrasound-estimated epidural depth and actual depth was 0.81.Conclusion: Ultrasound guidance enhances thoracic epidural success rates and reduces attempts and skin punctures.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241302221"},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013191","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

Examining perioperative factors in latex-allergic reactions. 乳胶过敏反应围手术期因素的探讨。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-16 DOI: 10.1177/17504589241311106

Ravi Patel, Dilen Parmar, Ajay Bhojwani, Rohit Singh, Rajpal Nandra, Robin Banerjee

引用次数: 0

Comparison of intravenous dexmedetomidine and ketamine with femoral nerve block for positional pain before spinal anaesthesia in patients with fracture femur: A prospective randomised study. 静脉注射右美托咪定和氯胺酮联合股神经阻滞治疗脊柱麻醉前股骨骨折患者体位疼痛的比较：一项前瞻性随机研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-13 DOI: 10.1177/17504589231224559

Jyotsna Ch V, Sapna Annaji Nikhar, Akhya Kumar Kar, Padmaja Durga

{"title":"Comparison of intravenous dexmedetomidine and ketamine with femoral nerve block for positional pain before spinal anaesthesia in patients with fracture femur: A prospective randomised study.","authors":"Jyotsna Ch V, Sapna Annaji Nikhar, Akhya Kumar Kar, Padmaja Durga","doi":"10.1177/17504589231224559","DOIUrl":"https://doi.org/10.1177/17504589231224559","url":null,"abstract":"Introduction: Patient positioning for spinal anaesthesia in patients with femur fracture is extremely painful and various methods have been tried to reduce mobilisation pain.Aim: To compare the analgesic efficacy of intravenous dexmedetomidine, ketamine and femoral nerve block in patients posted for fractured femur for alleviating the positional pain before spinal anaesthesia.Materials and methods: A total of 75 patients (25 per group) of American Society of Anaesthetists Grade I-III patients of age group 18-80 years with fractured femur scheduled for elective surgery. All patients in Group C (n = 25) were given the femoral nerve block, Group D (n = 25) were given intravenous dexmedetomidine 0.5µg/kg and Group K (n = 25) were given intravenous ketamine 0.3mg/kg. The parameters assessed were quantitative relief of pain by a numerical rating scale and patient satisfaction score, quality of patient positioning and time to perform spinal anaesthesia along with hemodynamics and sedation score.Results: The pain scores and patient satisfaction scores were significantly decreased in all three groups but were much significantly lower in Group K.Conclusion: Ketamine was found to be superior to the other two groups in terms of reducing positional pain.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589231224559"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972435","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

Clarity unveiled: A journey through time in cataract surgery. 清晰揭晓：白内障手术的时间之旅。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-13 DOI: 10.1177/17504589241264400

Ann Bates

{"title":"Clarity unveiled: A journey through time in cataract surgery.","authors":"Ann Bates","doi":"10.1177/17504589241264400","DOIUrl":"https://doi.org/10.1177/17504589241264400","url":null,"abstract":"This historical research article offers a comprehensive examination of the evolution of cataract surgery from ancient practices to modern innovations. The historical trajectory of cataract treatment will be explored, beginning with ancient techniques such as couching in ancient civilisations and progressing through critical milestones in surgical advancement. The research delves into the challenges faced by early practitioners, the emergence of novel techniques and the pivotal contributions of pioneering surgeons throughout history. From the rudimentary procedures of antiquity to the sophisticated technologies of the present day, the journey through time reveals medical professionals' remarkable ingenuity and perseverance in their quest to restore vision and improve the quality of life for patients afflicted by cataracts. Drawing upon historical sources, medical texts and scholarly research, this article provides insights into the social, cultural and technological factors that shaped the development of cataract surgery over millennia. It also examines the impact of crucial innovations such as extracapsular and intracapsular extraction, the advent of intraocular lens implants and the introduction of minimally invasive surgical techniques. Moreover, this research highlights the transformative effect of cataract surgery on individuals and societies from the ancient to the modern era. Hopefully, this research offers a compelling narrative of human ingenuity, scientific progress and the quest for clarity in treating cataracts.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241264400"},"PeriodicalIF":1.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972434","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 ketamine on delayed neurocognitive recovery in elderly patients undergoing spinal anaesthesia for orthopaedic procedures, a pilot study. 氯胺酮对骨科手术脊髓麻醉老年患者神经认知延迟恢复的影响，一项试点研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-01 Epub Date: 2024-02-12 DOI: 10.1177/17504589231221642

Mostafa Samy Abbas, Mohamed Gamal Abo-Zeid, Fatma Gad-Elrab Askar, Omnia Ahmed Askar

{"title":"The impact of ketamine on delayed neurocognitive recovery in elderly patients undergoing spinal anaesthesia for orthopaedic procedures, a pilot study.","authors":"Mostafa Samy Abbas, Mohamed Gamal Abo-Zeid, Fatma Gad-Elrab Askar, Omnia Ahmed Askar","doi":"10.1177/17504589231221642","DOIUrl":"10.1177/17504589231221642","url":null,"abstract":"Objective: Delayed neurocognitive recovery is an objectively measurable decline in the cognitive status at varying intervals after surgery under both general and spinal anaesthesia. In this study, we used the Short Portable Mental Status Questionnaire to evaluate the protective effect of ketamine infusion on cognitive function of elderly patients undergoing spinal anaesthesia for orthopaedic procedures.Methods: A randomised, double-blinded placebo-controlled trial. Forty-two geriatric patients listed for elective orthopaedic surgery under spinal anaesthesia were randomly assigned to receive an intravenous infusion of either ketamine (0.3mg/kg) or isotonic saline (control group) after receiving spinal anaesthesia, which continued throughout the procedure. Cognitive performance was evaluated, as a primary outcome, with Short Portable Mental Status Questionnaire.Results: Baseline cognitive performance was comparable in both groups. Patients in the ketamine group showed statistically significant fewer errors in the postoperative Short Portable Mental Status Questionnaire compared with the baseline evaluations (p = 0.038). Patients in the ketamine group showed significantly lower verbal numerical scale scores than the control group (p = 0.04) at six hours after surgery.Conclusion: Elderly patients undergoing spinal anaesthesia showed a better cognitive status after receiving an intravenous infusion of 0.3mg/kg ketamine. However, further research with a larger sample size and different assessment tools might be required to verify our results.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"22-29"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724222","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

Anaesthetic concerns in a patient with aortic aneurysm for non-cardiac surgery: A case report. 主动脉瘤患者接受非心脏手术时的麻醉问题：病例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-01 Epub Date: 2024-09-25 DOI: 10.1177/17504589241276641

Riniki Sarma, Kiran Mahendru

引用次数: 0

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 : 2025-01-01 Epub 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":"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":" ","pages":"4-10"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","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

Association between intraoperative starch use and postoperative kidney dysfunction in patients undergoing major gastro-intestinal surgery: A propensity score-matched analysis. 大胃肠手术患者术中淀粉使用与术后肾功能障碍的关系：倾向评分匹配分析

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-01 Epub Date: 2023-08-30 DOI: 10.1177/17504589231174967

Karthik V Iyer, Sanjeeb Giri, Bikash R Ray, Thilaka Muthiah, Rahul K Anand, Manpreet Kaur, Rakesh Kumar, Jyotsna Punj, Vimi Rewari, Peush Sahni, Souvik Maitra

{"title":"Association between intraoperative starch use and postoperative kidney dysfunction in patients undergoing major gastro-intestinal surgery: A propensity score-matched analysis.","authors":"Karthik V Iyer, Sanjeeb Giri, Bikash R Ray, Thilaka Muthiah, Rahul K Anand, Manpreet Kaur, Rakesh Kumar, Jyotsna Punj, Vimi Rewari, Peush Sahni, Souvik Maitra","doi":"10.1177/17504589231174967","DOIUrl":"10.1177/17504589231174967","url":null,"abstract":"Background: The impact of intraoperative starch-based fluid therapy on postoperative kidney dysfunction in patients undergoing major abdominal surgery is uncertain. Low molecular weight starch is expected to cause less postoperative kidney dysfunction.Methods: This retrospective study evaluated the impact of intraoperative 6% hydroxyethyl starch on postoperative renal dysfunction. The primary outcome of this study was postoperative acute kidney injury as per KDIGO definition within 72 hours of surgery.Results: This study analysed data from 461 patients with a median (interquartile range) age of 45 (33-58) years, and 48.2% of all patients were female. The proportion (95% confidence interval) of patients who developed acute kidney injury was 0.18 (0.14-0.21); 62.9% of patients had acute kidney injury stage I, 32% had acute kidney injury stage II, and the rest were acute kidney injury stage III. In the propensity score-matched sample, the average treatment effect of intraoperative colloid use on postoperative serum creatinine at day 3 (p = 0.32), duration of postoperative intensive care unit stay (p = 0.97), duration of hospital stay (p = 0.37), postoperative worst international normalised ratio (p = 0.92), and postoperative transfusion requirement (p = 0.40) were not statistically significant.Conclusion: Intraoperative use of low molecular weight hydroxyethyl starch use was not associated with postoperative kidney dysfunction and coagulopathy in adult patients undergoing major open abdominal surgery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"14-21"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111009","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

Presurgical depressive symptom and anaesthetic requirements in patients undergoing surgery for malignant and non-malignant conditions: A prospective observational cohort study. 因恶性和非恶性疾病接受手术的患者的术前抑郁症状和麻醉要求：前瞻性观察队列研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-01 Epub Date: 2024-02-12 DOI: 10.1177/17504589231224558

Viswanath Narayanan, Suman Lata, Ajay Kumar Jha, Balaji Bharadwaj

{"title":"Presurgical depressive symptom and anaesthetic requirements in patients undergoing surgery for malignant and non-malignant conditions: A prospective observational cohort study.","authors":"Viswanath Narayanan, Suman Lata, Ajay Kumar Jha, Balaji Bharadwaj","doi":"10.1177/17504589231224558","DOIUrl":"10.1177/17504589231224558","url":null,"abstract":"The incidence and magnitude of depression are rarely assessed during preanaesthetic evaluation. The shared physiological mechanisms of depression and anaesthetic drugs are likely to alter the pharmacodynamics of propofol. Therefore, the study aimed to evaluate the burden of presurgical depression and its effect on propofol consumption during anaesthesia. This prospective, observational, cross-sectional, analytical study included adult patients (> 18 years) undergoing surgery. During the preoperative period, depressive symptoms were evaluated by the psychiatrist on 9-point Patient Health Questionnaire-9 (PHQ-9). The propofol requirements were recorded during anaesthesia and compared with those for patients without depression. One hundred and seventy-four patients (87 patients each with and without cancer) underwent presurgical evaluation. The prevalence of depression (>4 Patient Health Questionnaire-9) and moderate to severe depression (>9 PHQ-9) among patients with cancer was 58.6% and 35.6%, respectively. The prevalence of depression (>4 PHQ-9) and moderate to severe depression (>9 PHQ-9) among patients without cancer was 18.4% and 3.4%, respectively. In the cancer group, propofol requirement was significantly lower (114.7 ± 22.9mg vs. 126.4 ± 24.3mg; p = 0.025) in patients with depression than that in those without depression. In conclusion, the burden of depression during the preanaesthetic period among patients with cancer is substantial, and depression reduces propofol requirement during surgery.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"30-39"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724221","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 state of the NHS and the role of peer review. 国民保健服务的现状和同行评议的作用。

IF 1.2

Journal of perioperative practice Pub Date : 2025-01-01 DOI: 10.1177/17504589241299633

Carolina Britton

引用次数: 0