Journal of perioperative practice最新文献_第9页

Quality, not just data: Implementing NELA for safer emergency laparotomy care. 质量，而不仅仅是数据：为更安全的剖腹急诊护理实施NELA。

IF 0.9

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-12-16 DOI: 10.1177/17504589251393188

Alexander Gaspar

{"title":"Quality, not just data: Implementing NELA for safer emergency laparotomy care.","authors":"Alexander Gaspar","doi":"10.1177/17504589251393188","DOIUrl":"10.1177/17504589251393188","url":null,"abstract":"Background: The National Emergency Laparotomy Audit (NELA) is credited with improving outcomes after emergency laparotomy in England and Wales. Yet audit data do not save lives on their own; human effort to implement change does. This article examines how perioperative teams can convert NELA metrics into meaningful improvements, drawing on three implementation studies to separate genuine effect from 'audit spotlight' artefact.Key insights:First: outcome gains depend on implementation fidelity with local adaptation. Where bundle adherence was high and teams had senior champions, effective feedback, and practical enablers, mortality and length of stay improved. Where fidelity to the bundle faltered, benefits disappeared. Second: early wins plateau, so teams should expect diminishing returns and target the remaining vital few barriers (e.g. timely imaging, senior presence, postoperative critical care). Third: equity matters. Smaller hospitals lag on several NELA indicators, suggesting a need for focused support and shared learning. Finally, what matters to patients should be tracked, using patient-reported outcome measures (PROMs) and follow-up where feasible.Conclusion: For perioperative services, the message is practical: NELA data should be paired with near-real-time feedback, pathway steps under clinicians' control need resources, what matters to patients needs to be measured, and local adaptation helps to sustain gains.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"369-374"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145763342","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

Surgical nurses' level of knowledge and attitude regarding the preoperative fasting period. 外科护士对术前禁食期的知识和态度。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-08-20 DOI: 10.1177/17504589251355392

Arzu Isler, Zehra Aydın

{"title":"Surgical nurses' level of knowledge and attitude regarding the preoperative fasting period.","authors":"Arzu Isler, Zehra Aydın","doi":"10.1177/17504589251355392","DOIUrl":"10.1177/17504589251355392","url":null,"abstract":"The aim of this study was to determine the attitudes and knowledge levels of surgical nurses about preoperative fasting period. This descriptive study was conducted in the surgical clinics of a university hospital. The data collected contained information regarding the attitudes and knowledge of participants regarding the perioperative fasting period. The sample included 214 nurses who worked in surgical clinics and volunteered to participate in the study. It was found that the nurses' level of knowledge about the preoperative fasting period was moderate and level of attitude was good. The knowledge scores of individuals who were married (p = 0.045) and over 30 years of age (p = 0.003) were statistically significantly high (p < 0.05). There were statistically significant differences (p < 0.05) between the nurses' position (p = 0.014), the duration of work in the clinic (p = 0.025), and the working clinic (p = 0.030). The knowledge scores of the nurses who participated in the study increased as their education levels increased (β = 0.907), and their attitude scores increased as their working positions increased (β = 0.408). Conclusion: The nurses were found to have an interest in the extended fasting periods, but they were unaware of the current approaches. In-service training and the implementation of a preoperative fasting protocol are both recommended.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"350-360"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972275","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

Knowledge and behaviours of the operating room personnel regarding protection from ionising radiation. 手术室人员在电离辐射防护方面的知识和行为。

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-09-29 DOI: 10.1177/17504589251377662

Sevim Çelik, Hilal Çetin Baltutar, Sibel Altintaş, Elif Karahan

{"title":"Knowledge and behaviours of the operating room personnel regarding protection from ionising radiation.","authors":"Sevim Çelik, Hilal Çetin Baltutar, Sibel Altintaş, Elif Karahan","doi":"10.1177/17504589251377662","DOIUrl":"10.1177/17504589251377662","url":null,"abstract":"Introduction: Ensuring radiation safety in healthcare settings is crucial to minimising risks associated with ionising radiation exposure. This study aimed to evaluate the knowledge and behaviours of operating room personnel regarding protection from ionising radiation.Materials and methods: This cross-sectional correlational study was conducted with 100 surgical team members in two hospitals in Türkiye. Data were collected using the Demographic Information Form and Healthcare Professional Knowledge of Radiation Protection Scale.Results: The participants' overall knowledge level regarding radiation protection was an average score of 5.09 ± 2.35. A statistically significant difference was observed between the surgical team member role and the subscale of radiation physics, biology, and principles of radiation use (p = 0.008), as well as the total scale score (p = 0.025). The participants who had received training had significantly better knowledge and behaviours related to radiation protection (p < 0.05).Conclusion: The surgical team members demonstrated an adequate level of awareness regarding radiation protection, but there were deficiencies in translating their knowledge into practice. Providing periodic training supported by interactive learning methods can reinforce the radiation safety practices of healthcare professionals.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"361-368"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193290","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

Recent immunisation and anaesthesia: Is it a problem? 最近的免疫和麻醉：这是一个问题吗？

IF 1

Journal of perioperative practice Pub Date : 2026-06-01 Epub Date: 2025-08-04 DOI: 10.1177/17504589251364094

Geetanjali T Chilkoti, Rohit B Chaudhary, Medha Mohta, Vibhor Gupta

引用次数: 0

Operating theatre nurses' experiences of feedback on intraoperatively acquired pressure injuries related to surgical positioning: A descriptive survey study. 手术室护士对术中手术体位相关获得性压伤的反馈经验：描述性调查研究。

IF 1

Journal of perioperative practice Pub Date : 2026-05-29 DOI: 10.1177/17504589261450077

Matilda Thunmarker, Lubava Jasnopolski, Ami Fagerdahl

{"title":"Operating theatre nurses' experiences of feedback on intraoperatively acquired pressure injuries related to surgical positioning: A descriptive survey study.","authors":"Matilda Thunmarker, Lubava Jasnopolski, Ami Fagerdahl","doi":"10.1177/17504589261450077","DOIUrl":"https://doi.org/10.1177/17504589261450077","url":null,"abstract":"This study explored operating theatre nurses' experiences of receiving feedback on intraoperatively acquired positioning-related injuries and organisational factors influencing these processes. A descriptive cross-sectional web-based survey was completed by 57 Swedish operating theatre nurses using a study-specific questionnaire grounded in patient-safety frameworks. Most respondents had encountered positioning-related injuries, yet structured feedback was uncommon: over half received feedback only occasionally, and one-third never received any. When incidents were reported, feedback was often infrequent or absent. Although feedback was rated highly important for clinical practice, reporting, and positioning safety, responsibility for providing it was perceived as unclear. Barriers included limited interdepartmental collaboration, unclear routines, and time constraints, whereas facilitators included cross-unit collaboration, defined feedback responsibilities, and leadership support. Some nurses reported resorting to impermissible access to patient records to obtain outcome information. The findings indicate a need for systematic, leadership-supported feedback structures that strengthen organisational learning, ensure legal compliance, and enhance perioperative patient safety.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261450077"},"PeriodicalIF":1.0,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057267","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

Agreement and directional tracking performance of an under-mattress contactless sensor for heart rate, respiratory rate, and tidal volume during general anaesthesia. 床垫下非接触式传感器在全身麻醉时心率、呼吸频率和潮气量的一致性和定向跟踪性能。

IF 1

Journal of perioperative practice Pub Date : 2026-05-25 DOI: 10.1177/17504589261449164

Noriyoshi Tanaka, Shozo Hayashi, Norihiro Kameda, Yumi Tanaka

{"title":"Agreement and directional tracking performance of an under-mattress contactless sensor for heart rate, respiratory rate, and tidal volume during general anaesthesia.","authors":"Noriyoshi Tanaka, Shozo Hayashi, Norihiro Kameda, Yumi Tanaka","doi":"10.1177/17504589261449164","DOIUrl":"https://doi.org/10.1177/17504589261449164","url":null,"abstract":"Background: This prospective method-comparison study evaluated a support-surface-integrated under-mattress contactless sensor during general anaesthesia with spontaneous breathing.Methods: In adult surgical patients, we assessed agreement with standard reference monitors for heart and respiratory rates and examined whether a ventilation-related chest wall movement index tracked within-individual tidal volume changes. To minimise artefacts, the analyses were restricted to periods without clinician contact or visible body movements.Results: Heart rate and respiratory rate agreed with reference monitors within prespecified allowable differences. The ventilation-related index showed moderate directional tracking of tidal volume change.Conclusions: These findings provide foundational evidence of signal validity under controlled intraoperative conditions. Further studies should evaluate accuracy, data availability, and robustness during routine perioperative care, including care interactions and patient movement.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261449164"},"PeriodicalIF":1.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017685","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

Shivering of postoperative patients: Cases reported in the gynaecology ward. 术后患者寒战：妇科病房病例报告。

IF 1

Journal of perioperative practice Pub Date : 2026-05-24 DOI: 10.1177/17504589261448152

Saqib Riaz, Shammas Ali, Zia Ur Rehman, Robina Malik, Hashar Abdullah, Hafiz Rashid Hussain

引用次数: 0

Implementation of an Enhanced Recovery After Surgery protocol for sleeve gastrectomy at the 5-year mark and its association with perioperative outcomes. 袖套胃切除术5年术后增强恢复方案的实施及其与围手术期预后的关系

IF 1

Journal of perioperative practice Pub Date : 2026-05-19 DOI: 10.1177/17504589261448156

Drew Wrightson, Jon Mandelbaum, Wade Wrightson

{"title":"Implementation of an Enhanced Recovery After Surgery protocol for sleeve gastrectomy at the 5-year mark and its association with perioperative outcomes.","authors":"Drew Wrightson, Jon Mandelbaum, Wade Wrightson","doi":"10.1177/17504589261448156","DOIUrl":"https://doi.org/10.1177/17504589261448156","url":null,"abstract":"Enhanced Recovery After Surgery programmes combine efficient perioperative care pathways with evidence-based strategies to improve physiological readiness for surgery. In total, 220 patients undergoing laparoscopic sleeve gastrectomies in 2018 (pre-Enhanced Recovery After Surgery) were retrospectively compared with 143 patients undergoing laparoscopic sleeve gastrectomies in 2023-24 (Enhanced Recovery After Surgery) at our institution. Comparisons looked at postoperative length of stay, post-anaesthesia care unit length of stay, opioid usage, postoperative nausea and vomiting, visual analogue pain scores, 30-day readmissions, and mortality rates. The primary goal of this study was to evaluate the association between implementation of our Enhanced Recovery After Surgery protocol at year 5 with postoperative outcomes, with a focus on patient length of stay and opioid usage. Our protocol saw a significant decrease in all variables, with similar readmissions and mortality rates. The bariatric Enhanced Recovery After Surgery protocol implemented at our institution for laparoscopic sleeve gastrectomy improved perioperative outcomes with no increased patient risk.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261448156"},"PeriodicalIF":1.0,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976069","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

Comparing sugammadex to neostigmine and their effects on delirium and postoperative cognitive function: A systematic review. 比较糖玛德与新斯的明对谵妄和术后认知功能的影响：一项系统综述。

IF 0.9

Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2025-11-03 DOI: 10.1177/17504589251379195

Andrew Slowgrove, Celeste Ng, Alexandra Tebbett

{"title":"Comparing sugammadex to neostigmine and their effects on delirium and postoperative cognitive function: A systematic review.","authors":"Andrew Slowgrove, Celeste Ng, Alexandra Tebbett","doi":"10.1177/17504589251379195","DOIUrl":"10.1177/17504589251379195","url":null,"abstract":"Background: Sugammadex is a relatively new therapeutic agent that reverses neuromuscular blockade. Compared to neostigmine, it is hypothesised that sugammadex could have a beneficial effect on postoperative cognitive function, benefitting postoperative recovery.Objective: To compare the effects of both sugammadex and neostigmine on delirium and postoperative cognitive dysfunction.Methods: A systematic search of all relevant randomised controlled trials and observational cohort studies was performed in October 2024, utilising the following inclusion criteria: incidence of delirium and postoperative cognitive dysfunction following administration of neostigmine or sugammadex, adult patients, patients given rocuronium or vecuronium, English language studies, papers since the introduction of sugammadex (2008). CASP and Cochrane risk-of-bias tools were utilised for study appraisal, with a narrative synthesis of the results.Results: Five studies, reporting interventions in 49,910 patients, met the review criteria and were included. Of these, four showed no difference in cognitive function between sugammadex and neostigmine. One cohort study of 21 patients showed favourable outcomes postoperatively in the sugammadex group.Conclusion: This systematic review suggests the possibility of a very limited neurological protective role of sugammadex compared to neostigmine, but no clinical significance was reported. Only a limited number of studies were available, suggesting the need for further research.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"314-325"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432459","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

Safety, satisfaction, and streamlined surgery. 安全、满意、简化手术。

IF 1

Journal of perioperative practice Pub Date : 2026-05-01 Epub Date: 2026-03-27 DOI: 10.1177/17504589261434098

Carolina Britton

引用次数: 0