Journal of Perianesthesia Nursing最新文献

{"title":"Optimizing the Recovery of Pediatric Tonsillectomy: Application of Opioid-Free Anesthesia and Analgesia","authors":"Yi Zeng MBBS ,&nbsp;Yunwang Zhang MBBS ,&nbsp;Jianhong Wu MBBS ,&nbsp;Qingli Li MBBS ,&nbsp;Feng Liu MBBS ,&nbsp;Guoyi Gao PhD ,&nbsp;Lei Chen MBBS","doi":"10.1016/j.jopan.2024.11.013","DOIUrl":"10.1016/j.jopan.2024.11.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Opioids are considered the gold standard for controlling postoperative acute pain. However, side effects such as nausea, vomiting, respiratory depression, and pain sensitization have gained significant attention. The risks are higher in children with enlarged tonsils and sleep apnea, making effective pain management while minimizing analgesia-related side effects a pressing concern.</div></div><div><h3>Design</h3><div>This was a randomized (1:1), single-blind, parallel-group superiority trial.</div></div><div><h3>Methods</h3><div>A prospective single-blind study was conducted with 44 children aged 3 to 7 years who planned to undergo tonsillectomy under general anesthesia. They were randomized into two groups: the experimental group and the control group using computer-assisted randomization. The control group received standardized opioid drugs for general anesthesia induction and maintenance. In the experimental group, the opioid drugs used for anesthesia induction and maintenance were replaced with nonopioid alternatives such as esketamine and dexmedetomidine. The primary outcome of interest was the pain score within 48 hours after surgery, while the secondary outcomes included the time to first food ingestion, sleep quality, nausea, vomiting, respiratory depression, insufficient analgesia, number of children requiring hydromorphone rescue analgesia, and differences in psychological symptoms such as excitement and hallucinations, postoperative bleeding, and caregiver satisfaction.</div></div><div><h3>Findings</h3><div>The experimental group experienced significantly lower pain scores within 48 hours post surgery compared with the control group, with statistical significance at <em>P</em> less than .01 for 6, 12, and 24 hours, and at <em>P</em> less than .05 for 48 hours post surgery. In terms of the incidence of adverse events, children in the experimental group reported better sleep quality, less nausea and vomiting, and needed fewer instances of hydromorphone rescue analgesia than those in the control group. Additionally, the experimental group had higher caregiver satisfaction (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Nonopioid anesthesia and analgesia regimens can improve pain scores within 48 hours after tonsillectomy in children, improve sleep quality, shorten the time to first food ingestion, reduce the incidence of insufficient analgesia and nausea and vomiting, and increase caregiver satisfaction.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1183-1190"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Postoperative Handoff Communication in the Neuroscience Intensive Care Unit: A Quality Improvement Project","authors":"Emily Toth DNP, CRNA ,&nbsp;Robert Blessing DNP, ACNP-BC ,&nbsp;Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN ,&nbsp;Valerie Sabol PhD, MBA, ACNP-BC, GNP-BC, CHSE, CNE, ANEF, FAANP, FAAN","doi":"10.1016/j.jopan.2024.11.014","DOIUrl":"10.1016/j.jopan.2024.11.014","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This quality improvement project aimed to improve postoperative handoff communication between anesthesia providers and neuroscience </span>intensive care unit<span> nurses by developing and implementing a standardized postoperative handoff checklist<span> for the neurosurgical patient population.</span></span></div></div><div><h3>Design</h3><div>A quality improvement project. Pre-post interventional design.</div></div><div><h3>Methods</h3><div>The project team collaborated to develop and implement a standardized neuroscience intensive care unit-specific checklist for postoperative handoff between nursing staff and anesthesia providers. The checklist was designed to standardize communication, ensure completeness of information transfer, and empower nursing staff to ask questions during handoff. Staff education was provided regarding the use and importance of the handoff tool. In addition, staff knowledge and confidence regarding handoff communication were assessed before and after the intervention.</div></div><div><h3>Findings</h3><div>Implementation of the postoperative handoff checklist resulted in several positive outcomes, including improved knowledge and confidence in information exchange during handoff, enhanced team communication and collaboration, and increased staff satisfaction with the handoff tool. While statistical significance was not achieved for several data points, there was an observable improvement by the participants in all categories involved highlighting the clinical relevance of the intervention.</div></div><div><h3>Conclusions</h3><div>Implementing a standardized postoperative handoff checklist for a highly complex adult population recovering from neurosurgery shows potential for improving communication and facilitating a systematic information transfer between nursing staff and anesthesia providers. The checklist improved knowledge and confidence among nursing staff during postoperative handoff and empowered them to clarify information and ask questions during transfer of care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1116-1124"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Preoperative Surgical Fear Level Affect Breastfeeding?","authors":"İpek Turhan PhD, RN,&nbsp;Kübra Apaydın PhD, RN,&nbsp;Evrim Bayraktar PhD, RN","doi":"10.1016/j.jopan.2024.12.005","DOIUrl":"10.1016/j.jopan.2024.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to explore the relationship between surgical fear, breastfeeding initiation time, and breastfeeding self-efficacy.</div></div><div><h3>Design</h3><div>The research is a descriptive study.</div></div><div><h3>Methods</h3><div>The population of the study consisted of patients who applied to City Hospital Gynecological Surgery<span> and Postpartum services for elective cesarean section between July and October 2024. The study sample included pregnant women who met the eligibility criteria and consented to participate. Introductory Form, Breastfeeding Assessment Form, Surgical Fear Scale, and Breastfeeding Self-Efficacy Scale were used to collect the data.</span></div></div><div><h3>Findings</h3><div>A moderate positive correlation was observed between the short-term and long-term fear subscales, while a moderate negative correlation was found between the Surgical Fear Scale and its subscales and the Breastfeeding Self-Efficacy Scale (<em>P</em> ≤ .001). Women aged 25 years and younger had lower mean Breastfeeding Self-Efficacy Scale scores and the difference between the groups was statistically significant (<em>P</em> &lt; .001). The mean scores of the subscale and total scale of the Surgical Fear Scale were lower, the mean scores of the Breastfeeding Self-Efficacy Scale were higher, and the difference between the groups was statistically significant (<em>P</em> ≤ .001, <em>P</em> = .002, <em>P</em> = .001, <em>P</em> ≤ .001, respectively). The subscales and total scale scores of the Surgical Fear Scale of working women were lower and the difference between the groups was statistically significant (<em>P</em> = .005, <em>P</em> ≤ .001, <em>P</em> ≤ .001, <em>P</em> ≤ .001, respectively). The mean scores of the subscales and total scale of the Surgical Fear Scale were higher, the mean scores of the Breastfeeding Self-Efficacy Scale were lower, and the difference between the groups was statistically significant (<em>P</em> = .001, <em>P</em> ≤ .001, <em>P</em> ≤ .001, <em>P</em> ≤ .001, <em>P</em> ≤ .001).</div></div><div><h3>Conclusions</h3><div>This study shows that breastfeeding problems<span> in women undergoing cesarean section should not only be focused on breastfeeding problems due to the difficulties caused by the surgery, but should also be taken into consideration in the preoperative process. A recommendation is to investigate the effect of interventions to reduce the effect of preoperative surgical fear on breastfeeding.</span></div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1210-1216"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Incidence and Reasons for Temporary Cancellation of Day Surgery: A Retrospective Study","authors":"Yinhua Liang MD ,&nbsp;Man Lin BD ,&nbsp;Juan Qin BD ,&nbsp;Yunhong Tang MD","doi":"10.1016/j.jopan.2024.11.010","DOIUrl":"10.1016/j.jopan.2024.11.010","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the incidence and causes of cancellation of day surgery.</div></div><div><h3>Design</h3><div>This study was a retrospective, observational study and the clinical data were obtained from electronic medical records.</div></div><div><h3>Methods</h3><div>Data of day surgery from March 1, 2023 to February 29, 2024 were collected in the major operating room in Xiangya Hospital of Central South University, including patients' general conditions, diagnoses, anesthesia methods, and whether surgery was performed. The incidence of surgery cancellation in different ages, genders, departments, and anesthesia methods was analyzed comprehensively.</div></div><div><h3>Findings</h3><div>A total of 6,397 cases were scheduled, 211 cases were canceled after scheduling; the cancellation rate was 3.3%. The cancellation rate among different age groups (<em>P</em> &lt; .01) was statistically significant with 6 to 17 years old as the lowest 1.30% (11/844), and over 65 years old as the highest 3.74% (20/535). The cancellation rate among different departments was statistically significant (<em>P</em><span> &lt; .01) with plastic surgery as the lowest 2.06% (2/97) and neurosurgery as the highest 10.13% (8/79). The cancellation rate between different anesthesia methods was statistically significant </span><em>(P</em><span><span> &lt; .05) with general anesthesia as 3.01% (140/4,654) and </span>local anesthesia as 4.07% (71/1743). There was no statistically significant difference between different genders (</span><em>P</em> &gt; .05). Medical reasons were the main reason for cancellation 65.2% (138/211).</div></div><div><h3>Conclusions</h3><div>The rate of cancellation is higher in elderly patients and local anesthesia<span> patients and neurosurgery patients with day surgery. Medical reasons were the main cause of these cancellations, most of which could be avoided.</span></div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1173-1177"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Health Literacy Levels and Early Postoperative Pain, Nausea-vomiting in Patients Undergoing Total Hip Replacement Surgery: A Descriptive and Correlational Study","authors":"Kezban Koraş Sözen PhD,&nbsp;Nesibe Sultan Çinaroğlu MSc","doi":"10.1016/j.jopan.2024.11.011","DOIUrl":"10.1016/j.jopan.2024.11.011","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine the relationship between the health literacy levels of patients who underwent total hip replacement surgery<span> and their early postoperative pain, nausea, and vomiting levels.</span></div></div><div><h3>Design</h3><div>Descriptive correlation design was used in this prospective study.</div></div><div><h3>Methods</h3><div>A total of 80 patients participated in the study. Data were collected using the Descriptive Characteristics Form, Turkish Health Literacy Scale-32, Visual Analog Scale<span> for Pain Intensity, and Visual Analog Scale for Nausea and Vomiting Intensity.</span></div></div><div><h3>Findings</h3><div><span><span>A majority (57.5%) of the patients who underwent total hip replacement surgery had inadequate health literacy (23.80 ± 12.79), and </span>female patients and those with higher education levels had higher health literacy (</span><em>P</em> &lt; .05). There was no significant relationship between the health literacy levels of patients who underwent total hip replacement surgery and their levels of pain and nausea-vomiting.</div></div><div><h3>Conclusions</h3><div>The recovery process after total hip replacement surgery is lengthy, and discharge education is crucial. We recommend that future studies are conducted on larger populations regarding health literacy, which involves understanding, interpreting, expressing, and comprehending information that affects individuals’ health.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1178-1182"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Research Trends in Preoperative and Intraoperative Anxiety in the Past Two Decades: Bibliometrics and Knowledge Atlas Analysis","authors":"Jie Hu MM ,&nbsp;Wanning Zhu BS ,&nbsp;Fengxia Chen MM ,&nbsp;Ying Liu MM ,&nbsp;Ailing Lian PhD","doi":"10.1016/j.jopan.2024.12.008","DOIUrl":"10.1016/j.jopan.2024.12.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Preoperative and intraoperative anxiety are closely related to perioperative treatment and disease prognosis of surgical patients. Reducing preoperative and intraoperative anxiety can greatly improve surgical efficacy. This study conducted a bibliometric analysis of both preoperative and intraoperative anxiety with the aim to summarize and make predictions in this field.</div></div><div><h3>Design</h3><div>A bibliometrics analysis was conducted.</div></div><div><h3>Methods</h3><div>Bibliometric research methods were used to download literature information from the Web of Science database; the time span was from January 1, 2003 to September 13, 2023. HistCitePro software was used for statistical analysis, and Microsoft Excel 2021 (Microsoft Corporation) was used for data statistics and chart drawing. VOSviewer (Centre for Science and Technology Studies (CWTS), Leiden University), Pajek64, SCImago Graphica, and Rstudio were used for data visualization.</div></div><div><h3>Findings</h3><div>538 articles were included in the analysis. Over the past 2 decades, the number of published articles has steadily increased, reaching 79 by 2020. The United States and its universities are leading research efforts on preoperative and intraoperative anxiety. Relevant journals in the four fields of anesthesia, pain, pediatrics, and nursing are the main journals in this direction. Studies on preoperative and intraoperative anxiety were divided into five categories, each replaced by different keywords. Over time, research on anxiety reduction has gradually shifted from diseases, surgical methods, and patient cognition to modern high-tech technologies such as music and virtual reality.</div></div><div><h3>Conclusions</h3><div>Research on reducing preoperative and intraoperative anxiety is at an active stage. In the future, how to eliminate anxiety through high technology and modern technology will become a hot topic.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1357-1365"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Slow-stroke Back and Hot Stone Massage Therapy on Postoperative Anxiety Management in Orthopedic Patients: A Randomized Clinical Trial Study","authors":"Morteza Hojat Ansari BScN ,&nbsp;Seyedeh Zahra Aemmi PhD, RN ,&nbsp;Habibollah Esmaily PhD","doi":"10.1016/j.jopan.2025.01.025","DOIUrl":"10.1016/j.jopan.2025.01.025","url":null,"abstract":"<div><h3>Purpose</h3><div>Surgery is a stressful experience for patients, and most surgical patients have some degree of anxiety. Postoperative anxiety management of patients as a nursing intervention and care can be effective in improving the patient’s outcome and preventing postoperative complications.</div></div><div><h3>Design</h3><div>A randomized controlled trial.</div></div><div><h3>Methods</h3><div><span>Ninety-nine patients were randomly assigned to slow-stroke back or hot stone massage therapy and routine care group after </span>orthopedic surgery from 2023 to 2024. On the first or second day after the surgery, participants in the intervention groups received slow-stroke back or hot stone massage therapy 2 times in the morning and afternoon for 10 to 15 minutes. At the baseline and 30 minutes after the intervention, the anxiety (Spielberger Anxiety Inventory) of patients was measured.</div></div><div><h3>Findings</h3><div>Slow-stroke back or hot stone massage therapy significantly decreased patient anxiety compared with the routine care group (<em>P</em> &lt; .001) and also before the intervention (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>This study suggests that massage therapy in the form of slow-stroke back or with hot stone can be an effective complementary and alternative care in alleviating postoperative anxiety.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1295-1299"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Continuous Costoclavicular Brachial Plexus Block for Humeral Fracture in a Pregnant Patient”","authors":"Pranjali Kurhekar MD,&nbsp;Raghuraman M. Sethuraman MD,&nbsp;Sathyasuba Meenakshisundaram MD,&nbsp;Neeta Parlikar MBBS, DA","doi":"10.1016/j.jopan.2025.05.176","DOIUrl":"10.1016/j.jopan.2025.05.176","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Page 1087"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Ergonomic Risks in Surgical Unit Nurses and Factors Influencing These Risks: A Cross-sectional Study","authors":"Cahide Çevik PhD ,&nbsp;Büşra Koca RN","doi":"10.1016/j.jopan.2025.01.002","DOIUrl":"10.1016/j.jopan.2025.01.002","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aimed to assess the ergonomic risks perceived by nurses working in surgical units in terms of biomechanical, environmental, organizational and psychosocial factors, and to identify the factors influencing these risks.</div></div><div><h3>Design</h3><div>This study employed descriptive and cross-sectional design.</div></div><div><h3>Methods</h3><div><span>The study was conducted with 165 nurses working in surgical units of 1 private and 1 university hospital. Data were collected using the Personal Information Form and the Questionnaire Survey of Ergonomic Risks. The scales were administered between March 15, 2023, and April 15, 2023. The researchers gathered data through face-to-face interactions by visiting the nurses in their work environments. </span>Multiple linear regression analysis was used to explore the predictors of ergonomic risks.</div></div><div><h3>Findings</h3><div>Hospital type was found to be a positive predictor of biomechanical factors (B = 14.308, <em>P</em> &lt; .001), and organizational and psychosocial factors (B = 7.255, <em>P</em> = .048). Working in the operating room unit (B = −8.891, <em>P</em> = .020) was identified as a negative predictor, whereas night shifts (B = 14.963, <em>P</em> = .04) and shift work (B = 9.211, <em>P</em> = .018) were identified as positive predictors of organizational and psychosocial factors.</div></div><div><h3>Conclusions</h3><div>The results of the study indicated that surgical nurses face high biomechanical, environmental, and organizational and psychosocial risk factors. Working in a university hospital is a risk factor with regard to biomechanical, and organizational and psychosocial factors. Night shifts and shift work are risk factors for organizational and psychosocial factors. Working in the operating room demonstrates a lower risk in terms of organizational and psychosocial factors.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1217-1223"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Early Oral Intake in the Postanesthesia Care Unit on Nausea and Vomiting: A Meta-analysis of Randomized Controlled Trials","authors":"Mi-Ra Kang APN, MS, RN ,&nbsp;Hyun-Ju Seo PhD, MPH, RN ,&nbsp;Ji Sung Lee PhD ,&nbsp;Yoon-Kyung Jang MS, RN ,&nbsp;Soyeon Lee MS, RN ,&nbsp;Hye-Jin Kim RN ,&nbsp;Seo-Jin Won RN ,&nbsp;Kyungja Kim MS, RN ,&nbsp;Eunyoung Im MS, RN","doi":"10.1016/j.jopan.2025.01.001","DOIUrl":"10.1016/j.jopan.2025.01.001","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This systematic review<span> and meta-analysis aimed to investigate whether early oral fluid intake after surgery compared with delayed oral intake causes nausea and vomiting in pediatric patients who underwent general anesthesia in the </span></span>postanesthesia care unit (PACU).</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Conducted in accordance with the Cochrane Handbook for Systematic Reviews of Interventions (version 6.4), this study searched electronic databases, including Pubmed, CINAHL, Embase, Cochrane CENTRAL, PubMed, RISS, and KoreaMed up to July 2023. The Risk of Bias 2 tool assessed the risk of bias, and R statistical software facilitated meta-analysis. The certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.</div></div><div><h3>Findings</h3><div><span>A meta-analysis of 6 randomized controlled trials (RCTs) (2,723 patients) found early oral intake in the PACU decreased vomiting incidence by 36% compared with delayed oral fluid intake (risk ratio = 0.64, 95% confidence interval: 0.42 to 0.97, </span><em>P</em> = .040, I² = 7%) with moderate certainty of evidence. Another meta-analysis of 3 RCTs (2,185 participants) showed that early oral intake did not increase nausea compared with delayed oral intake (95% confidence interval: −0.76 to 0.07, <em>P</em> = .071, I² = 0%) with low certainty of evidence.</div></div><div><h3>Conclusions</h3><div>Early oral fluid intake in the PACU decreases postoperative vomiting without raising nausea. Health care providers should consider implementing early oral fluid intake in the PACU for enhanced recovery of pediatric patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1366-1374.e2"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}