Journal of Perianesthesia Nursing最新文献

{"title":"The Effect of Different Doses of Ropivacaine for Caudal Block in School-aged Children Undergoing Shang Ring Circumcision","authors":"Bin Zhang MD ,&nbsp;Zhaofang Zhang MM ,&nbsp;Xin Huang PhD ,&nbsp;Weilian Ren MB ,&nbsp;Junxia Wang MD","doi":"10.1016/j.jopan.2024.05.012","DOIUrl":"10.1016/j.jopan.2024.05.012","url":null,"abstract":"<div><h3>Purpose</h3><div>The present study aimed to evaluate the effects of three different doses of ropivacaine in Shang Ring circumcision in school-aged children.</div></div><div><h3>Design</h3><div>This is a prospective, randomized, controlled study.</div></div><div><h3>Methods</h3><div>A total of 148 American Society of Anesthesiologists I to II children were enrolled and randomly assigned into the R0.2%, R0.25%, and R0.3% groups. These groups received 0.2%, 0.25%, and 0.3% of ropivacaine (0.5 mL/kg) for caudal block, respectively. The perioperative data on anesthesia quality (including adequate analgesia rate, analgesic duration, lower extremity numbness duration, and postoperative first urination time), and adverse events were collected. Hemodynamic variables were also measured perioperatively.</div></div><div><h3>Findings</h3><div>The adequate analgesia rate of caudal block in the R0.2% group (75.5%) was significantly lower than that in the R0.25% (94.0%) and R0.3% groups (98.0%) (<em>P</em> = .001). The analgesic duration of the R0.2% and R0.25% groups was significantly less than that of the R0.3% group (<em>P</em> &lt; .001). The duration of lower extremity numbness in R0.2% group was significantly shorter than that in R0.25% (<em>P</em> &lt; .05) and R0.3% groups (<em>P</em> &lt; .01), and there was no significant difference between the R0.25% and R0.3% groups. The first urination time of R0.2% was significantly shorter than the R0.3% group (<em>P</em> &lt; .05). There was no significant difference between the R0.2% and R0.25% or the R0.25% and R0.3% groups. No significant difference was found in adverse effects among groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>Caudal block with 0.3% ropivacaine can provide more satisfactory intraoperative analgesia quality for school-aged children receiving Shang Ring circumcision, without increasing the risk of adverse effects.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 349-355"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299340","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 Effect of Oral Water and Ice Popsicle Exposure on the Management of Thirst in the Immediate Postoperative Period","authors":"Esra Eren PhD, RN ,&nbsp;Seher Deniz Oztekin PhD, RN","doi":"10.1016/j.jopan.2024.05.013","DOIUrl":"10.1016/j.jopan.2024.05.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Thirst is a high-incidence condition that causes patients to experience problems in the early postoperative period in the postanesthesia care unit (PACU). The study was conducted to determine the effect of oral water and ice application in managing early postoperative thirst.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>The study was conducted between January and April 2017 with 150 patients who were transferred from the operating room of a university hospital to the PACU and met the research criteria. The patients were divided into treatment (water group = 50, ice group = 50) and control (n = 50) groups. Patients in the intervention group received oral water/ice application after admission to the PACU after surgery. Patients in the control group received routine treatment and care.</div></div><div><h3>Findings</h3><div>In intragroup comparisons before and after the application, there was a statistically significant decrease in thirst, dry mouth, dry throat, and difficulty in swallowing in the water and ice groups (<em>P</em> &lt; .001); ice application was more effective than water application, and there was no significant difference in the control group (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>Postoperative oral water/ice application was an effective and safe nursing intervention to reduce thirst, dry mouth, dry throat, and difficulty in swallowing. Ice application was more effective.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 356-364"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299342","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":"Decreasing Postsurgical Length of Stay in the Postanesthesia Care Unit for Obstructive Sleep Apnea and Obese Patients Using Exspiron Minute Ventilation Monitoring","authors":"Lindsay Holt PhD, MSN, RN, CPAN, CCRN ,&nbsp;Cresilda Newsom DNP, MSN, RN, CPAN ,&nbsp;JoAnn Daugherty PhD, RN, CNL","doi":"10.1016/j.jopan.2024.05.021","DOIUrl":"10.1016/j.jopan.2024.05.021","url":null,"abstract":"<div><h3>Purpose</h3><div>In the postanesthesia care unit (PACU), it is imperative to monitor respiration and ventilation, especially in patients diagnosed with or at risk for obstructive sleep apnea (OSA). Research studies have been published to highlight the importance of minute ventilation monitoring (MVM) as an early warning system of impending respiratory compromise, warranting studies to assess timely safe discharge in this high-risk population at UC San Diego Health.</div></div><div><h3>Design</h3><div>This quantitative study was conducted using a two-group comparative design method.</div></div><div><h3>Methods</h3><div>Length of stay was measured in 100 patients identified as high risk in the surgical setting with diagnosed or suspected OSA or a documented body mass index ≥40 with and without the use of MVM to evaluate its impact on PACU length of stay. Fifty patients were monitored using the University of California San Diego (USCD) Health standard of care monitoring of respiratory rate, pulse oximetry, and capnography when indicated, then compared to 50 patients monitored with the UCSD Health standard of care with the addition of MVM using the Exspiron monitoring device.</div></div><div><h3>Findings</h3><div>PACU length of stay decreased for those who received MVM (M = 106.22, SD = 56.85) than those who did not (M = 140.96, SD = 81.55), a statistically significant difference of 34.74 (95% CI, 6.64 to 62.83), <em>t</em>(97) = 2.46, <em>P</em> = .016. Total time savings between the 2 groups was 1,843 minutes of PACU bed occupancy.</div></div><div><h3>Conclusions</h3><div>The use of minute ventilation monitoring in addition to the standard of care in postsurgical patients can significantly reduce the length of high-risk patients with known or suspected OSA safely from the postoperative care unit.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 381-384"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Patients Undergoing Robot-assisted Cardiac Surgery: A Qualitative Study","authors":"Berrin Pazar RN, PhD ,&nbsp;Emine İyigün RN, PhD ,&nbsp;Sevinç Taştan RN, PhD ,&nbsp;Murat Kadan MD","doi":"10.1016/j.jopan.2024.05.010","DOIUrl":"10.1016/j.jopan.2024.05.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Over the last two decades, the use of robotic surgery in cardiac procedures has become increasingly prevalent. Typically, assessments of patient outcomes for robot-assisted surgery concentrate on patient morbidity and mortality, surgical complications, and length of hospital stay. However, there is limited research on patients' perceptions of robot-assisted surgery. Therefore, this study aims to determine the experiences of patients undergoing robot-assisted cardiac surgery.</div></div><div><h3>Design</h3><div>The study used a qualitative design.</div></div><div><h3>Methods</h3><div>The study was conducted with 12 patients who underwent robot-assisted heart surgery at an educational and research hospital. Ethical approval and written informed consent were obtained before the study.</div></div><div><h3>Findings</h3><div>66.7% of the participants were male with an average age of 38.25 ± 16.06 years. The analysis of qualitative data identified three themes: Robotic surgery, Post-Surgical Experience, and Homecoming.</div></div><div><h3>Conclusions</h3><div>Patients expressed satisfaction with robotic surgery and recommended it to others undergoing surgery. Based on the findings, we may suggest that nurses may conduct personalized education programs about robotic surgery and develop programs to follow up with patients at home.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 337-342"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914369","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":"Adult Patient Perceptions of Nurse Listening Behaviors in an Ambulatory Surgery Setting.","authors":"Kelly E Lancaster, Jacqueline Bourque, Kristiina Hyrkas","doi":"10.1016/j.jopan.2025.01.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.013","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to fill the knowledge gap by seeking the individual patient's perception regarding nurse listening behaviors. Our research question was: what behaviors do adult day surgery patients believe conveyed nurse listening during a recent day surgery experience?</p><p><strong>Design: </strong>A qualitative design was used for this study.</p><p><strong>Methods: </strong>A stratified convenience sample of 20 English-speaking adult patients was interviewed about their experiences. Audio-recorded interviews were transcribed and analyzed manually using thematic analysis.</p><p><strong>Findings: </strong>The analysis resulted in two themes. The first \"Interplay of Caring Communication\" was characterized by behaviors of nonverbal communication during the patient and nurse interaction, including observations of eye-to-eye contact, looking at the patient's face and the nurse's body language and facial expressions. Verbal communication behaviors occurred when nurses adapted or modified their teaching to meet patients' learning needs. Patients perceived nurses' oral communication styles as listening behaviors when they engaged in conversation by facilitating the dialog, asking and answering questions, and documenting the answers. The second theme \"Realization of Feeling Understood\" was characterized by descriptions of awareness of feelings and emotions, including patient experienced feelings and nurses acknowledging patient's emotions. Furthermore, insights into the experience of being heard emerged that were composed of the experience of patient care, the perception that everybody listens, they paid attention, acknowledged and respected the patient's wishes for care decisions.</p><p><strong>Conclusions: </strong>Patient perceptions of nurse listening are not limited to verbal exchanges between the patient and nurse but are also shaped by observations of nonverbal behaviors and the actions of nurses. These specific behaviors are important to patients, affecting their perception that \"my nurse is listening to me.\" Incorporated into daily practice, these behaviors can make patients feel they are being heard.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732259","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 Safe Thermoregulation Practices in an Urban Outpatient Surgery Center Through a Quality Improvement Initiative.","authors":"Jamie M Young, Kimberly Couch","doi":"10.1016/j.jopan.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>Inadvertent perioperative hypothermia, defined as a core temperature below 36 °C, can lead to complications but is preventable when nursing interventions follow clinical practice recommendations. At an urban outpatient surgery center in Kirkland, Washington, a quality improvement initiative was implemented to improve thermoregulation practices to 80% over 8 weeks.</p><p><strong>Design: </strong>A rapid cycle quality improvement project, guided by the Institute of Medicine's safety aim, was carried out using the Plan-Do-Study-Act model.</p><p><strong>Methods: </strong>Quantitative data were collected via a chart review with the PreOp Audit Tool and Postanesthesia Care Unit (PACU) Audit Tool. Interpretation of the quantitative data, in conjunction with the field notes, drove the next test of change to improve safe thermoregulation, which occurred biweekly. Team engagement scores were collected via a survey pre- and post-intervention, and means were calculated.</p><p><strong>Findings: </strong>Safe thermoregulation increased from 62% to 92%, exceeding the 80% target. The PreOp and PACU Warming Bundle proved to be the most effective intervention.</p><p><strong>Conclusions: </strong>Normothermia care bundles are effective in maintaining safe thermoregulation throughout the perioperative process and improve staff knowledge of clinical practice recommendations. In addition, normothermia care bundles decrease staff-perceived workload in managing normothermia.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732401","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":"Reducing Pain With IV Insertion Using a Needleless Anesthetic Device in the Pediatric Ambulatory Surgery Unit.","authors":"Lisa Schaeg Merritt, Catherine Sweet, Jaiden Newman, Kaity Roberts, Natalie Featherston","doi":"10.1016/j.jopan.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.006","url":null,"abstract":"<p><strong>Purpose: </strong>To reduce pain scores with intravenous (IV) insertion by 50% over 2 months among children in the ambulatory surgery center within a pediatric academic hospital.</p><p><strong>Design: </strong>Evidence-based quality improvement project.</p><p><strong>Methods: </strong>The project was implemented on a pediatric ambulatory surgery unit within a large, urban pediatric academic hospital. Interventions included implementing an evidence-based needleless anesthetic (J-Tip) with 1% buffered lidocaine. The team collected baseline data based on the standard unit practice before implementation. Our primary outcome was the mean pain scores during IV insertions for children receiving a peripheral IV for ambulatory surgery, and our secondary outcomes were pain scores with the application of the anesthetics and the number of IV attempts. This was carried out through practice changes implemented in Plan-Do-Study-Act (PDSA) cycles.</p><p><strong>Findings: </strong>Mean pain scores decreased by 72%. This was a statistically significant improvement (P < .05) from baseline (x̄ = 5.3) to post intervention (x̄ = 1.5). We found a slight decrease in IV attempts in the intervention group, from 1.47 to 1.35.</p><p><strong>Conclusions: </strong>This quality improvement project significantly enhanced the quality of care for pediatric patients in the ambulatory surgery unit by effectively decreasing pain associated with IV insertions. By implementing evidence-based strategies such as needleless anesthetic devices, perianesthesia nurses can minimize pain and create a less intimidating environment for pediatric patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732539","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":"Assessing the White's Fast-Track Score for Postoperative Handoff Between the Operating Room and the Postanesthesia Care Unit.","authors":"Tiffany Lin, Remi Hueckel, Brittany Fry, Geraldine Young, Julie A Thompson, Emily Funk","doi":"10.1016/j.jopan.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.006","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this project was to assess the sustainability of a standardized nursing postoperative handoff based on the White's Fast-Track Score (WFTS) tool used between the operating room (OR) and the postanesthesia care unit (PACU).</p><p><strong>Design: </strong>This quality improvement project used an observational pre-post design using two separate samples of the OR circulating registered nurses (RNs) and the PACU RNs.</p><p><strong>Methods: </strong>The project was conducted in a single OR that performs endocrine surgeries. Handoffs between the OR and PACU RNs using the WFTS tool were evaluated pre and post reintroduction of the tool. Data collected included percentage of handoff items communicated, duration of handoff, and staff satisfaction pre and post implementation.</p><p><strong>Findings: </strong>The use of the WFTS tool significantly improved the handoff communications, with reported items increasing from 66.0% to 97.3%. Handoff duration in minutes was reduced from pre implementation (M = 1:13, SD = 0:43) to post implementation (M = 0:55, SD = 0:38), t(63) = 1.70, P = .094, staff satisfaction scores improved, especially in clarity and comprehensiveness of handoffs, with significant increases in mean rank scores for items such as \"Guidance on the expected postoperative course\" (Mdn = 2.5 to Mdn = 3.1) and \"Overall handoff communication\" (Mdn = 2.5 to Mdn = 3.2).</p><p><strong>Conclusions: </strong>The implementation of the WFTS tool significantly improved handoff communication between OR and PACU nurses, as evidenced by increased accuracy in reported items and maintained handoff duration. Ongoing staff training and consistent use of the tool are essential in sustaining these benefits. Future efforts should focus on addressing challenges such as inconsistent application and expanding the use of structured handoff tools to other surgical specialties for ensuring long-term improvements in patient care and staff satisfaction.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732267","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 the Risk of Deep Vein Thrombosis in Urologic Surgery Patients and Methods Used in Its Prevention.","authors":"Şeyma Yurtseven, Sevgi Deniz Doğan, Sevban Arslan, Nebil Akdogan","doi":"10.1016/j.jopan.2024.11.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.015","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to determine the methods used to evaluate and prevent preoperative deep vein thrombosis (DVT) risk in urological surgery patients.</p><p><strong>Design: </strong>A descriptive and cross-sectional study.</p><p><strong>Methods: </strong>The study population consisted of patients treated at the urology clinic of a university hospital in the Mediterranean region between February 2024 and June 2024. The sample consisted of 120 patients who met the inclusion criteria. The data of the study were collected using the Personal Information Form, Autar DVT Risk Diagnosis Scale and Patient Follow-up Form. In addition to linear regression analysis, descriptive statistics were also used to analyze the data.</p><p><strong>Findings: </strong>According to the Autar DVT risk diagnostic scores of the patients participating in the study, 82.5% were in the low-risk group, 15.8% were in the intermediate-risk group, and 1.7% were in the high-risk group. Additionally, the study determined that sex, body mass index, and age significantly predicted the risk of DVT (P < .05).</p><p><strong>Conclusions: </strong>As a result of the study, it is noteworthy that although the risk of DVT is low in the majority of urological surgery patients, there are also patients at medium and high risk. In line with these results, more effective strategies should be developed, accompanied by guidelines, in evaluating and preventing DVT risk in clinical practice.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701976","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, Man Lin, Juan Qin, Yunhong Tang","doi":"10.1016/j.jopan.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.010","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the incidence and causes of cancellation of day surgery.</p><p><strong>Design: </strong>This study was a retrospective, observational study and the clinical data were obtained from electronic medical records.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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 (P < .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 (P < .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 (P < .05) with general anesthesia as 3.01% (140/4,654) and local anesthesia as 4.07% (71/1743). There was no statistically significant difference between different genders (P > .05). Medical reasons were the main reason for cancellation 65.2% (138/211).</p><p><strong>Conclusions: </strong>The rate of cancellation is higher in elderly patients and local anesthesia patients and neurosurgery patients with day surgery. Medical reasons were the main cause of these cancellations, most of which could be avoided.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","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}