Journal of Perianesthesia Nursing最新文献

{"title":"Effectiveness of Adding Dexamethasone to Lidocaine in Upper Limbs Nerve Blocks: A Systematic Review","authors":"Mohammad-Reza Rafiei MD, PhD ,&nbsp;Ali Karbalai Khani MD, PhD ,&nbsp;Behroz Kheradmand MD, PhD ,&nbsp;Munther Kadhim Abosaoda PharmD ,&nbsp;Irodakhon Rasulova MD, PhD ,&nbsp;Oranous Khordad MD, PhD ,&nbsp;Arian Moayer BSc ,&nbsp;Behzad Kazemi Haki BSc ,&nbsp;Mehrshad Namazi","doi":"10.1016/j.jopan.2024.02.014","DOIUrl":"10.1016/j.jopan.2024.02.014","url":null,"abstract":"<div><h3>Purpose</h3><div>The use of perineural dexamethasone as an adjuvant drug to peripheral nerve block for postoperative pain is controversial. This systematic review aimed to determine the effectiveness of adding dexamethasone to lidocaine in upper limb nerve blocks.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>This review used a comprehensive search strategy to retrieve relevant published randomized trial articles that fulfilled the inclusion and exclusion criteria, without time limits, (until December 2023) that assessed the effects of a combination of dexamethasone to lidocaine in upper limb nerve blocks. The databases used for the electronic literature search included PubMed, Embase, and Clinical Trials.gov, dbGaP, Cochrane library, and Google Scholar. There was no language, gender, or age limitation. This systematic review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.</div></div><div><h3>Findings</h3><div>Of 3,926 articles identified by the initial search, 8 studies that met our inclusion criteria. All articles were original research studies. All eight articles were clinical trials. The sample size in the selected studies ranged from 30 to 90 people. Studies demonstrated that combining dexamethasone with lidocaine significantly improved the quality of peripheral nerve blocks, increased the analgesia period, and decreased analgesic consumption.</div></div><div><h3>Conclusions</h3><div>This review supported that the combination of dexamethasone (dose of 4 to 10 mg) and lidocaine (concentration of 1.5% to 2%) for upper limb block was more effective and beneficial without any side effects. However, further clinical trials in this regard with more data, various regions, and larger sample sizes to support our hypothesis are recommended.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 140-149"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635168","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 Preoperative Carbohydrate-containing Fluid Consumption on Maternal Oxidative Stress Markers During Elective Cesarean Delivery","authors":"Ozlem Dulger MD ,&nbsp;Betul Basaran MD ,&nbsp;Muhammet Korkusuz MD ,&nbsp;Ozcan Erel MD ,&nbsp;Salim Neselioglu MD ,&nbsp;Usame Omer Osmanoglu PhD ,&nbsp;Aliye Nigar Serin MD ,&nbsp;Rahim Kocabas PhD ,&nbsp;Volkan Ecesoy MD ,&nbsp;Mehmet Ali Goren RD","doi":"10.1016/j.jopan.2024.02.007","DOIUrl":"10.1016/j.jopan.2024.02.007","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to evaluate the effect of carbohydrate loading prior to the cesarean surgery under spinal anesthesia on thiols and ischemia-modified albumin (IMA) levels.</div></div><div><h3>Design</h3><div>Prospective, randomized placebo-controlled study.</div></div><div><h3>Methods</h3><div>Seventy-nine pregnant women planned for cesarean sections under spinal anesthesia at Karaman Training and Research Hospital were randomized into a control group (group C) (n = 42), and an oral carbohydrate preloading group (group OCH) (n = 37). OCH loading requires consuming 400 mL the night before surgery and 200 mL up to 2 hours before anesthesia. Group OCH consumed an oral carbohydrate-rich beverage (Nutricia-Fantomalt), and group C consumed an equal volume of water. This study investigated thiol-disulfide homeostasis after preoperative carbohydrate consumption. Preoperative gastric fluid, volume, antral cross-sectional area, hypotension following the birth, and fetal blood gas parameters were compared across groups.</div></div><div><h3>Findings</h3><div>Thiols and IMA levels did not differ across groups before and after surgery (<em>P</em> &gt; .05). Gastric ultrasonography showed similar antral cross-sectional area and stomach volume between groups (<em>P</em> = .172, <em>P</em> = .128, respectively). When surgery caused hypotension, group OCH received more ephedrine for surgery-induced hypotension, although this difference is not statistically significant (<em>P</em> = .704). A clustered error bar (95% confidence interval) plot with an interpolation line was used for a time-based comparison of mean differences in heart rate and mean arterial pressure between the groups.</div></div><div><h3>Conclusions</h3><div>This study supports that mothers' thiols and IMA levels were unaffected by preoperative OCH loading before cesarean surgery. We did not examine thiol and its derivatives in umbilical cord blood; hence, we can not comment on thiol/disulfide homeostasis levels in neonates.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 22-29"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327934","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":"Effects of Perioperative Glycemic Management Protocol on Glycemic Outcomes of Type 2 Diabetic Patients Undergoing Major Abdominal Surgery: A Prospective Cohort Study","authors":"Pervin Kurtoglu RN, PhD ,&nbsp;Emine Iyigun RN, PhD ,&nbsp;Alper Sonmez MD ,&nbsp;Mehmet Fatih Can MD","doi":"10.1016/j.jopan.2024.02.013","DOIUrl":"10.1016/j.jopan.2024.02.013","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to reveal the effects of a glycemic control protocol directed by nurses during the perioperative period on glycemic outcomes in diabetic patients undergoing major abdominal surgery.</div></div><div><h3>Design</h3><div>This was a prospective cohort study</div></div><div><h3>Methods</h3><div>The study was conducted at the Department of General Surgery of a research and training hospital in Turkey. The study included 47 patients with type 2 diabetes mellitus who underwent elective major abdominal surgery between September 2017 and December 2018. The number of patients in the intervention and the control groups was 22 and 25, respectively. Routine clinical glycemic control was implemented in the control group, whereas a glycemic management protocol developed by a multidisciplinary team was implemented in the intervention group. We collected data on the control group first, followed by the introduction of the glycemic management protocol to clinical staff and glycemia data collection using the new protocol. Blood glucose (BG) levels in patients and the factors that may affect BG were measured in the preoperative, intraoperative, and postoperative periods. Data on glycemic control was also collected. Furthermore, we measured the satisfaction of the nurses implementing the glycemic management protocol.</div></div><div><h3>Findings</h3><div>The rate of hyperglycemia in intensive care unit was 21% in the intervention group and 59% in the control group (<em>P</em> &lt; .05). Time spent in the target BG range during insulin infusion was 76% in the intervention group and 35% in the control group (<em>P</em> &lt; .05). The time required to achieve target BG range during insulin infusion was 6 hours for the intervention group and 15 hours for the control group, indicating that less time was required to achieve the target BG range in the intervention group (<em>P</em> &lt; .05). Moreover, the insulin consumption rate in the intensive care unit was lower in the intervention group (<em>P</em> &lt; .05). The satisfaction levels of the nurses that used the glycemic management protocol was 92.61 ± 7.93%.</div></div><div><h3>Conclusions</h3><div>Results of this study showed that the implementation of a glycemic management protocol by nurses for patients undergoing major abdominal surgery decreases the rate of hyperglycemia, insulin consumption rate, and the time required to achieve the targeted BG range during the perioperative period. Therefore, it is recommended to use a glycemia management protocol to control glycemia in patients during the surgical process.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 35-44"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433179","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":"Nurse-reported Missed Care in the Postanesthesia Care Unit: A Multifactorial Phenomenon","authors":"Blakeley Ward MSN, CRNA","doi":"10.1016/j.jopan.2024.10.013","DOIUrl":"10.1016/j.jopan.2024.10.013","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 236-238"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076071","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":"Optimizing Postoperative Clinical Outcomes in Spinal Surgery Through Preoperative Oral Carbohydrate Loading: A Case-control Study","authors":"Özlem İbrahimoğlu PhD, RN ,&nbsp;Eda Polat PhD, RN ,&nbsp;Merve Beke MSc, RN ,&nbsp;Serhat Pusat MD","doi":"10.1016/j.jopan.2024.03.002","DOIUrl":"10.1016/j.jopan.2024.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Preoperative oral carbohydrate loading is a component of enhanced recovery after surgery protocols. The aim of this study is to investigate the effects of preoperative oral carbohydrate loading on postoperative clinical outcomes in spinal surgery patients.</div></div><div><h3>Design</h3><div>This is a prospective case-control study.</div></div><div><h3>Methods</h3><div>This study was conducted with patients who underwent spinal surgery from October 1, 2020 to October 1, 2021 in a neurosurgery clinic of an education and research hospital. The intervention group (n = 46) ingested 800 mL oral carbohydrate drinks at least 8 hours before surgery. The postoperative clinical outcomes were nausea, vomiting, antiemetic and analgesic drug medication, inflammation, and bleeding. The first flatus and defecation time, oral intake time, mobilization time, and length of stay in hospital were assessed postoperatively. Adverse events were monitored up to 24 hours postoperatively. The control group (n = 46) underwent routine fasting protocols.</div></div><div><h3>Findings</h3><div>Lower rates of vomiting and bleeding during and after surgery and earlier defecation time and first mobilization time were determined in the intervention group, and the difference compared with the control group was statistically significant.</div></div><div><h3>Conclusions</h3><div>Preoperative oral carbohydrate loading is a nonpharmacological intervention that has a positive effect on postoperative clinical outcomes in patients who underwent spinal surgery and should be included in the enhanced recovery after surgery protocol.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 50-55"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460153","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":"Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study","authors":"Zijun Zhou MD ,&nbsp;Linglin Gao MD ,&nbsp;Zhu Lv MD ,&nbsp;Linyao Chen BD ,&nbsp;Kuan Lu MD ,&nbsp;Jinxia Cai MD ,&nbsp;Jiehao Sun MD ,&nbsp;Xiaodan Chen MD","doi":"10.1016/j.jopan.2024.03.022","DOIUrl":"10.1016/j.jopan.2024.03.022","url":null,"abstract":"<div><h3>Purpose</h3><div>Postoperative sore throat (POST) is a major complaint after day-case surgery. The objectives of this study were to investigate the risk factors for POST and develop a stratified nursing model for POST after day-case surgery.</div></div><div><h3>Design</h3><div>This case-control study was conducted at Department of Anesthesiology of 1st Affiliated Hospital of Wenzhou Medical University in Wenzhou, Zhejiang, China.</div></div><div><h3>Methods</h3><div>Anesthesia records and postanesthesia care files of adult patients undergoing day-case surgery with general anesthesia were reviewed. The primary outcome was the incidence of POST at 24 hours after day-case surgery or before discharge within 24 hours. Multivariate logistics regression was used to identify risk factors for POST. A nomogram was created to predict the probability of POST after day-case surgery.</div></div><div><h3>Findings</h3><div>A total of 9,312 records were retrieved from June 1, 2021 to April 30, 2022, including 8,499 files in the training group and 813 files in the validation group. One thousand five hundred and twenty-five cases in the training group experienced POST. The independent risk factors for POST included: thyroid surgery (odds ratios [OR] = 22.42, 95% confidence intervals [CI]: 18.45 to 27.25), shorter thyromental distance (OR = 1.18, 95% CI: 1.06 to 1.30), smaller neck circumference (OR = 1.09, 95% CI: 1.06 to 1.11), duration of anesthesia (OR = 1.13, 95% CI: 1.04 to 1.22), female (OR = 1.66, 95% CI: 1.41 to 1.96), age (OR = 0.99, 95% CI: 0.99 to 1.00) and the presence of bloody sputum (OR = 8.33, 95% CI: 6.53 to 10.63). A nomogram that involved five factors was established to predict the probability of POST after day-case surgery. The area under the receiver operating characteristic curve in the training and validation groups was 0.77 and 0.81, respectively. The calibration curve demonstrated good consistency between the actual POST and the predicted probability.</div></div><div><h3>Conclusions</h3><div>The following variables are independently associated with POST: thyroid surgery, age approaching to 40 years old, female, shorter thyromental distance and smaller neck circumference, longer duration of anesthesia, and the presence of bloody sputum. A novel stratified nursing model is feasible for predicting the probability of POST.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 107-113"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914370","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":"Effects of Preoperative Oral Carbohydrates on Recovery After Laparoscopic Cholecystectomy: A Meta-analysis of Randomized Controlled Trials","authors":"Xiao-Han Wang MM ,&nbsp;Ze-Yang Wang MM ,&nbsp;Zheng-Ru Shan MM ,&nbsp;Rui Wang MM ,&nbsp;Zhi-Ping Wang PhD","doi":"10.1016/j.jopan.2024.03.007","DOIUrl":"10.1016/j.jopan.2024.03.007","url":null,"abstract":"<div><h3>Purpose</h3><div>The objective of this meta-analysis was to evaluate the efficacy of administering preoperative oral carbohydrates (CHO) compared to a control treatment in improving postoperative recovery outcomes for patients undergoing laparoscopic cholecystectomy (LC).</div></div><div><h3>Design</h3><div>A meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>Through systematic searches in PubMed, Embase, and the Cochrane Library, randomized controlled trials focusing on preoperative oral carbohydrates for patients undergoing LC were collected. Data analysis was conducted using the Revman 5.3 software.</div></div><div><h3>Findings</h3><div>The meta-analysis incorporated 19 randomized studies, with a total of 1,568 participants. Meta-analysis results indicated that patients receiving CHO reported notably lower postoperative pain compared to those fasting (<em>P</em> = .006) or on placebo (<em>P</em> = .003). Furthermore, a significant reduction in preoperative hunger was observed in the CHO group compared to the controls (<em>P</em> = .002). A notable difference was also identified in the postoperative Homeostasis Model Assessment-IR changes between the CHO and control groups (<em>P</em> = .02). No significant variations were observed in thirst, postoperative nausea and vomiting, insulin level alterations, glucose level changes, duration of hospital stay, or recovery quality.</div></div><div><h3>Conclusions</h3><div>Preoperative oral carbohydrates may alleviate hunger and pain, and attenuate postoperative insulin resistance more effectively than either overnight fasting or placebo in patients undergoing LC.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 169-180"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560107","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":"Call for 2026 Conference Speakers / Breathline Online","authors":"","doi":"10.1016/S1089-9472(25)00022-X","DOIUrl":"10.1016/S1089-9472(25)00022-X","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Page 5"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129641","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":"Bibliometric Analysis on Cholecystectomy Surgery in the Nursing Field","authors":"Pinar Tunc Tuna PhD","doi":"10.1016/j.jopan.2024.03.026","DOIUrl":"10.1016/j.jopan.2024.03.026","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to bibliometrically examine nursing publications regarding cholecystectomy surgery.</div></div><div><h3>Design</h3><div>The study is a bibliometric analysis.</div></div><div><h3>Methods</h3><div>The study was conducted in the Web of Science database. The keywords “cholecystectomy AND nursing” were used during the scanning. The data were evaluated in quantitative aspects.</div></div><div><h3>Findings</h3><div>In the study, 481 publications were identified, publications were made between 1987 and 2023, the average number of years since the release of the publication was 10.2, and the annual increase rate was 8.19%. The most active country was the United States, and the journal most often published in was the “<em>Journal of Perianesthesia Nursing</em>.” In the last 3 years, the themes of “meta-analysis, complication, pain, anxiety, quality of life” have been trending, the most working and continuing to develop our “laparoscopic cholecystectomy” and “pain” themes, and the leading theme in the field was “anxiety”.</div></div><div><h3>Conclusions</h3><div>This study is the first bibliometric study examining nursing studies on cholecystectomy and provides a comprehensive overview of cholecystectomy and nursing issues over 36 years. In quantitative data, it was concluded that although studies in this field have a long history, the number of publications is low, and the annual growth rate is low. According to the quantitative evaluation results, it was found that the most studied topic in this field was laparoscopic cholecystectomy and pain, minimally invasive intervention and perioperative period topics remained isolated, and computerized tomography and gallbladder themes were among the newly emerging themes.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 134-139"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560104","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":"Modified Thoracoabdominal Nerves Block Through Perichondral Approach: A Systematic Review and Meta-analysis","authors":"Insun Park MD, PhD ,&nbsp;Jae Hyon Park MD, PhD ,&nbsp;Chang-Hoon Koo MD, PhD ,&nbsp;Jin-Hee Kim MD, PhD ,&nbsp;Bon-Wook Koo MD, PhD ,&nbsp;Jung-Hee Ryu MD, PhD ,&nbsp;Ah-Young Oh MD, PhD","doi":"10.1016/j.jopan.2024.03.014","DOIUrl":"10.1016/j.jopan.2024.03.014","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-analysis aimed to investigate the postoperative analgesic efficacy and safety of the modified thoracoabdominal nerve block through the perichondral approach (M-TAPA) in abdominal surgeries.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>We searched electronic databases to identify relevant studies comparing M-TAPA with conventional analgesic techniques. The primary outcome was the requirement for rescue analgesia at 12 and 24 hours postsurgery. Secondary outcomes included the 11-point numerical rating scale pain scores at 0, 1, 2, 4, 6, 8, 12, and 24 hours following surgery, global quality of recovery scores, and postoperative adverse events.</div></div><div><h3>Findings</h3><div>Five randomized controlled trials involving 308 patients were analyzed. M-TAPA showed no significant difference in the requirement for rescue analgesia at 12 hours (relative risk [RR]: 0.87; 95% confidence interval [CI]: 0.62, 1.22; <em>P</em> = .424; <em>I</em>² = 40.7%; <em>P</em>_h = .185) and 24 hours (RR: 0.67; 95% CI: 0.22, 1.99; <em>P</em> = .252; <em>I</em>² = 90.3%; <em>P</em>_h &lt; .001) postsurgery compared to non-M-TAPA. No significant differences in numerical rating scale pain scores or global quality of recovery scores were found between the two groups (all <em>P</em> &lt; .05). However, M-TAPA was associated with a lower occurrence of nausea (RR: 0.37; 95% CI: 0.22, 0.68; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .834), vomiting (RR: 0.32; 95% CI: 0.17, 0.62; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .884), and itching (RR: 0.38; 95% CI: 0.21, 0.70; <em>P</em> = .002; <em>I</em>² = 0%; <em>P</em>_h = .826).</div></div><div><h3>Conclusions</h3><div>There was no significant difference in analgesic efficacy and safety between M-TAPA and non-M-TAPA techniques.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 205-212"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635171","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}