Journal of Perianesthesia Nursing最新文献

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Mapping the Nursing Literature on Postoperative Delirium: A Bibliometric Analysis 绘制术后谵妄护理文献:文献计量学分析。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-10-01 DOI: 10.1016/j.jopan.2024.12.003
Melis Merve Cetinkaya MSc , Seçil Taylan PhD , Fatma Eti Aslan PhD
{"title":"Mapping the Nursing Literature on Postoperative Delirium: A Bibliometric Analysis","authors":"Melis Merve Cetinkaya MSc ,&nbsp;Seçil Taylan PhD ,&nbsp;Fatma Eti Aslan PhD","doi":"10.1016/j.jopan.2024.12.003","DOIUrl":"10.1016/j.jopan.2024.12.003","url":null,"abstract":"<div><h3>Purpose</h3><div><span><span>To provide a structured, macroscopic overview of nursing research on </span>postoperative delirium through </span>bibliometric analysis, assessing its characteristics and progress.</div></div><div><h3>Design</h3><div>Bibliometric analysis study.</div></div><div><h3>Methods</h3><div>For the bibliometric analysis study, the Web of Science database was selected, and the data analyzed was included until August 28, 2024. The analysis was performed using the “Biblioshiny” application available in the Bibliometrix R package.</div></div><div><h3>Findings</h3><div><span>Between 1977 and 2024, 535 nursing articles on postoperative delirium<span><span> were published in 313 sources. When examining the annual scientific output of nursing studies on postoperative delirium, the most prolific journals were found to be Journal of Clinical Nursing (n = 18), Journal of </span>Perianesthesia Nursing (n = 13), and Journal of the American </span></span>Geriatrics Society (n = 13). According to Bradford's law–based analyses, there are 313 productive journals in the nursing literature on postoperative delirium. These journals are distributed as follows: 29 in the first zone, 108 in the second zone, and 176 in the third zone. Authors and articles were organized according to Lotka's law. The majority (88.9%) of the authors (n = 2,486) had 1 article, 8.7% had 2 articles (n = 243), and 1.5% had 3 articles (n = 43), while 0.2% (n = 7) had more than 5 publications. Recent trends show a shift toward research on recovery, guidelines, and 3 outcomes, with studies on experience, impact, and cardiac surgery. The countries with the highest number of publications were identified as the United States, Germany, and China. Global collaborations on this topic were: United States-Canada (n = 8), United States-Germany (n = 7), United States -United Kingdom (n = 7).</div></div><div><h3>Conclusions</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on postoperative delirium in nursing.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1346-1356"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674691","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}
引用次数: 0
Combination of Ropivacaine Hydrochloride and Esketamine for Thoracic Paravertebral Block on Pain and Postoperative Recovery of Patients Undergoing Radical Resection Surgery for Lung Cancer 盐酸罗哌卡因联合艾氯胺酮胸腔椎旁阻滞对肺癌根治性手术患者疼痛及术后恢复的影响。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-10-01 DOI: 10.1016/j.jopan.2025.01.012
Qun Yang BD , Qian Luo BD , Lei Cheng MD , Ze-Xue Yang BD , Li-Hao Rao BD , Feng Cheng MD , Li-Dong Zheng BD
{"title":"Combination of Ropivacaine Hydrochloride and Esketamine for Thoracic Paravertebral Block on Pain and Postoperative Recovery of Patients Undergoing Radical Resection Surgery for Lung Cancer","authors":"Qun Yang BD ,&nbsp;Qian Luo BD ,&nbsp;Lei Cheng MD ,&nbsp;Ze-Xue Yang BD ,&nbsp;Li-Hao Rao BD ,&nbsp;Feng Cheng MD ,&nbsp;Li-Dong Zheng BD","doi":"10.1016/j.jopan.2025.01.012","DOIUrl":"10.1016/j.jopan.2025.01.012","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This study aims to investigate the efficacy of a combination of ropivacaine hydrochloride and </span>esketamine<span> in paravertebral block (PVB), in providing analgesia and promoting the postoperative recovery of patients undergoing elective thoracoscopic radical lung cancer surgery.</span></div></div><div><h3>Design</h3><div>A randomized controlled trial was conducted involving 70 patients scheduled for elective thoracoscopic radical lung cancer surgery.</div></div><div><h3>Methods</h3><div><span>Participants were randomly assigned to either the esketamine group (K group) or the control group (C group). Patients in the K group were administered a combination of 0.1 mg/kg of esketamine and 0.5% ropivacaine for PVB, while patients in the C group received only 0.5% ropivacaine. The time interval between the patient’s discharge from the </span>postanesthesia care unit<span><span> and the first press of the analgesic<span> pump and the number of presses. Various parameters that were monitored included the patients’ mean arterial pressure, heart rate, and </span></span>oxygen saturation<span> at different time points; levels of interleukin-6, tumor necrosis factor-α, and C-reactive protein in venous blood<span> preoperatively and 6 hours postoperatively; pain assessed using the numeric rating scale scores.</span></span></span></div></div><div><h3>Findings</h3><div><span>Compared with group C, patients in group K had significantly longer intervals before their first postoperative analgesic pump press and significantly fewer effective analgesic pump presses in the 48-hour postoperative period. Resting numeric rating scale scores were significantly lower in group K at 24 and 48 hours postoperatively (both </span><em>P</em><span> &lt; .05). In terms of postoperative recovery, sedation score during extubation was lower in group K compared with group C (</span><em>P</em> &lt; .05). Patients in group K had significantly improved quality of recovery on the third day postoperatively (both <em>P</em> &lt; .05). The levels of interleukin-6, tumor necrosis factor-α, and C-reactive protein in venous blood were significantly lower in group K than in group C 24 hours postoperatively, and the difference was statistically significant (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>PVB with ropivacaine hydrochloride combined with esketamine effectively prolonged the time to the first analgesic pump use, reduced the overall analgesic pump requirement, and facilitated rapid recovery in patients undergoing thoracoscopic radical lung cancer surgery.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1238-1244"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163138","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}
引用次数: 0
Methodological Considerations and Practical Implications in Postanesthesia Care Unit Noise Reduction Strategies 麻醉后护理单位降噪策略的方法学考虑和实际意义。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-10-01 DOI: 10.1016/j.jopan.2025.05.175
Yaoting Wu RN, Lanhong Zhu RN
{"title":"Methodological Considerations and Practical Implications in Postanesthesia Care Unit Noise Reduction Strategies","authors":"Yaoting Wu RN,&nbsp;Lanhong Zhu RN","doi":"10.1016/j.jopan.2025.05.175","DOIUrl":"10.1016/j.jopan.2025.05.175","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Page 1086"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818029","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}
引用次数: 0
Risk Factors for Emergence Agitation in the Postanesthesia Care Unit: A Propensity Score-Matched Analysis. 麻醉后护理病房出现躁动的危险因素:倾向评分匹配分析。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-29 DOI: 10.1016/j.jopan.2025.06.006
Sun Hee Moon, Seon Young Hwang
{"title":"Risk Factors for Emergence Agitation in the Postanesthesia Care Unit: A Propensity Score-Matched Analysis.","authors":"Sun Hee Moon, Seon Young Hwang","doi":"10.1016/j.jopan.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.006","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to identify predictors of acute emergence agitation (EA) in the postanesthesia care unit (PACU) following general anesthesia and to examine associated risk factors to inform effective management strategies.</p><p><strong>Design: </strong>A single-center retrospective observational study.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of data from 15,667 adult patients who underwent surgery under general anesthesia at a tertiary general hospital in Seoul, Korea. To reduce selection bias and strengthen causal inference, we used propensity score matching at a 1:4 ratio, resulting in a final analysis of 6,620 patients. EA was defined as a Richmond Agitation-Sedation Scale score of greater than or equal to +1. Risk factors were analyzed using binary logistic regression.</p><p><strong>Findings: </strong>The incidence of EA was significantly higher in patients with a pain score of 7 or above compared with those with a score below 3 (odds ratio [OR] = 8.080, P < .001). Patients undergoing procedures in Urology and Gynecology departments were 2.2 times more likely to experience EA than those in other departments such as Otolaryngology, Internal Medicine, Plastic Surgery, and Ophthalmology (OR = 2.171, P < .001). Lower serum albumin levels (OR = 1.582, P < .001) and lower blood glucose levels (OR = 0.996, P < .001) were also associated with a higher incidence of EA. Additional predictors included anesthesia duration longer than 2 hours (OR = 1.496, P < .001), the presence of a urinary catheter (OR = 1.313, P = .007), and undergoing anesthesia for the first time (OR = 1.213, P = .004).</p><p><strong>Conclusions: </strong>Patients who have undergone surgery under general anesthesia and present with the risk factors identified in this study should be regarded as high risk for EA. Nurses in the PACU should identify and effectively manage these patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187299","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}
引用次数: 0
Pathologic Findings in Malignant Hyperthermia and Treatment: A Case Report. 恶性高热的病理表现及治疗:1例报告。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-25 DOI: 10.1016/j.jopan.2025.05.010
Mürsel Kahveci, Osman Özgür Kilinç, Harun Tolga Duran, Filiz Ahun, Serkan Taştan, Aslı Aydinli, Mehmet Kizilkaya
{"title":"Pathologic Findings in Malignant Hyperthermia and Treatment: A Case Report.","authors":"Mürsel Kahveci, Osman Özgür Kilinç, Harun Tolga Duran, Filiz Ahun, Serkan Taştan, Aslı Aydinli, Mehmet Kizilkaya","doi":"10.1016/j.jopan.2025.05.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.010","url":null,"abstract":"<p><p>Malignant hyperthermia is a pharmacogenetic disorder of skeletal muscle that manifests as a hypermetabolic response to potent volatile anesthetic gases, including halothane, sevoflurane, desflurane, isoflurane, and depolarizing muscle relaxants such as succinylcholine, and occurs in humans in response to stressors such as strenuous exercise and heat. A 44-year-old male patient with a body weight of 100 kg, scheduled for rhinoplasty surgery at the ENT (Ear, Nose, and Throat) clinic with no history of anesthesia-related complications, was anesthetized with propofol, fentanyl, and rocuronium induction following preoperative evaluation. Maintenance anesthesia was provided with sevoflurane and remifentanil. Given the observed changes over the following minutes, a preliminary diagnosis of malignant hyperthermia was considered, and the patient's temperature was monitored. Upon an increase in body temperature and further clarification of the findings associated with malignant hyperthermia, the protocol was applied, resulting in a diagnosis of malignant hyperthermia. The patient was then transferred to the anesthesia intensive care unit for further treatment, as his clinical findings demonstrated improvement, and he exhibited a favorable course of treatment in the intensive care unit. This case highlights the importance of awareness of malignant hyperthermia and its presentation.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139137","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}
引用次数: 0
Investigation of Compassion Fatigue and Psychological Resilience of Surgical ICU Nurses: A Cross-Sectional Study. 外科ICU护士同情疲劳与心理弹性的横断面调查
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-24 DOI: 10.1016/j.jopan.2025.04.012
Cansu Yagmuroglu, Esma Ozsaker
{"title":"Investigation of Compassion Fatigue and Psychological Resilience of Surgical ICU Nurses: A Cross-Sectional Study.","authors":"Cansu Yagmuroglu, Esma Ozsaker","doi":"10.1016/j.jopan.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.012","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the levels of compassion fatigue (CF) and psychological resilience (PR) of surgical intensive care unit nurses, to explore their relationship and identify the factors influencing CF.</p><p><strong>Design: </strong>This study is a cross-sectional descriptive study.</p><p><strong>Methods: </strong>This study involved 145 nurses working in the surgical intensive care units of a university hospital between November and December 2022. A demographic and work-life-related data sheet, Compassion Fatigue-Short Scale (CF-SS), and Resilience Scale for Adults (RSA) were used to collect the data. Descriptive statistics, Bonferroni post-hoc test, Mann-Whitney U test, Kruskal-Wallis H test, and Spearman's correlation analysis were performed to analyse the data.</p><p><strong>Findings: </strong>The mean total score for the CF-SS was 58.72 ± 17.69. The mean overall score for the RSA was 116.66 ± 17.76. The total CF-SS score was lower in married participants, those with an associate degree, those who liked their job, and those who were satisfied with their clinic (P < .05), while the total RSA score was higher in married participants and those who were satisfied with their clinic (P < .05). The results showed that there was a low, but significant, negative correlation (r = -0.217; P = .009) between RSA and CF-SS.</p><p><strong>Conclusions: </strong>This study found that surgical intensive care unit nurses experience moderate levels of CF and PR. Higher PR was associated with lower CF, and job satisfaction and being married positively influenced both CF and PR. Nurses who were satisfied with their clinic and had higher resilience reported less CF. These findings suggest that enhancing resilience and job satisfaction could help reduce CF and improve nurse well-being.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132177","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}
引用次数: 0
Effectiveness and Safety of Nurse Anesthetist-Led Preanesthesia Evaluation for Patients With Cancer: A Retrospective Observational Study With Coarsened Exact Matching Method. 护理麻醉师主导的癌症患者麻醉前评估的有效性和安全性:一项采用粗化精确匹配方法的回顾性观察研究。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-22 DOI: 10.1016/j.jopan.2025.04.006
Lin Yin, Yuanyuan Li, Dongmei Ma, Jiale Hu, Shuying Zhu, Xueqin Xia, Quan Yang, Jiang Zou, Limei Liao
{"title":"Effectiveness and Safety of Nurse Anesthetist-Led Preanesthesia Evaluation for Patients With Cancer: A Retrospective Observational Study With Coarsened Exact Matching Method.","authors":"Lin Yin, Yuanyuan Li, Dongmei Ma, Jiale Hu, Shuying Zhu, Xueqin Xia, Quan Yang, Jiang Zou, Limei Liao","doi":"10.1016/j.jopan.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.006","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effectiveness and safety of nurse anesthetist-led preanesthesia evaluation in patients with cancer.</p><p><strong>Design: </strong>A retrospective observational study with a historical comparison group.</p><p><strong>Methods: </strong>Data of patients with cancer and undergoing surgery and preanesthesia evaluation 1 year before and after the implementation of nurse anesthetist-led preanesthesia evaluation were collected from electronic medical systems. A coarsened exact matching approach was applied to match the pre- and post groups based on eight characteristic variables. The Student t test and the χ<sup>2</sup> test were used for data analysis.</p><p><strong>Findings: </strong>After matching, 8,393 patients both in the exposure and comparison groups were analyzed. The proportion of preanesthesia assessments completed before the day of surgery increased from 41.5% to 96.8%; the total number of cancellations of surgery decreased from 30 (0.36%) to 9 (0.11%) with substantial declines in procedure cancellations due to arrhythmia (10, 0.12% vs 0, 0%) and incomplete preoperative investigations (12, 0.14% vs 2, 0.02%). Unplanned stay in the postanesthesia care unit longer than 2 hours significantly decreased from 176 (2.1%) to 139 (1.66%). Other anesthesia-related outcomes were not significantly different.</p><p><strong>Conclusions: </strong>Nurse anesthetist-led preanesthesia evaluation for cancer patients was effective and safe. Future studies should use a more rigorous study design or a parallel comparison to strengthen the findings in this area.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126305","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}
引用次数: 0
Operating Room Black Box Technology to Mitigate Local Anesthetic Systemic Toxicity Risk Associated With Liposomal Bupivacaine Administration. 手术室黑匣子技术减轻布比卡因脂质体给药引起的局麻全身毒性风险。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-22 DOI: 10.1016/j.jopan.2025.02.016
Gyuhyun Lee, Barbara S Turner, Jessica D Szydlowski, Virginia C Simmons
{"title":"Operating Room Black Box Technology to Mitigate Local Anesthetic Systemic Toxicity Risk Associated With Liposomal Bupivacaine Administration.","authors":"Gyuhyun Lee, Barbara S Turner, Jessica D Szydlowski, Virginia C Simmons","doi":"10.1016/j.jopan.2025.02.016","DOIUrl":"10.1016/j.jopan.2025.02.016","url":null,"abstract":"<p><strong>Purpose: </strong>This quality improvement project used operating room black box (ORBB) technology to evaluate adherence to liposomal bupivacaine (LB) administration protocols, specifically to identify obstacles to compliance with these protocols to mitigate the risk of local anesthetic systemic toxicity (LAST).</p><p><strong>Design: </strong>The team conducted a retrospective chart review of surgical cases using ORBB technology in two robotic operating rooms at a tertiary academic medical center.</p><p><strong>Methods: </strong>The project included 39 patients who received intraoperative LB between November 2022 and February 2024. Data were collected from the ORBB recordings and electronic medical records, focusing on provider adherence to LB administration protocols, such as conducting LB time-outs, applying LB alert wristbands, discontinuing lidocaine infusions, and following a 2:1 admixture ratio of LB with bupivacaine hydrochloride.</p><p><strong>Findings: </strong>Chart review indicated 25 (64%) cases completed the LB time-out, 24 (62%) applied the LB wristband intraoperatively, 23 (59%) included a wristband check, and 14 (36%) incorporated lidocaine infusion checks during the LB time-out. One case failed to stop the lidocaine infusion and 3 cases failed to follow the correct 2:1 admixture ratio; however, no LAST cases were reported.</p><p><strong>Conclusions: </strong>These findings underscore the potential of ORBB technology in improving adherence to LB administration protocols, reducing the incidence of LAST (10.2%), and enhancing patient safety. Challenges such as blind zones in ORBB coverage, the Hawthorne effect, and potential litigation risks are acknowledged. Information and training about ORBB technology, sharing ORBB reports with staff, and cross-referencing ORBB data with electronic medical records are recommended to optimize patient outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114934","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}
引用次数: 0
Intraoperative Utilization of Intravenous Methadone for Postoperative Pain Control. 术中静脉美沙酮在术后疼痛控制中的应用。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-12 DOI: 10.1016/j.jopan.2025.03.007
Daniela Laguado, Jiale Hu, Chad Watkins, James Furstein
{"title":"Intraoperative Utilization of Intravenous Methadone for Postoperative Pain Control.","authors":"Daniela Laguado, Jiale Hu, Chad Watkins, James Furstein","doi":"10.1016/j.jopan.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.007","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative pain is a unique experience that can be challenging to manage. It is imperative that perioperative nursing staff have a sound understanding of a multitude of pharmacological interventions. When compared to other intraoperative opioids, intravenous methadone has not been widely researched as a tool for the prevention of postoperative pain. The purpose of this systematic review is to provide evidence for its use and efficacy in preventing postoperative pain.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Methods: </strong>This review used a broad research strategy to seek out relevant publications from the last decade (2014 to January 2024). The databases used included MEDLINE (PubMed) and Google Scholar. Out of the initial 129 studies identified, 7 relevant clinical trials, 2 retrospective reviews, and 1 systematic review were chosen based on the inclusion criteria.</p><p><strong>Findings: </strong>Patients who received adequate doses of intraoperative methadone, defined as doses between 0.1 and 0.4 mg/kg ideal body weight had lower pain scores and decreased opioid consumption in the PACU compared to patients who received shorter-acting opioids in the intraoperative phase. Studies demonstrated that methadone use did not increase time to extubation at the end of surgery and was not associated with significant respiratory complications during recovery.</p><p><strong>Conclusions: </strong>This review supports that incorporating intravenous methadone can yield a satisfactory analgesic profile for a wide array of surgeries, including ambulatory surgery, cardiac surgery, and intra-abdominal surgery. More clinical trials are needed to determine specific dosing guidelines and to vet the safety and efficacy in patients with various comorbidities.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056207","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}
引用次数: 0
Identification of Patients at Risk for Food Insecurity During the Anesthesia Preoperative Interview. 在麻醉术前访谈中识别有食物不安全风险的患者。
IF 2 4区 医学
Journal of Perianesthesia Nursing Pub Date : 2025-09-08 DOI: 10.1016/j.jopan.2025.07.005
Peter J Caraballo, Gina M Edwards, Virginia C Simmons
{"title":"Identification of Patients at Risk for Food Insecurity During the Anesthesia Preoperative Interview.","authors":"Peter J Caraballo, Gina M Edwards, Virginia C Simmons","doi":"10.1016/j.jopan.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.07.005","url":null,"abstract":"<p><strong>Purpose: </strong>Food insecurity (FI) is a social determinant of health and health disparity that leads to increased risk of chronic health conditions. Despite the widespread implementation of FI screening in other settings, the role of the anesthesia team in FI screening is underused, increasing the chance of at-risk individuals not being identified. The anesthesia preoperative interview is an opportunity to identify patients experiencing FI and provide resources to improve outcomes. The purpose of this project was to evaluate and enhance FI screening practices in the preanesthesia testing (PAT) clinic.</p><p><strong>Design: </strong>Quality improvement project using a preintervention and postintervention design.</p><p><strong>Methods: </strong>This quality improvement project consisted of modifying the electronic health record to display current screening status, educating the PAT nurses on FI screening using the validated Hunger Vital Sign score, and automatically sending screening to patient portals upon PAT referral. Screening was conducted over 12 weeks, with weekly updates emailed to motivate staff and monitor consistency of screening efforts. At-risk patients were provided a resource packet to connect them to local, state, and federal resources. Demographic data were gathered to guide future targeted interventions.</p><p><strong>Findings: </strong>A total of 614 (72%) of 859 eligible patients were screened. Of those, 436 (71%) patients were screened by nursing staff, while 178 (29%) were screened within the patient portal. Fifty-four participants screened positive, and 22 were provided resource packets. Most patients experiencing FI identified as female (59.3%), Black or African American (57.4%), single (41%), and \"disabled\" as employment status (31%).</p><p><strong>Conclusions: </strong>The anesthesia preoperative interview serves as an opportunity to identify patients at risk of FI. This project concluded that patients of specific demographics were disproportionately affected by FI, providing a rationale for continued screenings. When a patient is identified as at risk, resources should be provided, and case management involvement may be necessary.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024538","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}
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