Perioperative Care and Operating Room Management最新文献

{"title":"Role of perioperative anxiety and stress response in laparoscopic cholecystectomy","authors":"Alexander Gomez , Rachna Jayaprakash , Arun Muthukumar","doi":"10.1016/j.pcorm.2025.100563","DOIUrl":"10.1016/j.pcorm.2025.100563","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100563"},"PeriodicalIF":1.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying factors associated with prolonged mechanical ventilation following isolated coronary artery bypass grafting: a retrospective observational study","authors":"Joseph AbuRahma ,&nbsp;Penny S. Reynolds ,&nbsp;Joseph C. Goldstein ,&nbsp;Jennifer Bromwell ,&nbsp;Thomas Beaver ,&nbsp;Yong G. Peng","doi":"10.1016/j.pcorm.2025.100565","DOIUrl":"10.1016/j.pcorm.2025.100565","url":null,"abstract":"<div><h3>Background</h3><div>The Society of Thoracic Surgeons has advocated for enhanced recovery after cardiac surgery and recommends extubation of patients within 6 h following routine coronary artery bypass grafting (CABG). Early extubation has been shown to decrease mortality and postoperative complications. The primary objective of this study was to create a preliminary prediction model that would identify modifiable factors associated with prolonged postoperative mechanical ventilation following isolated CABG at our institution.</div></div><div><h3>Methods</h3><div>This was a single-center retrospective observational records review study. Case records for 85 patients who had undergone an isolated, elective CABG between January 2021 and December 2022 were evaluated. A multivariable logistic regression model with backwards selection was used to estimate probability of prolonged postoperative mechanical ventilation (&gt;6 h). Predictor variables were based on readily available clinical information on patient demographics, comorbidities, and factors related to operative management (time on bypass, opioid use, patient acid-base status, core temperature). Models were internally validated by bootstrapping, and model performance was evaluated by optimism-corrected c-statistics.</div></div><div><h3>Results</h3><div>Twenty-six of 85 patients (31 %) were intubated for &gt;6 h. Base deficit, age, core temperature, and history of chronic obstructive pulmonary disease (COPD) were the strongest and most consistent predictors of prolonged intubation. Model discrimination and calibration were satisfactory (c-statistics &gt; 0.75). A simple probability chart was constructed from the final model to estimate patient risk of prolonged intubation.</div></div><div><h3>Conclusions</h3><div>Older (&gt;75 years), increased base deficit (base deficit ≤ -6 mmol/L), and hypothermic (&lt;36 °C) patients with history of COPD had the highest estimated probability of prolonged intubation (&gt;90 %) following isolated CABG. Future validation studies will require a larger cohort. Nevertheless, findings from this study have led to proactive changes in patient management at our institution to identify high-risk patients and prevent or partially reverse base deficit and hypothermia before patient arrival to the intensive care unit.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100565"},"PeriodicalIF":1.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The benefits from the video laryngoscope on postoperative sore throat: A randomized controlled trial","authors":"Yasmine Trabelsi,&nbsp;Faten Haddad,&nbsp;Khalil Becheikh,&nbsp;Hajer Arfaoui,&nbsp;Amani ben Haj Youssef,&nbsp;Emna Kammoun,&nbsp;Asma ben Souissi,&nbsp;Mhamed Sami Mebazaa","doi":"10.1016/j.pcorm.2025.100560","DOIUrl":"10.1016/j.pcorm.2025.100560","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative sore throat (POST) is a frequent complication of orotracheal intubation. The aim of our study was to assess the impact of video laryngoscopy (VL) type McGrath on postoperative sore throat following surgery with intubation.</div></div><div><h3>Methods</h3><div>This was a prospective, randomized study conducted over a 9 months period. We included 136 patients with non-difficult airway, with American Society of Anesthesiologists classification 1 to 3 and over 18 years old. The patients were randomized into two groups: the DL group including 70 patients intubated with a direct laryngoscope (DL) and the VL group including 66 patients intubated with a VL. Our primary outcome was POST assessed by a pain scale from 0 to 10 at 6 h postoperatively. We also evaluated the dysphonia and dysphagia, cough at emergence of anesthesia and Cormack and Lehane classification as secondary outcomes.</div></div><div><h3>Results</h3><div>Patients’ demographic and anthropometrical characteristics were comparable, as well as medical history. POST 6 h after surgery was lower in VL group: 0 [0–1.25] (Min:0 – Max:3) versus 2 [2–3] (Min:0 – Max:6) (<em>p</em> &lt; 0.001). Pain scores were also lower in DL group at H1, H2, H12 and H24 (<em>p</em> &lt; 0.001). Hoarseness at H12 (32.4 % versus 15.2 %; <em>p</em> = 0.02) and dysphagia at H2 (17.1 % versus 4.5 %; <em>p</em> = 0.02) were less frequent in VL group. Cough at emergence of anesthesia and hemodynamic response to intubation were comparable between the two groups. Difficult laryngoscopies were less frequently encountered in VL group (<em>p</em> = 0.007). Multivarious analysis assessed the impact of direct laryngoscopy, with adjusted OR = 8.5 [3.6; 19.8] and <em>p</em> &lt; 0.001. The subgroups analysis showed that the use of VL reduced POST among female and patients with body mass index over 25 kg/m² (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The use of the VL reduces POST, dysphonia and dysphagia. It also reduces the incidence of difficult laryngoscopies among patients with non-difficult airway.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100560"},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound guided ilioinguinal, iliohypogastric nerve block, transversus abdominis plane block and quadratus lumborum block for scheduled cesarean delivery: A randomized clinical trial","authors":"Mona Mohamed Mogahed ,&nbsp;Jehan Mahmed Ezzat Darweesh ,&nbsp;Mohamed Shafik Elkahwagy ,&nbsp;Omar Mhd Mounir Brnieh ,&nbsp;Faris Mohammed Shafik Moharan ,&nbsp;Wael Shebl Hassan Easa","doi":"10.1016/j.pcorm.2025.100561","DOIUrl":"10.1016/j.pcorm.2025.100561","url":null,"abstract":"<div><h3>Background</h3><div>Optimal postoperative pain management is essential for enhancing recovery outcomes after cesarean delivery (CD). Regional anesthesia techniques, including ilioinguinal and iliohypogastric (II/IH) nerve blocks, transversus abdominis plane (TAP) block, and quadratus lumborum (QL) block, have gained recognition for their ability to provide effective analgesia while reducing reliance on systemic medications. These approaches are considered both safe and effective, particularly when performed under ultrasound (US) guidance. This study aims to evaluate and compare the efficacy of US-guided II/IH nerve block, TAP block, and QL block in postoperative pain management following elective CD.</div></div><div><h3>Methods</h3><div>A total of 150 patients aged 18- 45 years old undergoing elective CD were randomly assigned to receive one of the three US-guided nerve block techniques. Patients were allocated at random in three groups by sealed envelopes. A mixture of (0.5 % ropivacaine mixed with adrenaline 2 µ/mL) was injected after the completion of surgery under spinal anesthesia. The primary outcome was the duration of analgesia in hours. The secondary outcomes included pain scores assessment using the Numeric Rating Scale (NRS) at multiple time points postoperatively, opioid consumption, time to first analgesic request, and any complications related to the nerve blocks.</div></div><div><h3>Results</h3><div>Patients who received QL block reported significantly the longest duration of analgesia (36 h) compared to those who received II/IH block (22.4±9.6 h) with P value &lt;0.001 (95 % CI), or those who received TAP block (28.36±7.7 h) with P value &lt;0.001 (95 % CI). The QL group shows also the lowest NRS scores during the first 24 with no need for morphine compared to those in the other two groups who consumed (0.15±0.07 mg) and (0.068±0.07 mg) in II/IH group and TAP group respectively with P value &lt;0.001(95 % CI).</div></div><div><h3>Conclusion</h3><div>The QL block offered strong and long-lasting pain relief, eliminating the need for opioids during the first 24 h after CD. The TAP block provided early analgesia but required additional pain control after 12 h. In comparison, the II/IH nerve blocks were effective for a shorter duration, with rescue analgesia needed as early as 6 h postoperatively.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100561"},"PeriodicalIF":1.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the relationship between knowledge, attitude, and practice toward hepatitis C virus among medical waste handlers in Sidama, Ethiopia: A structural equation modeling approach","authors":"Birhanu Betela Warssamo","doi":"10.1016/j.pcorm.2025.100558","DOIUrl":"10.1016/j.pcorm.2025.100558","url":null,"abstract":"<div><h3>Background</h3><div>Medical waste handlers are highly exposed to hepatitis C virus. Assessing their knowledge, attitude, and practice is essential for prevention. This study examined their knowledge, attitude, and practice toward HCV using structural equation modeling.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 282 medical waste handlers in Sidama region, Ethiopia from Oct 2021 – July 2022. Data were collected by structured questionnaire. Reliability and validity were confirmed. Descriptive statistics and structural equation modeling were performed using STATA 14 software.</div></div><div><h3>Results</h3><div>The study showed 55.1 %, 95 % CI: (50.23, 60.96) had good knowledge, 63.5 %, 95 % CI: (58.60, 65.70) had favorable attitude and 51.9 %, 95 % CI: (49.40, 55.43) had good practice. Knowledge significantly influenced both attitude and practice, while attitude had a direct effect on practice. Knowledge also exhibited a significant indirect effect (<span><math><mover><mi>β</mi><mo>^</mo></mover></math></span>= 0.11, 95 % CI= (0.008, 0.212), p = 0.035) and a total effect (<span><math><mover><mi>β</mi><mo>^</mo></mover></math></span>= 0.50, 95 % CI= (0.198, 0.802), p = 0.002) on practice through attitude. Additionally, frequency of reading newspapers, watching TV, listening to the radio, internet usage, years of experience, age, and monthly income had significant indirect and total effects on attitude through knowledge. Similarly, these variables, along with household size, had significant indirect and total effects on practice through knowledge.</div></div><div><h3>Conclusion</h3><div>Knowledge is critical to improving both attitudes and practices toward HCV prevention. Training programs, media campaigns, and socioeconomic improvements are recommended.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100558"},"PeriodicalIF":1.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operationalising the right to refuse treatment: karnataka’s 2025 response to the 2023 Order","authors":"Uzodinma Yurriens Ezenduka,&nbsp;Debarati Halder","doi":"10.1016/j.pcorm.2025.100557","DOIUrl":"10.1016/j.pcorm.2025.100557","url":null,"abstract":"<div><h3>Background</h3><div>Indian law recognises refusal of life-sustaining treatment and accepts advance directives. The order of 24 January 2023 sets attestation before a notary or a Gazetted Officer, allows authenticity checks through digital health records or named public custodians, and assigns activation to Primary and Secondary Medical Boards. This study asks whether Karnataka’s 2025 measures supply the required custody route and how hospitals can record cross-district verification within existing law.</div></div><div><h3>Methods</h3><div>Doctrinal analysis of national rules and Karnataka’s 2025 instruments; review of professional guidance on end-of-life decisions and Do-Not-Attempt-Resuscitation (DNAR); and use of migration data to frame document reach. From these sources, a concise verification workflow and audit checks were derived.</div></div><div><h3>Findings</h3><div>Karnataka names the Joint Commissioner in each Bruhat Bengaluru Mahanagara Palike zone and the Executive Officer of each taluk panchayat as custodians, and standardises Secondary Medical Boards from existing practitioner pools, with judicial acknowledgment of compliance. A three-channel method suits high mobility: consented access to a personal health record, contact with persons named in the directive, and written confirmation from the identified custodian. The file then carries an authenticity note recording version, attestation, source, and times, plus time-stamped minutes from both Boards. Treating authenticity as reach and version control improves reliability across districts and yields clear audit points, including time to first verified copy and concordance across versions.</div></div><div><h3>Conclusions</h3><div>Karnataka’s measures answer the custody question in the affirmative and allow verification within the national scheme. With attested directives, named contacts, reachable custodians, DNAR where relevant, and brief reasoned minutes, hospitals can produce a reviewable record that supports timely decisions while respecting autonomy and privacy.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100557"},"PeriodicalIF":1.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparison of spinal Anaesthesia in traditional sitting position versus cross-legged sitting position in Parturients undergoing elective caesarean section—a Randomised controlled trial","authors":"S. Podder ,&nbsp;I.A. Khan ,&nbsp;L Shenoy ,&nbsp;A. Satish ,&nbsp;M. Kulkarni ,&nbsp;R.R. Krishnabhat ,&nbsp;D. Shetty ,&nbsp;S. Thimmaiah Kanakalakshmi","doi":"10.1016/j.pcorm.2025.100556","DOIUrl":"10.1016/j.pcorm.2025.100556","url":null,"abstract":"<div><h3>Background</h3><div>Spinal anaesthesia is the preferred technique for caesarean delivery, owing to the several benefits it carries for mother and fetus. Appropriate patient positioning is vital as it improves the patient comfort, reduces the time taken, the number of attempts required, and decreases the number of needle and bone contacts during the procedure. Our study primarily aimed to compare number of attempts taken for successful needle placement in a sitting position versus a cross-legged sitting position. Secondary objectives included patient comfort, ease of palpation, and block characteristics.</div></div><div><h3>Methods</h3><div>Our study was a prospective, nonblinded, single-centre study. The patients were randomly assigned to one of the two groups using a computer-generated randomisation table and opaque envelope technique. A total of 110 parturients posted for the elective caesarean delivery received spinal anaesthesia in either a traditional sitting position or a cross-legged sitting position.</div></div><div><h3>Results</h3><div>The parturients in both groups were comparable in terms of age, height and weight. The number of attempts was equal in both groups, with 60 % of patients were successful at 1st attempt; <em>n</em> = 33 <em>p-</em>Value = 0.384). The landmark palpability, block characteristics and patient comfort were comparable in both groups</div></div><div><h3>Conclusion</h3><div>We found comparable results in both positions, either traditional sitting position can be used to administer spinal anaesthesia in parturients based on their comfort and preference</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100556"},"PeriodicalIF":1.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of intrathecal morphine and posterior quadratus lumborum block for post-caesarean analgesia","authors":"Ahmed Omar Mahmoud ,&nbsp;Gamal Mohamed Abu Dahab Ibrahim ,&nbsp;Mahmoud Alhasan Mohamed Hasan ,&nbsp;Waleed Ahmad Ali Hussein Atteia ,&nbsp;Ahmed Abdelkader Ahmed ,&nbsp;Mostafa Hassanien Hassanien Bakr","doi":"10.1016/j.pcorm.2025.100559","DOIUrl":"10.1016/j.pcorm.2025.100559","url":null,"abstract":"<div><h3>Background</h3><div>Effective pain management after caesarean delivery is essential to promote maternal recovery, facilitate early mobility, and support mother-infant bonding. Traditionally, intrathecal morphine (ITM) has been widely used due to its strong analgesic effects, but concerns about opioid-related side effects have led to growing interest in alternative regional techniques such as the quadratus lumborum block (QLB). Comparative evidence on the efficacy of these approaches in obstetric patients remains limited.</div></div><div><h3>Methods</h3><div>In a randomized trial, 70 cesarean patients underwent spinal anesthetic at Assiut University Hospital. The study compared bilateral posterior QLB with 0.25 % bupivacaine to 100 μg ITM. Secondary outcomes included pain scores, time to first morphine request, side effects, quality of recovery, and functional outcomes; the primary outcome was 24-hour IV morphine consumption.</div></div><div><h3>Results</h3><div>Morphine consumption over 24 h was similar between the ITM and QLB groups, averaging 6.4 mg and 8.5 mg, respectively. Pain levels at rest and during movement did not differ significantly between the two groups at any time point. However, a subgroup analysis showed that QLB patients with a BMI of 30 kg/m² or higher required more morphine and reported higher peak pain scores compared to those in the ITM group (10.5 mg vs 7.4 mg, <em>p</em> &lt; 0.05). No such difference was seen in patients with a BMI below 30 kg/m². In a multivariate analysis, BMI emerged as the only significant predictor of 24-hour morphine consumption (<em>p</em> = 0.016).</div></div><div><h3>Conclusion</h3><div>ITM and posterior QLB provide comparable postoperative analgesia after cesarean delivery for the general population. However, patient factors such as BMI and age may influence postoperative opioid requirements and should be considered when selecting an analgesic technique to optimize recovery and minimize side effects.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100559"},"PeriodicalIF":1.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a clinical competency evaluation index for operating room nurses in the Italian context: Delphi method and analytic hierarchy process","authors":"Gabriele Caggianelli ,&nbsp;Irene Dello Iacono ,&nbsp;Rita Patrizia Tomasin ,&nbsp;Pamela Pellini ,&nbsp;Luana Di Marte ,&nbsp;Eleonora Bruno ,&nbsp;Claudia Angelucci ,&nbsp;Paolo Mazzuca ,&nbsp;Fabio Petrelli ,&nbsp;Sara Morales Palomares ,&nbsp;Giovanni Cangelosi ,&nbsp;Stefano Mancin","doi":"10.1016/j.pcorm.2025.100554","DOIUrl":"10.1016/j.pcorm.2025.100554","url":null,"abstract":"<div><h3>Purpose</h3><div>To achieve consensus on essential elements of a clinical competency assessment for operating room nurses (OR) in Italy</div></div><div><h3>Design</h3><div>Delphi study</div></div><div><h3>Methods</h3><div>Between October 2023 and September 2024, 24 experts, including OR nurses, coordinators, and managers, identified key elements. Data collection involved two Delphi rounds and the analytic hierarchy process. Consensus was reached with a mean score ≥ 3.5 or variance &lt; 20 %.</div></div><div><h3>Findings</h3><div>Five key dimensions were identified: Professional, Ethical, and Legal Practice; Nursing Care &amp; Perioperative Practice; Interpersonal Relationships &amp; Communication; Organizational, Managerial &amp; Leadership Skills; and Education, Research &amp; Professional Development. The framework, with 66 competency elements, highlights the central role of nursing care and perioperative practice.</div></div><div><h3>Conclusions</h3><div>This framework highlights the multifaceted nature of perioperative nursing, with the Nursing Care &amp; Perioperative Practice dimension being central. It also emphasizes the importance of non-technical competencies, such as communication, leadership, and professional development, in improving patient outcomes and teamwork.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100554"},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and staff safety differences between open and laparoscopic surgical procedures: A qualitative study of operating room nurses' perspectives","authors":"Neslihan Ilkaz ,&nbsp;Dercan Gencbas","doi":"10.1016/j.pcorm.2025.100555","DOIUrl":"10.1016/j.pcorm.2025.100555","url":null,"abstract":"<div><h3>Background</h3><div>Operating room nurses play a critical role in maintaining safety for both patients and staff during the perioperative period. Given the distinct nature of open and laparoscopic surgical procedures, they must identify and address procedure-specific safety risks through preventive strategies.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the factors that threaten patient and staff safety in open and laparoscopic surgeries.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews with 18 operating room nurses from various surgical units selected via purposive sampling. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.</div></div><div><h3>Results</h3><div>Analysis yielded three main themes: Operating room environment, Staff responsibility,and Risk specific for surgical procedure. Sub-themes included environmental and psychological factors, team harmony, risk in surgical preparation, and risk during intraoperative. The findings showed that open and laparoscopic surgical procedures posed different risks to patient and staff safety.</div></div><div><h3>Conclusions</h3><div>Recognizing the safety challenges of different surgical methods is essential for improving outcomes. Operating room nurses and surgical teams should implement proactive, procedure-specific strategies to mitigate risks across all phases of surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100555"},"PeriodicalIF":1.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}