Perioperative Care and Operating Room Management最新文献

{"title":"A comparative study on ultrasound guided superior laryngeal nerve block and lignocaine nebulization for hemodynamic stress response during suspension laryngoscopy in micro laryngeal surgeries - A prospective randomized double blinded study","authors":"Kirpa Shree Panneerselvam,&nbsp;Rajesh Kumar Kodali V,&nbsp;Mahesh Vakamudi","doi":"10.1016/j.pcorm.2025.100529","DOIUrl":"10.1016/j.pcorm.2025.100529","url":null,"abstract":"<div><h3>Introduction</h3><div>Microlaryngeal surgery (MLS) is the commonest endoscopic laryngeal procedure. Insertion of suspension laryngoscopy may lead to hemodynamic response such as rise in heart rate and blood pressure. This hemodynamic instability may cause myocardial ischemia, infarction, arrhythmia, rise of intraocular and intracranial pressure. This study was conducted to compare superior laryngeal nerve block and lignocaine nebulisation in microlaryngeal procedures to circumvent these complications.</div></div><div><h3>Methodology</h3><div>In this study 46 patients were enrolled in total, out of which 23 patients in Group A received 5 ml of 4 % lignocaine nebulization and Group B patients received superior laryngeal nerve block with 2 % lignocaine. The principal outcome evaluated was the hemodynamic stress response, specifically the alteration in heart rate. The secondary outcomes examined included systolic blood pressure (SBP), diastolic blood pressure (DBP), postoperative sore throat, cough, hoarseness of voice, as well as postoperative laryngospasm and desaturation</div></div><div><h3>Results</h3><div>In this study significantly lower heart rates were recorded in Group B when compared to that of Group A at 0, 3,5,9 min with a p value&lt;0. 05. Similarly, significantly lower Systolic and diastolic blood pressures were observed in Group B patients when compared to that of Group A (p value&lt;0 0.05). In this study, there is a significantly lower incidence of complications like sore throat and cough in Group B patients than that of Group A patients (P value &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Ultrasound guided superior laryngeal nerve block was found to be more effective than lignocaine nebulization to prevent hemodynamic stress response and post operative complications following micro laryngeal surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100529"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739284","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":"Psychometric properties of the Turkish form of the questionnaire for measuring distraction due to mobile phone use in operating rooms","authors":"Burçin Irmak ,&nbsp;İnci Mercan Annak ,&nbsp;Ayşe Gül Atay Doyğacı ,&nbsp;Dilek Aktaş","doi":"10.1016/j.pcorm.2025.100533","DOIUrl":"10.1016/j.pcorm.2025.100533","url":null,"abstract":"<div><h3>Background</h3><div>Mobile phone use has become increasingly prevalent among healthcare professionals, offering convenient communication and clinical decision-making. However, within perioperative environments, this technology also introduces potential sources of distraction that may jeopardize patient safety and surgical workflow. Despite its clinical relevance, there remains a need for validated, context-specific instruments to evaluate the extent and nature of such distractions in operating room settings.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the psychometric properties of the '<em>Questionnaire for Measuring Distraction Due to Mobile Phone Use in the Operating Room</em>' for Turkish society.</div></div><div><h3>Methods</h3><div>The methodological study was conducted online between May 20, 2024, and August 20, 2024. The sample consisted of 425 healthcare professionals working in operating rooms. The data were collected using the personal information form and the questionnaire. Validity and reliability are analyzed to evaluate the research data. The questionnaire was translated and back-translated.</div></div><div><h3>Results</h3><div>The translated Turkish version was submitted to eleven experts who analyzed it for content validity, and the total item content validity index was 0.98. The Cronbach's alpha coefficient of the scale to be at an acceptable level. The factorial analysis showed that three factors explained 53.513% of the total variance.</div></div><div><h3>Conclusion</h3><div>This study found that the Turkish form of the questionnaire meets the criteria of validity and reliability. The Turkish scale can assess the distraction caused by the use of mobile phones in operating rooms for health professionals in Türkiye.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100533"},"PeriodicalIF":1.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721369","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":"Analysis of the effect of ergonomic factors on the performance of the operating room team with ANP","authors":"Şeyda Gür","doi":"10.1016/j.pcorm.2025.100530","DOIUrl":"10.1016/j.pcorm.2025.100530","url":null,"abstract":"<div><h3>Purpose</h3><div>The unit with the largest share of income and expense items in hospitals is the operating rooms. Therefore, operating rooms are expressed as the most critical units of hospitals. The performance of the personnel working in these units is vital as it directly affects patient health. The inefficient organization of operating rooms poses ergonomic risks. These ergonomic difficulties cause illnesses or injuries in the surgical team. For healthcare professionals to provide the highest quality of care to patients, their physical health should not be overlooked. Additionally, a poor work-life balance within the surgical team can lead to burnout and negatively impact the quality of life. Therefore, this study addresses the effect of ergonomic factors in operating rooms on the performance of the surgical team.</div></div><div><h3>Methods</h3><div>In the study, eleven sub-criteria were identified through a literature review and an expert group, and these criteria were subsequently evaluated using the Analytical Network Process (ANP) method, a multi-criteria decision-making approach.</div></div><div><h3>Results</h3><div>It has been determined that the most important ergonomic factor affecting the performance of the surgical team is the working conditions criterion.</div></div><div><h3>Conclusion</h3><div>Suggestions were made based on the results obtained from the evaluation.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100530"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686225","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":"Nurses' views on patient privacy in the operating room environment: Phenomenological research","authors":"Dilek Talhaoğlu","doi":"10.1016/j.pcorm.2025.100532","DOIUrl":"10.1016/j.pcorm.2025.100532","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to evaluate the views of nurses working in the operating room regarding patient privacy.</div></div><div><h3>Methods</h3><div>The research is a qualitative study and phenomenological research was used. Data were collected through semi-structured interviews with 15 nurses working in the operating room unit of a university hospital in Central Anatolia between August and October 2024. The data were analyzed by content analysis method and categorized under the determined themes.</div></div><div><h3>Results</h3><div>When the qualitative data of the study were evaluated, 6 themes and 31 sub-themes were identified under the titles of “Definition of Privacy”, “Private Information”, “Violation of Privacy”, “Protection of Physical Privacy”, “Transfer Process” and “Suggestions on Protection of Privacy”. The study revealed that nurses associate patient privacy with elements such as personal information, the body, and the diagnosis and treatment process. It also indicated that nurses face various challenges in maintaining privacy during patient transfers and surgical preparation. Nurses emphasized that privacy is not only limited to physical privacy, but it is also important to protect personal information.</div></div><div><h3>Conclusions</h3><div>In the study, it was concluded that nurses care about patient privacy, but they cannot provide privacy at the desired level due to challenges such as workload, empathy gaps, teamwork problems and inadequate training. .</div></div><div><h3>Implications for Clinical Practice</h3><div>This study fills an important gap in clinical practice by revealing the current situation and challenges regarding the protection of patient privacy in the operating room environment. Violation of patient privacy can carry serious risks in terms of patient safety and ethical standards. The study provides important clinical recommendations to improve patient care quality and safety by emphasizing the need to strengthen ethical training for nurses and other healthcare professionals, to establish structured systems in operating room processes, and to increase communication within the team.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100532"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704873","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":"Exploring the perceived impact of the National Audit Project 6 (NAP6) recommendations on practice within perioperative anaphylaxis: A qualitative study","authors":"Sigrún Eyrúnardóttir Clark ,&nbsp;Gráinne Brady ,&nbsp;Zoe Brummell ,&nbsp;Andrew D. Kane ,&nbsp;Anna Littlejohns ,&nbsp;Iain Moppett ,&nbsp;Suneetha Ramani Moonesinghe ,&nbsp;Tim Cook ,&nbsp;Cecilia Vindrola-Padros","doi":"10.1016/j.pcorm.2025.100528","DOIUrl":"10.1016/j.pcorm.2025.100528","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety within perioperative care is significant due to the potential for major complications requiring a rapid response. The Royal College of Anaesthetists’ National Audit Projects (NAPs) have sought to improve patient safety by investigating serious and rare complications occurring during anaesthesia. The sixth NAP (NAP6), focused on perioperative anaphylaxis, and produced 134 recommendations. Staff perceptions of the impact of NAP6 recommendations have not been studied, which was the purpose of this research.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with a purposive sample of 21 healthcare professionals across three teaching hospitals in England and with five stakeholders who could share a national perspective. A documentary analysis was conducted with departmental and institutional documents associated with the training for, and management of perioperative anaphylaxis.</div></div><div><h3>Results</h3><div>Examples of perceived impact included: raised awareness on the main culprits of perioperative anaphylaxis, and awareness to consider an event as anaphylaxis; changes in referrals of patients to allergy clinics; increased penicillin allergy de-labelling initiatives; better communication with healthcare professionals and patients; alerts to remind staff on recommended care; and updates to national guidelines. Limited access to allergy clinics; the need for further penicillin allergy de-labelling; the lack of accountability for implementing recommendations; misalignment between disciplines; difficulties removing incorrect allergy labels; and access to launch events were highlighted as areas for improvement in implementation. Whilst access to allergy clinics; good relationships with stakeholders in the field; hospitals engaged with quality improvement initiatives; and the perioperative allergy network were recognised as enablers to implementation.</div></div><div><h3>Conclusions</h3><div>Future areas for consideration based on the perspectives shared by interviewees include improving access to allergy testing, enhancing penicillin allergy de-labelling initiatives, and sharing guidance on how to implement the recommendations (including funding).</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100528"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685497","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":"Evaluating the impact of combined deep serratus anterior and superficial parasternal blocks on postoperative outcomes in nipple-sparing mastectomy: A retrospective, exploratory study","authors":"Carmine Cavallo ,&nbsp;Antonio Mastrandrea ,&nbsp;Antonio Romanelli ,&nbsp;Maria Lamberti ,&nbsp;Antonio Spadino ,&nbsp;Renato Gammaldi","doi":"10.1016/j.pcorm.2025.100527","DOIUrl":"10.1016/j.pcorm.2025.100527","url":null,"abstract":"<div><h3>Background</h3><div>Single-centre, retrospective, and exploratory study. We evaluated the effectiveness of combining the deep serratus anterior plane block (dSAPB) and superficial parasternal block (sPSB) for managing postoperative pain in patients undergoing nipple-sparing mastectomy (NSM) with skin expander placement under general anesthesia (GA). We analyzed the relationships with postoperative pain, the need for rescue doses, early postoperative mobilization, and postoperative nausea and vomiting (PONV).</div></div><div><h3>Methods</h3><div>We included patients scheduled for elective NSM with skin expander placement. Patients performed regional anesthesia (dSAPB+sPSB before GA) were compared vs. standard of care (SoC, post-operative pain management with morphine plus ketorolac) group. We tested differences using the Chi-square test for categorical variables and Student's <em>t</em>-test or Mann-Whitney test for continuous variables. To evaluate the relationships between anesthesiologic management and outcomes (24 h postoperative pain, rescue dose administration [ketorolac 30 mg], PONV, and early mobilization), we performed univariate logistic regression. Odds ratios (OR) with 95 % confidence intervals (CI_{95 %}) were computed. All tests were conducted with α=0.05. A p-value &lt;0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The analysis was based on 31 patients. Patients in the regional group (19 patients) reported a significant reduction in the median of worst NRS (<em>P</em> = 0.0076), with a low percentage of patients reporting moderate pain (NRS 4–6, 5.3 % vs 50.0 % for SoC, -44.7 %, CI_{95 %} -81.5- -7.9 %, <em>P</em> = 0.0132). Regional anesthesia significantly reduced the development of postoperative pain (OR 0.18, CI_{95 %} 0.03–0.81, <em>P</em> = 0.0321) and the need for rescue doses (OR 0.19, CI_{95 %} 0.03–0.89, <em>P</em> = 0.0412).</div></div><div><h3>Conclusion</h3><div>The combination of dSAPB+sPSB appeared to provide improved postoperative pain control compared to SoC. However, due to the limited sample size and retrospective design, these findings should be considered preliminary and hypothesis-generating. Further studies are warranted to determine whether this approach has an impact on PONV, early mobilization, and LOS.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685495","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 silent threat in the sterile space: Rethinking formalin use in iranian operating rooms","authors":"Samira Mahmoudi ,&nbsp;Armin Fereidouni ,&nbsp;Amirali Alizadeh","doi":"10.1016/j.pcorm.2025.100526","DOIUrl":"10.1016/j.pcorm.2025.100526","url":null,"abstract":"<div><div>Formalin is still used as a sterilizing agent in Iranian operating rooms, despite well-established carcinogenic and respiratory risks. This letter highlights recent national data showing excessive formaldehyde exposure among OR personnel. It advocates for the urgent implementation of safer sterilization alternatives and updated national infection control policies.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100526"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685496","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":"Bibliometric mapping of anemia in geriatric surgery","authors":"Kübra Can ,&nbsp;Seçil Taylan ,&nbsp;Barış Özdere ,&nbsp;Fatma Eti Aslan","doi":"10.1016/j.pcorm.2025.100525","DOIUrl":"10.1016/j.pcorm.2025.100525","url":null,"abstract":"<div><h3>Objective</h3><div>In this study, scientific literature on anemia in geriatric surgical patients was reviewed using bibliometric analysis. Trends, scientific collaborations, and research gaps were identified.</div></div><div><h3>Method</h3><div>On March 1, 2025, 640 articles were included in the analysis after searching the Web of Science database using MeSH terms such as \"geriatrics,” \"elderly,” \"surgery,” \"anaemia\" “anemia”. Bibliometric evaluation was performed using the Biblioshiny interface. Publication years, authors, journals, keywords, countries, and collaborations were analyzed.</div></div><div><h3>Results</h3><div>A total of 3376 authors took part in 640 articles published between 1984 and 2025. The average number of citations per article was 9.54. BMJ Case Reports and International Journal of Surgery Case Reports had the highest number of publications. According to Keywords Plus analysis, the most common terms were \"management\", \"surgery\", \"mortality\" and \"diagnosis\".</div></div><div><h3>Discussion</h3><div>This study examined the literature on anemia in elderly surgical patients using a bibliometric method and analyzed the research trends, collaborations, and knowledge structure in this field using the Web of Science database. This study highlighted the negative effects of anemia on surgical outcomes, identified gaps in the literature, and provided recommendations for future research. These findings provide a comprehensive assessment of the field in accordance with the interdisciplinary and complex nature of the subject.</div></div><div><h3>Conclusion</h3><div>Key dynamics and gaps in the field were identified. In particular, significant research gaps were identified, including a lack of international collaboration, inadequate multidisciplinary approaches, and limited publications in some thematic areas (e.g., frailty and blood transfusion protocols). These findings can guide future, more comprehensive, and collaborative studies targeting these gaps.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100525"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680686","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 effect of cardiac rehabilitation on mindfulness and quality of life after coronary artery bypass graft","authors":"Gamze Ataman Yildiz ,&nbsp;Semra Bulbuloglu ,&nbsp;Ersin Kadirogullari ,&nbsp;Fatma Eti Aslan","doi":"10.1016/j.pcorm.2025.100521","DOIUrl":"10.1016/j.pcorm.2025.100521","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to investigate the effect of cardiac rehabilitation on patients' level of mindfulness and quality of life after coronary artery bypass grafting.</div></div><div><h3>Design</h3><div>This study is a prospective, quasi-experimental study.</div></div><div><h3>Methods</h3><div>Between June and November 2023, 90 patients scheduled for coronary artery bypass graft surgery by the same surgeon participated in the study using sequential sampling. Data were collected using the ‘Patient Information Form’, ‘Mindfulness Scale’ and ‘Quality of Life (SF-36) Form’. Mindfulness and Quality of Life Forms were administered before and after the cardiac rehabilitation programme.</div></div><div><h3>Results</h3><div>The mean age of the patients who participated in the study was 59.4 ± 9.4 years, 82.2 % were male, 86.7 % were married, 68.9 % were primary school graduates. A statistically significant difference (<em>p</em> &lt; 0.001) was found when the effect on all sub-dimensions of SF-36 and mindfulness before and after cardiac rehabilitation was analysed.</div></div><div><h3>Conclusion</h3><div>Cardiac rehabilitation after coronary artery bypass grafting improves mindfulness and quality of life. Studies investigating the effect of rehabilitation programmes on mindfulness after different surgeries are recommended.</div></div><div><h3>Clinical Relevance</h3><div>This study includes not only exercise-based but also multidisciplinary team practices before, during and after surgery with the cardiac rehabilitation procedure.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100521"},"PeriodicalIF":0.0,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713595","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":"Randomized triple-blind study of dexmedetomidine and remifentanil for endoscopic retrograde cholangiopancreatography","authors":"Ahmed Uslu ,&nbsp;Nedim Çekmen ,&nbsp;Damla Usalan ,&nbsp;Begüm Nemika Gökdemir ,&nbsp;Ahmet Sedat Boyacıoğlu","doi":"10.1016/j.pcorm.2025.100524","DOIUrl":"10.1016/j.pcorm.2025.100524","url":null,"abstract":"<div><h3>Background</h3><div>The safety profiles, efficacy, and complication rates of remifentanil and dexmedetomidine for sedation during endoscopic retrograde cholangiopancreatography were investigated.</div></div><div><h3>Methods</h3><div>Eighty-two patients undergoing elective endoscopic retrograde cholangiopancreatography were randomly assigned to the dexmedetomidine group (Group Dex, <em>n</em> = 39) or the remifentanil group (Group Remi, <em>n</em> = 43). The primary outcome was the incidence of complications and agitation-sedation level during recovery. Hemodynamic variables, adverse events, nausea-vomiting status, amount of propofol consumed, patient, gastroenterologist, and anesthetic clinician satisfaction scores, sedation levels, and discharge times were also compared.</div></div><div><h3>Results</h3><div>The incidence of complications was significantly lower in the dexmedetomidine group compared to the remifentanil group (<em>P</em> = 0.0115). The incidence of oxygen desaturation was significantly lower in the dexmedetomidine group (<em>P</em> = 0.0409). Mean RASS scores at 5 min post-procedure in the recovery unit were significantly higher in the remifentanil group (<em>P</em> = 0.0054). There were no significant differences between the groups regarding mean arterial pressure, heart rate, nausea-vomiting status, or satisfaction scores of patients, gastroenterologists, and anesthesia clinicians (<em>P</em> &gt; 0.05). There were no significant differences in discharge times and agitation-sedation levels at discharge.</div></div><div><h3>Conclusion</h3><div>Dexmedetomidine was associated with fewer complications, particularly less oxygen desaturation, during endoscopic retrograde cholangiopancreatography compared to remifentanil. Moreover, the absence of a significant difference in recovery times and satisfaction levels suggests that dexmedetomidine may be superior to remifentanil in non-operating room anesthesia settings.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100524"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581085","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}