Perioperative Care and Operating Room Management最新文献

{"title":"Advanced forecasting of emergency surgical case arrivals: Enhancing operating room performance","authors":"Hajar Sadegh Zadeh ,&nbsp;Lele Zhang ,&nbsp;Mark Fackrell ,&nbsp;Hamideh Anjomshoa","doi":"10.1016/j.pcorm.2024.100451","DOIUrl":"10.1016/j.pcorm.2024.100451","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>This study, conducted at a major regional hospital in Australia, aims to enhance operating theatre performance by developing a two-step forecasting method for emergency case arrivals. By analysing data from 2018 to 2022, the study seeks to improve operating room efficiency and reduce cancellations through accurate predictions of emergency surgery demands.</div></div><div><h3>Methods</h3><div>In the first step, several forecasting models, including Prophet, ARIMA, SARIMAX, LSTM, and Agent-Based Simulation, were evaluated for their effectiveness in predicting daily emergency case arrivals. Each model was trained on 80 % and tested on 20 % of data to replicate real-world forecasting conditions. Performance was assessed using error metrics such as Mean Absolute Error (MAE), Mean Squared Error (MSE), and Root Mean Squared Error (RMSE), along with the model's ability to capture monthly seasonality, general trends, and day-of-week patterns. The second step involved using a non-homogeneous Poisson process to provide more precise hourly forecasts for each day.</div></div><div><h3>Results</h3><div>The SARIMAX model emerged as the most accurate, with the lowest error metrics (MAE: 1.01, MSE: 2.21, RMSE: 1.48), excelling in capturing seasonality, trends, and weekly patterns. It also demonstrated high robustness and scalability, making it the most reliable model. The non-homogeneous Poisson process provided precise hourly forecasts, further improving resource allocation and operating room scheduling.</div></div><div><h3>Conclusions</h3><div>The two-step forecasting approach, particularly the use of SARIMAX and the non-homogeneous Poisson process, has the potential to significantly enhance operating room performance by reducing cancellations and improving efficiency. This research lays the groundwork for future advancements in operating theatre emergency management through data-driven decision-making.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100451"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do the group discussions of the AOTrauma ORP basic course influence operating-room personnel's care approaches?","authors":"Sara Cohen ,&nbsp;Mor Saban ,&nbsp;Rami Mosheiff ,&nbsp;Yair Shapira ,&nbsp;Yoram A. Weil","doi":"10.1016/j.pcorm.2024.100448","DOIUrl":"10.1016/j.pcorm.2024.100448","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication and collaborative care models are essential for optimizing trauma patient outcomes. However, traditional learning methods can hinder the development of interprofessional care approaches in the operating room (OR).</div></div><div><h3>Objective</h3><div>This study evaluated an innovative nursing education program aimed at enhancing trauma care through interprofessional group discussions.</div></div><div><h3>Methods</h3><div>A prospective evaluation was conducted of 268 OR nurses who participated in the Advances in Trauma Care curriculum. The intervention group (<em>n</em> = 147) completed preparatory eLearning and attended group-based sessions as part of the basic trauma care course. The control group (<em>n</em> = 121) did not participate. Trauma care approaches were assessed before and after the program using a 5-item observational scale.</div></div><div><h3>Results</h3><div>Pre-program baseline scores on the 5-item observational scale ranged from low to medium for both the control and intervention groups. However, post-program, the intervention group showed a significant improvement, with scores rising to the medium to high range. When comparing the two groups, the intervention group scored significantly higher than the control group (t(265)=6.14, <em>p</em> &lt; 0.01). Additionally, scores within the intervention group increased significantly from pre- to post-program (t(146)=-24.93, <em>p</em> &lt; 0.01). Scores improved notably in each participating country after the intervention. Paired <em>t</em>-tests further confirmed a significant difference in the intervention group's score before and after the educational program (t(33)= -11.20, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>Preliminary evidence suggests incorporating interprofessional group discussions within trauma education may positively impact nurses' application of trauma-informed care. This approach could enhance the quality of nursing care, promote evidence-based practice, and support continuous professional development—not only in operating rooms but across various departments. Further research is needed to evaluate the effectiveness and sustainability of collaborative learning models for advancing multidisciplinary trauma care on a global scale.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100448"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139423","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":"Topical bupivacaine effect on the response to awake extubation during emergence from general anesthesia in patients undergoing elective thyroidectomy. A randomized controlled study","authors":"Shereen E. Abd Ellatif,&nbsp;Asmaa M. Galal Eldin,&nbsp;Rehab A. Wahdan","doi":"10.1016/j.pcorm.2024.100449","DOIUrl":"10.1016/j.pcorm.2024.100449","url":null,"abstract":"<div><h3>Background</h3><div>A desirable combination of smooth extubation, even with prolonged extubation, and an easy maneuver to apply is difficult to achieve. This study aimed to evaluate the efficacy of 0.5% topical bupivacaine for reducing cough, postoperative sore throat, and hemodynamic fluctuations during extubation in patients undergoing thyroidectomy.</div></div><div><h3>Methods</h3><div>Forty-eight patients scheduled for thyroidectomy were randomly assigned to two equal groups (24 each): group (C) patients received 5 ml of 0.9% normal saline topically, and group (B) patients received 5 ml of 0.5% bupivacaine topically 15 min, around the tracheal tube, before the expected end of surgery, followed by manual ventilation to obtain air bubbles distributed throughout the entire airway mucosa. The primary outcomes were the incidence and grade of cough. The secondary outcomes were the incidence and degree of postoperative sore throat, extubation time, hemodynamic changes during extubation, and side effects.</div></div><div><h3>Results</h3><div>There was a statistically significant decrease in the incidence and the severity of cough in the bupivacaine group compared to the control group. Moreover, the severity of sore throat, as assessed by the VAS score, was lower in the bupivacaine group up to 12 hours postoperatively. The hemodynamic parameters significantly increased in the control group in the peri-extubation period compared to the bupivacaine group, with no difference in extubation time or side effects.</div></div><div><h3>Conclusion</h3><div>The use of topical bupivacaine around the ETT significantly reduced the incidence and severity of cough and postoperative sore throat with less hemodynamic fluctuations during the periextubation period in patients undergoing thyroidectomy.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"38 ","pages":"Article 100449"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143139270","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 study of the relationship between professional autonomy and professional quality of life among operating room personnel: A cross-sectional study","authors":"Fatemeh Hasanfard ,&nbsp;Camellia Torabizadeh ,&nbsp;Zahra Khademian","doi":"10.1016/j.pcorm.2024.100447","DOIUrl":"10.1016/j.pcorm.2024.100447","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare personnel's professional autonomy and professional quality of life can influence the quality of care provided to patients. However, there is scarce and contradictory information available about the relationship between these two factors. The present study aims to investigate the relationship between professional autonomy and professional quality of life among operating room personnel.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in teaching hospitals in the south of Iran in 2023. The sample consisted of 464 operating room personnel who were selected by quota sampling. Data were collected using Dempster Professional Autonomy Scale and Stamm's Professional Quality of Life Scale. The collected data were analyzed in SPSS v. 24. Level of significance was set at 0.05.</div></div><div><h3>Results</h3><div>The participants’ professional autonomy mean score was found to be average (92.6 ± 73.32). Among the subscales of professional quality of life, the participants’ highest and lowest mean scores were for compassion satisfaction (35.3 ± 3.75) and secondary traumatic stress (31.2 ± 9.94) respectively. Also, the researchers found a significant inverse correlation between professional autonomy on the one hand and the professional quality of life subscales of burnout (<em>p</em> = 0.017, <em>r</em> = -0.111) and secondary traumatic stress (<em>p</em> = 0.005, <em>r</em> = -0.131) on the other. Moreover, there was a significant correlation between the operating room personnel's employment status on the one hand and professional autonomy (<em>p</em> = 0.004, <em>r</em> = -0.133) and burnout (<em>p</em> = 0.034, <em>r</em> = -0.099) on the other. The results also showed a significant inverse correlation between the subscale of burnout on the one hand and the variables of age (<em>p</em> = 0.021, <em>r</em> = -0.107) and work experience (<em>p</em> = 0.027, <em>r</em> = -0.103) on the other.</div></div><div><h3>Conclusion</h3><div>In view of the findings of the study, the healthcare system administrators are recommended to adopt effective policies and strategies to promote operating room personnel's professional autonomy and professional quality of life.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699498","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":"Postoperative mechanical ventilation after corrective Tetralogy of Fallot surgery in infants: Assessment of perioperative factors and radiographic severity scores","authors":"Panop Limratana ,&nbsp;Wiriya Maisat ,&nbsp;Lee Ferguson ,&nbsp;Christopher W. Baird ,&nbsp;Koichi Yuki","doi":"10.1016/j.pcorm.2024.100446","DOIUrl":"10.1016/j.pcorm.2024.100446","url":null,"abstract":"<div><div>Early recovery from surgery for congenital heart disease (CHD) is becoming a trend. Tetralogy of Fallot/pulmonary stenosis (TOF/PS) is the most common cyanotic CHD with excellent long-term outcomes. We examined potential factors associated with early extubation in 249 patients who underwent TOF/PS complete repair in a tertiary pediatric medical center from January 2015 to December 2022. Patient demographics, preoperative characteristics, intraoperative variables, postoperative outcomes, surgical type, surgical duration, cardiopulmonary bypass (CPB) time, cross-clamp time, and blood product volumes were acquired from the electronic medical records. Valve sparing repair (VSR) tends to demonstrate earlier recovery profiles than transannular patch repair (TAP) irrelevant of the presence of monocusp valve (<em>P</em> &lt; 0.0001) and the degree of right ventricular outflow pressure drop was significantly correlated with post-operative recovery profile (<em>p</em> = 0.0204). Because of intracardiac shunts and PaO₂/FiO₂ ratios being poor indicators of lung injury, Brixia scores were also used. Our data suggested that Brixia score could be an excellent alternative to evaluate post-operative lung status.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100446"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699496","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":"Compliance evaluation in post-anesthesia care units at teaching hospitals in Alborz Province, Iran","authors":"Leila Sadati ,&nbsp;Mohsen Khalilnejad ,&nbsp;Dorrin Nikbakht ,&nbsp;Sahar Karami ,&nbsp;Fatemeh Tavakoli ,&nbsp;Rana Abjar","doi":"10.1016/j.pcorm.2024.100445","DOIUrl":"10.1016/j.pcorm.2024.100445","url":null,"abstract":"<div><h3>Background</h3><div>The post-anesthesia care unit (PACU) is a critical care unit where postoperative patients are monitored and cared for until full recovery. Evaluating standards in different domains is crucial for providing quality care. This study aims to assess the compliance of design, equipment, drugs, and staff performance standards in PACUs of teaching hospitals of Alborz Province, Iran.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted between January 2023 and September 2023. Data were gathered using a 40-item checklist covering physical structure, equipment/drugs, and staff performance. For the latter, a 360-degree appraisal (self-assessment, internal evaluator, external evaluator) was done.</div></div><div><h3>Results</h3><div>Among the three standard domains, performance had the highest average compliance at 80.72 %, followed by equipment/drugs at 75.33 %. Design/structure had the lowest compliance at 54 %.</div></div><div><h3>Conclusion</h3><div>Given the lack of full compliance in PACU design, equipment, and certain aspects of patient care, healthcare managers and policymakers must prioritize improving post-anesthesia care unit infrastructure, equipment provision, and staff training. Implementing continuous education programs with effective teaching methods is crucial for enhancing care quality and preparing future healthcare professionals in these teaching hospitals.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699497","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":"Anaesthetic management of caesarean section in a primigravida with pre-eclampsia, pleural effusion, consolidation, and lung collapse – a case report","authors":"Shilpa A Naik,&nbsp;Prathvi B,&nbsp;Ranjan R K,&nbsp;Angela Abraham","doi":"10.1016/j.pcorm.2024.100443","DOIUrl":"10.1016/j.pcorm.2024.100443","url":null,"abstract":"<div><div>Pregnancy complicated with preeclampsia, pleural effusion and lung infection presents unique challenges to the anaesthesiologist. An enlarged uterus in pregnant women, particularly in the third trimester restricts diaphragmatic movement, raising pleural fluid pressure and facilitating the development of pleural effusion. We present the safe and successful conduct of an emergency lower segment cesarean section (LSCS) in a severe pre-eclamptic patient, with bilateral pleural effusions and collapse and consolidation of the lungs. This was performed under spinal anaesthesia as a valuable alternative to general anaesthesia in the setting of numerous infrastructure constraints.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662594","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 surgical smoke on operating room workers, attitudes towards risks, and the implementation of preventive measures","authors":"Derya Esenkaya ,&nbsp;Emine İyigün","doi":"10.1016/j.pcorm.2024.100442","DOIUrl":"10.1016/j.pcorm.2024.100442","url":null,"abstract":"<div><div>Amaç: Bu araştırma, cerrahi dumanın ameliyathane sahipleri üzerinde mevcutlukları, risklere karşı tutumlarını ve para harcamanlarını planlama amacıyla tanımlama olarak yapılmıştır. Gereç ve Yöntem: Kesitsel kalitede bu çalışma, Türkiye'de bir hastanenin ameliyathane ünitesinde Nisan-Mayıs 2022′de kayıtlı süre boyunca devam etmektedir. Araştırmanın boyutları, dahil edilme kriterlerini karşılayan 73 ameliyathane çalışanından oluşuyordu. Araştırmanın verileri Kişisel Bilgi Formu, AORN (Peri-Operatif Kayıtlı Hemşireler Derneği) rehberleri ve ilgili kaynaklarla kırsal Cerrahi Dumanın Ameliyathane Çalışanları Üzerindeki Etkileri, Risklere Yönelik Tutumlar ve Önleyici Tedbirlerin Uygulanması Anketi ile toplanmıştır. Bulgular: Ameliyathane çalışanlarının %91,8′i (<em>n</em> = 67) son beş yıl içerisinde cerrahi dumanla ilgili herhangi bir eğitime katılmadığını belirtti. Bunların %75,3′ü cerrahi dumana maruz kaldıklarını bildirdi. Ameliyathane çalışanlarının yaklaşık %50,7′si (<em>n</em> = 37) lazer dumanı tahliyesi için herhangi bir cihazın kullanılmadığını belirtirken, %39,7′si (<em>n</em> = 29) tahliye dumanı için kullanılan cihazlar hakkında bilgisinin olmadığını belirtti. Ameliyathane çalışanlarının %65,8′inin (<em>n</em> = 48) iş yerlerinde cerrahi dumanla ilgili herhangi bir protokolden haber yoktu. Cerrahi dumana maruz kalmanın sağlık üzerindeki etkilerine, maruziyete dayanıklına süt verdiklerini bildirdiler: sızıntı (%65,8), göz tahrişi (%65,8), gözlerde sulanma (%63,0), göz kuruluğu (%65,8)), uyku bozuklukları (%49,3) %), solunum problemleri (%37,0) ve baş ağrısı (%35,6). Araştırmada ameliyathane çalışanlarının elde edebilecekleri cerrahi dumandan korunmak için kişisel koruyucu önlemlerin alınması. Cerrahi maske (%100), aspirasyon sondası (%60,3), önlük (%41,1) ve gözlük (%35,6) belirlendi. Sağlık çalışanlarının cerrahi dumanın potansiyel tehlikelerine karşı tutumları değerlendirildi. Diğer sağlık çalışanlarının ameliyathane çalışanlarına göre daha fazla kaygı yaşadıkları belirlendi. Sonuç: Araştırmanın düzenine göre ameliyathane çalışanlarının sağlıklı duman tehlikelerine yönelik ilerlemeye yönelik tutumlarını geliştirecek yöntemlerin benimsenmesinin esasları. Ayrıca vakum dumanıyla ilgili tamamlayıcıları önlemek için politikalar ve kılavuzlar iletilmeli ve yöneticilerden uygun ekipman ve destek eğitimi.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662593","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":"Procedure-adjusted incidences of postoperative hospital admissions are not associated with differences in the quality of anesthesiologists’ clinical supervision or nurse anesthetists’ work habits","authors":"Franklin Dexter ,&nbsp;Bradley J. Hindman ,&nbsp;Richard H. Epstein ,&nbsp;Andrea Vannucci ,&nbsp;Rashmi N. Mueller","doi":"10.1016/j.pcorm.2024.100441","DOIUrl":"10.1016/j.pcorm.2024.100441","url":null,"abstract":"<div><h3>Background</h3><div>Anesthesia departments may benefit from automated computerized methods to monitor the clinical performance of individual anesthesia practitioners. Hospital admission (&gt;1 night stay) after ambulatory surgery may be a suitable metric, with higher incidences potentially being associated with poor clinical performance. If valid, there should be a small but statistically significant association of postoperative admission with previously validated measures of quality of intraoperative anesthesia care.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used eight fiscal years of data from one hospital with daily assessments of two different measures of quality of anesthesia clinical care. One variable was anesthesiologists’ clinical supervision evaluated by trainees, principally residents. The second independent variable was nurse anesthetists’ work habits, evaluated by anesthesiologists. These independent variables were binary, the proportions of rater-leniency-adjusted evaluations with maximum performance for all items, calculated annually. The dependent variable was the proportion of ratees’ cases (anesthesiologist or nurse anesthetist) with postoperative length of stay ≤ 1 day, adjusted for surgical suite and procedure category. Thus, for both independent and dependent variables, larger (positive logits) were “good” and smaller (negative logits) were “bad.”</div></div><div><h3>Results</h3><div>There were no significant associations for either supervision (P =0.14, N=561 anesthesiologist-years) or work habits (P =0.74, N=598 nurse anesthetist-years). Estimated signs of the slopes were for increases in the logits of the quality of clinical supervision to be associated with non-significant <u>decreases</u> in the logits of the probabilities of the patients having lengths of stay ≤1 day. Similarly, increases in the logits of nurse anesthetists’ work habits had negative-signed non-significant associations with the logits of the probabilities of the patients having lengths of stay ≤1 day.</div></div><div><h3>Conclusions</h3><div>The results show with substantial certainty that higher-performing anesthesia practitioners do not have briefer lengths of stay. Anesthesiologists and nurse anesthetists should not be compared among one another based on whether their patients have a greater than predicted risk of procedure-adjusted hospital admission after ambulatory surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578130","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":"Role of Granisetron in preventing hypotension after spinal anaesthesia with Levobupivacaine in rheumatic patients undergoing elective cesarean section: A randomized controlled trial","authors":"Marwa Mahmoud AbdelRady ,&nbsp;Ghada Mohammad AboElfadl ,&nbsp;Mohamed Nassar Ibrahim ,&nbsp;Hany Ahmed Ibraheem El-Morabaa ,&nbsp;Ahmad Mohamed Aboelfadl ,&nbsp;Ahmed Aboulfotouh","doi":"10.1016/j.pcorm.2024.100439","DOIUrl":"10.1016/j.pcorm.2024.100439","url":null,"abstract":"<div><h3>Background</h3><div>Heart disease, which carries a high risk, is the main factor contributing to maternal death and morbidity during pregnancy. In this trial, we examined how well intravenous (IV) granisetron prevented bradycardia and hypotension in rheumatic patients undergoing elective cesarean delivery.</div></div><div><h3>Patients and methods</h3><div>There were 102 patients total in the study, 51 in each of the two groups. Patients in Group G received 1 mg of IV granisetron diluted to 5 ml before the start of spinal anaesthesia, while those in Group S received 5 ml of 0.9 % normal saline. It has been recorded how much atropine and vasopressor were used overall. The Apgar scores at one and five minutes were also examined.</div></div><div><h3>Results</h3><div>In Group S, the prevalence of hypotension was 60.7 %, compared to 33.3 % in Group G (<em>p</em> &lt; 0.05). As a result, patients in Group S needed considerably more ephedrine (<em>p</em> &lt; 0.05). Patients in Group G had their hemodynamic parameters well maintained for the duration of the research. The Apgar score measured the neonatal outcome at 0-, 1-, and 5 min following birth, and it was equivalent between the two study groups.</div></div><div><h3>Conclusion</h3><div>Before spinal anaesthesia, intravenous granisetron 1 mg can lower hypotension in cardiac parturients without negatively affecting the mother or the baby.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662554","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}