Oluwafemi P. Owodunni , Eduardo Biala Jr. , Luxey Sirisegaram , Dianne Bettick , Susan L Gearhart , April L. Ehrlich
{"title":"Validation of the self-reported Edmonton frail scale - Acute care in patients ≥ 65 years undergoing surgery","authors":"Oluwafemi P. Owodunni , Eduardo Biala Jr. , Luxey Sirisegaram , Dianne Bettick , Susan L Gearhart , April L. Ehrlich","doi":"10.1016/j.pcorm.2024.100383","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100383","url":null,"abstract":"<div><h3>Background</h3><p>Frailty is common in geriatric emergency surgery and associated with increased risk for poor postoperative outcomes. Frailty screening is challenging in emergency settings. The Edmonton Frail Scale (EFS) is a valid tool to screen for patients at high risk for poor postoperative outcomes. Recently, the EFS was modified to decrease dependence on staff to perform physical measures. This modification, the EFS-Acute Care (EFS-AC), has not been validated. We wish to assess the agreement between the EFS and the EFS-AC.</p></div><div><h3>Study design</h3><p>We performed a prospective cohort study from 10/2021 – 10/2022 screening 688 patients ≥ 65 years with both the EFS and EFS-AC preoperatively. We assessed the ability of the EFS-AC to discriminate frailty identified by the EFS and compared the association of both scales with loss of independence (LOI), hospital length of stay (LOS), ICU admissions, and ICU LOS. Receiver Operator Curves were used to estimate the discriminatory thresholds for LOI.</p></div><div><h3>Results</h3><p>688 patients with a median age 73 (IQR 68, 77) were enrolled. The EFS-AC was able to discriminate individuals’ frailty status by the EFS with excellent agreement (AUC 0.971 [0.958, 0.983]). An EFS-AC threshold score of ≥ 6 points lead to 93.60 % of individuals being correctly identified (77.87 % sensitivity and 97.00 % specificity). Both EFS and EFS-AC ≥ 6 were similarly associated with a higher risk for all clinical outcomes assessed and demonstrated similar ability to predict LOI.</p></div><div><h3>Conclusions</h3><p>The EFS-AC is a valid preoperative frailty screen, and due to its self-reported nature, can be administered in the acute care setting, during virtual visits, or through digital health apps. Real-time screening can assist with better understanding patient needs and lead to interventions to prevent poor hospital outcomes.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140188024","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":"Health management risks in developing countries: Case of a sterilization unit in a Moroccan public hospital","authors":"Amine En-Naaoui , Mohammed Kaicer , Wahid Chaouki , Mohsine Mimouni , Aicha Aguezzoul","doi":"10.1016/j.pcorm.2024.100382","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100382","url":null,"abstract":"<div><h3>Background</h3><p>The sterilization of instruments is a critical process to perform the activity in the operating rooms and ensure the safety of patients. The best approach to improve the performance of the sterilization is the risk management. Nevertheless, improving the performance in sterilization units in developing countries presents a real challenge.</p></div><div><h3>Purpose</h3><p>Designing an effective risk management project in health sector, specifically in sterilization units, adaptable to the context of developing countries (DC).</p></div><div><h3>Methods</h3><p>This study uses Failure Modes and Effects Analysis (FMEA) to manage risks in healthcare in DC. Modifications to the implementation of the recommended tool mode. A case study of the sterilization unit of a tertiary Moroccan national reference university hospital was conducted to verify the effectiveness of the model.</p></div><div><h3>Findings</h3><p>The present study demonstrated that the proposed model is adaptable to the DC context. This model was implemented with minimal resources and was highly efficient.</p></div><div><h3>Conclusions</h3><p>The increase of risks in healthcare is a challenge for managers in DC. This study highlights the first successful experience of risk management in Moroccan healthcare sector.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100382"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140139013","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}
Zachary G. Freedman , Kevin L. Xu , Mary E. McAlevy , Joseph Y. Clark
{"title":"Uvula Trauma and Damage: If You Don't Look, You Won't Find It: A Case Report","authors":"Zachary G. Freedman , Kevin L. Xu , Mary E. McAlevy , Joseph Y. Clark","doi":"10.1016/j.pcorm.2024.100381","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100381","url":null,"abstract":"<div><p>Uvular necrosis is a known risk factor following general anesthesia due to compression of blood flow to the uvula. We report a case of uvular necrosis followed by uvular deviation in a male patient after undergoing two surgeries in four days. He had a sore throat and experienced a foreign body sensation in his throat following the second surgery. He was treated conservatively, but his uvula remained deviated four years later at follow up. Although uvular injury is a known complication of general anesthesia, it is important to understand the risk factors, recognize the conditions, and have a high index of suspicion when evaluating patients with sore throats after anesthesia.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122549","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}
Raja Ahmad Anzari, Rudi Kurniadi Kadarsah, Iwan Abdul Rachman
{"title":"Comparing Alba 3D printed video laryngoscope vs. video laryngoscope C-MAC® vs. direct macintosh laryngoscope operated by medical students: A randomized, crossover, manikin study","authors":"Raja Ahmad Anzari, Rudi Kurniadi Kadarsah, Iwan Abdul Rachman","doi":"10.1016/j.pcorm.2024.100380","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100380","url":null,"abstract":"<div><p>Endotracheal intubation is the gold standard for airway management. Direct laryngoscopy is a difficult procedure with a high failure rate. A 3D printed video laryngoscope can be used as a more affordable replacement for a laryngoscope. The aim of this study was to evaluate the success rate and time of endotracheal intubation in manikins using the Alba 3D printed video laryngoscope, the C-MAC video laryngoscope and the Macintosh operated by medical students. This study was conducted using a cross sectional randomised study method involving 36 medical students. This study found that the mean endotracheal intubation time using Alba 3D Print was significantly shorter than using Macintosh, but not better than C-MAC (VL3D-25 vs LDM-50.5 vs VLC-21.5 s) with a p-value of <0.001. The success rate of endotracheal intubation using Alba 3D moulds was significantly better than using Macintosh, but not statistically significant when compared to C-MAC (VL3D-91.7% vs LDM-97.2% vs VLC-75%) with p-value <0.05). This study concluded that the use of Alba 3D prints has a better success rate and time compared to Macinctosh and can be an affordable alternative to commercial video laryngoscopes such as C-MAC for educational purposes.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100380"},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140160933","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":"Fundamentals of operating room allocation and case scheduling to minimize the inefficiency of use of the time","authors":"Franklin Dexter , Richard H. Epstein","doi":"10.1016/j.pcorm.2024.100379","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100379","url":null,"abstract":"<div><p>When operating room (OR) allocated times are calculated, reports ideally are accompanied with attachment or link to an article describing the specific optimization method used. In addition, many stakeholders (e.g., managers and committee members) also need a background source. Our review supplies in one downloadable publication such an article. Our review covers the fundamental knowledge sufficient to read the thousands of articles on OR staffing and case scheduling, including references describing the specific method implemented, and to understand relevant studies of implementation (e.g., behavioral operations and managerial epidemiology). Inappropriate OR allocation and case scheduling can be mitigated by ensuring that when there is a case waiting to start, to be done today, the number of ORs in use for each such service is at least the number that maximizes the efficiency of use of OR time. Implementation means performing mathematical calculations using hospital data or anesthesia billing information. Physician leadership ensures that the statistical methods used are appropriate and applied for case scheduling. When done properly, there are opportunities to reduce turnover times and late first case of the day starts targeted toward reducing over-utilized time. These actions facilitate growth in surgical practices, increase OR productivity, and help prevent surgical teams from working late because of poor staffing and staff scheduling.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296478","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":"Investigation of the perceptions of operating theatre nurses and central sterile supply department technicians regarding the barriers and facilitators of surgical instrument counts and tray management in the operating theatre","authors":"Rogelio Silverio , Hussam Al Nusair , Priya Latha , Mariezl Fonbuena , Norodom Oidem , Aravela Buenagua , Sangeetha Sreenadh","doi":"10.1016/j.pcorm.2024.100378","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100378","url":null,"abstract":"<div><h3>Background</h3><p>Proper surgical equipment management is essential for ensuring patient safety in the operating theater (OT). Despite existing protocols, errors persist, leading to severe complications and emotional distress. This study aimed to investigate the perceptions of OT nurses and Central Sterile Supply Department (CSSD) technicians regarding barriers and facilitators of instrument counts and tray management.</p></div><div><h3>Methods</h3><p>A multicenter cross-sectional, descriptive study was carried out using a SurveyMonkey conducted with a purposive sample of 52 participants of OT Nurses and CSSD technician from three hospitals in Saudi Arabia and the United Arab Emirates (UAE). The data were analyzed using frequencies and percentages, and to explore the relationship between the demographic variables and participants' overall perception scores, a chi-square test was employed.</p></div><div><h3>Results</h3><p>Data analysis revealed that participant perceptions varied by years in the profession (<em>p</em> = 0.31) and gender (<em>p</em> = 0.003). About 52 % agreed that current policies are clear, while 36.5 % were uncertain. The majority (40.4 %) believed the current tray couldn't reduce OT costs. Participants disagreed with the lack of training (42.3 %) and communication issues during handover (38.5 %). Confidence in the current protocol was low (40.4 %), and 46.2 % agreed that a new protocol would impact OT operations. Alarmingly, 84.6 % of participants had a negative overall perception, indicating widespread concerns.</p></div><div><h3>Conclusion</h3><p>These findings lay the groundwork for implementing a revised protocol for surgical tray management. Understanding healthcare professionals' perspectives will aid in identifying strategies to overcome barriers, enhancing instrument management practices, improving patient safety, and optimizing OT efficiency.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140062126","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}
Irene G. Abella , Andrew R. Spector , Jeanna D. Blitz , Margaret Bowers
{"title":"Evaluation of a Pre-operative clinic's sleep apnea screening","authors":"Irene G. Abella , Andrew R. Spector , Jeanna D. Blitz , Margaret Bowers","doi":"10.1016/j.pcorm.2024.100377","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100377","url":null,"abstract":"<div><h3>Background</h3><p>This quality improvement (QI) project aimed to evaluate the process and outcomes of utilizing the STOP-BANG questionnaire (SBQ) to screen patients for sleep apnea in a pre-operative clinic. Studies outside the United States show that there is a greater risk for obstructive sleep apnea (OSA) among Asian ethnicity compared to Whites; thus, this project also aimed to describe the SBQ scores of a subset of Asian Americans not referred for a sleep study and determine the number of potential referrals if the body mass index (BMI) threshold in their SBQ scores is modified.</p></div><div><h3>Methods</h3><p>A retrospective medical records review identified patients referred for a sleep study at the pre-operative clinic, described the sleep study outcome results, and identified gaps in the referral process that future QI projects can address. The records review also identified SBQ scores of Asian Americans not referred for a sleep study. Their scores were recalculated using a lower BMI threshold to determine the proportion of those who could have been referred.</p></div><div><h3>Results</h3><p>There were 72,413 patient encounters at the pre-operative clinics from January 2019 to December 2021; 279 patients were referred for a sleep study. Only 103 (36.92 %) completed the test. There were 34 (33.01 %) confirmed to have severe sleep apnea, 28 (27.18 %) with moderate sleep apnea, 29 (28.16 %) with mild sleep apnea, and 12 (11.65 %) with no sleep apnea. Of the 176 (63.08 %) sleep study referrals not completed, the most common reasons for non-completion were issues with timely scheduling, educating patients to encourage study completion, and handling insurance denials. The mean BMI of the 1,560 Asian Americans not referred for a sleep study was 25.42 kg/m<sup>2</sup>, and only 2.31 % had a BMI > 35 kg/m<sup>2</sup>. Among the 162 Asian Americans with a history of sleep apnea, only 14.81 % had a BMI > 35 kg/m<sup>2</sup>. Adjusting the BMI threshold of SBQ increased the number of Asian Americans who could be referred for a sleep study by 1.35 % and 2.12 % if using a cut-off of > 30 kg/m<sup>2</sup> and > 28 kg/m<sup>2</sup>, respectively.</p></div><div><h3>Conclusions</h3><p>Screening of OSA using the SBQ in a pre-operative clinic effectively identified patients at high risk for sleep apnea. The low completion rate of sleep study referrals shows a gap in the referral process that requires improvement. Asian Americans with sleep apnea have lower BMIs. Attention to BMI thresholds would increase the identification of sleep apnea in this vulnerable population.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100377"},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2405603024000116/pdfft?md5=707a5f28b6668073dbb48651e3f01412&pid=1-s2.0-S2405603024000116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066892","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":"Non-operating room anesthesia in conjoined twins undergoing magnetic resonance imaging: A case report","authors":"Gezy Giwangkancana , Michael Dominica Salim Liem","doi":"10.1016/j.pcorm.2024.100373","DOIUrl":"10.1016/j.pcorm.2024.100373","url":null,"abstract":"<div><h3>Introduction</h3><p>The administration of anesthesia during magnetic resonance imaging (MRI) of conjoined twins requires knowledge of safe non-operating room anesthesia (NORA) for pediatrics, as well as intricate details on conjoint twin positioning, pharmacodynamics, and risk assessment. This report provides a detailed account of our efforts to simultaneously manage two pediatric patients as conjoined twins outside of the operating room.</p></div><div><h3>Case</h3><p>A pair of ten-month-old, conjoined twins with fused chests and abdomens were admitted for an MRI. The medical team ensured their safety by preparing two sets of pediatric anesthesia, complete with MRI-grade monitoring kits, intravenous anesthetic syringes, and airway tools. In addition, the team modified a second oxygen source for the second baby and administered intravenous anesthesia. Throughout the procedure, they monitored ventilation using direct MRI sequence diaphragmatic motion to ensure the twins' well-being.</p></div><div><h3>Conclusion</h3><p>A comprehensive understanding of NORA, the requirements of an MRI suite, and the physiology of conjoined twins is essential to ensure safe anesthesia.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100373"},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139879609","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 association between quality of clinical education and assertiveness in operating room and anesthesia nursing students: A cross-sectional study","authors":"Jamshid Eslami , Hamed Ghasemloo , Azadeh Amiri , Marzieh Kargar Jahromi , Majid Bagheri , Yaser Adelmanesh , Mohammad Hossein Anvari","doi":"10.1016/j.pcorm.2024.100372","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100372","url":null,"abstract":"<div><h3>Background</h3><p>Assertiveness provides a nurse with the foundation for establishing successful relationships with patients, family members, and healthcare team members. Clinical education creates a unique opportunity to prepare students for professional identity because knowledge alone is not enough to provide safe care, and without clinical education, training efficient and competent people will be very difficult and impossible. This study aimed to determine the association between the quality of clinical education and assertiveness of operating room and anesthesia students.</p></div><div><h3>Method</h3><p>In this analytical cross-sectional study, 230 students who were in the second year of undergraduate education participated. The research was conducted in the 2022 academic year at the Department of Nursing School, Shiraz University of Medical Sciences. Clinical Education Quality Assessment Questionnaire and Gambler and Ritchie Assertiveness Questionnaire were data collection instruments. Statistical methods used included descriptive statistics such as mean, standard deviation, independent <em>t</em>-test, Chi-square test, and regression analysis.</p></div><div><h3>Results</h3><p>Out of 230 students participating in this study, 103 were operating room nursing students, and 127 were anesthesia nursing students. One hundred forty-one students were female, and 89 were male, 79 % of whom were aged 18–32 years. A significant relationship was found between the quality of clinical education and interest in the field, the number of children, and employment during education (<em>P</em> = 0.01). Also, a significant relationship was observed between decisiveness and the main variables (<em>P</em> = 0.01). The correlation analysis results showed students who scored higher on assertiveness had reported the quality of their clinical training higher (<em>r</em> = 0.23, <em>p</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>Assertiveness as a communication style can play an important role in improving performance and quality of care in tense, stressful care settings. Improving assertiveness can be considered as a useful factor in the clinical training of the operating room and anesthesia nursing students. Therefore, it is suggested that the instructors should include instruction on assertiveness in nursing education courses.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"34 ","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139749525","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}
Aaron Wu , Priya A. Uppal , Tejas Kollu , Alex Hsiao , Michael Zakher , Annette Luo , Melissa Ehlers
{"title":"Impact of dexmedetomidine use on pediatric PACU length of stay and practice patterns: A single center study","authors":"Aaron Wu , Priya A. Uppal , Tejas Kollu , Alex Hsiao , Michael Zakher , Annette Luo , Melissa Ehlers","doi":"10.1016/j.pcorm.2024.100376","DOIUrl":"https://doi.org/10.1016/j.pcorm.2024.100376","url":null,"abstract":"<div><h3>Background</h3><p>Dexmedetomidine has been increasingly incorporated in pediatric anesthesia owing to its opioid sparing analgesic effect. In theory, dexmedetomidine may lower the use of intraoperative and postoperative opioids but increase post anesthesia care unit (PACU) patient recovery time. In 2020, the Anesthesia Department of Albany Medical Center implemented an opioid reducing initiative with dexmedetomidine incorporation as a major strategy. As such, we have carried out this retrospective study to examine the effect of dexmedetomidine on pediatric PACU length of stay (LOS) across a blend of invasive surgical procedures requiring general anesthesia.</p></div><div><h3>Methods</h3><p>The present study is a single-institution, retrospective chart review of children undergoing invasive procedures requiring general anesthesia at an academic center during 2021 and 2022. Convenience sampling of the first 200 patients from each of those years was analyzed (<em>n</em>=400). Here, we compared PACU LOS between patients who did or did not receive dexmedetomidine using the propensity-score matching treatment effects analysis. We also examined changes in perioperative medication patterns between patients who did versus did not receive dexmedetomidine.</p></div><div><h3>Results</h3><p>344 patients over the study period met inclusion criteria. The matched cohort consisted of 118 patients without dexmedetomidine administration and 122 patients with dexmedetomidine administration. The average treatment effect for administration of dexmedetomidine was an increase in PACU LOS of 19.4 min (<em>p</em> < 0.001). Dosages and proportion of patients receiving intraoperative or postoperative opioids did not significantly change during the study period.</p></div><div><h3>Conclusions</h3><p>In our center, dexmedetomidine use in pediatric procedures with general anesthesia was associated with prolonged recovery times, without a corresponding reduction in opioid use. Further investigations are therefore warranted to understand the role of dexmedetomidine as an anesthetic adjunct and in multimodal pain management.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"34 ","pages":"Article 100376"},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731611","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}