Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14335
Margaret Kuehl, Kimberly Mitchell, Mark Crucero, Stephanie Gore, Mary Hook
{"title":"The Association Between OR Traffic and Airborne Microbial Counts During Two Types of Abdominal Surgeries.","authors":"Margaret Kuehl, Kimberly Mitchell, Mark Crucero, Stephanie Gore, Mary Hook","doi":"10.1002/aorn.14335","DOIUrl":"https://doi.org/10.1002/aorn.14335","url":null,"abstract":"<p><p>Airborne contamination via OR traffic (ie, number of personnel and door openings, personnel movement) can contribute to the deposit of microbes on surfaces and contribute to surgical site infections. Researchers at a midwestern health system used a mixed-methods approach to evaluate the association between OR traffic and microbial deposits during colon surgeries and abdominal hysterectomies using nonparticipant observations and agar settle plate testing. Door openings were at the low end of published rates, although some openings were for nonessential reasons. Door openings were strongly correlated with surgery duration (r<sub>58</sub> = 0.72, P < .0001). Total microbial deposits were weakly correlated with increased door openings (r<sub>58</sub> = 0.37, P < .004) and personnel (r<sub>58</sub> = 0.27, P = .034), but most (83%) of the wound zone deposit values were below the established threshold. Perioperative personnel may be able to reduce microbial contamination risk by decreasing OR traffic.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"344-360"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14336
{"title":"Robotic-Assisted Surgery Shows Promise in Breast Reconstruction.","authors":"","doi":"10.1002/aorn.14336","DOIUrl":"https://doi.org/10.1002/aorn.14336","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"P8-P9"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14338
{"title":"The History of Robotic-Assisted Surgery.","authors":"","doi":"10.1002/aorn.14338","DOIUrl":"https://doi.org/10.1002/aorn.14338","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"P10-P11"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14332
Jennifer Speth
{"title":"Guidelines in Practice: Implementation of Enhanced Recovery After Surgery.","authors":"Jennifer Speth","doi":"10.1002/aorn.14332","DOIUrl":"https://doi.org/10.1002/aorn.14332","url":null,"abstract":"<p><p>Enhanced recovery after surgery (ERAS) programs have become a transformative approach in perioperative care, aiming to optimize patient preparation and improve outcomes. The recently developed AORN \"Guideline for the implementation of enhanced recovery after surgery\" provides perioperative nurses and other clinicians with implementation interventions for patients undergoing operative or other invasive procedures in any setting. This guideline also includes implementation guidance for many patient-specific populations. This article provides an overview of the guideline and discusses recommendations for ERAS program planning and implementation, the prehabilitation phase/surgical optimization, the preoperative phase, the intraoperative phase, the postoperative phase, and patient-specific considerations. It also includes a scenario describing the challenges related to implementing new ERAS protocols. Perioperative nurses should review the guideline in its entirety and apply the recommendations when implementing an ERAS program.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"361-370"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}