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}
Aorn JournalPub Date : 2025-05-01DOI: 10.1002/aorn.14334
Freia Heidtmann, Pia Lysdal Veje
{"title":"Exploring Patient Experiences With and Perceptions of Robotic-Assisted Surgery in Denmark.","authors":"Freia Heidtmann, Pia Lysdal Veje","doi":"10.1002/aorn.14334","DOIUrl":"https://doi.org/10.1002/aorn.14334","url":null,"abstract":"<p><p>Although the use of robotic-assisted surgery (RAS) is increasing worldwide, qualitative research on the patient experience with RAS is lacking. To understand patients' perioperative experiences, the authors conducted semi-structured interviews with five elective surgical patients from two regional hospitals. The interviews were structured to explore patient experiences that may reflect the implementation of enhanced recovery after surgery protocols. The transcribed interviews were analyzed, coded, and interpreted within a hermeneutic framework. Findings revealed three themes: perceptions of RAS as a surgical modality, preoperative preparation was soothing, and health care professionals influence the patient experience. The authors noted that although the participants reported limited knowledge of RAS, they generally felt positive about its use. The competence and demeanor of health care professionals may influence patients' experiences and perceptions of outcomes, and positive clinical outcomes may overcome negative perioperative experiences.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"326-334"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043151","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.14346
Darlene B Murdock
{"title":"Lighting the Pathway.","authors":"Darlene B Murdock","doi":"10.1002/aorn.14346","DOIUrl":"https://doi.org/10.1002/aorn.14346","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"321-322"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060690","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.14333
Oluwatoyin Akinyemi, Laurie Waldron, Crystal Corfman, Lauren Schumpert, Megan L Morrison, Carol Swamidoss-Douglas
{"title":"Maintaining Perioperative Normothermia in Patients Undergoing Ambulatory Surgery.","authors":"Oluwatoyin Akinyemi, Laurie Waldron, Crystal Corfman, Lauren Schumpert, Megan L Morrison, Carol Swamidoss-Douglas","doi":"10.1002/aorn.14333","DOIUrl":"https://doi.org/10.1002/aorn.14333","url":null,"abstract":"<p><p>Inadvertent perioperative hypothermia occurs before, during, or after surgery when the patient's core body temperature is unexpectedly less than 36 °C (96.8 °F). Perioperative nurses at an ambulatory surgery center performed a quality improvement project involving prewarming with a forced-air warming device. The nurses reviewed 40 patient records for temperatures without prewarming and collected temperature data for 40 prewarmed patients. The nurses compared patient temperatures preoperatively, 30 minutes and one hour after anesthesia induction, and upon arrival in the postanesthesia care unit. The results for both groups at 30 minutes after induction were similar; however, at one hour after anesthesia induction, 38% of patients in the preimplementation group and 53% of patients in the postimplementation group were normothermic. Patients in both groups were normothermic upon arrival in the postanesthesia care unit. Education of staff members, patients, and patients' family members was key to the successful implementation of prewarming at the facility.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"335-343"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043153","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}