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Optimizing Perioperative Anticoagulant Management: Balancing Thromboembolic and Bleeding Risks. 优化围手术期抗凝管理：平衡血栓栓塞和出血风险。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001153
Khyati Patel, Sean P Kane
{"title":"Optimizing Perioperative Anticoagulant Management: Balancing Thromboembolic and Bleeding Risks.","authors":"Khyati Patel, Sean P Kane","doi":"10.1097/NOR.0000000000001153","DOIUrl":"10.1097/NOR.0000000000001153","url":null,"abstract":"<p><p>Interruption of anticoagulation for a surgical procedure is individualized and based on balancing the risk of perioperative thromboembolism versus the risk of bleeding. Risk assessment for thromboembolism is based on the indication for anticoagulation and a variety of patient-specific factors. Bleeding risk assessment is also largely based on patient factors, such as age and comorbidities, but also the type of procedure being done. The post-operative bleeding risk of surgical procedures can be categorized as high-risk, low-to-moderate-risk, and minimal risk. Each risk category has unique recommendations regarding how long to hold anticoagulation prior to the procedure and when anticoagulation can be safely resumed. Lastly, the type of anticoagulant plays a role in the perioperative strategy based on the duration of action and onset of anticoagulation. Nurses play an important role in risk assessment, patient education, and administration and monitoring of anticoagulants in the perioperative setting.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"296-302"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132858","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}
引用次数: 0
Quadriceps Tendon Tear. 股四头肌肌腱撕裂。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001163
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引用次数: 0
Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis. 融冰：粘连性囊炎的临床诊断与有效治疗。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001149
Erin Sullivan, Solomon Bhandari-Young, Aimee Kamat, Thomas M Best
{"title":"Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis.","authors":"Erin Sullivan, Solomon Bhandari-Young, Aimee Kamat, Thomas M Best","doi":"10.1097/NOR.0000000000001149","DOIUrl":"10.1097/NOR.0000000000001149","url":null,"abstract":"<p><p>Adhesive capsulitis (AC), commonly known as frozen shoulder (FS) or arthrofibrosis, is a condition characterized by progressive stiffness, loss of motion, and pain in the shoulder joint. It is a relatively common diagnosis that often has a prolonged clinical course, significant patient morbidity, and high socioeconomic burden. The etiology involves a combination of intrinsic and extrinsic factors leading to inflammation, fibrosis, and subsequent joint capsule contracture. Although many studies have examined various treatments for this condition, there is currently no consensus on an optimized treatment algorithm. This paper synthesizes current knowledge and emerging research to provide insights into the effective management of adhesive capsulitis, emphasizing the importance of early diagnosis and individualized treatment plans.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"269-277"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quadriceps Tendon Tear. 股四头肌肌腱撕裂。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001158
Patrick Graham
{"title":"Quadriceps Tendon Tear.","authors":"Patrick Graham","doi":"10.1097/NOR.0000000000001158","DOIUrl":"10.1097/NOR.0000000000001158","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"303-305"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132779","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}
引用次数: 0
Measuring the Effect of a Pre-operative High-Carbohydrate Drink on Unilateral Primary Total Hip and Knee Arthroplasty Patients. 测量术前高碳水化合物饮料对单侧原发性全髋关节和膝关节置换术患者的影响。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001150
Denise Cody, Christine A F Bell, Sade Olatunbosun, David Mattingly
{"title":"Measuring the Effect of a Pre-operative High-Carbohydrate Drink on Unilateral Primary Total Hip and Knee Arthroplasty Patients.","authors":"Denise Cody, Christine A F Bell, Sade Olatunbosun, David Mattingly","doi":"10.1097/NOR.0000000000001150","DOIUrl":"10.1097/NOR.0000000000001150","url":null,"abstract":"<p><p>The article aims to examine the effect of a pre-operative high-carbohydrate drink (HCD) on unilateral, primary total hip arthroplasty and total knee arthroplasty patients by measuring post-operative antiemetic medication use and length of stay in the post-anesthesia care unit (PACU). The study used a quasi-experimental cohort design using a historical control group. We compared the intervention group who consumed the pre-operative HCD, to a historical control group, 1 year prior, who did not. The intervention group had more females (62%), was more likely to have spinal anesthesia, and was less likely to receive preoperative antiemetic medications (odds ratio (OR) = 0.41; confidence interval (95% CI): 0.21, 0.79) and postoperative antiemetics (OR = 0.48; 95% CI: 0.29, 0.81). The intervention group's PACU stay was 10.1 min shorter (p < .0001) than the control group. Patients who consumed HCDs exhibited decreased PACU stay and decreased antiemetic medication use. These findings were used to change institutional preoperative policies for orthopedic patients to enhance outcomes.</p>","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"278-285"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132794","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}
引用次数: 0
Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis. 融冰：粘连性囊炎的临床诊断与有效治疗。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001162
{"title":"Thawing the Ice: The Clinical Diagnosis and Effective Management of Adhesive Capsulitis.","authors":"","doi":"10.1097/NOR.0000000000001162","DOIUrl":"10.1097/NOR.0000000000001162","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"E22"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132826","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}
引用次数: 0
Optimizing Perioperative Anticoagulant Management: Balancing Thromboembolic and Bleeding Risks. 优化围手术期抗凝管理：平衡血栓栓塞和出血风险。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001161
{"title":"Optimizing Perioperative Anticoagulant Management: Balancing Thromboembolic and Bleeding Risks.","authors":"","doi":"10.1097/NOR.0000000000001161","DOIUrl":"10.1097/NOR.0000000000001161","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"E23"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132834","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}
引用次数: 0
NAON Award Winners. NAON奖得主。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001157
{"title":"NAON Award Winners.","authors":"","doi":"10.1097/NOR.0000000000001157","DOIUrl":"10.1097/NOR.0000000000001157","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"259-266"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132797","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}
引用次数: 0
Naon Announcements. Naon公告。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001160
{"title":"Naon Announcements.","authors":"","doi":"10.1097/NOR.0000000000001160","DOIUrl":"10.1097/NOR.0000000000001160","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"306"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132831","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}
引用次数: 0
Exam Prep Products Scholarship Recipients. 考试准备产品奖学金获得者。
IF 0.8 4区 医学
Orthopaedic Nursing Pub Date : 2025-09-01 Epub Date: 2025-09-23 DOI: 10.1097/NOR.0000000000001159
{"title":"Exam Prep Products Scholarship Recipients.","authors":"","doi":"10.1097/NOR.0000000000001159","DOIUrl":"10.1097/NOR.0000000000001159","url":null,"abstract":"","PeriodicalId":56102,"journal":{"name":"Orthopaedic Nursing","volume":"44 5","pages":"268"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132813","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}
引用次数: 0
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