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Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses

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https://read.qxmd.com/read/30773408/pain-characteristics-and-pain-interference-among-patients-undergoing-open-cardiac-surgery
#1
Selda Öğüt, Gülten Sucu Dağ
PURPOSE: The aim of this study was to analyze postoperative pain severity, pain characteristics, and factors that affect pain for patients undergoing open cardiac surgery. DESIGN: A descriptive, cross-sectional study design was used. METHODS: This study was conducted on 70 patients who underwent open cardiac surgery at a state hospital in North Cyprus. Data were gathered using the Patient Information Form and Brief Pain Inventory-Short Form...
February 14, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30773407/compassion-fatigue-and-burnout-one-institution-s-interventions
#2
Esther Lee, JoAnn Daugherty, Kimberlee Eskierka, Kathryn Hamelin
Compassion is a complex abstract concept and is generally perceived as an emotional reaction to another person's vulnerability and suffering that motivates an individual wanting the best for the one who is suffering. It is seen as a virtuous and an inherent quality of nursing care. Nurses are exposed to various work stressors caused by myriads of complex professional and organizational challenges. In response, some nurses have developed coping mechanisms exemplified by detachment and distance in the caring relationship, whereas others have fallen victim to compassion fatigue or burnout, stressors that may increase the risk for suicide...
February 14, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30773406/cross-correlation-among-visual-analog-observational-and-behavioral-pain-scales-of-oncological-patients-undergoing-major-abdominal-surgery
#3
Maria Kapritsou, Maria Kalafati, Margarita Giannakopoulou, Dimitrios P Korkolis, Ioannis Kaklamanos, Tasoula Siskou, Evangelos A Konstantinou
PURPOSE: To determine the perception of postoperative pain intensity between nurses and oncology patients undergoing major abdominal surgery. DESIGN: A prospective cross-correlation study with 173 oncology patients undergoing major abdominal surgery, such as hepatectomy or pancreatectomy. METHODS: Postoperative pain intensity was evaluated by clinical pain assessment tools such as critical-care pain observation tool (CPOT) and behavioral pain scale (BPS) recorded by the researcher, whereas the visual analog scale was completed by patients...
February 14, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745264/the-art-is-to-extubate-not-to-intubate-swedish-registered-nurse-anesthetists-experiences-of-the-process-of-extubation-after-general-anesthesia
#4
Linda Rönnberg, Ulrica Nilsson, Ove Hellzén, Christina Melin-Johansson
PURPOSE: To describe Registered Nurse Anesthetists' (RNA's) experiences of the process of extubation of the endotracheal tube in patients undergoing general anesthesia. DESIGN: A descriptive qualitative design. METHODS: This study was conducted in two hospitals with 20 RNAs in total. Data were generated from focus group interviews. Content analysis was used to analyze data. FINDINGS: The RNAs' experiences were described within four categories and eight subcategories...
February 8, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745263/low-dose-ketamine-infusion-to-decrease-postoperative-delirium-for-spinal-fusion-patients
#5
Sarah S Plyler, Virginia C Muckler, J Frank Titch, Dhanesh K Gupta, Andi N Rice
PURPOSE: The primary aim of this project was to decrease the incidence of postoperative delirium after spine surgery. DESIGN: A prospective preimplementation and postimplementation design was used. METHODS: A reduced dose ketamine protocol was implemented for adult patients undergoing elective spinal fusion surgery. Thirty patients were assessed at five time points for the presence of postoperative delirium in the postanesthesia care unit (PACU) using the 3-Minute Diagnostic Interview for Confusion Assessment Method Defined Delirium tool and opioid requirements were compared...
February 8, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745262/acute-postoperative-pain-management-after-major-limb-amputation-in-a-pediatric-patient-a-case-report
#6
Shannon M Grap, Edward Fox, Michelle Freeman, George F Blackall, Priti G Dalal
PURPOSE: Although total prevention of phantom pain is difficult, pediatric patients requiring amputation benefit from an individualized combination of analgesic techniques for phantom pain reduction using a multimodal and interprofessional approach. This is especially useful in the event a single therapy is ineffective for total pain reduction, and may ultimately lead to a reduction in chronic pain development. DESIGN: Case report with multimodal and interprofessional approach...
February 8, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745080/use-of-a-checklist-for-the-postanesthesia-care-unit-patient-handoff
#7
Reed S Halterman, Mohamed Gaber, Muhammad S T Janjua, Gerard T Hogan, Sarah M I Cartwright
PURPOSE: This quality improvement project aimed to evaluate the benefits of implementing a checklist in the postanesthesia care unit (PACU) setting to decrease the omission of health information during the handoff from anesthesia to PACU nurses. DESIGN: Patient handoffs from anesthesia providers were anonymously assessed by PACU nurses before and after the implementation of a handoff checklist with the Situation, Background, Assessment, Recommendation format. METHODS: PACU nurses recorded use of the handoff checklist and if five items of health information were included in the handoff during the preintervention and postintervention phase...
February 7, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745079/how-anesthesiologists-and-nurse-anesthetists-assess-and-handle-patients-perioperative-worries-without-a-validated-instrument
#8
Erebouni Arakelian, Lena Nyholm, Caisa Öster
PURPOSE: To study how nurse anesthetists and anesthesiologists assess and handle patients' perioperative anxiety without using a validated instrument. DESIGN: Qualitative study. METHODS: Individual in-depth face-to-face interviews were conducted with nurse anesthetists (n = 9) and anesthesiologists (n = 5) from a university hospital in Sweden. Data were analyzed with thematic analysis according to Braun and Clark. FINDINGS: Two themes were identified: (1) I ask about anxiety, look for visual signs, and observe communication and (2) I handle patients' anxieties individually...
February 7, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745078/onset-time-of-local-anesthesia-after-single-injection-in-toe-nerve-blocks-a-randomized-double-blind-trial
#9
Antonio Córdoba-Fernández, Jesús González-Benítez, Adrián Lobo-Martín
PURPOSE: The study was conducted to investigate the onset time and safety profile of four different local anesthetic solutions. DESIGN: Randomized controlled clinical trial study. METHODS: One hundred twelve healthy volunteers were assigned to receive digital block on their second toe. Individuals were randomly assigned to one of the following groups: lidocaine 2%, lidocaine 2% with epinephrine, bupivacaine 0.5%, or bupivacaine 0.5% with epinephrine...
February 7, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30745077/use-of-abdominal-binders-for-postoperative-pain-after-gastrointestinal-surgery-an-integrative-review
#10
Kelsey Carter Stoker
PURPOSE: No national policies or clinical practice guidelines have been identified regarding best practices in addressing postoperative pain after abdominal surgery with adjunctive nonpharmacologic therapies, such as abdominal binders. DESIGN: Integrative review. METHODS: An integrative review was conducted using Cochrane, PubMed, Medline, and Cumulative Index to Nursing and Allied Health Literature databases, collecting articles published within the last 5 years regarding abdominal binder use after adult gastrointestinal surgeries...
February 7, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30738727/swedish-operating-room-nurses-and-nurse-anesthetists-perceptions-of-competence-and-self-efficacy
#11
Karin Falk-Brynhildsen, Maria Jaensson, Brigid M Gillespie, Ulrica Nilsson
PURPOSE: To compare perceived competence and self-efficacy (SE) among Swedish operating room (OR) nurses and registered nurse anesthetists (RNAs), and to evaluate the relationship between SE and competence, gender, age, and years of experience. DESIGN: Comparative cross-sectional survey. METHODS: Two validated questionnaires, Perceived Perioperative Competence Scale-Revised and General Self-Efficacy Scale, were sent to members of the Swedish Association of Health Professionals (n = 2,902)...
February 6, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30718165/implementation-of-postoperative-nausea-and-vomiting-guidelines-for-female-adult-patients-undergoing-anesthesia-during-gynecologic-and-breast-surgery-in-an-ambulatory-setting
#12
Samira Tabrizi, Vinod Malhotra, Zachary A Turnbull, Victoria Goode
PURPOSE: Postoperative nausea and vomiting (PONV) is one of the most common complications after anesthesia. This evidence-based quality improvement (QI) project describes the implementation of a PONV guideline and the impact on providers' compliance with PONV risk assessment using the Apfel PONV score. DESIGN: A retrospective preimplementation and postimplementation QI project. METHODS: This evidence-based QI project sample included 294 adult female patients scheduled for gynecologic or breast surgery in the ambulatory setting...
February 1, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30718164/performance-improvement-project-increasing-nursing-knowledge-of-the-impact-of-sugammadex-in-female-patients-taking-steroidal-contraceptives
#13
Lisa O'Driscoll, Justice Parrott
PURPOSE: This process-improvement project improved postoperative education for female patients by facilitating the development of a topic-specific education program to improve knowledge and confidence among perianesthesia nurses in a military treatment facility. DESIGN: An educational program was developed and presented which reviewed the impact sugammadex has on steroidal contraceptive efficacy, evidence-based postoperative teaching strategies, and specific patient education recommendations for female sugammadex-exposed patients taking steroidal contraceptives...
February 1, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30665745/multidisciplinary-approach-to-placenta-percreta-an-observational-case-study
#14
Sabrina Valentine
Abnormal placental implantations can result in postpartum hemorrhage and poor outcomes. With proper diagnosis and preplanning, complications can be minimized and aligned with maternal wishes of abstaining from blood and blood product transfusions.
January 18, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30665744/the-personnel-s-sevoflurane-exposure-in-the-postanesthesia-care-unit-measured-by-photoacoustic-gas-monitoring-and-hexafluoroisopropanol-biomonitoring
#15
Jennifer Herzog-Niescery, Heike Vogelsang, Martin Bellgardt, Hans-Martin Seipp, Thomas P Weber, Philipp Gude
PURPOSE: Room ventilation in the postanesthesia care unit (PACU) is often poor, although patients exhale anesthetic gases. We investigated the PACU personnel's environmental and biological sevoflurane (SEVO) burden during patient care. DESIGN: Prospective, observational study. METHODS: Air pollution was measured by photoacoustic gas monitoring in the middle of the PACU, above the patient's face, and on the PACU corridor. Urinary SEVO and hexafluoroisopropanol concentrations were determined...
January 18, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30660371/effect-of-lavender-oil-on-the-anxiety-of-patients-before-breast-surgery
#16
Ayşe Beyliklioğlu, Sevban Arslan
PURPOSE: Anxiety is a common problem before surgery. This study aimed to investigate the effects of inhaling lavender oil on anxiety levels in patients before breast surgery. DESIGN: A randomized controlled design was used. METHODS: The study was conducted in surgery clinics of a university hospital in Adana, Turkey. The study included a total of 80 patients, 40 patients in the intervention group, and 40 patients in the control group, who were scheduled for breast surgery...
January 16, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30660370/perioperative-care-of-children-undergoing-intra-arterial-chemotherapy-for-retinoblastoma
#17
Esmihan Almontaser, Carmel Ritchie, John Madison, Pascal Jabbour
Retinoblastoma (RB) is a rare cancer of the eye, most commonly seen in children. Intra-arterial chemotherapy for RB is a relatively new treatment modality that has gained increasing popularity worldwide. The principal underlying the intra-arterial approach is delivery of chemotherapeutic agents directly to the site of the tumor. This avoids system toxicities normally associated with higher dose of these drugs. The purpose of this continuing education article was to review the features of RB and its treatment, with a focus on the perioperative management of children undergoing intra-arterial chemotherapy at our institution...
January 16, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30600135/physicians-and-nurses-attitudes-and-actions-regarding-perioperative-medication-management
#18
Susanne Winther Olsen, Eva Draborg, Marianne Lisby
PURPOSE: To investigate physicians' and nurses' attitudes and actions related to the prescription and administration of perioperative antibiotics and opioids during a 2-week period. DESIGN: A quantitative descriptive and analytical research design performed at a Danish University Hospital. METHODS: An email survey using an 18-item questionnaire was sent to 163 nurses and physicians involved in the perioperative period. FINDINGS: Of 163 participants, 114 (69...
December 29, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30600134/the-use-of-aromatherapy-in-postoperative-nausea-and-vomiting-a-systematic-review
#19
Katie Asay, Casey Olson, Julie Donnelly, Echo Perlman
PURPOSE: To evaluate the following question: In adult surgical patients, does the use of aromatherapy affect the incidence of nausea and vomiting postoperatively? DESIGN: Systematic review of research focusing on aromatherapy and the effect on postoperative nausea and vomiting (PONV) in adult surgical patients. METHODS: A search of Medline, PubMed, Cumulative Index of Nursing and Allied Literature, and Cochrane Database of Systematic Reviews using specific inclusion and exclusion criteria yielded five randomized controlled trials...
December 29, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30578045/perianesthesia-nursing-malpractice-reducing-the-risk-of-litigation
#20
Lyerla Frank, Jamie Danks
Nursing malpractice claims are escalating, which equates to a higher risk of being named in a lawsuit and possibly defending one's actions in court. The perianesthesia nurse is at particular risk because of patient involvement before, during, and after surgical procedures. To minimize this risk nurses should have a clear understanding of how a malpractice claim proceeds and the common incidents involved. Three perianesthesia case studies are presented that identify potential nursing litigation threats and strategies to reduce those threats...
December 18, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
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