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Journal of Perioperative Practice

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https://read.qxmd.com/read/30888940/nurses-anaesthetists-versus-patients-assessment-of-anxieties-in-an-ambulatory-surgery-setting
#1
Erebouni Arakelian, Martin Färdig, Lena Nyholm
BACKGROUND: Failure to assess patients' anxiety perioperatively by means of a validated instrument makes the assessment arbitrary. Studies are lacking about how well nurse anaesthetists estimate patients' preoperative worries. PURPOSE: To compare the nurse anaesthetists' estimations of patients' preoperative anxieties with the patients' own assessment of their anxieties. DESIGN: Quantitative prospective design. METHODS: Eighty-five pairs of patients and nurse anaesthetists in two ambulatory surgery units in a university hospital in Sweden were included...
March 19, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30888939/perioperative-management-of-renal-transplant-patients-undergoing-total-joint-arthroplasty
#2
Benjamin Devoy, Khaled M Yaghmour, Emanuele Chisari, Stephen M McDonnell, Wasim Khan
The success of renal transplantation depends on lifelong immunosuppression. This can lead to a high incidence of avascular necrosis of major joints in the body for which arthroplasty is the treatment of choice. The risk of surgical complications is high in these patients, and there is no current set of cohesive perioperative management guidelines. In this review, we discuss the perioperative management of renal transplant patients undergoing elective total joint arthroplasty.
March 19, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30888938/sugammadex-is-changing-the-paradigm-in-neuromuscular-blockade-in-patients-with-myotonic-dystrophy
#3
Joana Teixeira, Bernardo Matias, Irene Ferreira, Tiago Taleço, João S Duarte
Myotonic dystrophy type 1 is a rare neuromuscular disease that represents a challenge to anaesthetic management. Most of the literature does not recommend the usage of neuromuscular blocking agents, if general anaesthesia is needed in these patients. Depolarising neuromuscular blocking agents like suxamethonium are contraindicated, and there might be an increased sensitivity to non-depolarising agents like rocuronium with greater risk of postoperative residual neuromuscular blockade and consequent respiratory failure...
March 19, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30888937/evaluation-of-antibiotic-prophylaxis-for-gastrointestinal-surgeries-in-a-teaching-hospital-an-interventional-pre-post-study
#4
Sepideh Elyasi, Asiyeh Fattahi Masum, Amirhossein Bahreyni, Seyed Sattar Samani, Ahmad Atamanesh, Abbas Abdollahi, Maryam Mousavi
Surgical site infections are related to a high morbidity, mortality and healthcare costs. Despite ample evidence demonstrating the effectiveness of antimicrobials to prevent surgical site infections, inappropriate timing, antibiotic selection and excessive continuation of antibiotics are common in practice. In this study, we compare the appropriateness of antibiotic prophylaxis in gastrointestinal surgery, before and after an evidence-based guideline implementation. One hundred patients were evaluated in each group...
March 19, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30810490/the-story-of-elective-orthopaedic-surgery
#5
Harold Ellis
No abstract text is available yet for this article.
February 27, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30810489/sign-in-time-out-sign-out-checklist-changing-practice-through-interdepartmental-teamwork-to-improve-safety-at-caesarean-section
#6
Roisin Lennon, Alison Smith
Three similar clinical incidences over a three-month period highlighted an issue with the readiness and availability of neonatal resuscitation personnel and equipment at the time of caesarean section (CS). This identified a potential risk to the wellbeing of the mother and baby that had to be addressed. A joint venture was undertaken with the maternity and theatre directorates. A maternity-specific checklist in use in the UK maternity services was sourced, adapted and implemented. No further incidents have been reported since with resulting overall enhanced safety of pregnant women and newborn babies in the unit...
February 27, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30810488/decompression-of-ludwig-s-angina-in-a-pregnant-patient-under-bilateral-superficial-cervical-plexus-block
#7
Tabishur Rahman, Syed Ahmed, Sajjad Rahman
Ludwig's angina is defined as a potentially lethal, rapidly spreading cellulitis, involving the sublingual and submandibular spaces, and is manifested by a brawny suprahyoid induration, tender swelling in the floor of the mouth, and elevation and posterior displacement of the tongue. During a life-threatening infection such as Ludwig's angina, the mother and foetus are vulnerable to septicemia and asphyxia. We describe a case of decompression of Ludwig's angina in a 28 weeks pregnant patient under bilateral superficial cervical plexus block...
February 27, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30806189/preoperative-fasting-durations-for-adult-elective-surgical-patients-convenient-for-the-professional-but-detrimental-to-the-patient-a-narrative-review
#8
Emma King
Preoperative fasting is necessary in reducing the risk of aspiration of stomach contents when undergoing a procedure that requires anaesthesia. There are numerous guidelines based upon evidence-based practice that outline the safe duration of a fast prior to the induction of anaesthesia. Common practice however is to give advice that unnecessarily starves the patient leading to perioperative complications. There is a breadth of literature analysing the fasting durations of various institutions, with a consensus of fasting from midnight being the norm, and side effects of nausea and dehydration being unfortunate by-products of fasting...
February 26, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30806188/the-story-of-neurosurgery
#9
Harold Ellis
No abstract text is available yet for this article.
February 26, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30806187/perioperative-care-of-a-patient-with-clam-cystoileoplasty-undergoing-caesarean-section-a-case-review
#10
Jon R McGarry
This case report describes the care provided to a 35 year old primagravida having an elective section who had undergone clam cystoileoplasty eight years prior. It examines the literature relating to this surgical technique and its implications for obstetric practice. It also examines anaesthetic considerations related to the surgery. Close involvement with urology surgeons is essential and the patient must be supported in their choices relating to ongoing management of continence.
February 26, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30672372/hope-and-person-centred-care-for-the-palliative-patient-in-the-perioperative-setting-a-lightbulb-moment
#11
Monica Donovan
No abstract text is available yet for this article.
January 23, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30672371/comparison-of-venous-thromboembolism-risk-stratification-models-in-a-high-risk-otolaryngology-patient-cohort
#12
Tristan Tham, Peter Costantino
Our objective was to compare the venous thromboembolism outcomes in two of the most commonly utilised venous thromboembolism assessment tools, the Caprini system and the University of Michigan system, in a high risk head and neck surgery population. Currently, there is a lack of data reporting the validation of well known scoring systems in this patient population. Established risk factors for venous thromboembolism were included in the data collection process. We retrospectively evaluated all patients with the Caprini Risk Assessment and the University of Michigan Health System (UMHS) Scores...
January 23, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30650055/effectiveness-and-safety-of-tranexamic-acid-in-total-joint-arthroplasty
#13
Khaled M Yaghmour, Wasim Khan, Stephen McDonnell, Sam Atkinson, Emanuele Chisari
Total Joint arthroplasty is associated with significant blood loss, which could necessitate the use of blood transfusion. Several techniques are being utilised to limit the volume of blood loss, in order to avoid transfusion. In this review, we look at blood loss in total joint arthroplasty, and the perioperative strategies to limit the loss of blood. With the use of tranexamic acid gaining popularity, we analyse the published literature on its use in patients undergoing total joint arthroplasty. We have found that published studies favour using tranexamic acid in total joint arthroplasty as a safe and effective method of reducing blood loss...
January 16, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30638138/contemporary-issues-in-law-and-ethics-exploring-the-family-veto-for-organ-donation
#14
Debbie Cay
This article explores current issues surrounding the impact of family veto for organ donation in the UK. A critical, reflective analysis of the theoretical, legal and ethical aspects aims to evaluate how the deceased's explicit wish to donate may be revoked. Under current UK legislation and upon death, money and property are protected; however, the body is not. When investigating personal wishes, interests and decisions must be weighed against the moral legitimacy of the family veto.
January 14, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30600772/management-of-von-willebrand-disease-in-patients-undergoing-total-hip-and-knee-arthroplasty
#15
Khaled M Yaghmour, Yuhan Peng, Emanuele Chisari, Wasim Khan, Stephen M McDonnell
Von Willebrand disease is the commonest bleeding disorder encountered in the medical and surgical field. As a result of the repetitive bleeding into the joints many patients suffer from arthropathy that can cause a significant amount of pain and functional limitation. Total joint arthroplasty is being utilised as the last resort in managing these patients; however, the presence of von Willebrand disease raises a number of dilemmas. In this review, we look at the effects of von Willebrand disease on joints and the perioperative management of von Willebrand disease patients undergoing total joint arthroplasty...
January 2, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30600771/the-hotshot-taxonomy-and-a-signature-pedagogy-framework-for-operating-department-practice-the-juxtaposition-to-the-academic-apartheid-surrounding-higher-order-thinking
#16
Philip T Beckwith
Bloom's insistence on using verbs and Anderson and Karthwohl's juxtaposition with nouns creates an academic apartheid, where there is only black and white with no grey when addressing the parts of speech used to define Higher Order Thinking. This paper embraces the grey and by draining the conceptual swamp surrounding traditional perceptions of Higher Order Thinking, creates fertile new ground which in turn feeds emergent notions, and allows pioneering characterisation of Higher Order Thinking to propagate.
January 2, 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30803347/thank-you-two-words-that-can-transform-your-life
#17
Tracey Williams
No abstract text is available yet for this article.
March 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30803346/news-update
#18
(no author information available yet)
No abstract text is available yet for this article.
March 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30803345/anaesthetic-interventions-for-prevention-of-awareness-during-surgery
#19
Jacqueline Pich
No abstract text is available yet for this article.
March 2019: Journal of Perioperative Practice
https://read.qxmd.com/read/30803344/never-underestimate-surgery
#20
Julie Quick
No abstract text is available yet for this article.
March 2019: Journal of Perioperative Practice
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