Relevant bibliographies by topics / Intraoperative Care

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Intraoperative Care'

Author: Grafiati
Published: 4 June 2021
Last updated: 28 January 2023

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Journal articles on the topic "Intraoperative Care"

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Mauléon, Annika Larsson, and Sirkka-Liisa Ekman. "Difficulties in Intraoperative Care." Journal of Perioperative Practice 22, no. 10 (October 2012): 334–37. http://dx.doi.org/10.1177/175045891602201005.

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Claussen, Judith A. "Intraoperative Nursing Care Plan." AORN Journal 44, no. 4 (October 1986): 572–74. http://dx.doi.org/10.1016/s0001-2092(07)65408-8.

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Peate, Ian. "The principles of surgical care: intraoperative care." British Journal of Healthcare Assistants 9, no. 11 (November 2, 2015): 534–37. http://dx.doi.org/10.12968/bjha.2015.9.11.534.

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Hegtvedt, Arden K. "Intraoperative and Postoperative Patient Care." Oral and Maxillofacial Surgery Clinics of North America 2, no. 4 (November 1990): 857–68. http://dx.doi.org/10.1016/s1042-3699(20)30468-4.

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Tabbara, MD, Abdul Kader, Sindhu Krishnan, MD, Eduard Vaynberg, MD, Nicole Z. Spence, MD, and Donald H. Lambert, MD, PhD. "Intraoperative methadone: Proceed with care." Journal of Opioid Management 18, no. 4 (July 1, 2022): 377–83. http://dx.doi.org/10.5055/jom.2022.0730.

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A recent review suggests minimal respiratory depression (RD) after perioperative methadone, while another identified RD in up to 37 percent of patients. A meta-analysis is equivocal. At our institution, five of 75 opioid naive patients (6.6 percent) given perioperative methadone received naloxone. We report three of these cases in detail. Two others were discovered during an electronic medical record search for opioid naïve patients who received methadone plus naloxone during their anesthesia care. Our five patients indicate that RD owing to methadone can occur with excessive perioperative adjuvant medications and/or in patients who are taking home central nervous system depressants. We define perioperative adjuvant medications as medications given by the anesthesiologist prior to induction and intraoperatively. The risks and benefits of perioperative methadone administration, specifically in patients who received post-operative naloxone, deserve further investigation.
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Iglesias-Zamora, M. E., S. Oscoz-Jaime, A. Larumbe-Irurzun, and B. Bonaut-Iriarte. "Intraoperative Care During Eyelid Surgery." Actas Dermo-Sifiliográficas (English Edition) 107, no. 10 (December 2016): 855–57. http://dx.doi.org/10.1016/j.adengl.2016.09.010.

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Von Rahden, RP. "Intraoperative point-of-care testing." Southern African Journal of Anaesthesia and Analgesia 20, no. 1 (January 2014): 62–64. http://dx.doi.org/10.1080/22201173.2014.10844569.

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Bordes, Brianne, David Martin, Brian Schloss, Allan Beebe, Walter Samora, Jan Klamar, David Stukus, and Joseph D. Tobias. "Intraoperative Anaphylactic Reaction: Is it the Floseal?" Journal of Pediatric Pharmacology and Therapeutics 21, no. 4 (July 1, 2016): 358–65. http://dx.doi.org/10.5863/1551-6776-21.4.358.

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When hemodynamic or respiratory instability occurs intraoperatively, the inciting event must be determined so that a therapeutic plan can be provided to ensure patient safety. Although generally uncommon, one cause of cardiorespiratory instability is anaphylactic reactions. During anesthetic care, these most commonly involve neuromuscular blocking agents, antibiotics, or latex. Floseal is a topical hemostatic agent that is frequently used during orthopedic surgical procedures to augment local coagulation function and limit intraoperative blood loss. As these products are derived from human thrombin, animal collagen, and animal gelatin, allergic phenomenon may occur following their administration. We present 2 pediatric patients undergoing posterior spinal fusion who developed intraoperative hemodynamic and respiratory instability following use of the topical hemostatic agent, Floseal. Previous reports of such reactions are reviewed, and the perioperative care of patients with intraoperative anaphylaxis is discussed.
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Kühne, Lars-Uwe, Robert Binczyk, and Friedrich-Christian Rieß. "Comparison of intraoperative versus intraoperative plus postoperative hemoadsorption therapy in cardiac surgery patients with endocarditis." International Journal of Artificial Organs 42, no. 4 (February 25, 2019): 194–200. http://dx.doi.org/10.1177/0391398819831301.

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Infective endocarditis is caused by a bacterial infection of the endocardial surface, and despite improvements in surgical interventions and antimicrobial therapy, mortality remains high. Recently published data suggest that intraoperative hemoadsorption therapy might represent a promising treatment option; however, randomized data still lack, and a comparative study on the intraoperative versus intraoperative plus postoperative use of CytoSorb has not yet been performed. We hypothesized that patients developing intraoperative renal failure benefit from additional postoperative CytoSorb treatment in terms of outcome. We examined the application of hemoadsorption therapy in 20 endocarditis patients separated into two groups: (1) sole intraoperative versus (2) intraoperative plus postoperative treatment, with regard to inflammatory and hemodynamic status, the postoperative course including development of complications, extent of extracorporeal organ support, and outcome. Despite an obviously more pronounced disease severity in the intraoperative plus postoperatively treated patients as evidenced by a higher initial European System for Cardiac Operative Risk Evaluation score, higher reoperation rate, longer cardiopulmonary bypass times, a worse inflammatory status, and perioperative development of acute renal failure, we observed a clear and comparable stabilization in hemodynamics and inflammatory parameters in both groups. More importantly and despite a higher rate of postoperative complications and a longer intensive care unit stay, patients from the intraoperative plus postoperative group showed an equal intensive care unit and 90-day survival compared to patients treated only intraoperatively. Our data suggest that postoperative continuation of hemoadsorption treatment might be beneficial in patients with endocarditis who develop perioperative renal failure in combination with severe hemodynamic instability and high-grade intraoperative findings.
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Thompson, Lois, Starla A. Jeppson, Roberta Hallstrom, and Lori Williams. "Intraoperative surgery techniques and patient care." Critical Care Nursing Quarterly 13, no. 1 (June 1990): 19–34. http://dx.doi.org/10.1097/00002727-199006000-00005.

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Dissertations / Theses on the topic "Intraoperative Care"

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Lowe, Jason S. "Deconstructing Anesthesia Handoffs During Simulated Intraoperative Anesthesia Care." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3742.

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Anesthesia patient handoffs are a vulnerable time for patient care and handoffs occur frequently during anesthesia care. Communication failures contribute to patient harm during anesthesia patient handoffs. The Joint Commission has recognized the potential for communication failure during patient handoffs and has recommended processes to improve handoff safety. Handoffs are made more difficult by latent conditions such as time constraints, pressure and distractions, which often result in incomplete or inaccurate handoff reports. This nonexperimental, correlation study identified the latent conditions that occur during the handoff process and their relationship to the quality of the handoff. This research shows an inverse relationship between latent conditions and anesthesia patient handoff scores. The number of latent conditions and the types of latent conditions affected handoff scores. Handoffs that were not interactive or handoffs with unsafe timing predictably resulted in poor handoff communication. Clinicians must acknowledge that handoffs are a high-risk event that can result in patient harm. Clear and effective communication is key to safe, quality care and this includes being aware of and minimizing the impact of latent conditions during the anesthesia patient handoff.
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Eklund, Therese, and Cecilia Nordmark. "Omvårdnadsteamets arbete intraoperativt beträffande patientsäkerheten : En integrerad systematisk litteraturstudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-42693.

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Introduktion: Hälften av alla vårdskador uppkommer i samband med operation. Operationsteamet är ett multidisciplinärt samarbete där många människor från flera yrkeskategorier arbetar tillsammans i olika konstellationer med patientsäkerheten som en av de viktigaste delarna. Operationssjuksköterskan och anestesisjuksköterskan ansvarar för patientens omvårdnad före, under och efter operationen. Syfte: Att beskriva hur omvårdnadsteamet arbetar intraoperativt beträffande patientsäkerheten. Metod: En integrerad systematisk litteraturstudie där artiklar söktes i databaserna Cinahl och PubMed. Elva artiklar med kvantitativ, kvalitativ och mixed method valdes ut och analyserades. Resultat: Materialet resulterade i tre kategorier: Att vara förberedd, att utbyta information med varandra och att vara förtrogen med varandras färdigheter. Konklusion: En stor del av resultatet visade på att förberedelser där hela omvårdnadsteamet involveras, kontinuerligt utbyter information med varandra och är förtrogna med varandras yrkesprofessionella färdigheter stärker patientsäkerheten. Resultatet av denna litteraturstudie kan leda till en ökad förståelse för operationsteamets betydelse för patientsäkerheten intraoperativt.
Introduction: Half of all health care-associated injuries occur in conjunction with surgery. The patient care team is a multidisciplinary collaboration where many people from different professions work together in different configurations with patient safety as one of the most important aspects. The operating theatre nurse and the nurse anesthetist are responsible for the patients nursing care before, during and after the surgery. Aim: To describe how the patient care team works intraoperatively regarding the patient safety. Method: An integrated systematic literature study were articles searches where made using the databases Cinahl and PubMed. Eleven articles with quantitative, qualitative and mixed method analysis has been reviewed. Result: The material resulted in three categories: To be prepared, to exchange information with each other and to be familiar with each other’s skills. Conclusion: A large part of the result showed that preparations where the whole patient care team was involved, continuously exchanging information with each other and were familiar with each other’s professional skills enhances the patient safety. The result of this literature study might lead to an increased understanding of the importance of the patient care team for patient safety intraoperatively.
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Halling, Helena, and Olga Jonasson. "Positionsrelaterade tryck- och nervskador inom den intraoperativa vården : En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-103805.

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Wahlström, Malin, and Helén Lestander. "Operationssjuksköterskors användning av intraoperativ kommunikation med patienter : en observationsstudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-131399.

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Bakgrund: Aktuell forskning visar hur användning av intraoperativ kommunikation kan medföra positiva effekter för både patienter och operationssjuksköterskor. Dock saknas forskning om hur användningen ser ut i praxis. Syfte: Syftet med denna studie var att med stöd i yrkets kompetensbeskrivning observera hur operationssjuksköterskor använder sig av intraoperativ kommunikation med patienter i det kliniska arbetet samt orsaker till att kommunikation eventuellt inte används. Metod: Studien utfördes som en kvalitativ, etnografisk observationsstudie. 20 observationer av operationssjuksköterskor på ett sjukhus i norra Sverige genomfördes och materialet analyserades genom innehållsanalys. Resultat: Analysen av materialet utmynnande i tre kategorier: Att kommunicera, Att ge personcentrerad vård samt Att påverkas av arbetsmiljön, och åtta underkategorier: Att ge information, Att föra en intraoperativ dialog, Att bygga en tillfällig relation, Att identifiera omvårdnadsbehov, Att vara engagerad, Att vara frånvarande, Att ha andra arbetsuppgifter och Att påverkas av tid. Slutsats: Resultatet av denna studie tyder på att intraoperativ kommunikation knappt används i klinisk verksamhet idag och att operationssjuksköterskor av olika anledningar oftast backar undan och låter andra teammedlemmar ansvara för det nära omvårdnadsarbetet.
Background: Current research shows how the use of intraoperative communication can lead to positive effects for both patients and operating theatre nurses. However, research is missing regarding the use in practice. Aim: The aim of this study was to observe, with the support of the competence description of the profession, how operating theatre nurses use intraoperative communication with patients in their clinical work, and reasons why communication possibly is not used. Method: The study was performed as a qualitative, ethnographic, observational study. 20 observations of operating theatre nurses at a hospital in northern Sweden were made, and the material was analyzed through content analysis. Findings: The analysis of the material led to three categories: To communicate, To perform person-centered care and To be influenced by the working environment, and eight sub-categories: To provide information, To conduct an intraoperative dialogue, To build a temporary relationship, To identify caring needs, To be committed, To be absent, To have other duties and To be affected by time Conclusion: The findings of this study indicate that intraoperative communication is rarely used in clinical work today, and that operating theatre nurses, for different reasons, usually take a step back and let the other team members take responsibility for the intraoperative nursing.
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Gidlund, Åsa, and Rebecka Karlsson. "Operationssjuksköterskors uppfattningar om det intraoperativa teamarbetet : En kvalitativ intervjustudie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-14057.

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Bakgrund: I en operationssal arbetar ett multiprofessionellt team. För att effektivt kunna bedöma och utvärdera kvaliteten på det intraoperativa teamarbetet, samt stärka patientsäkerheten, är det av stor betydelse att få en djupare förståelse för operationssjuksköterskors upplevelser kring begreppet teamarbete. Syfte: Syftet med studien var att belysa operationssjuksköterskors uppfattningar om det intraoperativa teamarbetet. Metod: Semistrukturerade intervjuer genomfördes med 14 operationssjuksköterskor från två sjukhus i mellersta Norrland. Insamlad data analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Utifrån analysen framkom tre kategorier och tio underkategorier. De tre kategorierna var: Operationssjuksköterskans upplevelser av sin roll i teamet, Interaktionen mellan de olika yrkeskategorierna i teamet och Betydelsen av att utveckla och förbättra teamet. Att planera arbetet och ligga steget före beskrevs som att ha kontroll över situationen. Ett väl fungerande teamarbete präglades av tydlig kommunikation och att bekräfta varandra stärkte teamkänslan. Slutsats: Studien belyser en rad faktorer kring operationssjuksköterskornas uppfattningar om vad som kan bidra till ett väl fungerande intraoperativt teamarbete. Mer forskning av kvalitativ ansats behövs för att tydliggöra och få en större förståelse av operationssjuksköterskans upplevelser i samband med detta.
Background: The operating room is a place where multidisciplinary teamwork is carried out. In order to effectively assess and evaluate the quality of intraoperative teamwork, and enhance patient safety, it is of great importance to gain a deeper understanding of operating room nurses’ perceptions around the concept of teamwork. Aim: The purpose of the study was to describe operating room nurses’ perceptions of the intraoperative teamwork. Method: Semi-structured interviews were carried out with 14 operating room nurses at two hospitals in north central Sweden. Collected data was analyzed using qualitative content analysis. Result: Three categories and ten sub-categories emerged from the analysis. The three categories were: Operating room nurses’ perceptions of their professional role in the team, Interaction between professionals in the team and, The importance of building and improving the team. To plan work and stay ahead were described as achieving control of the situation. Effective teamwork was characterized by clear communication and, team spirit was strengthened by acknowledging each other. Conclusion: This study demonstrates a number of factors surrounding the operating room nurses’ perceptions of what may contribute to a high functioning intraoperative teamwork. Further research with a qualitative approach is needed to clarify and gain a greater understanding of operating room nurses’ perceptions in the context of teamwork.
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Madeleine, Svensson, and Drott Hanna. "Patienters erfarenheter av att vara vakna under ett kirurgiskt ingrepp -En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-74370.

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Bakgrund: I dagsläget föreligger det en bristande empirisk kunskap om patienters upplevelser av att opereras i regional anestesi. Operationssjuksköterskan ansvarar för patientens vård och välmående under den intraoperativa perioden. Därav behöver det finnas en kunskap hos operationssjuksköterskan om hur patienter upplever att opereras i vaket tillstånd för att kunna ge en personcentrerad och evidensbaserad omvårdnad. Syfte: Att undersöka patienters erfarenheter av att vara vakna under ett kirurgiskt ingrepp. Metod: En systematisk litteraturstudie innehållande 11 stycken vetenskapliga artiklar med kvalitativ ansats. Analysen har utförts genom metasyntes. Resultat: I resultatet framkom två huvudteman med underteman av patienternas erfarenheter. 1) Erfarenheter av regional anestesi med underteman: erfaranheter av att medverka, erfarenheter av att hantera situationen, erfaranheter skapade genom sinnen, erfaranheter från omgivningen samt erfaranheter av smärta. 2) Vårdpersonalens betydelse med underteman: betydelsen av vårdpersonalens närvaro, betydelsen av en god kommunikation samt betydelsen av att erhålla information. Resultatet visar att opereras i regional anestesi ger patienter en känsla av deltagande och kontroll, samtidigt förekommer det att patienter upplever ångest och smärta under sitt kirurgiska ingrepp. Patienter erfar vårdmiljön genom sina sinnen och använder sig av olika sätt att hantera upplevelsen av att opereras i vaket tillstånd. För att känna trygghet är det av betydelse att få kontinuerligt med information och att känna en närhet till vårdpersonalen. Slutsats: För att operationssjuksköterskan ska kunna ge en god omvårdnad till patienter som opereras i regional anestesi behöver det finnas en kunskap om hur patienter erfar den intraoperativa perioden samt en förmåga att kunna se och bemöta varje patient utifrån sin unika livsvärld.
Background: In the current situation there is a lack of empirical knowledge of patients' experiences of being operated in regional anesthesia. The operating theatre nurse is responsible for patient care and well-being during the intraoperative period. Therefore the operating theatre nurse needs knowledge about patients' experience of being awake during surgery, to provide person-centered and evidence based nursing. Aim: To investigate patients' experiences of being awake during a surgical procedure. Methods: A systematic literature study containing 11 articles with a qualitative approach. The analysis has been performed with metasynthesis. Results: The result emerged two main themes with subthemes about patients' experiences. 1) Experiences of regional anesthesia, with subthemes: experiences of participation, experience of handling the situation, experiences created by the senses, experiences from the environment and experiences of pain. 2) Importance of the carers, with subthemes: The importance of presence by the carers, the importance of a good communication and the importance of receive information. The findings show that being operated in regional anesthesia gives patients a sense of participation and control, while at the same time it appears that patients experience anxiety and pain during their surgical procedures. Patients experience the environment through their minds and use different ways to handle the experience of being operated in a wakeful state. To feel safe it is important to receive continuous information and to feel presence to the carers. Conclusions: To provide good care for patients operating in regional anesthesia, the operating theatre nurse must have knowledge about patients experience in the intraoperative period as well as the ability to see and respond to each patient based on their unique lifeworld.
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Beckenham, Nadia, and Jenny Frost. "Operationssjuksköterskors upplevelser av att handha vassa instrument : En kvalitativ intervjustudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-78395.

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Introduktion Operationssjuksköterskor handhar dagligen vassa instrument och har ett nära samarbete med operatören. Det finns risk för stick- och skärskador, varför flera utarbetade preventiva metoder finns att tillgå. Instrumenteringen av vassa instrument ska vara effektiv och säker. Handhavandet kräver kunskap och ställer krav på operationssjuksköterskan. Syfte Syftet med studien var att beskriva operationssjuksköterskors upplevelser av det intraoperativa handhavandet av vassa instrument. Metod Kvalitativ metod med induktiv ansats och individuella semistrukturerade intervjuer. Data analyserades genom manifest och latent innehållsanalys. Resultat Sju underkategorier, tre huvudkategorier samt ett övergripande tema framkom. Operationssjuksköterskorna var trygga i sin roll och arbetade med lugnt och fokuserat förhållningssätt utifrån personligt utformade arbetssätt för att bevara kontrollen. Säkert handhavande hos operatören upplevdes respektfullt och operationssjuksköterskorna anpassade sig och sade ifrån när riskfyllt handhavande observerades. Vid stick- och skärskada var professionellt handlande med bevarad aseptik angeläget. En viss rädsla för blodburen smitta fanns, men de såg samtidigt stick- och skärskador som en del av vardagen i deras arbetsmiljö. Slutsats Operationssjuksköterskorna var trygga i handhavandet av vassa instrument vilket gav dem förmåga till att anpassa sig. Konsekvent användande av personligt utformade arbetssätt upplevdes säkert och bidrog till kontroll. Stick- och skärskadepreventiva metoder användes i synnerhet vid känd blodburen smitta då rädsla förelåg att drabbas av smitta.
Introduction Theatre nurses manages sharp instruments and works closely with the surgeon. There is a risk of sharps injury and several developed preventative methods are avaliable. Instrumentation of sharp instruments must be effective and safe. The management requires knowledge and puts demands on the theatre nurse. Aim To describe the theatre nurses’ experiences of the intraoperative management of sharp instruments. Method Qualitative method with an inductive approach and individual semi-structured interviews. Data was analyzed with manifest and latent content analysis. Results Seven subcategories, three main categories and one covering theme. Theatre nurses were confident in their role and worked with a calm and focused approach with own personal designed work routines to maintain control. Safe management by the surgeon led to feelings of respect towards the theatre nurses and they adapted and reprimanded the surgeon when hazardous management was observed. In case of sharps injury, professional managing with remained asepsis was important. There was some level of fear towards bloodborne pathogen, but at the same time they saw sharp injuries as a common occurrence in their work environment. Conclusion Theatre nurses were confident in the management of sharp instruments which gave them the ability to adapt. Consistent use of personal designed work routines was percieved as safe and contributed to control. Preventative methods against sharps injury were especially used in care of patients with known bloodbourne pathogene as there was a fear of being infected.
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Hjalmarsson, Veronika, and Morales Louise Broqvist. "Jag vill dig bara väl : Operationssjuksköterskors upplevelser och erfarenheter av etiska dilemman vid vård av kognitivt funktionsnedsatt patient En kvalitativ intervjustudie." Thesis, Karlstads universitet, Institutionen för hälsovetenskaper (from 2013), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-78434.

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Introduktion: Vården som operationssjuksköterskan bedriver ska ske i enlighet med etiska riktlinjer och lagar. Kognitiv funktionsnedsättning innebär intellektuell nedsättning där bristande kommunikationsförmåga och förståelse kan föreligga. Studier har visat att etiska dilemman kan uppstå vid omvårdnad av kognitivt funktionsnedsatt patient. Syfte: Syftet med studien var att beskriva operationssjuksköterskors erfarenheter och upplevelser av etiska dilemman vid pre- och intraoperativ vård av patienter med kognitiv funktionsnedsättning. Metod: Konventionell, kvalitativ innehållsanalys (Hsieh & Shannon, 2005) med induktiv ansats och semistrukturerade intervjuer (n=10) användes. Strategiskt- och bekvämlighetsurval användes. Resultat: Resultatet gav tre kategorier med totalt sju subkategorier. Operationssjuksköterskorna upplevde svårigheter med att definiera etiska dilemman. Det definierades som situationer där en vårdhandling önskas utföras men patienten inte vill deltaga på grund av begränsad förståelse. Etiska dilemman kunde vara vård under tvång eller avgöra huruvida anhöriga bör närvara. Konklusion: Etiska dilemman var svårt att definiera för operationssjuksköterskor. De upplevde att rädsla hos patienten kan leda till att etiska dilemman uppstår. Operationssjuksköterskorna beskrev åtgärder och arbetssätt för att motverka etiska dilemman, vilket kan användas till förbättringsarbete och vidare forskning. Det är av vikt att ta sig tid och arbeta för att främja autonomin och personcentrera vården och undvika rädsla, därmed motverka etiska dilemman.
Introduction: As a theatre nurse, nursing care should be performed in relation to ethical guidelines and laws. Cognitive impairment implies intellectual impairment where difficulties in communication and understanding may be present. Studies have shown that ethical dilemmas can arise when nursing patients with cognitive impairment. Aim: The aim of this study was to describe the theatre nurses’ experiences of ethical dilemmas in pre- and intraoperative nursing of patients with cognitive impairment. Method: A conventional, qualitative content analysis (Hsieh & Shannon, 2005) with an inductive approach and semi-structured interviews (n=10) was used. Purposive and convenience sampling methods were used. Results: The results showed three categories with a total of seven subcategories. The theatre nurses experienced difficulties in defining ethical dilemmas. It was defined as situations in which a caring intervention wishes to be conducted, yet the patient refuses to participate due to limited understanding. Forced care or determine whether a patient’s relative should participate could be ethical dilemmas. Conclusion: Ethical dilemmas were difficult for the theatre nurses to define. They experienced that patients’ fear may result in ethical dilemmas. The theatre nurses described working methods to avoid ethical dilemmas, which might be used for improvements within the clinic as well as in further research. It is important to dedicate time to work towards person-centered care and to avoid fear, and accordingly counteract ethical dilemmas.
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Lopes, Camila Mendonça de Moraes. "Posicionamento cirúrgico: evidências para o cuidado de enfermagem." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-18082009-125209/.

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O enfermeiro perioperatório é responsável pelo planejamento e implementação de intervenções de enfermagem que minimizam ou possibilitam a prevenção de complicações aos pacientes decorrentes do procedimento anestésico-cirúrgico. O posicionamento cirúrgico tem como principal finalidade promover o acesso ao local a ser operado e deve ser realizado de forma correta para garantir a segurança e o conforto do paciente e prevenir complicações pós-operatórias. A Prática Baseada em Evidências é uma abordagem que integra as evidências disponíveis, a competência clínica do profissional e as preferências do paciente para a tomada de decisão sobre o cuidado a saúde, sendo selecionada como referencial teórico. O presente estudo teve como objetivo buscar e avaliar as evidências disponíveis na literatura sobre os cuidados de enfermagem relacionados ao posicionamento cirúrgico do paciente adulto no período intra-operatório. O método de pesquisa adotado foi a revisão integrativa da literatura. Para a seleção dos artigos utilizamos as bases de dados PUBMED, CINAHL e LILACS. A amostra constitui-se de 20 artigos. Em relação ao nível de evidência, dos 20 estudos analisados apenas um apresentou nível de evidência forte (nível II), um estudo é considerado com nível de evidência moderada (nível III) e oito com evidências fracas (nível VI e VII). Atrelado a essa situação os outros 10 estudos (revisão narrativa de literatura) não têm classificação de acordo com o sistema hierárquico adotado. Na síntese das evidências disponíveis dos estudos incluídos na revisão, constatamos que estes enfocaram três tópicos principais, a saber: os fatores de risco para o desenvolvimento de complicações; as complicações decorrentes do posicionamento cirúrgico e os cuidados de enfermagem relacionados ao posicionamento cirúrgico do paciente. A presente revisão integrativa fornece ao leitor informações detalhadas sobre os tópicos mencionados, além de disponibilizar a tradução de um modelo de protocolo direcionado ao posicionamento, movimentação, elevação e transporte do paciente no ambiente perioperatório, o qual foi elaborado pela Association of periOperative Registered Nurses. Esperamos que os resultados evidenciados neste estudo contribuam para a melhoria da qualidade da assistência prestada ao paciente cirúrgico, pois a sua condução teve como propósitos facilitar o acesso às evidências disponíveis sobre os cuidados de enfermagem no posicionamento cirúrgico, esclarecer dúvidas relacionadas a esta prática e incentivar o desenvolvimento de protocolos de cuidados voltados ao posicionamento a serem disponibilizados para todos os profissionais envolvidos no atendimento do paciente no período perioperatório.
The perioperative nurse is responsible for planning and implementation of nursing interventions to minimize or prevent possible complications to patients from arising during anesthetic and surgical procedures. The main purpose of surgical positioning is to promote access to the surgical site and must be done correctly to ensure safety and comfort of the patient and prevent postoperative complications. Evidence-based practice is an approach that integrates the available evidence, the clinical expertise and the patient\'s preferences for decision making on health care, this was selected as a theoretical reference. The aim of this study is to find and evaluate the available evidence related to nursing care of adult patients during surgical positioning. The research method adopted was the integrative review of literature. PUBMED, CINAHL and LILACS databases were used for the selection of the articles. The sample consisted of 20 articles. On the level of evidence, of the 20 studies analyzed, only one showed a strong level of evidence (level II), one study is considered to have a moderate level of evidence (level III) and eight with weak evidence (level VI and VII). Coupled to this situation, the other 10 studies (narrative review of the literature) are not classified under the hierarchical system adopted. In the synthesis of the available evidence on the studies included in this review, we focused on three main topics: the risk factors for developing complications, complications of surgical positioning and nursing care related to surgical positioning of the patient. This integrative review provides the reader detailed information on the topics listed, and provides a translation of a protocol of procedures in positioning, handling, lifting and transporting the patient in the perioperative environment, which was prepared by the Association of PeriOperative Registered Nurses. We hope that the results contribute to improving the quality of care provided to surgical patients, because first of all the purpose was to facilitate access to the available evidence about nursing care in surgical positioning, answer questions related to this practice and encourage the development of protocols of care to be available to all perioperative personnel.
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Menezes, Marcos Roberto de. "Avaliação do uso do ultra-som intra-operatório na cirurgia hepatobiliar e pancreática." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5151/tde-13102014-115314/.

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O objetivo do presente trabalho foi avaliar o valor diagnóstico e o impacto na modificação da conduta terapêutica do ultra-som intra-operatório (UIO) na cirurgia por neoplasia de fígado, vias biliares e pâncreas, comparando-se achados da avaliação pré-operatória de rotina com métodos de imagem convencionais (tomografia computadorizada e ressonância magnética) com achados obtidos por meio da exploração cirúrgica (inspeção e palpação). Foram analisados, retrospectivamente, exames realizados em 49 pacientes, sendo 15 portadores de neoplasia hepática secundária; 14, de neoplasia hepática primária; 14, de tumor neuroendócrino pancreático e seis de neoplasia cística pancreática. No grupo de pacientes com neoplasia hepática e de vias biliares, a TC identificou 65% dos tumores; a exploração cirúrgica, 69,5% e o UIO, 95,2%. Houve mudança da conduta, em decorrência dos achados do UIO, em 34,4% dos pacientes. No grupo de tumores neuroendócrinos pancreáticos, a TC identificou corretamente 44,4% dos tumores; a RM, 60,9%; a exploração cirúrgica com palpação, 72,7% e o UIO, 100%. Houve mudança de conduta em 42,9% dos pacientes. No grupo de neoplasia cística, o UIO não acrescentou informação adicional relevante em relação à TC e à RM, exceto no paciente com neoplasia papilífera intraductal. Apesar do grande avanço nos métodos de avaliação por imagem pré-operatórios e mesmo com toda a expertise do cirurgião, os resultados mostram que o UIO modifica positivamente o planejamento cirúrgico em um número significativo de pacientes, devendo, portanto fazer parte integrante da avaliação intra-operatória dos pacientes candidatos à ressecção hepática por neoplasia primária ou secundária e da cirurgia de neoplasia endócrina pancreática
Intraoperative sonography (IOU) is an imaging modality that has been showing rapid growth in the last decade that can has a variety of applications in different surgical specialities, particularly in abdominal surgery. The purpose of this study was to analyze the use o IOU in the setting of surgery for liver, biliary and pancreatic malignancies. To achieve that, the findings of routine preoperative state-of the-art imaging modalities (CT and MRI) and the findings of surgical exploration (inspection and palpation) were compared to those of IOU. The impact of IOU on preoperative plans based on CT and MRI and on management after surgical exploration were studied as well 49 patients were retrospectively studied. Of those 15 had metastatic liver disease and 14 primary liver cancer; 14 had pancreatic neuroendocrine tumours and 6 had cystic pancreatic neoplasms. In the group of hepatic and biliary malignancies CT identified 65% of the tumours, surgical exploration identified 69.5% and IOU 95.2% (including 3 false positives). IOU determined a change in management in 34.4% of the patients. In the group of pancreatic neuroendocrine tumours the rates of identification were 27.3% for CT, 60.9% for MRI, 72.7% for surgical exploration and 100% for IOU, with an alteration in surgical plans in 42.9% of patients after IOU. In the case of patients with cystic pancreatic neoplasia, IOUS did not add any relevant additional information in relation to CT or MRI, with exception to one patient that had a papiliferous intraductal neoplasia. In spite of the great advances on preoperatory imaging modalities and of the possibility of direct surgical exploration, IOU has shown that it positively modifies surgical planning. For that reason, it should be included as an essential adjunct in the intraoperatory evaluation of patients with pancreatic endocrine neoplasia and of candidates for hepatic resection in cases of primary and secondary malignancies
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Books on the topic "Intraoperative Care"

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Intraoperative echocardiography. Philadelphia, PA: Elsevier Saunders, 2012.

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Møller, Aage R. Intraoperative neurophysiologic monitoring. Australia: Harwood Academic Publishers, 1995.

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D, Greig James, ed. Intraoperative and laparoscopic ultrasonography. Oxford: Blackwell Science, 1995.

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Hertzog, Milo. General anesthesia research developments. New York: Nova Biomedical Books, 2010.

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Savage, Robert M. Basic perioperative echocardiography and review. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2011.

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Monitoring in anesthesia and perioperative care. Cambridge: Cambridge University Press, 2011.

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1928-, Dodge Gwen H., ed. Perioperative patient care. 2nd ed. Boston: Jones and Bartlett Publishers, 1991.

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Comprehensive textbook of perioperative transesophageal echocardiography. 2nd ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2011.

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M, Otto Catherine, ed. Atlas of intraoperative transesophageal echocardiography: Surgical and radiologic correlations. Philadelphia: Sanders Elsevier, 2007.

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Savage, Robert M. Basic perioperative transesophageal echocardiography: A multimedia review. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health, 2011.

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Book chapters on the topic "Intraoperative Care"

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Rawling, Paul. "Intraoperative Care." In Manual of Perioperative Care, 135–40. West Sussex, UK: John Wiley & Sons, Ltd.,, 2013. http://dx.doi.org/10.1002/9781118702734.ch12.

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Mahanna, Elizabeth Brady, Dietrich Gravenstein, Nikolaus Gravenstein, and Steven A. Robicsek. "Intraoperative Neuroanesthesia." In Textbook of Neurointensive Care, 843–61. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-5226-2_41.

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Krenn, Claus G., and Marko Nicolic. "Intraoperative Monitoring." In Liver Anesthesiology and Critical Care Medicine, 135–47. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-64298-7_11.

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Krenn, Claus-Georg. "Intraoperative Monitoring." In Liver Anesthesiology and Critical Care Medicine, 97–109. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-5167-9_9.

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Yagyu, Kuniyoshi. "Peri- and Intraoperative Care." In Practical Aspects of Hair Transplantation in Asians, 155–63. Tokyo: Springer Japan, 2017. http://dx.doi.org/10.1007/978-4-431-56547-5_16.

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Curling, Patrick E. "Intraoperative Echocardiography." In Computing and Monitoring in Anesthesia and Intensive Care, 20–21. Tokyo: Springer Japan, 1992. http://dx.doi.org/10.1007/978-4-431-68201-1_4.

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Rehm, M., and U. Finsterer. "Intraoperative Fluid Management." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 643–54. Milano: Springer Milan, 2002. http://dx.doi.org/10.1007/978-88-470-2099-3_54.

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Parrinello, M., L. M. Sá Malbouisson, and J. O. C. Auler. "Intraoperative volume optimisation." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 701–16. Milano: Springer Milan, 2004. http://dx.doi.org/10.1007/978-88-470-2189-1_2.

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Appelhoff, Birgit, and Lisa Moser. "Intraoperative and Postoperative Care of Port Patients." In Port Care, 53–57. Berlin, Heidelberg: Springer Berlin Heidelberg, 2022. http://dx.doi.org/10.1007/978-3-662-64494-2_7.

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Rice, Kent S., and Stanley A. Skinner. "Intraoperative Electromyography." In Koht, Sloan, Toleikis's Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals, 91–144. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-09719-5_6.

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Conference papers on the topic "Intraoperative Care"

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Praveen, C. S. Ranganatha, Ajay P. Hrishi, and Karen R. Lionel. "Intraoperative Hyperthermia: A Harbinger of Hypothalamic Injury?" In 19th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC). Thieme Medical and Scientific Publishers Private Limited, 2018. http://dx.doi.org/10.1055/s-0038-1636392.

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B., Sudhakar, Nishanth Sampath, Senthil Kumar, Roopesh Kumar, Senthil kumar, Vijay Sankar, and Suresh Bapu. "Anaesthetic considerations for intraoperative neurophysiological monitoring in neurosurgical cases." In 17th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0038-1667554.

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Sahoo, Nibedita, P. Unnikrishnan, Smita Vimala, and Ajay P. Hrishi. "Ictal Bradycardia: A Missed Etiology for Intraoperative Bradycardia." In 19th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC). Thieme Medical and Scientific Publishers Private Limited, 2018. http://dx.doi.org/10.1055/s-0038-1636386.

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Manohar, Nitin, Anand Balasubramanium, B. Vijay Kumar, Dhritiman Chakrabarti, B. J. Rajesh, M. Deviprasad, and Deepti B. Srinivas. "Setting Up an Intraoperative MRI Suite: Our Experience." In 19th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC). Thieme Medical and Scientific Publishers Private Limited, 2018. http://dx.doi.org/10.1055/s-0038-1636410.

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Naik, N., T. Samra, and S. Reddy. "Intraoperative neurophysiological monitoring in patients undergoing scoliosis surgery." In 18th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care (ISNACC 2017). Thieme Medical and Scientific Publishers Private Ltd., 2017. http://dx.doi.org/10.1055/s-0038-1646240.

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Palan, Astha, and Nitin Manohar. "A0036 Intraoperative Motor Evoked Potentials in a Pregnant Patient." In 20th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care (ISNACC). Thieme Medical and Scientific Publishers Private Ltd., 2019. http://dx.doi.org/10.1055/s-0039-1684143.

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Dholke, Harshal, Mohan Rao, and Manas Panigrahi. "23. Intraoperative management of cerebral arteriovenous malformations: Our experience." In 15th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care. Thieme Medical and Scientific Publishers Private Ltd., 2014. http://dx.doi.org/10.1055/s-0038-1646102.

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Gaur, Pallavi, Anita N. Shetty, and Nirav Kotak. "Anesthetic Challenges for Intraoperative Neurophysiological Monitoring under General Anesthesia." In 19th Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC). Thieme Medical and Scientific Publishers Private Limited, 2018. http://dx.doi.org/10.1055/s-0038-1636401.

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Pappachan, Liby G., Georgene Singh, Ramamani Mariappan, Mridul S. Koshy, and Karen R. Lionel. "Intraoperative Lumbar Subarachnoid Drain Placement—Challenges and Complications." In Abstracts of 21st Annual Conference of the Indian Society of Neuroanaesthesiology and Critical Care (ISNACC 2020). Thieme Medical and Scientific Publishers Private Ltd., 2020. http://dx.doi.org/10.1055/s-0040-1709581.

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S., Bharath, Radhakrishnan M., G. Umamaheshwara Rao, and Dhritiman Chakrabarti. "Intraoperative haemodynamic changes during emergency surgical decompression in head injury patients." In 17th Annual Conference of Indian Society of Neuroanaesthesiology and Critical Care. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0038-1667573.

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Reports on the topic "Intraoperative Care"

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A. Komnos, Georgios, Antonios Papadopoulos, Efstratios Athanaselis, Theofilos Karachalios, and Sokratis E. Varitimidis. Migrating Periprosthetic Infection from a Total Hip Replacement to a Contralateral Non-Operated Osteoarthritic Knee Joint. Science Repository, January 2023. http://dx.doi.org/10.31487/j.ijscr.2022.03.02.

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Introduction: There is a paucity of published data on whether a treated infected arthroplasty is a risk factor for infection in another, non-operated joint. Contamination of a primary, arthritic, non-operated joint from an infected arthroplasty is a relatively rare entity. Case: We report a case of migration of a pathogen (Enterococcus faecalis) from an infected prosthetic joint (hip) to the contralateral native joint (knee). Identification of the pathogen was made with PCR, by obtaining cultures during the implantation of the primary knee prosthesis. Conclusion: Contamination of a primary, arthritic, non-operated joint from an infected arthroplasty has not been widely reported. Management of such cases is extremely challenging and without clear and established guidelines. Our experience shows that tissue samples should be taken intraoperatively and sent for cultures, so as to exclude contamination in those cases.
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