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Journal articles on the topic 'Radiation in the perioperative environment'

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Author: Grafiati
Published: 10 December 2022
Last updated: 19 February 2023

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1

Vetter, Richard J. "Radiation Exposure in the Perioperative Environment." Perioperative Nursing Clinics 5, no. 2 (June 2010): 125–35. http://dx.doi.org/10.1016/j.cpen.2010.02.004.

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2

Stojić, Mihailo, Ivo Udovičić, Aleksandar Vranjanac, Ana Popadić, Nevena Radović, Daliborka Jaćimović, Katarina Mladenović, Duško Maksimović, Vojislava Nešković, and Dušica Stamenković. "Perioperative strategy during pandemic caused by SARS CoV-2 virus: Perioperative strategy during COVID-19 pandemic." Serbian Journal of Anesthesia and Intensive Therapy 42, no. 1-2 (2020): 49–55. http://dx.doi.org/10.5937/sjait2002049s.

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The main feature of the SARS CoV-2 virus pandemic is the collapse of the health care system due to a large number of patients. This situation requires strict perioperative control of the infection to suppress the transmission of pathogens among surgical patients. Reduction of residual contamination of the working environment requires a combination of deep cleaning with disinfectants and ultraviolet C radiation. Intubation is a high-risk procedure for virus transmission and demands rigorous respect of personal protection for anesthesia providers, including a protective mask (FFP 2, FFP3), two pairs of gloves ("double gloves technique") and goggles, and disinfectant near the anesthesiology team. The workspace needs pre-planning and control of the movement through the so-called "green" and "red" zones. Before surgery, maintaining of patient's hygiene is important - including hair and body washing with antiseptic skin cleanser gel, rinse of the oral and nasal cavity and hand washing. During preoperative preparation, identification of COVID-19 infection is necessary. If the patient is febrile and the test results show the existence of a lung infection, SpO2 ≤ 90% of unknown cause and the operation is not urgent, the anesthesiologist should inform the patient, family, and surgeon that the operation should be postponed. If the patient is tested positive for SARS-CoV-2, elective surgery is delayed until the complete recovery of the patient, which includes a negative test and recovery from COVID-19. Patient should recover in the operating room after extubation. The surgical mask should be placed over an oxygen mask. Patient is transported with a surgical mask on his face to the ward directly.
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3

Meier, Eva L., Stefan Hummelink, Nina Lansdorp, Onno Boonstra, and Dietmar JO Ulrich. "Perioperative hyperbaric oxygen treatment and postoperative complications following secondary breast reconstruction after radiotherapy: a case-control study of 45 patients." Diving and Hyperbaric Medicine Journal 51, no. 3 (September 30, 2021): 288–94. http://dx.doi.org/10.28920/dhm51.3.288-294.

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Introduction: Radiotherapy reduces the risk of locoregional recurrence of breast cancer. As a side-effect, tissue can become hypocellular, hypovascular, and hypoxic and late radiation tissue injury can develop months or years later. Radiotherapy increases the risk of complications following secondary breast reconstruction. Hyperbaric oxygen treatment (HBOT) improves oxygenation of irradiated tissue and induces neovascularisation. This study evaluated whether the incidence of complications following secondary breast reconstruction after radiotherapy is decreased with perioperative HBOT. Methods: In this retrospective case-control chart review study, patients who underwent perioperative HBOT (n = 15) were compared to lifestyle-matched (n = 15) and radiation damage-matched (n = 15) patients who underwent secondary breast reconstruction without HBOT. Results: The HBOT group had significantly more severe radiation damage of the breast than the lifestyle- and radiation-damage-matched control groups (scoring grade 1-4, mean 3.55 versus 1.75 and 2.89 respectively, P = 0.001). Patients underwent on average 33 sessions of HBOT (18 sessions preoperatively and 15 sessions postoperatively). There was no significant difference in the incidence of postoperative complications between the HBOT group, lifestyle-matched group and radiation damage-matched group. Logistic regression analysis showed a lower risk of postoperative complications in patients who underwent HBOT. Conclusions: Although the HBOT group had more radiation damage than the control groups, the incidence of postoperative complications was not significantly different. This implied a beneficial effect of HBOT, which was supported by the logistic regression analysis. Definitive conclusions cannot be drawn due to the small sample size. Future research is justified, preferably a large randomised controlled trial.
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4

Tseng, Wei-Cheng, Hou-Chuan Lai, Yi-Hsuan Huang, Shun-Ming Chan, and Zhi-Fu Wu. "Tumor Necrosis Factor Alpha: Implications of Anesthesia on Cancers." Cancers 15, no. 3 (January 25, 2023): 739. http://dx.doi.org/10.3390/cancers15030739.

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Cancer remains a major public health issue and a leading cause of death worldwide. Despite advancements in chemotherapy, radiation therapy, and immunotherapy, surgery is the mainstay of cancer treatment for solid tumors. However, tumor cells are known to disseminate into the vascular and lymphatic systems during surgical manipulation. Additionally, surgery-induced stress responses can produce an immunosuppressive environment that is favorable for cancer relapse. Up to 90% of cancer-related deaths are the result of metastatic disease after surgical resection. Emerging evidence shows that the interactions between tumor cells and the tumor microenvironment (TME) not only play decisive roles in tumor initiation, progression, and metastasis but also have profound effects on therapeutic efficacy. Tumor necrosis factor alpha (TNF-α), a pleiotropic cytokine contributing to both physiological and pathological processes, is one of the main mediators of inflammation-associated carcinogenesis in the TME. Because TNF-α signaling may modulate the course of cancer, it can be therapeutically targeted to ameliorate clinical outcomes. As the incidence of cancer continues to grow, approximately 80% of cancer patients require anesthesia during cancer care for diagnostic, therapeutic, or palliative procedures, and over 60% of cancer patients receive anesthesia for primary surgical resection. Numerous studies have demonstrated that perioperative management, including surgical manipulation, anesthetics/analgesics, and other supportive care, may alter the TME and cancer progression by affecting inflammatory or immune responses during cancer surgery, but the literature about the impact of anesthesia on the TNF-α production and cancer progression is limited. Therefore, this review summarizes the current knowledge of the implications of anesthesia on cancers from the insights of TNF-α release and provides future anesthetic strategies for improving oncological survival.
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5

Mazurek, Marek, Małgorzata Szlendak, Alicja Forma, Jacek Baj, Ryszard Maciejewski, Giandomenico Roviello, Luigi Marano, Franco Roviello, Karol Polom, and Robert Sitarz. "Hyperthermic Intraperitoneal Chemotherapy in the Management of Gastric Cancer: A Narrative Review." International Journal of Environmental Research and Public Health 19, no. 2 (January 7, 2022): 681. http://dx.doi.org/10.3390/ijerph19020681.

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Gastric cancer (GC) patients with peritoneal metastasis tend to achieve poor clinical outcomes. Until recently, the treatment options were limited mainly to either palliative chemotherapy or radiation therapy in exceptional cases. Currently, these patients benefit from multimodal treatment, such as cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC). Despite good overall results, this treatment modality is still widely debated. The following study is designed to assess the papers about the possible application and utility of HIPEC in GC. A search in the PubMed, Web of Science, and Scopus databases was performed to assess the papers devoted to the role of HIPEC in GC treatment; a literature search was performed until March 21st; and, finally, 50 studies with a total number of 3946 patients were analyzed. According to the most recent data, it seems to be reasonable to limit the duration of HIPEC to the shortest effective time. Moreover, the drugs used in HIPEC need to have equal concentrations and the same solvent. Perioperative chemotherapy needs to be reported in detail and, furthermore, the term “morbidity” should be defined more clearly by the authors.
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6

Påhlman, Lars, Michael Dahlberg, and Bengt Glimelius. "Perioperative Radiation Therapy." World Journal of Surgery 21, no. 7 (September 1, 1997): 733–40. http://dx.doi.org/10.1007/s002689900299.

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7

Ecoffey, Claude. "Paediatric perioperative anaesthesia environment." Current Opinion in Anaesthesiology 13, no. 3 (June 2000): 313–15. http://dx.doi.org/10.1097/00001503-200006000-00014.

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8

Copeland-Halperin, Libby R., Prashanthi Divakar, Talia Stewart, Falen Demsas, Joshua J. Levy, John F. Nigriny, and Joseph A. Paydarfar. "Predictors of Gastrostomy Tube Placement in Head and Neck Cancer Patients at a Rural Tertiary Care Hospital." Journal of Reconstructive Microsurgery Open 08, no. 01 (January 2023): e1-e11. http://dx.doi.org/10.1055/s-0043-1760757.

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Abstract Background Head and neck cancer is a leading cause of cancer. Treatment often requires surgical resection, free-flap reconstruction, radiation, and/or chemotherapy. Tumor burden and pain may limit swallowing and impair nutrition, increasing complications and mortality. Patients commonly require gastrostomy tubes (G-tube), but predicting which patients are in need remains elusive. This study identifies predictors of G-tube among head and neck cancer patients undergoing immediate free-flap reconstruction. Methods Institutional Review Board approval was obtained. Retrospective database review was performed of patients at 18 years of age or older with head and neck cancer who underwent resection with immediate free-flap reconstruction from 2011 to 2019. Patients who underwent nonfree-flap or delayed reconstruction or with mortality within 7 days postoperatively were excluded. Patient demographics and comorbidities, tumor/treatment characteristics, and need for G-tube were analyzed to identify univariate and multivariate predictors. Results In total, 107 patients were included and 72 required G-tube placement. On multivariate analysis, tracheostomy (odds ratio [OR]: 81.78; confidence interval [CI]: 7.43–1,399.92; p < 0.01), anterolateral thigh flap reconstruction (OR: 16.18; CI: 1.14–429.66; p = 0.04), and age 65 years or younger (OR: 9.35; CI: 1.47–89.11; p = 0.02) were predictors of G-tube placement. Conclusion Head and neck cancer treatment commonly involves extensive resection, reconstruction, and/or chemoradiation. These patients are at high risk for malnutrition and need G-tube. Determining who requires a pre- or postoperative G-tube remains a challenge. In this study, the need for tracheostomy or ALT flap reconstruction and age 65 years or younger were predictive of postoperative G-tube placement. Future research will guide a multidisciplinary perioperative pathway to facilitate the optimization of nutrition management.
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9

Freeman, Eleanor. "Adolescents in the Perioperative Environment." Journal of Perioperative Practice 16, no. 5 (May 2006): 234–39. http://dx.doi.org/10.1177/175045890601600502.

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10

Allen, Sheila. "Conflict in the Perioperative Environment." Journal of Perioperative Practice 17, no. 3 (March 2007): 96–97. http://dx.doi.org/10.1177/175045890701700301.

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11

Watson, Donna S. "Technology in the perioperative environment." AORN Journal 59, no. 1 (January 1994): 268–77. http://dx.doi.org/10.1016/s0001-2092(07)65326-5.

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12

Saletnik, Laurie. "Technology in the Perioperative Environment." AORN Journal 108, no. 5 (October 30, 2018): 488–90. http://dx.doi.org/10.1002/aorn.12414.

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13

Scott, Eileen, and Linda Summerbell. "Managing risk in the perioperative environment." Nursing Standard 18, no. 30 (April 7, 2004): 47–52. http://dx.doi.org/10.7748/ns2004.04.18.30.47.c3585.

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14

Wanzer, Linda J., and Rodney W. Hicks. "Medication Safety Within the Perioperative Environment." Annual Review of Nursing Research 24, no. 1 (January 2006): 127–55. http://dx.doi.org/10.1891/0739-6686.24.1.127.

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With the widespread patient safety movement comes an increased public awareness of the risks inherent within the health care setting. More specifically, the highly publicized medication error cases that hit the media demonstrate the effect mediation errors have on patient safety within the perioperative environment. This awareness, however, has triggered limited research across the continuum of care within this complex environment. A current review of the state of the science related to medication safety within this setting reveals research primarily focused on the anesthesia domain of practice. Although application to the perioperative environment can be extrapolated from this research, there is a notable lack of nursing-initiated research that focuses on improved systems or processes related to medication safety within the perioperative continuum of care. This knowledge gap in the literature presents an excellent opportunity for nursing to grow a research program to improve medication safety within the perioperative environment in support of evidence-based practice.
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15

Hinton, Jean. "Teaching professionalism in the perioperative environment." Journal of Operating Department Practitioners 2, no. 1 (January 2014): 30–35. http://dx.doi.org/10.12968/jodp.2014.2.1.30.

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16

Wicker, Paul. "Manual Handling: In the Perioperative Environment." British Journal of Perioperative Nursing (United Kingdom) 10, no. 5 (May 2000): 255–59. http://dx.doi.org/10.1177/175045890001000502.

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17

Pirie, Susan. "Patient Care in the Perioperative Environment." Journal of Perioperative Practice 20, no. 7 (July 2010): 245–48. http://dx.doi.org/10.1177/175045891002000703.

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18

Mercurio, Joanne. "Creating a latex-safe perioperative environment." OR Nurse 5, no. 6 (November 2011): 18–25. http://dx.doi.org/10.1097/01.orn.0000406637.81059.b3.

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19

&NA;. "Creating a latex-safe perioperative environment." OR Nurse 5, no. 6 (November 2011): 25–26. http://dx.doi.org/10.1097/01.orn.0000407825.68700.07.

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20

Caldwell-Andrews, Alison A., Ronald L. Blount, Linda C. Mayes, and Zeev N. Kain. "Behavioral Interactions in the Perioperative Environment." Anesthesiology 103, no. 6 (December 1, 2005): 1130–35. http://dx.doi.org/10.1097/00000542-200512000-00005.

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Background The authors suggest that research in the area of parental presence during induction of anesthesia should shift to emphasize what parents actually do during induction, rather than focusing simply on their presence. As a first step, the authors aimed to develop a behavioral coding system that would measure child and adult interactions in the perioperative environment. Methods The authors enrolled 45 parents and children (aged 2-12 yr) undergoing elective surgery and general anesthesia. A multidisciplinary team examined videotapes and transcriptions of interactions between children, parents, and medical personnel in the holding room and operating room. The team used an existing scale, the Child-Adult Medical Procedure Interaction Scale, as the prototype for the development of a new perioperative behavioral coding system. The research team conducted extensive revisions to the original scale and added multiple codes to the original scale, including nonverbal codes. Interrater reliability was assessed using weighted kappa statistics. Construct validity was also examined. Results The final Perioperative Child-Adult Medical Procedure Interaction Scale contains 40 codes in four domains. Analyses showed excellent reliability overall for verbal and nonverbal codes. Kappa values averaged 0.87 for verbal codes characterizing adult vocalizations, 0.92 for verbal codes characterizing child vocalizations, and 0.88 for nonverbal codes. Construct validity was demonstrated by finding the hypothesized associations between certain scale codes and children's anxiety (P = 0.0001). Conclusion Showing excellent reliability, the Perioperative Child-Adult Medical Procedure Interaction Scale is an appropriate tool for assessing child-adult behavioral interaction during the perioperative period. When sequential analyses are conducted and target behaviors are identified, empirically based parent preparation programs can be developed.
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Caldwell-Andrews, Alison A., Ronald L. Blount, Linda C. Mayes, and Zeev N. Kain. "Behavioral Interactions in the Perioperative Environment." Anesthesiology 103, no. 6 (December 2005): 1130–35. http://dx.doi.org/10.1097/00000542-200512010-00005.

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22

Morandini, Sara. "Chemotherapy safety in the perioperative environment." Nursing 48, no. 4 (April 2018): 11–13. http://dx.doi.org/10.1097/01.nurse.0000531004.17471.34.

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23

Davis, Brianna M. "Applying Lean to the Perioperative Environment." AORN Journal 92, no. 6 (December 2010): S100—S104. http://dx.doi.org/10.1016/j.aorn.2010.09.012.

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24

Bühler, P., S. Ljungfelt, A. Mchedlishvili, N. Schlumpf, A. Zehnder, L. Adams, E. Daly, and R. Nickson. "Radiation environment monitor." Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment 368, no. 3 (January 1996): 825–31. http://dx.doi.org/10.1016/0168-9002(95)00757-1.

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25

O'Connor, Caroline, and Siobhan Murphy. "Pneumatic Tourniquet Use in the Perioperative Environment." Journal of Perioperative Practice 17, no. 8 (August 2007): 391–97. http://dx.doi.org/10.1177/175045890701700804.

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Pneumatic tourniquets are routinely used in operating theatres worldwide. Generally, tourniquets are viewed as a relatively safe instrument with minimal complications. Nevertheless, Klenerman (2003) and Golder et al (2000) both suggest that caution should be exercised in tourniquet use. Furthermore Phillips (2004, p532) claims that, ‘a tourniquet is dangerous to apply, to leave on and to remove’. This article will inform perioperative practitioners of the current research pertaining to the routine procedure of using pneumatic tourniquets to achieve a bloodless surgical field.
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Smith, Doreen. "Introducing clinical supervision into the perioperative environment." British Journal of Theatre Nursing (United Kingdom) 9, no. 7 (July 1999): 303–8. http://dx.doi.org/10.1177/175045899900900702.

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27

Jones, Jackie H. "Developing Critical Thinking in the Perioperative Environment." AORN Journal 91, no. 2 (February 2010): 248–56. http://dx.doi.org/10.1016/j.aorn.2009.09.025.

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28

Leiting, Jennifer L., John R. Bergquist, Matthew C. Hernandez, Kenneth W. Merrell, Andrew L. Folpe, Steven I. Robinson, David M. Nagorney, Mark J. Truty, and Travis E. Grotz. "Radiation Therapy for Retroperitoneal Sarcomas: Influences of Histology, Grade, and Size." Sarcoma 2018 (December 5, 2018): 1–8. http://dx.doi.org/10.1155/2018/7972389.

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Perioperative radiation therapy (RT) has been associated with reduced local recurrence in patients with retroperitoneal sarcomas (RPS); however, selection criteria remain unclear. We hypothesized that perioperative RT would improve survival in patients with RPS and would be associated with pathological factors. The National Cancer Database (NCDB) from 2004 to 2012 was reviewed for patients with nonmetastatic RPS undergoing curative intent resection. Tumor size was dichotomized at 15 cm based on 8th edition American Joint Committee on Cancer (AJCC) staging. Patients with the highest comorbidity score were excluded. Unadjusted Kaplan–Meier and adjusted Cox proportional hazards modeling analyzed overall survival (OS). Multivariable logistic regression modeled margin positivity. A total of 2,264 patients were included; 727 patients (32.1%) had perioperative radiation in whom 203 (9.0%) had radiation preoperatively. Median (IQR) RPS size was 17.5 [11.0–27.0] cm. Histopathology was high grade in 1048 patients (43.7%). Multivariable analysis revealed that perioperative radiation was independently associated with decreased mortality (HR 0.72, 95% confidence intervals (CIs) 0.62–0.84,p<0.001), and preoperative RT was associated with reduced margin positivity (HR 0.72, 95% CI 0.53–0.97,p=0.032). Stratified survival analysis showed that radiation was associated with prolonged median OS for RPS that were high-grade (64.3 vs. 43.6 months,p<0.001), less than 15 cm (104.1 vs. 84.2 months,p=0.007), and leiomyosarcomatous (104.8 vs. 61.8 months,p<0.001). Perioperative radiation is independently associated with decreased mortality in patients with high-grade, less than 15 cm, and leiomyosarcomatous tumors. Preoperative radiation is independently associated with margin-negative resection. These data support the selective use of perioperative radiation in the multidisciplinary management of RPS.
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Coffey, Alice. "Older People with Dementia in the Perioperative Care Environment: Key Issues for Perioperative Nursing." British Journal of Anaesthetic and Recovery Nursing 12, no. 3-4 (August 2011): 45–49. http://dx.doi.org/10.1017/s1742645612000010.

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AbstractAgeing is a normal process and much diversity exists in the physical, psychosocial and spiritual needs of older individuals. While many older people remain independent active and well, there is a rise in the prevalence of dementia. Developments in surgical techniques and improved patient outcomes have resulted in larger numbers of older people now undergoing surgery. However, age-related risks and complexities persist including the existence of cognitive impairment and dementia. Perioperative care of older patients with dementia provides additional challenges for nurses and other healthcare professionals. This paper discusses the unique care needs of older people with dementia and the role of perioperative nurses in meeting these needs.
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Han, Young-Hee, Hyung-Ran Park, and Eun-Ju Kim. "Knowledge of Radiation Protection and Performance of Radiation Protection Behavior among Perioperative Nurses." Journal of the Korean society for Wellness 12, no. 1 (February 28, 2017): 489. http://dx.doi.org/10.21097/ksw.2017.02.12.1.489.

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Cahn, Julie. "Hazardous and Harmful Chemicals in the Perioperative Environment." AORN Journal 115, no. 1 (December 27, 2021): 85–94. http://dx.doi.org/10.1002/aorn.13589.

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32

Haynes, Sebastian. "Using central venous catheters in the perioperative environment." Journal of Operating Department Practitioners 2, no. 1 (January 2014): 12–18. http://dx.doi.org/10.12968/jodp.2014.2.1.12.

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Williams, Peggy W., Pamela M. Sowell, and Carol Smith. "Implementing an Informatics System in a Perioperative Environment." AORN Journal 65, no. 1 (January 1997): 94–97. http://dx.doi.org/10.1016/s0001-2092(06)63025-1.

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34

Mills, Melissa. "The Need for Interoperability in the Perioperative Environment." AORN Journal 110, no. 4 (September 27, 2019): 363–65. http://dx.doi.org/10.1002/aorn.12820.

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Wright, M. Imelda. "Implementing No Interruption Zones in the Perioperative Environment." AORN Journal 104, no. 6 (December 2016): 536–40. http://dx.doi.org/10.1016/j.aorn.2016.09.018.

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36

Hegarty, J. "Perioperative Temperature Regulation." British Journal of Anaesthetic and Recovery Nursing 5, no. 2 (May 2004): 27–30. http://dx.doi.org/10.1017/s1742645600001947.

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The regulation of body temperature is one of a variety of mechanisms, which play a part in maintaining a stable internal environment in the body thus enabling the body to function optimally. It is crucial that the core body temperature is maintained within a narrow (36–37.5°C) range [Luckmann, 1997]. Thermoregulation in the operating theatre and post anaesthetic care unit is often an underemphasized concern for surgical patients. Anaesthesia and surgery commonly cause substantial alterations in the temperature of surgical patients.Unnecessary heat loss, hypothermia, the typical variation, results from a combination of anaesthetic-induced impairment of thermoregulatory control, a cool, operating room environment and other factors exclusive to surgery and anaesthesia. Estimates of the incidence of inadvertent perioperative hypothermia range from 60% to 90% of all surgical cases [Bernthal, 1999, Litwack, 1995], when this condition is defined as a body temperature below 36°C (degrees Celsius) 96.8°F (degrees Fahrenheit) (Arndt, 1999). Hypothermia apart from causing a very unpleasant sensation of cold, places the patient at risk of developing life-threatening events, which include altered cardiac performance, delayed emergence from anaesthesia and increased rates of morbidity and mortality. Although the aim of temperature management by intraoperative medical and nursing staff is prevention of heat loss, the objective of post anaesthetic recovery room staff is usually the restoration of normothermia. Thus, perioperative nurses need to be aware of the need to monitor patient's temperature, be familiar with different patient warming/rewarming methods and be alert for potential problems that can arise from hypothermia.
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GOKA, Tateo, Kiyokazu KOGA, Haruhisa MATSUMOTO, Tatsuto KOMIYAMA, and Hiroshi YASUDA. "Radiation Environment in Space." Japanese Journal of Health Physics 46, no. 1 (2011): 2. http://dx.doi.org/10.5453/jhps.46.2.

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GOKA, Tateo, Kiyokazu KOGA, Haruhisa MATSUMOTO, Tatsuto KOMIYAMA, and Hiroshi YASUDA. "Radiation Environment in Space." Japanese Journal of Health Physics 46, no. 1 (2011): 31–41. http://dx.doi.org/10.5453/jhps.46.31.

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39

Moeller (INVITED), D. W. "Radiation in the Environment." Radiation Protection Dosimetry 60, no. 4 (July 1, 1995): 355–58. http://dx.doi.org/10.1093/oxfordjournals.rpd.a082741.

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40

Hopke, Philip K. "Natural radiation environment VI." Environment International 22 (January 1996): 1–2. http://dx.doi.org/10.1016/s0160-4120(96)00232-2.

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Nymmik, R. A. "Improved environment radiation models." Advances in Space Research 40, no. 3 (January 2007): 313–20. http://dx.doi.org/10.1016/j.asr.2006.12.028.

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42

Taylor, David M. "The natural radiation environment." Applied Radiation and Isotopes 45, no. 1 (January 1994): 136–37. http://dx.doi.org/10.1016/0969-8043(94)90162-7.

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43

Gupta, Kapil. "COVID and Perioperative Considerations." Journal of Cardiac Critical Care 7 (January 30, 2023): 17–20. http://dx.doi.org/10.25259/jccc_2_2023.

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Coronavirus (COVID) pandemic has affected the majority of people worldwide. Patients with COVID infection might require emergent or elective surgeries. COVID-related perioperative considerations to reduce infection spread include changing the workflow to include protective gear for patients and health-care personnel, COVID-dedicated operating rooms, and appropriate perioperative management of the patient with or presumed COVID infection. COVID-specific changes to operating room environment are done. Disinfection guidelines are followed. Anesthesia considerations pertaining to pre-operative optimization of patient’s condition and prevention of spread of infection to others are foremost.
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ITANI, Motoi, Sachiko IWAYAMA, Emi SHIGETA, and Yasuko IKEDA. "Perioperative Infection and Maintenance of the Operating Room Environment." JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 35, no. 1 (2015): 061–66. http://dx.doi.org/10.2199/jjsca.35.061.

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Ralph, Nicholas, and Bianca Viljoen. "Fundamentals of missed care: Implications for the perioperative environment." Journal of Perioperative Nursing 31, no. 3 (September 1, 2018): 3–5. http://dx.doi.org/10.26550/31/3/3.

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Mccallum, Heather. "Students in the Perioperative Learning Environment and Emotional Support." Journal of Perioperative Practice 23, no. 7-8 (July 2013): 158–62. http://dx.doi.org/10.1177/1750458913023007-802.

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47

Karanfil, Lynne, Jan Bahner, and Rosalie Most. "Creating a patient-safe environment in a perioperative setting." AORN Journal 81, no. 1 (January 2005): 167–80. http://dx.doi.org/10.1016/s0001-2092(06)60069-0.

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48

Entin, Eileen B., Fuji Lai, and Paul Barach. "Training Teams for the Perioperative Environment: A Research Agenda." Surgical Innovation 13, no. 3 (September 2006): 170–78. http://dx.doi.org/10.1177/1553350606294248.

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49

McKenna, Toni, and Sarah Jones. "A Virtual Learning Environment for Perioperative Continuing Nursing Education." Perioperative Nursing Clinics 7, no. 2 (June 2012): 237–50. http://dx.doi.org/10.1016/j.cpen.2011.10.001.

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50

Burlingame, Byron. "Decreasing the effect of perioperative care on the environment." AORN Journal 90, no. 3 (September 2009): 443–44. http://dx.doi.org/10.1016/j.aorn.2009.08.008.

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