Artículos de revistas: "Post anesthesia nursing"

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Duval, Donald L. "Core Curriculum for Post Anesthesia Nursing Practice". Critical Care Nursing Quarterly 15, n.º 3 (noviembre de 1992): 87–88. http://dx.doi.org/10.1097/00002727-199211000-00017.

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Lima, Luciana Bjorklund de, Deise Borges, Samara da Costa y Eneida Rejane Rabelo. "Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit". Revista Latino-Americana de Enfermagem 18, n.º 5 (octubre de 2010): 881–87. http://dx.doi.org/10.1590/s0104-11692010000500007.

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This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists - ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.

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Andrews, Diane Randall y Charlotte Taylor. "Documenting Post-Anesthesia Recovery". American Journal of Nursing 85, n.º 3 (marzo de 1985): 290. http://dx.doi.org/10.2307/3424974.

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Fraulini, Kay E. "Evaluating Post-Anesthesia Recovery". American Journal of Nursing 85, n.º 7 (julio de 1985): 784. http://dx.doi.org/10.2307/3425128.

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ANDREWS, DIANE RANDALL y CHARI OTTE TAYI. "DOCUMENTING POST-ANESTHESIA RECOVERY". AJN, American Journal Of Nursing 85, n.º 3 (marzo de 1985): 290–95. http://dx.doi.org/10.1097/00000446-198503000-00026.

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FRAULINI, KAYE. "EVALUATING POST-ANESTHESIA RECOVERY". AJN, American Journal Of Nursing 85, n.º 7 (julio de 1985): 784. http://dx.doi.org/10.1097/00000446-198507000-00019.

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Smykowski, Lenore y Wanda Rodriguez. "The Post Anesthesia Care Unit Experience". Journal of Nursing Care Quality 18, n.º 1 (enero de 2003): 5–15. http://dx.doi.org/10.1097/00001786-200301000-00002.

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FRAULINI, KAY E. y ANNE C. BORCHARDT. "POST-ANESTHESIA PROBLEMS". Nursing 18, n.º 5 (mayo de 1988): 66–86. http://dx.doi.org/10.1097/00152193-198805000-00019.

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Sreeram, V., Pallavi Waghalkar, W. Atul y Digambar Sarje. "Anesthesia Management of Prolonged Surgery with Duration of 15 Hours for Correction of Post Koch's Kyphosis". Journal of Research & Innovation in Anesthesia 1, n.º 2 (2016): 73–75. http://dx.doi.org/10.5005/jp-journals-10049-0020.

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ABSTRACT Anesthetic management of post koch's kyphosis correction of 48 yr old female is discussed. The patient was under anesthesia for long duration of 15 hours which also included Wake up test. After surgery 3 months later patient went home walking. It is emphasized that with good team work between orthopedician, anesthesiologist, chest physician and nursing staff will make it possible to produce excellent outcome in these cases. How to cite this article Sreeram V, Waghalkar P, Atul W, Sarje D. Anesthesia Management of Prolonged Surgery with Duration of 15 Hours for Correction of Post Koch's Kyphosis. Res Inno in Anesth 2016;1(2):73-75.

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Dandrea, Samantha, Mary Rogers, Shea Beiter y Martina Landahl. "Post Anesthesia Response Unit: Development of an Intensive Care Unit within a Post Anesthesia Care Unit". Journal of PeriAnesthesia Nursing 37, n.º 4 (agosto de 2022): e12-e13. http://dx.doi.org/10.1016/j.jopan.2022.05.033.

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Duncan-Azadi, Cassandra R., Sorochi Esochagi, Toni Strickland y Julia Newton. "Initiating a Validated Pediatric Post-Anesthesia Emergence Delirium Scale in the Pediatric Post-Anesthesia Care Unit". Journal of PeriAnesthesia Nursing 37, n.º 4 (agosto de 2022): e22-e23. http://dx.doi.org/10.1016/j.jopan.2022.05.059.

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Luczun, ME. "Post-anesthesia nursing: the missing link in critical care". Critical Care Nurse 8, n.º 2 (1 de marzo de 1988): 27–29. http://dx.doi.org/10.4037/ccn1988.8.2.27.

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Allen, A. "Core Curriculum for Post Anesthesia Nursing Practice. 2nd edition". Dimensions of Critical Care Nursing 11, n.º 1 (enero de 1992): 63. http://dx.doi.org/10.1097/00003465-199201000-00016.

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Agresa, Nida, Halina Rahayu y Leonatus Limson. "The Relationship Between The Level Of Nursing Knowledge On Prevention Of Hypothermia Post-Operation Of General Anesthesia In The St.Vincentius Hospital Year 2017". Scientific Journal of Nursing Research 1, n.º 1 (28 de diciembre de 2018): 15. http://dx.doi.org/10.30602/sjnr.v1i1.263.

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Background: Shivering is a condition characterized by an increase muscular activity that often occurs after anesthetic action, especially in patients undergoing surgery with general anesthesia. The combination of anesthesia and surgery can cause a disruption of the function of regulating body temperature which will cause a decrease in the body's core temperature causing hypothermia. The results of previous studies stated that the incidence of shivering after anesthesia was reported to range from 5-65%in patients undergoing general anesthesia and about 33-56.7% in patients undergoing neuraxial anesthesia. Aims: The purpose of this study was to determine the relationship between the level of knowledge of nurses on the behavior of prevention of postoperative hypothermia with general anesthesia. Methods: This type of research was observational analytic research using theapproach cross-sectional. The sample in this study were 20 respondents with this sampling technique is total sampling or saturated sampling, and data collection techniques using questionnaires. While the analysis used is thetest chi square. Result: The result of the statistical calculation with chi square value was p value of 0.000 with a significanceof 0.05. Then Ha is accepted. Conclusion: There is a relationship between knowledge of the behavior of hypothermic prevention of postoperative patients with general anesthesia in the recovery room of St. RSU. Vincentius Singkawang. Advice for nurses to always pay attention to the patient's body temperature after anesthesia to prevent hypothermia or the incidence of shivering.

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Bines, Ann S. y Stade L. Landron. "CARDIOVASCULAR EMERGENCIES IN THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 493–505. http://dx.doi.org/10.1016/s0029-6465(22)02881-x.

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Odom, Janet L. "AIRWAY EMERGENCIES IN THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 483–91. http://dx.doi.org/10.1016/s0029-6465(22)02880-8.

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Djamaludin, Djunizar, Amila Amila y Suci Asianti. "THE EFFECTS OF WARM COMPRESS TO VOIDING REFLEXES ON POST OPERATIVE SPINAL ANESTHESIA". Malahayati International Journal of Nursing and Health Science 2, n.º 1 (11 de abril de 2019): 1–5. http://dx.doi.org/10.33024/minh.v2i1.1033.

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Background: Spinal anesthesia commonly can lead to urinary retention because the patient cannot feel his bladder is full and unable to initiate for voiding after the surgery. This is caused by bladder and sphincter muscles are unable to respond for voiding reflexes. One of nursing intervention to prevent of urinary retention is warm compress on supra pubic area for postoperative patient undergo spinal anesthesia.Purpose : This study was to examinethe effect of warm compress to recovery of voiding reflexes ont postoperativepatient undergo spinal anesthesia at Pertamina Bintang Amin Hospital, Bandar LampungMethods : A quasiexperimental study was conducted usingintervention and control groups with simple random sampling technique was applied. There were 30 postoperative patientsundergo spinal anesthesia were recruited at Pertamina Bintang Amin Hospital Bandar Lampung.Result : The mean score of intervention group with warm compression was 6.67 hours (ranging from 6to 8). The mean score of control group withoutwarm compress was7.13 hours (ranging from 5t o 9).Conclusion: Nursing intervention by applying warm compress is necessary to recovery of voiding reflex on postoperative patient with spinal anesthesia.

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&NA;. "FREE POST-ANESTHESIA NURSING PUBLIC RELATIONS KIT AVAILABLE FROM ASPAN". Journal of Wound, Ostomy and Continence Nursing 16, n.º 1 (enero de 1989): 24A. http://dx.doi.org/10.1097/00152192-198901000-00004.

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Dooley, Amy L. y Kim M. Climo. "Exploring the Nursing Culture of a Post Anesthesia Care Unit". Journal of PeriAnesthesia Nursing 28, n.º 3 (junio de 2013): e46. http://dx.doi.org/10.1016/j.jopan.2013.04.133.

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Saleh, Kim Litwack. "THE ELDERLY PATIENT IN THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 507–18. http://dx.doi.org/10.1016/s0029-6465(22)02882-1.

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Meyer-Pahoulis, Ellen, Shirley L. Williams, Sonia I. Davidson, Jacqueline R. McVey y Aleksandra Mazurek. "THE PEDIATRIC PATIENT IN THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 519–30. http://dx.doi.org/10.1016/s0029-6465(22)02883-3.

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Vissering, Thomas R. "NARCOTICS AND IMPLICATIONS FOR THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 573–80. http://dx.doi.org/10.1016/s0029-6465(22)02886-9.

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Patterson, Marla. "The Recovery Room: A Critical Care Approach to Post Anesthesia Nursing". AORN Journal 47, n.º 6 (junio de 1988): 1498–99. http://dx.doi.org/10.1016/s0001-2092(07)66330-3.

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Ames, A. E. Lyn. "The Recovery Room: A Critical Care Approach to Post Anesthesia Nursing". Journal of Cardiovascular Nursing 2, n.º 3 (mayo de 1988): 82–83. http://dx.doi.org/10.1097/00005082-198805000-00015.

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Levin, Debra F. "ASSESSING AND IMPROVING QUALITY IN THE POST ANESTHESIA CARE UNIT". Nursing Clinics of North America 28, n.º 3 (septiembre de 1993): 581–96. http://dx.doi.org/10.1016/s0029-6465(22)02887-0.

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Wiercigroch, David, Maxim Ben-Yakov, Danielle Porplycia y Steven Marc Friedman. "Regional anesthesia in Canadian emergency departments: Emergency physician practices, perspectives, and barriers to use". CJEM 22, n.º 4 (21 de mayo de 2020): 499–503. http://dx.doi.org/10.1017/cem.2020.51.

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ABSTRACTObjectivesRegional anesthesia has many applications in the emergency department (ED). It has been shown to reduce general anesthetic dose, requirement for post-procedural opioids, and recovery time. We sought to characterize the use of regional anesthesia by Canadian emergency physicians, including practices, perspectives and barriers to use in the ED.MethodsA cross-sectional survey was administered to members of the Canadian Association of Emergency Physicians (CAEP), consisting of sixteen multiple choice and numerical response questions. Responses were summarized descriptively as percentages and as the median and inter quartile range (IQR) for quantitative variables.ResultsThe survey was completed by 149/1144 staff emergency physicians, with a response rate of 13%. Respondents used regional anesthesia a median of 2 (IQR 0–4) times in the past ten shifts. The most broadly used applications were soft tissue repair (84.5% of respondents, n = 126), fracture pain management (79.2%, n = 118) and orthopedic reduction (72.5%, n = 108). Respondents agreed that regional anesthesia is safe to use in the ED (98.7%) and were interested in using it more frequently (78.5%). Almost all (98.0%) respondents had point of care ultrasound available, however less than half (49.0%) felt comfortable using it for RA. Respondents indicated that they required more training (76.5%), a departmental protocol (47.0%), and nursing assistance (30.2%) to increase their use of RA.ConclusionCanadian emergency physicians use regional anesthesia infrequently but express an interest in expanding their use. While equipment is available, additional training, protocols, and increased support from nursing staff are modifiable factors that could facilitate uptake.

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Burden, Nancy. "Post Anesthesia Care in the Office Based Setting". Plastic Surgical Nursing 6, n.º 4 (1986): 133–37. http://dx.doi.org/10.1097/00006527-198600640-00002.

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Oakley, Melanie. "C B Drain[Ed] [1994] The Post Anesthesia Care Unit. A Critical Care Approach to Post Anesthesia Nursing Third EditionLondon: W B Saunders". British Journal of Anaesthetic and Recovery Nursing 3, n.º 2 (mayo de 2002): 14–15. http://dx.doi.org/10.1017/s1742645600000905.

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Feng, Cuiping, Lanfang Chen y Jianqiong Wang. "Preoperative Care of Laryngoscope Facilitated Vocal Polyp Excision under General Anesthesia". Journal of Nursing 4, n.º 3 (21 de agosto de 2015): 13. http://dx.doi.org/10.18686/jn.v4i3.5.

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Objective: To study the nature of preoperative nursing care of a Laryngoscope facilitated vocal polyp excision procedure using general anesthesia. Methods: Clinical data from 238 cases of the aforementioned laryngoscope procedure from May 2012 to May 2014 in our hospital’s Otolaryngology department was collected. Psychological nursing was administered including preoperative preparation, postoperative monitoring, close observation of vital signs, post-operative nursing, diet, care, and also enhanced nursing skills such as discharge guidance. Results: 238 cases of vocal cord polyp patients were all completely cured and discharged, there was no postoperative infection and other complications. After reviewing the condition of the vocal cords, primarily if the sutures at the incision are fine, there is apparent improvement. Conclusion: The laryngoscope facilitated vocal polyp excision under general anesthesia procedure can deliver satisfying results when coupled with close patient observation and improved understanding of diseases by the preoperative nurses.

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Sapikowski, Lucinda, Kate Bullock, Juleah Walsh y Caren Alexander. "Implementation of a PACU Pause in a Pediatric Post Anesthesia Care Unit". Journal of PeriAnesthesia Nursing 37, n.º 4 (agosto de 2022): e12. http://dx.doi.org/10.1016/j.jopan.2022.05.032.

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Campbell-Jones, Vera. "Local anesthesia before intravenous cannula insertion: Recommendations for registered nurses in practice". Journal of Nursing Education and Practice 11, n.º 5 (18 de enero de 2021): 32. http://dx.doi.org/10.5430/jnep.v11n5p32.

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Objective: The purposes of this project were to educate registered nurses of the intradermal, pretreatment procedure; provide education on the hospital’s current IV therapy pretreatment policy; and increase the usage of intradermal, local anesthesia for cannulation for adult patients’ comfort level.Methods: A mixed method of nonexperimental descriptive pre- and post-survey was used. The data was collected from 48 registered nurses’ pre- and post-surveys indicating descriptive analysis. The descriptive analysis identified barriers as to why registered nurses were not using pretreatment prior to IV insertion. Results: The results revealed the majority of the participants (83%) were not aware of the hospital’s IV pretreatment policy of intradermal anesthesia with Lidocaine before IV insertion prior to the DNP project. Evidence indicated inconsistency in the use of pain management strategies during these procedures. The conclusions of this project provided an important overview of the barriers to change in clinical practice for registered nurses with IV skills.Conclusions: An improvement project educational program, such as an educational video on how to preform intradermal pretreatment to an IV site prior to IV insertion and utilization of a manikin IV arm for simulation practice, was developed and recommended to a nursing IV therapy practice for registered nurses. Local anesthetic, such as intradermal, should become standard practice for registered nurses regarding pretreatment for pain control prior to intravenous insertion.

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Sousa, Cristina Silva. "Contexto histórico da recuperação anestésica". Revista de Enfermagem UFPE on line 12, n.º 4 (4 de abril de 2018): 1117. http://dx.doi.org/10.5205/1981-8963-v12i4a234869p1117-1121-2018.

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RESUMOObjetivo: descrever os aspectos históricos da recuperação anestésica evidenciados nas publicações. Método: investigação histórico-social, exploratória e descritiva, com base nas publicações e legislações pertinentes ao exercício da enfermagem no Brasil, representando, dessa forma, o contexto histórico da recuperação anestésica para o reconhecimento e valorização da enfermagem perioperatória. Resultados: nesta evolução histórica, a enfermagem da recuperação anestésica construiu um caminho permeado pelo enfoque técnico, necessidade de assistência individualizada e área crítica com busca de conhecimento científico e processos de acreditação hospitalar para segurança do paciente. No Brasil, iniciada apenas em 1980, a recuperação anestésica dos anos 2000 tem sido baseada na assistência sistematizada, permeada por ações de segurança do paciente em busca de melhor capacitação da equipe. Conclusão: há um movimento da enfermagem brasileira na assistência da recuperação anestésica e aprimoramento destas ações com o decorrer do tempo. Descritores: Enfermagem em Pós-Anestésico; Período de Recuperação da Anestesia; História da Enfermagem; Enfermagem Perioperatória.ABSTRACT Objective: to describe the historical aspects of anesthesia recovery evidenced in the publications. Method: this is an exploratory and descriptive historical-social research, based on the publications and legislation about nursing practice in Brazil, representing the historical context of the anesthetic recovery for the recognition and valuation of perioperative nursing. Results: In this historical evolution, the nursing of the anesthetic recovery built a path permeated by the technical approach, need for individualized assistance and critical area, with a search of scientific knowledge and hospital accreditation processes for patient safety. In Brazil, initiated only in 1980, the anesthetic recovery of the 2000s has been based on systematized assistance, permeated by patient safety actions in search of better team training. Conclusion: there is a movement of the Brazilian nursing with the assistance of the anesthetic recovery and improvement of these actions over time. Descriptors: Post-Anesthesia Nursing, Anesthesia Recovery Period, History of Nursing, Perioperative Nursing.RESUMEN Objetivo: describir los aspectos históricos de la recuperación anestésica evidenciados en las publicaciones. Método: investigación histórico-social, exploratoria y descriptiva, con base en las publicaciones y legislaciones pertinentes al ejercicio de la enfermería en Brasil, representando de esa forma el contexto histórico de la recuperación anestésica para el reconocimiento y valorización de enfermería peri-operatoria. Resultados: en esta evolución histórica, la enfermería de la recuperación anestésica construye un camino lleno de un enfoque técnico, necesidad de asistencia individualizada y área crítica, con busca de conocimiento científico y procesos de acreditación hospitalaria para seguridad del paciente. En Brasil, iniciada apenas en 1980, la recuperación anestésica de los años 2000 ha sido basada en la asistencia sistematizada, permeada por acciones de seguridad del paciente en busca de mejor capacitación del equipo. Conclusión: hay un movimiento de la enfermería brasilera en la asistencia de la recuperación anestésica, y mejoramiento de estas acciones con el curso del tiempo. Descriptores: Enfermería Pos anestésica, Periodo de Recuperación de la Anestesia, Historia de la Enfermería, Enfermería Peroperatoria.

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Gedrime, Lina, Natalja Istomina-Fatkulina, Indre Brasaite y Sanna Salanterä. "INFORMATION NEEDS OF DIGESTIVE TRACT SURGERY PATIENTS BEFORE AND AFTER THE SURGERY: AN EXPLORATORY STUDY OF WESTERN LITHUANIA". SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 4 (21 de mayo de 2019): 154. http://dx.doi.org/10.17770/sie2019vol4.3869.

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The aim of this study was to describe the information needs of patients undergoing gastrointestinal surgery in Western Lithuania. Methods. This data were collected from patients of three Klaipeda city hospitals performing digestive tract surgeries in January – March 2015. The interview responses (n = 86) were analyzed inductively with thematic content analysis. Results. The interview revealed lack of information about disease, treatment and nursing care. The participants expressed fear and worries about their forthcoming surgery, anesthesia, pain, the ways of pain management, possible complications and their prevention as well as the future concerning their disease in general. Conclusions. The results show that the participants had not got enough information about treatment, nursing, anesthesia, rehabilitation, wound care or about post-surgery period. Instead they felt fear and anxiety. The participants were not included into treatment and nursing processes. According to the participants’ responses, the information needs were different before and after the surgery. Lack of information prevents patients from acting self-dependently in their care. Practice implications. Patient oriented approach to patient education and innovative ways of information delivery are needed in Lithuanian nursing care of patient’s having a gastrointestinal surgery.

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Gedrime, Lina, Natalja Istomina-Fatkulina, Indre Brasaite y Sanna Salanterä. "Information needs of digestive tract surgery patients before and after surgery: an exploratory study of western Lithuania." Medical Science Pulse 13, n.º 1 (25 de abril de 2019): 14–16. http://dx.doi.org/10.5604/01.3001.0013.1538.

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Background: Information has a distinct value for operative care from the perspective of both the patient and the professional. Aim of the study: The aim of this study was to describe the information needs of patients undergoing gastrointestinal surgery in western Lithuania. Material and methods: The data was collected from patients at three Klaipeda city hospitals performing digestive tract surgeries from January through March 2015. The interview responses (n = 86) were analyzed inductively with thematic content analysis. Results: The interviews revealed a lack of information about disease, treatment and nursing care. The participants expressed fear and worries about their forthcoming surgery, anesthesia, pain, methods of pain management, possible complications and their prevention as well as their prognosis. Conclusions: The results show that the participants lacked information about treatment, nursing, anesthesia, rehabilitation, wound care or about post-surgery period. Instead they felt fear and anxiety. The participants were excluded from treatment and nursing processes. According to the participants, their information needs were different before and after the surgery. Lack of information prevents patients from acting self-dependently in their care.

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Hinojosa, Renee J. "Comparison of Three Rewarming Methods in a Post Anesthesia Care Unit". Plastic Surgical Nursing 17, n.º 4 (1997): 222–24. http://dx.doi.org/10.1097/00006527-199724000-00009.

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Kang, Minyeong, Eun Young Kim y Sung Ok Chang. "Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach". Journal of Korean Gerontological Nursing 24, n.º 4 (30 de noviembre de 2022): 454–63. http://dx.doi.org/10.17079/jkgn.2022.24.4.454.

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Purpose: This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology. Methods: The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study. Results: This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: “detect the deviant changes leading to instability”, “focus on the patient’s degree of cognitive recovery within the framework of recovery time”, and “awareness of possible clues based on the patient’s underlying disease(s)”. Conclusion: These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses’ subjective viewpoints explained by the three identified factors.

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Mogan, Susan. "A Clinical Practice Guideline for Pain Management in the Post-Anesthesia Care Unit". Pain Management Nursing 22, n.º 2 (abril de 2021): 237. http://dx.doi.org/10.1016/j.pmn.2021.02.036.

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Paquette, Jennifer, Rhonda Gessler, Ann Keenan, Samantha Madsen, Ken Van Dyke, Philip Trapskin, Fran Batchelor, Jen Gaworski, Nancy Gondzur y Michelle Bishop. "Addressing Opioid Range Order Use in Post Anesthesia Care Units (PACUs) Across a System". Journal of PeriAnesthesia Nursing 37, n.º 4 (agosto de 2022): e4-e5. http://dx.doi.org/10.1016/j.jopan.2022.05.012.

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Hidayat, Syamsul, Yustiana Olfah y Sugeng Sugeng. "The Effect of Distraction Therapy (Pray) to The Surgical Pain Intensity Among Post-spinal Anesthesia Patients at Andi Sulthan Daeng Radja Hospital's Recovery Room, Bulukumba Regency of South Sulawesi". Journal of Health 3, n.º 2 (31 de julio de 2016): 69. http://dx.doi.org/10.30590/vol3-no2-p69-74.

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Background: The needs of pain free after surgery occurs when analgesic medicine effect is run out. Thus, nursing care with distraction therapy can lead to the reduce of such pain sensation (Prasetyo, 2010). One of independent nursing interventions to relieve patients’ pain is to measure pain scale and then to give further intervention, either relaxation or distraction. Objectives: To identify the effect of distraction therapy, which is pray, to the surgical pain intensity of post-spinal anesthesia patients at Sulthan Daeng Radja hospital’s recovery room, Bulukumba regency of South Sulawesi Methods: A quasi experiment with one group pretest-posttest design was used in this research. The samples group was measured with pretest before being given an intervention and it was being re-measured after the intervention (posttest). Samples were chosen through non-random sampling, which is purposive sampling. Thirty eight samples were involved and being given such distraction therapy throughout the period of August 26th to October 19th 2013. Results: There was a significant result shown by using McNemar-analysis (p value =0.00). This reveals that there were decline in pain intensity after such distraction therapy among such patients. Conclusions: Distraction therapy (praying) reduces surgical pain intensity after spinal anesthesia. Therefore it can be used as an independent nursing intervention among patients hospitalized with pain problems.

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Lane, Christine, Kathleen Doherty y Mark Poteet. "606 Establishing a Deep Sedation Program: Challenges and Successes from a Nursing Management Perspective". Journal of Burn Care & Research 41, Supplement_1 (marzo de 2020): S146. http://dx.doi.org/10.1093/jbcr/iraa024.232.

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Abstract Introduction A burn center with a high volume of burn admissions was looking for ways to decrease the pain and anxiety experienced by patients during wound care. Patients requiring surgical dressing removal or demonstrating difficulty in coping during wound care were of particular concern. Discussions between anesthesia providers and the burn team led to the concept of anesthesia safely providing deep sedation in the inpatient wound care center for select dressing changes. Nursing management began to work through the challenges of implementing the Burn Center Deep Sedation Program. Methods Processes for identifying, scheduling, and recovering patients were established. All Burn Acute Care Unit (BACU) patients requiring a surgical dressing removal or demonstrating poor coping during wound care would qualify for deep sedation. Nursing management worked to create an online scheduling system, and designated a room which was set up with anesthesia equipment and supplies. Candidates were reviewed for deep sedation and a schedule created for the following day. All patients required a Burn Intensive Care Unit (BICU) nurse during the recovery period. A BICU room adjacent to the wound care center became the deep sedation recovery room, and was staffed by the BICU charge nurse. BICU nurses received additional training in post anesthesia care prior to the program implementation. Once all educational needs and logistical changes were addressed, the deep sedation program began operating seven days per week. Results Starting in January 2016 deep sedation has been provided to approximately 400 cases per year. No additional staff was required, only shifting responsibilities of existing nursing personnel. Designating a specific room for deep sedation has ensured that anesthesia providers have access to the appropriate equipment and has minimized disruptions to the flow of other dressing changes occurring throughout the day. The impact of the program on pain and anxiety is currently under evaluation. Informal feedback from patients and staff members has been very positive. Conclusions The challenge in developing this program was the amount of education and planning required prior to implementation. Once the program was active, the challenges that occurred involved the scheduling system. An additional benefit of the program was the teamwork required between BICU and BACU nurses to safely handoff patients. The deep sedation program has also strengthened the burn team’s relationship with the anesthesia providers, whose commitment to the project was appreciated by all involved. A team approach and a collective mission to improve care for burn patients have driven this project to its current success. Applicability of Research to Practice The collaboration between the burn team and anesthesia has resulted in an improved wound care experience for the patient.

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d’Eon, Brandon, Thomas Hackmann y A. Stuart Wright. "The Addition of Intravenous Propofol and Ketorolac to a Sevoflurane Anesthetic Lessens Emergence Agitation in Children Having Bilateral Myringotomy with Tympanostomy Tube Insertion: A Prospective Observational Study". Children 7, n.º 8 (15 de agosto de 2020): 96. http://dx.doi.org/10.3390/children7080096.

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The aim of this prospective observational study was to determine if children undergoing bilateral myringotomy and tympanostomy tube insertion with a sevoflurane anesthetic plus intravenous propofol and ketorolac experienced a lower incidence of emergence agitation than those receiving a sevoflurane anesthetic alone. Duration of procedure, length of stay in post-anaesthesia care and level of nursing effort required to care for patients were also assessed. In this study, 49 children younger than 13 years of age received a sevoflurane anesthetic. Fifty-one percent of these patients also received a single injection of propofol 1 mg/kg and ketorolac 0.5 mg/kg at the end of the procedure. Patients were assessed for emergence agitation using the Pediatric Anesthesia Emergence Delirium scale in the post-anaesthesia care unit. Four children receiving a sevoflurane anesthetic alone experienced emergence agitation, while no children receiving propofol and ketorolac experienced emergence agitation (p = 0.05). The length of stay until discharge from the hospital was 6.98 min longer for patients receiving propofol and ketorolac but did not reach statistical significance (p = 0.23). Nurses reported greater ease in caring for patients receiving the propofol and ketorolac injection (recovery questionnaire score 4.50 vs. 3.75, p = 0.002). In this study, adding a single injection of intravenous propofol and ketorolac to the end of a brief sevoflurane anesthetic for bilateral myringotomy with tube insertion was associated with a lower incidence of emergence agitation without significantly increasing the time to discharge from the hospital.

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French, Katy E., Iris Recinos, Alexis B. Guzman, Thomas A. Aloia, Mike Hernandez, Spencer S. Kee, Alicia M. Kowalski et al. "Continuous Quality Improvement Measured With Time-Driven Activity-Based Costing in an Outpatient Cancer Surgery Center". Journal of Oncology Practice 15, n.º 2 (febrero de 2019): e162-e168. http://dx.doi.org/10.1200/jop.18.00394.

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PURPOSE: As health care costs rise, continuous quality improvement and increased efficiency are crucial to reduce costs while providing high-quality care. Time-driven activity-based costing (TDABC) can help identify inefficiencies in processes of cancer care delivery. This study measured the process performance of Port-a-Cath placement in an outpatient cancer surgery center by using TDABC to evaluate patient care process. METHODS: Data were collected from the Anesthesia Information Management System database and OneConnect electronic health record (EHR) for Port-a-Cath cases performed throughout four phases: preintervention (phase I), postintervention, stabilization, and pre–new EHR (phases II and III), and post–new EHR (phase IV). TDABC methods were used to map and calculate process times and costs. RESULTS: Comparing all phases, as measured with TDABC methodology, a decrease in post-anesthesia care unit (PACU) length of stay (LOS) was identified (83 minutes v 67 minutes; P < .05). The decrease in PACU LOS correlated with increased efficiency and decreasing process costs and PACU nurse resource use by fast tracking patients for Port-a-Cath placement. Port-a-Cath placement success and the functionality of ports remained the same as patient experience improved. CONCLUSION: TDABC can be used to evaluate processes of care delivery to patients with cancer and to quantify changes made to those processes. Patients’ PACU LOS decreased on the basis of the 2013 Port-a-Cath process improvement initiative and after implementation of a new EHR, over the course of 3 years, as quantified by TDABC. TDABC use can lead to improved efficiencies in patient care delivery that are quantifiable and measurable.

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Zickuhr, Maria T. "Critical care nursing clinics of North America, vol 3/no. 1: Pain and post-anesthesia management". Journal of Cardiothoracic and Vascular Anesthesia 6, n.º 3 (junio de 1992): 377–78. http://dx.doi.org/10.1016/1053-0770(92)90176-8.

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Arianti, Arianti, Nadila Putri Mayna y Yuda Hidayat. "MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN SKALA NYERI PASIEN POST PEMBEDAHAN". Journal of Holistic Nursing Science 7, n.º 1 (28 de enero de 2020): 21–31. http://dx.doi.org/10.31603/nursing.v7i1.2987.

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Postoperative complications such as pain, malnutrition, delayed wound healing and ileus were frequently found and become a challenge for health workers. Early mobilization is recognized as an approach that may help in preventing as well as decreasing the further effect of those complications. However, the implementation of early mobilization in hospitals were still limited to verbal commands without providing direct assistance to postoperative patients. Therefore, this study tries to give evidence-based nursing in PKU Muhammadiyah Gamping Hospital in improving nursing care to postoperative patient outcomes by giving early mobilization. The purpose of this study was to find the effect of early mobilization on the recovery time of intestinal peristalsis and pain scale in post-operative patients. This research was pre-experimental research using a static group comparison research design with a cross-sectional approach. The sampling technique used purposive sampling with specific criteria who was in adult age and received regional anesthesia. This study found 40 subjects consisting of 20 subjects in the intervention group and 20 subjects in the control group. The Mann-Whitney statistical test proved a significant effect on early mobilization on intestinal peristalsis recovery (p = 0.000) Gand pain scale (p = 0.001).

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Harini, Ririn, Juwitasari Juwitasari, Lilis Setyowati y Rifdah Dita Oktavia. "Post-caesarean section pain and quality of sleep among mothers who delivered by caesarean section under spinal anesthesia". Malahayati International Journal of Nursing and Health Science 3, n.º 2 (11 de enero de 2021): 110–16. http://dx.doi.org/10.33024/minh.v3i2.3473.

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Background: Post caesarean section mothers commonly feel pain in the post-operative area during the wound healing process. Most post-operative mothers feel the pain sensation as a disturbance and lowering their quality of sleep.Purpose: To determine pain level and identify the relationship of pain level and sleep quality among mothers who delivered by caesarean section under spinal anaesthesia.Method: The descriptive non-experimental correlative study design identified 50 mothers from Inpatient Ward Wava Husada Hospital of Kepanjen, Malang, East Java, Indonesia at April 2020. The Post-caesarean section pain level identified by using the Numeric Rating Scale (NRS) and the sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results: 38 mothers (76%) had severe pain level and most of them (43 mothers) had poor sleep quality. The Spearman correlation test showed that there was a relationship between the Post-caesarean section pain level and sleep quality, p value = 0.000 (p <0.05) and r = 0.314.Conclusion: The post-caesarean section pain levels among mothers who delivered by caesarean section under spinal anaesthesia should be identified earlier as we would like to encourage the nursing staff to give further intervention to maintain their sleep quality.

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Emanuel, Emanuel Ileatan Lewar y Putu Inge Ruth Suantika. "The Role Of The Anaesthetist As A Care Provider In Perianesthesia In The Operating Room At The Hospital". Jurnal Kesehatan dr. Soebandi 9, n.º 2 (26 de octubre de 2021): 141–48. http://dx.doi.org/10.36858/jkds.v9i2.310.

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Introduction: Perianesthesia nurses are health professionals with specific abilities to care, treat, assist and protect patients after undergoing diagnostic or therapeutic procedures. They work closely with anesthesiologists to manage and monitor patients before, during and after anaesthetic procedures. The conditions in this practice area have a confusing role in providing anesthetic management care to patients who are unable to help themselves in anesthesia, especially in perianesthesia. Therefore, it is very important to research the role of the anesthesiologist as a care provider for perianesthesia in the operating room.Objective: The purpose of this study was to identify the role of anaesthetists as care providers for perianesthesia in the operating room. Methods: This is a descriptive exploratory research with a qualitative approach. This research consists of two stages; data collection in the first stage was carried out through in-depth interviews with anaesthetists working in the Wangaya General Hospital Denpasar operating room. In the second stage, we triangulated the data from anesthesiologists as decision-makers or doctors in charge of administering anesthesia to patients to ensure that the obtained data is consistent, convergent and valid. Qualitative data analysis is inductive; analysis is based on the obtained data, and then the data is searched repeatedly with triangulation techniques; the writing is done through narrative methods. Results: This study showed that anaesthetists at Wangaya Hospital with an educational background of Diploma III and Diploma IV Anaesthesia Nursing, and Diploma III Nursing with anaesthesiology training with Specialty Registrars, administer anaesthesia or become the care provider in pre-anaesthesia, intra-anaesthesia and post-anaesthesia based on scientific, and professional standards of anesthesiology. Conclusion : The anaesthetists can become care providers for perianesthesia in the operating room, which can be used as the first step by other researchers for further research on the effect of anaesthetic care in anaesthesia patient safety.

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Dexter, Franklin. "Assigning Cases to Operating Rooms With Objectives That Include Leveling Workflow in the Post-anesthesia Care Unit". Journal of PeriAnesthesia Nursing 37, n.º 3 (junio de 2022): 296. http://dx.doi.org/10.1016/j.jopan.2021.03.004.

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Nurleli, Nurleli, Ainal Mardhiah y Nilawati Nilawati. "FAKTOR YANG MENINGKATKAN KEJADIAN POST-OPERATIVE NAUSEA AND VOMITING (PONV) PADA PASIEN LAPARATOMI". Jurnal Keperawatan Priority 4, n.º 2 (6 de julio de 2021): 58–69. http://dx.doi.org/10.34012/jukep.v4i2.1722.

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Post-operative Nausea and Vomiting (PONV) delay the patient's recovery period, inhibit activity, and have an impact on increasing the cost of care. This study aims to determine the factors associated with the incidence of post-operative nausea and vomiting in post-laparotomy patients. The research design was a descriptive cross-sectional study. Data collection was conducted from 18 June to 18 July 2019 on 30 respondents was selected by purposive sampling at the Meuraxa Hospital Banda Aceh. Data were processed into univariate and bivariate analysis using the Chi-Square test. The results showed a relationship between patient factors, anesthesia factors, and surgical factors with the incidence of PONV in post-laparotomy patients (P-value <0.05). The expected that health care providers in providing perioperative nursing care must focus on the factors that influence to eliminate the possibility of PONV so that it can improve patient comfort and speed up the recovery period.

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Michaud, Mylène Suzie y Marilou Gagnon. "Explicit recall related to mechanical ventilation: An evolutionary concept analysis". Canadian Journal of Critical Care Nursing 32, n.º 1 (22 de abril de 2020): 9–17. http://dx.doi.org/10.5737/23688653-321917.

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Mechanical ventilation combined with sedation is widely used in the intensive care unit (ICU). However, this intervention is not without consequence on the patient. ICU patients can, in fact, remember perceptions that occurred during their mechanical ventilation—a phenomenon known as explicit recall. This phenomenon is not well defined, and no common terminology exists in the medical and nursing literature, where a variety of concepts are used interchangeably to describe the same experience. The goal of this concept analysis was to address the conceptual vagueness that surrounds explicit recall. Using Rodgers’ evolutionary approach, a total of 68 articles were analyzed to identify the concept’s antecedents, attributes, and consequences. The findings revealed that the explicit recall concept is perceptive, interpretative, subjective, dynamic, and temporal. It occurs following treatment that requires general anesthesia or sedation. It is also shaped by the modalities of anesthesia and sedation, as well as individual characteristics. Consequences of explicit recall can include anxiety, flashbacks, and post-traumatic stress disorder.

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Fibriansari, Rizeki Dwi FIbriansari, Nurul Hayati, Sri Wahyuningsih y Nindi Bilih. "Exploration Postpartum Sectio Caesarea with Ineffective Breastfeeding: A Case Report". D'Nursing and Health Journal (DNHJ) 3, n.º 1 (31 de marzo de 2022): 34–44. http://dx.doi.org/10.36835/dnursing.v3i1.382.

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Introduction: Problems often arise after section Caesarea such as pain in the incision area. Pain will cause the patient to delay breastfeeding from start. In addition, the psychological impact of post-section Caesarea patients is anxiety when giving breast milk, causing milk to not come out. This study reports the exploration of postpartum mothers with ineffective breastfeeding. Method: This method uses descriptive quantitative research through case reports. Participants were 2 post-section Caesarea patients on day 0 (Mrs. S and Mrs. M) who were treated at Lumajang Hospital, with lumbar anesthesia, had no history of infectious diseases, nipples did not protrude or flat, and were willing to be respondents with signed informed consent. Result: The results of the study on the third day, the patient Mrs. S said the milk came out smoothly, the nipples stood out, and the baby was able to suckle. Patient Mrs. M breastfeeds smoothly and the nipples are slightly protruding and the baby can suckle. Breast care using the Hoffman technique is an effective intervention to treat mothers with ineffective nursing problems due to flat nipples. Conclusion: Nursing problems are ineffective breastfeeding for patients seen from the condition of the patient's nipples and patient complaints, coupled with the Hoffman technique and other innovations so that nursing care provided can be resolved.

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