Статті в журналах: "Post anesthesia nursing"

1

Duval, Donald L. "Core Curriculum for Post Anesthesia Nursing Practice." Critical Care Nursing Quarterly 15, no. 3 (November 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, and 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, no. 5 (October 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, and Charlotte Taylor. "Documenting Post-Anesthesia Recovery." American Journal of Nursing 85, no. 3 (March 1985): 290. http://dx.doi.org/10.2307/3424974.

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4

Fraulini, Kay E. "Evaluating Post-Anesthesia Recovery." American Journal of Nursing 85, no. 7 (July 1985): 784. http://dx.doi.org/10.2307/3425128.

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ANDREWS, DIANE RANDALL, and CHARI OTTE TAYI. "DOCUMENTING POST-ANESTHESIA RECOVERY." AJN, American Journal Of Nursing 85, no. 3 (March 1985): 290–95. http://dx.doi.org/10.1097/00000446-198503000-00026.

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6

FRAULINI, KAYE. "EVALUATING POST-ANESTHESIA RECOVERY." AJN, American Journal Of Nursing 85, no. 7 (July 1985): 784. http://dx.doi.org/10.1097/00000446-198507000-00019.

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7

Huang, Yian, Linmin Sun, Jian Guo, Cao Zhang, and Jianhong Xu. "Exploration and Application of the Peri-anesthesia Nursing Management Mode of the Five-Sphere Integrated Plan." American Journal of Health Behavior 47, no. 3 (June 30, 2023): 489–97. http://dx.doi.org/10.5993/ajhb.47.3.6.

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Objectives: The objective of this research was to test the application of peri-anesthesia nursing management (anesthesia preparation room, operating room, recovery room, post anesthesia visit, and anesthesia general management) on hospital services. Methods: We used a quantitative research design to collect data from 311 nurses, with structural equation modeling used for data analysis. Results: The application of the peri- anesthesia nursing management mode of the five-sphere integrated plan impacted hospital services for patients. Conclusion: The practice of the five-sphere integrated mode not only highlighted the professional characteristics of anesthesia nursing, but also ensured the quality of medical treatment of patients during peri-anesthesia, and provided new ideas and references for nursing management of other specialties.

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8

Smykowski, Lenore, and Wanda Rodriguez. "The Post Anesthesia Care Unit Experience." Journal of Nursing Care Quality 18, no. 1 (January 2003): 5–15. http://dx.doi.org/10.1097/00001786-200301000-00002.

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9

Sreeram, V., Pallavi Waghalkar, W. Atul, and 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, no. 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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10

FRAULINI, KAY E., and ANNE C. BORCHARDT. "POST-ANESTHESIA PROBLEMS." Nursing 18, no. 5 (May 1988): 66–86. http://dx.doi.org/10.1097/00152193-198805000-00019.

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Dandrea, Samantha, Mary Rogers, Shea Beiter, and Martina Landahl. "Post Anesthesia Response Unit: Development of an Intensive Care Unit within a Post Anesthesia Care Unit." Journal of PeriAnesthesia Nursing 37, no. 4 (August 2022): e12-e13. http://dx.doi.org/10.1016/j.jopan.2022.05.033.

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12

Duncan-Azadi, Cassandra R., Sorochi Esochagi, Toni Strickland, and Julia Newton. "Initiating a Validated Pediatric Post-Anesthesia Emergence Delirium Scale in the Pediatric Post-Anesthesia Care Unit." Journal of PeriAnesthesia Nursing 37, no. 4 (August 2022): e22-e23. http://dx.doi.org/10.1016/j.jopan.2022.05.059.

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13

Luczun, ME. "Post-anesthesia nursing: the missing link in critical care." Critical Care Nurse 8, no. 2 (March 1, 1988): 27–29. http://dx.doi.org/10.4037/ccn1988.8.2.27.

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14

Allen, A. "Core Curriculum for Post Anesthesia Nursing Practice. 2nd edition." Dimensions of Critical Care Nursing 11, no. 1 (January 1992): 63. http://dx.doi.org/10.1097/00003465-199201000-00016.

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15

Agresa, Nida, Halina Rahayu, and 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, no. 1 (December 28, 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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16

Djamaludin, Djunizar, Amila Amila, and Suci Asianti. "THE EFFECTS OF WARM COMPRESS TO VOIDING REFLEXES ON POST OPERATIVE SPINAL ANESTHESIA." Malahayati International Journal of Nursing and Health Science 2, no. 1 (April 11, 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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17

Ibañez-Asto, Agata S., María Teresa Cabanillas-Chavez, and Wilter C. Morales-García. "Care of post-placenta praevia patients in the post anesthesia recovery department of a private clinic, 2021." SCT Proceedings in Interdisciplinary Insights and Innovations 2 (April 7, 2024): 208. http://dx.doi.org/10.56294/piii2024208.

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Cesarean section is a surgical procedure performed on the mother's abdomen and uterus to remove the pregnancy product. Placenta previa is a major obstetric complication that occurs in the second half of pregnancy and endangers the life of both the mother and the fetus; cesarean section is the treatment of choice. Timely nursing care helps patients recover quickly and avoid serious complications. The objective is to identify the needs of the patient and manage the nursing treatment for the resolution of the registered problems. Qualitative study, single clinical case type, included a 37-year-old patient. The stages of the nursing care process were followed: assessment, with a framework validated by professionals in the area, formulation of diagnoses and planning of nursing care according to the NANDA, NOC, NIC taxonomy. The evaluation of the results was obtained by the difference in final and baseline scores. Nine altered patterns were found; Three patterns were prioritized: sexuality, reproduction, cognitive perceptual, adaptation, tolerance to the situation and stress. Seven nursing diagnoses were identified, the diagnoses were prioritized: risk of bleeding, acute pain and anxiety based on the SSPFR format (signs and symptoms, problem and related factor); the change score was +1, +2, +2, +2, +3. It is concluded that according to the needs attended to in the patient, the nursing care process was developed in its five stages, allowing to provide quality care to the patient; therefore, it is explained that timely care and adequate treatment would shorten the recovery process

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18

Bines, Ann S., and Stade L. Landron. "CARDIOVASCULAR EMERGENCIES IN THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 493–505. http://dx.doi.org/10.1016/s0029-6465(22)02881-x.

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19

Odom, Janet L. "AIRWAY EMERGENCIES IN THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 483–91. http://dx.doi.org/10.1016/s0029-6465(22)02880-8.

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20

&NA;. "FREE POST-ANESTHESIA NURSING PUBLIC RELATIONS KIT AVAILABLE FROM ASPAN." Journal of Wound, Ostomy and Continence Nursing 16, no. 1 (January 1989): 24A. http://dx.doi.org/10.1097/00152192-198901000-00004.

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21

Dooley, Amy L., and Kim M. Climo. "Exploring the Nursing Culture of a Post Anesthesia Care Unit." Journal of PeriAnesthesia Nursing 28, no. 3 (June 2013): e46. http://dx.doi.org/10.1016/j.jopan.2013.04.133.

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22

Shanthi M., Sahaya Packia, N. Gayathiri, and Jissy Paul E. "Prevalence of back-pain following caesarean section under spinal anesthesia." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 9 (August 29, 2023): 2876–80. http://dx.doi.org/10.18203/2320-1770.ijrcog20232758.

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Back pain following a caesarean section is a typical complaint. It has been statistically proven that more than 70% of cases, or 7 out of 10 women who give birth, endure back pain. If it is not treated at the appropriate time and with adequate measurement, the back pain may worsen in the future. A systematic literature search was performed to determine the prevalence and factors associated with back pain among patients undergoing spinal anesthesia. Many studies have attempted to determine risk factors for back pain after birth in different populations, using different methods and outcome variables. Data were collected from PubMed, Google scholar and the medicine and nursing database. Back pain that persists after a caesarean delivery is brought on by a number of circumstances. Post-partum back pain is linked to a history involving pre- and post-pregnancy back pain, obesity, bad posture while nursing, sitting, walking, and standing are the contributing factors. The study results show that by maintaining posture correction, yoga, meditation, lumbar support, rest and massage helps to alleviate post anesthetic back pain. This study confirms that the overall incidence of back pain is high in comparison to the majority of studies. The severity of back pain caused by spinal anesthesia is highly connected to the size of the spinal needle, body mass index, and number of attempts, body posture and number of bone contacts.

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23

Saleh, Kim Litwack. "THE ELDERLY PATIENT IN THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 507–18. http://dx.doi.org/10.1016/s0029-6465(22)02882-1.

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24

Meyer-Pahoulis, Ellen, Shirley L. Williams, Sonia I. Davidson, Jacqueline R. McVey, and Aleksandra Mazurek. "THE PEDIATRIC PATIENT IN THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 519–30. http://dx.doi.org/10.1016/s0029-6465(22)02883-3.

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25

Vissering, Thomas R. "NARCOTICS AND IMPLICATIONS FOR THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 573–80. http://dx.doi.org/10.1016/s0029-6465(22)02886-9.

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26

Patterson, Marla. "The Recovery Room: A Critical Care Approach to Post Anesthesia Nursing." AORN Journal 47, no. 6 (June 1988): 1498–99. http://dx.doi.org/10.1016/s0001-2092(07)66330-3.

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27

Ames, A. E. Lyn. "The Recovery Room: A Critical Care Approach to Post Anesthesia Nursing." Journal of Cardiovascular Nursing 2, no. 3 (May 1988): 82–83. http://dx.doi.org/10.1097/00005082-198805000-00015.

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28

Xin, Yi, Fu-Cai Lin, Chen Huang, Bin He, Ya-Ling Yan, Shuo Wang, Guang-Ming Zhang, and Rui Li. "Nurse anesthetists’ perceptions and experiences of managing emergence delirium: A qualitative study." World Journal of Psychiatry 14, no. 4 (April 19, 2024): 553–62. http://dx.doi.org/10.5498/wjp.v14.i4.553.

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BACKGROUND This study employs a descriptive phenomenological approach to investigate the challenges anesthesia nurses face in managing emergence delirium (ED), a common and complex postoperative complication in the post-anesthesia care unit. The role of nurses in managing ED is critical, yet research on their understanding and management strategies for ED is lacking. AIM To investigate anesthetic nurses’ cognition and management experiences of ED in hopes of developing a standardized management protocol. METHODS This study employed a descriptive phenomenological approach from qualitative research methodologies. Purposeful sampling was utilized to select 12 anesthetic nurses from a tertiary hospital in Shanghai as research subjects. Semi-structured interviews were conducted, and the data were organized and analyzed using Colaizzi’s seven-step analysis method, from which the final themes were extracted. RESULTS After analyzing the interview content, four main themes and eight subthemes were distilled: Inefficient cognition hinders the identification of ED (conceptual ambiguity, empirical identification), managing diversity and challenges (patient-centered safe care, low level of medical-nursing collaboration), work responsibilities and pressure coexist (heavy work responsibilities, occupational risks and stress), demand for high-quality management (expecting the construction of predictive assessment tools and prevention strategies, and pursuing standardized management processes to enhance management effectiveness). CONCLUSION Nursing managers should prioritize the needs and suggestions of nurses in order to enhance their nursing capabilities and provide guidance for standardized management processes.

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Wiercigroch, David, Maxim Ben-Yakov, Danielle Porplycia, and Steven Marc Friedman. "Regional anesthesia in Canadian emergency departments: Emergency physician practices, perspectives, and barriers to use." CJEM 22, no. 4 (May 21, 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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Levin, Debra F. "ASSESSING AND IMPROVING QUALITY IN THE POST ANESTHESIA CARE UNIT." Nursing Clinics of North America 28, no. 3 (September 1993): 581–96. http://dx.doi.org/10.1016/s0029-6465(22)02887-0.

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31

Alshammari, Yousef Fehaid Hawas, Mudi Naif Alharbi, Huda Fawaz Alanazi, Bandar Khulaif Aldhahawi, Fahad Mohammed Alshammari, Rawaf Hussain Alsuwaydaa, Saad Ghanem Alenezi, Bandar Awad Alshammari, Rikan Mashan Alshammari, and Brahim Madhour Alshammari. "Critical care nursing." International journal of health sciences 7, S1 (December 18, 2023): 3224–34. http://dx.doi.org/10.53730/ijhs.v7ns1.14811.

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Critical care nursing plays a pivotal role in the healthcare system, providing specialized care to acutely ill patients who require intensive monitoring and treatment. Within the dynamic and high-stakes environment of critical care units, nurses serve as frontline caregivers, delivering comprehensive care, advocating for patients, and coordinating interdisciplinary interventions. The field of critical care nursing encompasses a diverse range of specialties, including intensive care, emergency care, trauma care, and post-anesthesia care, among others. The unique challenges inherent in critical care nursing demand specialized skills, clinical expertise, and a deep understanding of complex physiological processes. Critical care nurses must possess a keen ability to assess and manage patients with rapidly changing conditions, often in life-threatening situations.

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32

Burden, Nancy. "Post Anesthesia Care in the Office Based Setting." Plastic Surgical Nursing 6, no. 4 (1986): 133–37. http://dx.doi.org/10.1097/00006527-198600640-00002.

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33

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, no. 2 (May 2002): 14–15. http://dx.doi.org/10.1017/s1742645600000905.

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34

Feng, Cuiping, Lanfang Chen, and Jianqiong Wang. "Preoperative Care of Laryngoscope Facilitated Vocal Polyp Excision under General Anesthesia." Journal of Nursing 4, no. 3 (August 21, 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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Prasetyo, Bambang Eko, Sutarno Sutarno, and Asmuni. "Legality of Anesthesia Assistance in Surgical and Anesthesia Health Services in Hospital." JILPR Journal Indonesia Law and Policy Review 5, no. 1 (October 20, 2023): 99–107. http://dx.doi.org/10.56371/jirpl.v5i1.159.

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There is a demand from the community for quality health services, but the number of anesthesia service providers is still small. This poses a problem considering that it is the anesthesiologist who must accept the delegation of authority for medical anesthesia procedures. From these problems, this research aims to analyze the arrangements for assisting anesthesia services in hospitals and analyze the legal consequences for hospitals that employ health workers in anesthesia services that are not in accordance with competence and statutory regulations. This research method uses a normative juridical approach with statutory, conceptual and comparative approaches. The results showed that anesthesia services were only recognized after having applied a bachelor's degree in anesthesiology nursing and having certification in the form of Anesthesia Administration Registration Certificate and Anesthesia Management Practice License which are renewed every 5 years. Anesthesia service assistants who have a certificate must be able to carry out their professional authority responsibilities which include pre-anesthesia, intra-anesthesia and post-anesthesia authority by applying 5 competency standards which include legal ethics and patient safety; self-development and professionalism; effective communication; scientific basis of biomedical sciences, anesthesiology, and instrumentation; and clinical skills.

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Sousa, Cristina Silva. "Contexto histórico da recuperação anestésica." Revista de Enfermagem UFPE on line 12, no. 4 (April 4, 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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Campbell-Jones, Vera. "Local anesthesia before intravenous cannula insertion: Recommendations for registered nurses in practice." Journal of Nursing Education and Practice 11, no. 5 (January 18, 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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Sapikowski, Lucinda, Kate Bullock, Juleah Walsh, and Caren Alexander. "Implementation of a PACU Pause in a Pediatric Post Anesthesia Care Unit." Journal of PeriAnesthesia Nursing 37, no. 4 (August 2022): e12. http://dx.doi.org/10.1016/j.jopan.2022.05.032.

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39

Gedrime, Lina, Natalja Istomina-Fatkulina, Indre Brasaite, and 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 (May 21, 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, and Sanna Salanterä. "Information needs of digestive tract surgery patients before and after surgery: an exploratory study of western Lithuania." Medical Science Pulse 13, no. 1 (April 25, 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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Kang, Minyeong, Eun Young Kim, and Sung Ok Chang. "Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach." Journal of Korean Gerontological Nursing 24, no. 4 (November 30, 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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Hinojosa, Renee J. "Comparison of Three Rewarming Methods in a Post Anesthesia Care Unit." Plastic Surgical Nursing 17, no. 4 (1997): 222–24. http://dx.doi.org/10.1097/00006527-199724000-00009.

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Mogan, Susan. "A Clinical Practice Guideline for Pain Management in the Post-Anesthesia Care Unit." Pain Management Nursing 22, no. 2 (April 2021): 237. http://dx.doi.org/10.1016/j.pmn.2021.02.036.

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Hidayat, Syamsul, Yustiana Olfah, and 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, no. 2 (July 31, 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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Paquette, Jennifer, Rhonda Gessler, Ann Keenan, Samantha Madsen, Ken Van Dyke, Philip Trapskin, Fran Batchelor, Jen Gaworski, Nancy Gondzur, and Michelle Bishop. "Addressing Opioid Range Order Use in Post Anesthesia Care Units (PACUs) Across a System." Journal of PeriAnesthesia Nursing 37, no. 4 (August 2022): e4-e5. http://dx.doi.org/10.1016/j.jopan.2022.05.012.

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Tomar, Sonam, Priyanka Bharti, Aarti Negi, Priyanka Gariya, Harina Bhatt, Anish Mahar, and Subhash a. "PAPER." International Journal of Advanced Research 11, no. 07 (July 31, 2023): 601–16. http://dx.doi.org/10.21474/ijar01/17265.

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Introduction: Natural child birth is the birth without routine medical intervention particularly anesthesia. Natural child birth attempts to minimize the medical intervention particularly use of anesthetic medication and surgeries such as episiotomies, forceps and caesarean section. Benefits of Natural birthing are faster recovery after the birth and less vaginal tearing since the women will push instinctively during the delivery and shorter the pushing time, ability to change the birthing position, decreased risk of needing of risky intervention avoid side effect associated with the epidural and ability to bond and breastfeed the child immediately. Aim of this study: To assess the knowledge of nursing officers before the awareness programme on natural birthing, To assess the effectiveness of awareness programme on knowledge regarding natural birthing among nursing officers and to find out the association between pre-test knowledge with the selected demographic variable. Methodology: A Quantitative research approach was adopted under the study. The study was conducted in selected hospitals of Dehradun. Convenient sampling technique was used to select the sample. The sample compromised of 40 nursing officer. The tools developed and utilized for the study was semi structured knowledge questionnaire regarding natural birthing. It was prepared to determine the knowledge of nursing officers regarding natural birthing in selected hospital of Dehradun. Awareness programme was also prepared to determine its effectiveness. Result: The study revealed that the mean post test-test knowledge score (29) of nursing officers regarding natural birthing were higher than the mean pre-test knowledge (18.02). In pre-test majority of participants 7(17.5%) of nursing officers had below average knowledge, 28(70%) had average knowledge and 5(12.5%) had above average knowledge and in the post-test assessment 4(10%) of nursing officers had average knowledge, 36(90%) had above average level of knowledge regarding natural birthing and no one was in below average of knowledge. Conclusion: The study concludes that the planned nursing intervention is an effective strategy in improving knowledge of nursing officers regarding natural birthing and more educational strategies can be undertaken to enhance the knowledge of nursing officers. The purpose of the present study was to find out the level of knowledge regarding natural birthing in selected hospitals in Dehradun.

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Lane, Christine, Kathleen Doherty, and Mark Poteet. "606 Establishing a Deep Sedation Program: Challenges and Successes from a Nursing Management Perspective." Journal of Burn Care & Research 41, Supplement_1 (March 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, and 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, no. 8 (August 15, 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, no. 2 (February 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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Arianti, Arianti, Nadila Putri Mayna, and Yuda Hidayat. "MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN SKALA NYERI PASIEN POST PEMBEDAHAN." Journal of Holistic Nursing Science 7, no. 1 (January 28, 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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