MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Perianesthesia Nursing' source. Wed, 08 Feb 2012 21:54:53 +0100 http://www.medworm.com/index.php?rid=5628229&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264614%26dopt%3DAbstract Authors: Hooper VD PMID: 22264614 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628229 Thu, 26 Jan 2012 13:37:58 +0100 5628229 http://www.medworm.com/index.php?rid=5628228&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264615%26dopt%3DAbstract Authors: Carter AJ, Deselms J, Ruyle S, Morrissey-Lucas M, Kollar S, Cannon S, Schick L Abstract Despite advocacy by professional nursing organizations, no randomized controlled trials (RCTs) have evaluated the response of family members to a visit with an adult patient during a postanesthesia care unit (PACU) stay. Therefore, the purpose of this RCT was to evaluate the impact of a brief PACU visitation on the anxiety of family members. The study was conducted in a phase I PACU of a large community-based hospital. Subjects were designated adult family members or significant others of an adult PACU patient who had undergone general anesthesia. A pretest-posttest RCT design was used. The dependent variable was the change in anxiety scores of the visitor after seeing his or her family... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628228 Thu, 26 Jan 2012 13:37:47 +0100 5628228 http://www.medworm.com/index.php?rid=5628227&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264616%26dopt%3DAbstract Authors: Ruiz M, Rivers N, Pop RS Abstract The purpose of this pilot study was to evaluate the impact of timing for providing parents with postoperative education in the pediatric setting, their ability to retain information, and their satisfaction with the education provided. A total of 70 subjects were enrolled and randomly assigned to a control or intervention group. The control group received postoperative education just before discharge home, whereas the intervention group received the education during their child's surgical procedure. Parents' knowledge retention regarding their child's postoperative care was evaluated at 24 hours and 7 days after surgery. Their satisfaction with the postoperative education timing was also evaluated at 24 hours post surgery. A significant dif... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628227 Thu, 26 Jan 2012 13:37:37 +0100 5628227 http://www.medworm.com/index.php?rid=5628226&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264617%26dopt%3DAbstract Authors: Cobbe KA, Di Staso R, Duff J, Walker K, Draper N Abstract Preoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). A crossover design was used in which each participant (n=10) received both protocols sequentially. The mean device temperature and length of time spent at maximum settings were greater for protocol A (43°C±0°C vs 41°C±1°C, P=.003; and 60±0 vs 41.5±2.8 minutes, P=.004). There was no difference... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628226 Thu, 26 Jan 2012 13:37:26 +0100 5628226 http://www.medworm.com/index.php?rid=5628225&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264618%26dopt%3DAbstract Authors: Muller-Smith P PMID: 22264618 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628225 Thu, 26 Jan 2012 13:37:16 +0100 5628225 http://www.medworm.com/index.php?rid=5628224&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264619%26dopt%3DAbstract Authors: Lalani SB, Kanji Z, Ali F Abstract The role of the postanesthesia care unit (PACU) is to provide short-term monitoring of patients after surgery until recovery from anesthesia. The transfer of patients from the PACU to their designated units, however, may be delayed for various reasons. A qualitative descriptive approach was used to explore the experiences of six nurses working in the PACU at a tertiary care hospital in Pakistan. Data were collected using semistructured interviews. The data were grouped into categories and subcategories. An overarching theme that was derived from the content analysis was that of the factors impacting quality patient care. The content analysis generated a broad category of "general effects" and subcategories that included patients, families... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628224 Thu, 26 Jan 2012 13:37:07 +0100 5628224 http://www.medworm.com/index.php?rid=5628223&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264620%26dopt%3DAbstract Authors: Deberg J, Adams S, Cullen L PMID: 22264620 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628223 Thu, 26 Jan 2012 13:36:57 +0100 5628223 http://www.medworm.com/index.php?rid=5628222&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264621%26dopt%3DAbstract Authors: Byrne MD PMID: 22264621 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628222 Thu, 26 Jan 2012 13:36:47 +0100 5628222 http://www.medworm.com/index.php?rid=5628221&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264622%26dopt%3DAbstract Authors: Pasero C, McCaffery M PMID: 22264622 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628221 Thu, 26 Jan 2012 13:36:37 +0100 5628221 http://www.medworm.com/index.php?rid=5628220&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264623%26dopt%3DAbstract Authors: Moos DD PMID: 22264623 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628220 Thu, 26 Jan 2012 13:36:26 +0100 5628220 http://www.medworm.com/index.php?rid=5628219&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22264624%26dopt%3DAbstract Authors: Odom-Forren J PMID: 22264624 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5628219 Thu, 26 Jan 2012 13:36:15 +0100 5628219 http://www.medworm.com/index.php?rid=5611422&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005211%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611422 Sat, 21 Jan 2012 02:23:54 +0100 5611422 http://www.medworm.com/index.php?rid=5611421&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100520X%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611421 Sat, 21 Jan 2012 02:23:54 +0100 5611421 http://www.medworm.com/index.php?rid=5611420&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005193%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611420 Sat, 21 Jan 2012 02:23:54 +0100 5611420 http://www.medworm.com/index.php?rid=5611419&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005181%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611419 Sat, 21 Jan 2012 02:23:54 +0100 5611419 http://www.medworm.com/index.php?rid=5611418&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100548X%2Fabstract%3Frss%3Dyes THE USE OF social media, including Facebook, Twitter, LinkedIn, YouTube, Flickr, MySpace, Second Life and other similar sites are increasing exponentially. A Pew report from early 2010 stated that among adults 18 and older, 73% use Facebook, 48% have a profile on MySpace and 14% use LinkedIn. Additionally, 11% of adults over the age of 30 are bloggers. Users of social media who are over the age of 35 grew nearly twice as fast as those 18-35 in the same time period. The use of social media is on the rise and is a common daily occurrence for most of us. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611418 Sat, 21 Jan 2012 02:23:54 +0100 5611418 http://www.medworm.com/index.php?rid=5611415&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005156%2Fabstract%3Frss%3Dyes WHAT ARE YOU looking forward to in 2014? For the informatics and information technology (IT) world, 2014 is the year in which all Americans are required to have an electronic health record (EHR). It will ideally mark the end of the paper health record and the beginning of the full digitization of the health care system. As many clinical agencies transition to EHRs or upgrade their current systems, perhaps the better question is, “will you be ready?” (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611415 Sat, 21 Jan 2012 02:23:54 +0100 5611415 http://www.medworm.com/index.php?rid=5611414&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005016%2Fabstract%3Frss%3Dyes As A Clinical education librarian, I have the opportunity to work with clinicians in their quest for evidence, and, as a result, I have observed occasional obstacles during the search process. In this brief article, I will share steps to help you get started down the right path, with the aim of preventing common problems. I will offer guidance to help the searcher begin with an organized approach, use strategies to refine the question, and take advantage of available resources. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611414 Sat, 21 Jan 2012 02:23:54 +0100 5611414 http://www.medworm.com/index.php?rid=5611412&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005144%2Fabstract%3Frss%3Dyes AS SOCIAL NETWORKING and Internet connectivity become more available throughout the world, nurses around the globe are able to communicate and learn from each other. They can now share experiences and knowledge as never before. Our nursing colleagues in countries other than the United States face cultural challenges that we do not. In lesser-developed countries, cultural differences place women in situations where they suffer from inequality problems and are limited in their ability to seek education and employment opportunities that we in the United States take for granted. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611412 Sat, 21 Jan 2012 02:23:54 +0100 5611412 http://www.medworm.com/index.php?rid=5611411&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004990%2Fabstract%3Frss%3Dyes Preoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). A crossover design was used in which each participant (n=10) received both protocols sequentially. The mean device temperature and length of time spent at maximum settings were greater for protocol A (43°C±0°C vs 41°C±1°C, P=.003; and 60±0 vs 41.5±2.8 minutes, P=.004). There was no difference in thermal comfort scores, participant temperature, or sweating between th... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611411 Sat, 21 Jan 2012 02:23:54 +0100 5611411 http://www.medworm.com/index.php?rid=5611409&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004989%2Fabstract%3Frss%3Dyes Despite advocacy by professional nursing organizations, no randomized controlled trials (RCTs) have evaluated the response of family members to a visit with an adult patient during a postanesthesia care unit (PACU) stay. Therefore, the purpose of this RCT was to evaluate the impact of a brief PACU visitation on the anxiety of family members. The study was conducted in a phase I PACU of a large community-based hospital. Subjects were designated adult family members or significant others of an adult PACU patient who had undergone general anesthesia. A pretest-posttest RCT design was used. The dependent variable was the change in anxiety scores of the visitor after seeing his or her family member in the PACU. Student t test (unpaired, two tailed) was used to determine if changes in anxiety s... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611409 Sat, 21 Jan 2012 02:23:54 +0100 5611409 http://www.medworm.com/index.php?rid=5611408&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005491%2Fabstract%3Frss%3Dyes NEW YEARS IS but a memory and 2012 is now well underway. As we move into the New Year, we are provided with an excellent opportunity to glance into the future and examine trends and set goals for the future. Having spent much of the latter half of 2011 immersing myself in patient safety and quality work, it is becoming more and more apparent that patient safety and quality initiatives will be at the forefront of health care issues for 2012. While quality/performance improvement has always been imbedded within the health care system, we are now seeing a concentration around performance measurement that is patient centered and outcomes focused. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611408 Sat, 21 Jan 2012 02:23:54 +0100 5611408 http://www.medworm.com/index.php?rid=5611417&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100503X%2Fabstract%3Frss%3Dyes AUTHORS OFTEN MAKE similar missteps when submitting manuscripts to a scholarly journal. After querying the current editors of the Journal of PeriAnesthesia Nursing, seven common missteps were identified (). These are not listed in any particular order. The purpose of this column is not only to identify common mistakes made by authors during their initial submission but also to provide summary advice on how to avoid them. There are several columns within this series on “Writing for Publication” that authors may access for an in-depth discussion. To have knowledge of these common missteps before submission will make the process easier for both the author and editors, alleviating potential frustration and avoiding time-intensive correction. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611417 Mon, 26 Dec 2011 05:00:00 +0100 5611417 http://www.medworm.com/index.php?rid=5611416&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005028%2Fabstract%3Frss%3Dyes HYPERALGESIA MEANS INCREASED sensitivity to pain. Opioid-induced hyperalgesia (OIH) is a paradoxical situation in which increasing doses of opioid result in increasing sensitivity to pain. OIH has been identified as a clinical reality, but the incidence of clinically significant OIH is unknown. It appears to be a relatively rare but serious consequence of opioid administration. Some researchers postulate that the incidence of OIH may be much greater, as the large number of patients with persistent noncancer pain who fail to get relief from opioids or discontinue opioid therapy because of ineffectiveness may actually have undiagnosed OIH. Currently, it is not possible to predict who will develop OIH as a result of opioid exposure. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611416 Mon, 26 Dec 2011 05:00:00 +0100 5611416 http://www.medworm.com/index.php?rid=5611413&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004977%2Fabstract%3Frss%3Dyes The role of the postanesthesia care unit (PACU) is to provide short-term monitoring of patients after surgery until recovery from anesthesia. The transfer of patients from the PACU to their designated units, however, may be delayed for various reasons. A qualitative descriptive approach was used to explore the experiences of six nurses working in the PACU at a tertiary care hospital in Pakistan. Data were collected using semistructured interviews. The data were grouped into categories and subcategories. An overarching theme that was derived from the content analysis was that of the factors impacting quality patient care. The content analysis generated a broad category of “general effects” and subcategories that included patients, families, and PACU nurses. The findings highlight the ef... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611413 Mon, 26 Dec 2011 05:00:00 +0100 5611413 http://www.medworm.com/index.php?rid=5611410&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211005004%2Fabstract%3Frss%3Dyes The purpose of this pilot study was to evaluate the impact of timing for providing parents with postoperative education in the pediatric setting, their ability to retain information, and their satisfaction with the education provided. A total of 70 subjects were enrolled and randomly assigned to a control or intervention group. The control group received postoperative education just before discharge home, whereas the intervention group received the education during their child’s surgical procedure. Parents’ knowledge retention regarding their child’s postoperative care was evaluated at 24 hours and 7 days after surgery. Their satisfaction with the postoperative education timing was also evaluated at 24 hours post surgery. A significant difference in satisfaction was found between the... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5611410 Mon, 26 Dec 2011 05:00:00 +0100 5611410 http://www.medworm.com/index.php?rid=5448287&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099125%26dopt%3DAbstract Authors: Odom-Forren J PMID: 22099125 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448287 Sat, 26 Nov 2011 23:33:28 +0100 5448287 http://www.medworm.com/index.php?rid=5448286&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099126%26dopt%3DAbstract Authors: Moore MS PMID: 22099126 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448286 Sat, 26 Nov 2011 23:33:15 +0100 5448286 http://www.medworm.com/index.php?rid=5448284&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099128%26dopt%3DAbstract Authors: Hardway S PMID: 22099128 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448284 Sat, 26 Nov 2011 23:32:47 +0100 5448284 http://www.medworm.com/index.php?rid=5448283&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099129%26dopt%3DAbstract Authors: Odom-Forren J Abstract Approximately one-third of patients experience nausea and vomiting after discharge from ambulatory surgery settings, yet there have been no clear and definitive instruments used to measure it. A critical review and analysis of the measurement of postdischarge nausea and vomiting was conducted. Twenty-eight articles met the inclusion criteria. Four studies (14.3%) used instruments with documented reliability and validity. Telephone calls were used in 21 (76%) studies to interview patients, and seven studies (25%) used a mail-in investigator-developed diary or questionnaire. Most studies (22) obtained data at 48 hours; 13 of those obtained data exclusively at 24 hours. Definitions, measurement, and clinical outcomes were defined differently in each stu... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448283 Sat, 26 Nov 2011 23:32:35 +0100 5448283 http://www.medworm.com/index.php?rid=5448282&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099130%26dopt%3DAbstract This study was performed to compare the effect of postoperative oral carvedilol versus metoprolol on left ventricular ejection fraction (LVEF) after CABG compared with metoprolol. In a double-blind clinical trial, 60 patients with coronary artery disease, aged 35 to 65 years, who had an ejection fraction of 15% to 35% were included. Either carvedilol or metoprolol was administered the day after CABG. The patients were evaluated by the same cardiologist 14 days before and 2 and 6 months after elective CABG. The results demonstrated better improvements in LVEF in the carvedilol group. No difference regarding postoperative arrhythmias or mortality was detected. The results suggest that carvedilol may exert more of an improved myocardial effect than metoprolol for the low ejection fraction pat... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448282 Sat, 26 Nov 2011 23:32:24 +0100 5448282 http://www.medworm.com/index.php?rid=5448281&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099131%26dopt%3DAbstract This article describes the Preoperative Clinic's operational model and explains the significant role the health care record review nurse plays in developing these perioperative plans of care. PMID: 22099131 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448281 Sat, 26 Nov 2011 23:32:13 +0100 5448281 http://www.medworm.com/index.php?rid=5448280&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099132%26dopt%3DAbstract Authors: Mesko PJ, Eliades AB, Christ-Libertin C, Shelestak D Abstract Children undergoing surgical procedures may have difficulty communicating. Augmentative and alternative communication (AAC) picture communication may provide a standard communication strategy for postoperative children and facilitate nurse-patient communication. The study purposes were to (1) determine if inconsistency exists between nurse assessments of pain location versus identification of pain location using AAC picture communication aids and (2) determine parent satisfaction with use of AAC picture communication aids. A convenience sample of patients aged 3 to 9 years were recruited in a Midwestern freestanding pediatric hospital's postanesthesia care unit (PACU). The patient's pain location was assessed us... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448280 Sat, 26 Nov 2011 23:32:00 +0100 5448280 http://www.medworm.com/index.php?rid=5448279&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099133%26dopt%3DAbstract Authors: Cartwright SM PMID: 22099133 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448279 Sat, 26 Nov 2011 23:31:46 +0100 5448279 http://www.medworm.com/index.php?rid=5448278&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099134%26dopt%3DAbstract Authors: Godden B PMID: 22099134 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448278 Sat, 26 Nov 2011 23:31:31 +0100 5448278 http://www.medworm.com/index.php?rid=5448277&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099135%26dopt%3DAbstract Authors: Stannard D PMID: 22099135 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448277 Sat, 26 Nov 2011 23:31:17 +0100 5448277 http://www.medworm.com/index.php?rid=5448276&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099136%26dopt%3DAbstract Authors: Brady JM PMID: 22099136 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448276 Sat, 26 Nov 2011 23:31:05 +0100 5448276 http://www.medworm.com/index.php?rid=5448275&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099137%26dopt%3DAbstract Authors: Iacono MV PMID: 22099137 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448275 Sat, 26 Nov 2011 23:30:52 +0100 5448275 http://www.medworm.com/index.php?rid=5448274&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099138%26dopt%3DAbstract Authors: Golembiewski JA PMID: 22099138 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448274 Sat, 26 Nov 2011 23:30:39 +0100 5448274 http://www.medworm.com/index.php?rid=5448273&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099139%26dopt%3DAbstract Authors: Clifford T PMID: 22099139 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448273 Sat, 26 Nov 2011 23:30:26 +0100 5448273 http://www.medworm.com/index.php?rid=5448272&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22099140%26dopt%3DAbstract Authors: Hooper VD PMID: 22099140 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5448272 Sat, 26 Nov 2011 23:30:14 +0100 5448272 http://www.medworm.com/index.php?rid=5443257&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004539%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443257 Fri, 25 Nov 2011 14:56:25 +0100 5443257 http://www.medworm.com/index.php?rid=5443256&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004527%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443256 Fri, 25 Nov 2011 14:56:25 +0100 5443256 http://www.medworm.com/index.php?rid=5443255&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004515%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443255 Fri, 25 Nov 2011 14:56:25 +0100 5443255 http://www.medworm.com/index.php?rid=5443254&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004503%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443254 Fri, 25 Nov 2011 14:56:25 +0100 5443254 http://www.medworm.com/index.php?rid=5443253&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004461%2Fabstract%3Frss%3Dyes “The BIG(GER) Aim: Creating the desired patient outcome:• WITHOUT causing harm• WITHOUT waste• And providing an EXCEPTIONAL patient experience.”Ronald A. Paulus, MD, MBAPresident and CEOMission Health System (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443253 Fri, 25 Nov 2011 14:56:25 +0100 5443253 http://www.medworm.com/index.php?rid=5443250&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004187%2Fabstract%3Frss%3Dyes THE WEEK OF October 23 to 29, 2011, was designated to honor professionals in pastoral care. If your institution is fortunate enough to work with chaplains, and related pastoral care professionals (clergy, volunteers), take time to thank them and share appreciation for the gifts and talents they possess. There is much to be learned from their work and skills that can assist nurses to engage more fully at the bedside, particularly in moments of spiritual and emotional crisis. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443250 Fri, 25 Nov 2011 14:56:24 +0100 5443250 http://www.medworm.com/index.php?rid=5443248&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004163%2Fabstract%3Frss%3Dyes QUESTION: What is the effectiveness of an epidural blood patch in the prevention and treatment of postdural puncture headache (PDPH) in patients who were undergoing dural puncture for any reason? (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443248 Fri, 25 Nov 2011 14:56:24 +0100 5443248 http://www.medworm.com/index.php?rid=5443244&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004175%2Fabstract%3Frss%3Dyes This article describes the Preoperative Clinic’s operational model and explains the significant role the health care record review nurse plays in developing these perioperative plans of care. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443244 Fri, 25 Nov 2011 14:56:24 +0100 5443244 http://www.medworm.com/index.php?rid=5443238&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004473%2Fabstract%3Frss%3Dyes THE VERY SUCCESSFUL International Conference of PeriAnesthesia Nurses (ICPAN) was held October 2 to 5 in Toronto, Canada. What a treat to network and learn together with anaesthetic, recovery and perianesthesia nurses from around the world. We say so often now that the world is only getting smaller, and I saw evidence of that at the ICPAN meeting. I was able to meet some nurses with whom I had been chatting on a regular basis as part of the inaugural conference committee—and I was able to put faces with names. Some nurses I met were just excited to hear about an international conference where they could discuss their own practices and learn from others. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443238 Fri, 25 Nov 2011 14:56:24 +0100 5443238 http://www.medworm.com/index.php?rid=5443252&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004151%2Fabstract%3Frss%3Dyes QUESTION: Can intravenous solutions be spiked the night before to help reduce morning case start times? Are there tampering or infection concerns? What are additional safety concerns for this practice? (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443252 Wed, 02 Nov 2011 04:00:00 +0100 5443252 http://www.medworm.com/index.php?rid=5443251&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100445X%2Fabstract%3Frss%3Dyes ANTICOAGULANTS ARE USED to prevent and treat thromboembolic diseases (eg, pulmonary embolism, deep vein thrombosis), treat heart attacks, and prevent strokes. The administration of an anticoagulant may be short term or long term, with an oral agent (such as warfarin) often preferred for long-term use. Indications for long-term warfarin administration include the following: (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443251 Wed, 02 Nov 2011 04:00:00 +0100 5443251 http://www.medworm.com/index.php?rid=5443249&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004394%2Fabstract%3Frss%3Dyes MANY YEARS AGO, I lived on a small island in the Pacific Ocean while my spouse was assigned to a US Marine Corps Unit based in Okinawa, Japan. I found employment as a civilian staff nurse in the intensive care unit (ICU) of a military medical facility. One day, while in charge of the ICU on an evening shift and supervising the staff corpsmen (unlicensed personnel), a 28-year-old native Thai woman was admitted to our care. She, the spouse of a US sailor and mother of two young children, was terminally ill with a rare liver disorder and barely responsive at the time of admission. She presented with multisystem failure, and death appeared imminent. The medical team initially provided high-tech invasive interventions to treat hypoperfusion and hypoxia until a detailed discussion with the spous... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443249 Wed, 02 Nov 2011 04:00:00 +0100 5443249 http://www.medworm.com/index.php?rid=5443247&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004199%2Fabstract%3Frss%3Dyes QUESTIONS ARE OFTEN asked through the American Society of PeriAnesthesia Nurses (ASPAN) Clinical Practice Network about the role of capnography in the postanesthesia care unit (PACU). Questions range from “looking for any existing policies regarding use of end-tidal carbon dioxide (etCO2) monitoring in PACU,” and “is monitoring etCO2 a standard of practice in PACU?” to “does ASPAN have a recommended practice regarding CO2 monitoring for nonintubated patients during phase I recovery?” (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443247 Wed, 02 Nov 2011 04:00:00 +0100 5443247 http://www.medworm.com/index.php?rid=5443246&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004412%2Fabstract%3Frss%3Dyes AS INTRODUCED IN the August, 2011 column, the ambulatory surgery setting has evolved over the past decade to provide care to a changing demographic, from relatively young, healthy patients to patients with complex comorbidities ranging from extremes in age to extremes in disease management. This change in population calls for a focus change in the understanding of communicable disease and the role of the perianesthesia nurse in identifying, preventing, and educating their patient and family populations regarding multidrug-resistant organisms (MDROs). (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443246 Wed, 02 Nov 2011 04:00:00 +0100 5443246 http://www.medworm.com/index.php?rid=5443245&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004217%2Fabstract%3Frss%3Dyes Children undergoing surgical procedures may have difficulty communicating. Augmentative and alternative communication (AAC) picture communication may provide a standard communication strategy for postoperative children and facilitate nurse-patient communication. The study purposes were to (1) determine if inconsistency exists between nurse assessments of pain location versus identification of pain location using AAC picture communication aids and (2) determine parent satisfaction with use of AAC picture communication aids. A convenience sample of patients aged 3 to 9 years were recruited in a Midwestern freestanding pediatric hospital’s postanesthesia care unit (PACU). The patient’s pain location was assessed using an AAC picture communication aid and compared with the PACU nurses’ p... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443245 Wed, 02 Nov 2011 04:00:00 +0100 5443245 http://www.medworm.com/index.php?rid=5443243&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004205%2Fabstract%3Frss%3Dyes This study was performed to compare the effect of postoperative oral carvedilol versus metoprolol on left ventricular ejection fraction (LVEF) after CABG compared with metoprolol. In a double-blind clinical trial, 60 patients with coronary artery disease, aged 35 to 65 years, who had an ejection fraction of 15% to 35% were included. Either carvedilol or metoprolol was administered the day after CABG. The patients were evaluated by the same cardiologist 14 days before and 2 and 6 months after elective CABG. The results demonstrated better improvements in LVEF in the carvedilol group. No difference regarding postoperative arrhythmias or mortality was detected. The results suggest that carvedilol may exert more of an improved myocardial effect than metoprolol for the low ejection fraction pat... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443243 Wed, 02 Nov 2011 04:00:00 +0100 5443243 http://www.medworm.com/index.php?rid=5443242&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004400%2Fabstract%3Frss%3Dyes Approximately one-third of patients experience nausea and vomiting after discharge from ambulatory surgery settings, yet there have been no clear and definitive instruments used to measure it. A critical review and analysis of the measurement of postdischarge nausea and vomiting was conducted. Twenty-eight articles met the inclusion criteria. Four studies (14.3%) used instruments with documented reliability and validity. Telephone calls were used in 21 (76%) studies to interview patients, and seven studies (25%) used a mail-in investigator-developed diary or questionnaire. Most studies (22) obtained data at 48 hours; 13 of those obtained data exclusively at 24 hours. Definitions, measurement, and clinical outcomes were defined differently in each study.Of the instruments examined, the Ambu... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443242 Wed, 19 Oct 2011 04:00:00 +0100 5443242 http://www.medworm.com/index.php?rid=5443241&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004448%2Fabstract%3Frss%3Dyes I appreciated reading Maureen Iacono’s “A Simple Thank You” in the June issue of Journal of PeriAnesthesia Nursing. Showing our appreciation for the people around us is often the last thing on our minds when we are trying to complete a busy day at work. In addition to the suggestions that the author offers, I would like to add another perspective by suggesting that as managers and leaders, we should lead by example. By setting the example of the importance of saying thank you, we make it easier for our team to recognize the good work or the extra efforts that their coworkers have made in getting the work done. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443241 Fri, 14 Oct 2011 04:00:00 +0100 5443241 http://www.medworm.com/index.php?rid=5443240&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211004436%2Fabstract%3Frss%3Dyes I was pleased to read Maureen Iacono’s article, “A simple thank you,” and wish to provide accolades to the writer. As a postanesthesia care unit nurse for more than 16 years, I agree wholeheartedly with the notion that perianesthesia nurses live behind closed doors in a private vacuum. The perianesthesia environment is an area that is easily overlooked and forgotten by patients and their families during satisfaction surveys. So, the power of verbal and nonverbal praise provided by leadership cannot be overemphasized. However, I would like to contribute another dimension to the cause. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5443240 Fri, 14 Oct 2011 04:00:00 +0100 5443240 http://www.medworm.com/index.php?rid=5250685&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939881%26dopt%3DAbstract Authors: Hooper VD PMID: 21939881 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250685 Sun, 25 Sep 2011 11:02:24 +0100 5250685 http://www.medworm.com/index.php?rid=5250684&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939882%26dopt%3DAbstract Authors: Wuhrman E, Clark M Abstract Ephedrine, a well-known sympathomimetic agent, is used in the perioperative setting to treat acute hypotension, especially hypotension related to anesthetic events. Ephedrine's unlabeled use as an antiemetic agent is less well known despite its efficacy and safety profile for short-term and/or prophylactic treatment. The following case report describes the benefits of using ephedrine to mitigate postoperative nausea and vomiting and associated dizziness while waiting for longer lasting therapy to take effect and/or use as a secondary agent. PMID: 21939882 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250684 Sun, 25 Sep 2011 11:01:35 +0100 5250684 http://www.medworm.com/index.php?rid=5250683&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939883%26dopt%3DAbstract Authors: Kahre C, Fortune V, Hurley J, Winsett RP Abstract A major nursing responsibility is to provide patient care and comfort. Pain reduction is a component of this responsibility to include preanalgesia for peripheral intravenous (IV) insertion. This double-blind randomized controlled trial compared differences in the pain level experienced by 56 nurses during IV cannulation in each arm; one premedicated with bacteriostatic normal saline (BNS) and another with 1% buffered lidocaine (Lido). Subjects and IV inserters were blinded to the type of preanalgesia administered during each cannulation. Subjects rated pain after each cannulation using a 0 to 10 verbal descriptor scale. After IV cannulation was completed in both arms, subjects were asked to reflect on which arm, and thus ... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250683 Sun, 25 Sep 2011 11:00:45 +0100 5250683 http://www.medworm.com/index.php?rid=5250682&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939884%26dopt%3DAbstract Authors: Boudreau SA, Gibson MJ Abstract The purpose of this two-phase quality improvement audit was to analyze elective surgery cancellations in a tertiary pediatric care institution and identify and recommend nursing practice changes in the preoperative assessment clinic (POAC) to potentially influence the overall cancellation rate. A prospective review of cancellation data was conducted over a 6-month period in 2008 and again in 2010. In both phases of the audit, illness was the leading cause for surgical cancellation between the preoperative assessment and the day of surgery, with otolaryngology service representing the highest number of cancellations. Cancellations at or between the preoperative assessment and the day of surgery may be viewed as POAC successes that may have ot... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250682 Sun, 25 Sep 2011 10:59:57 +0100 5250682 http://www.medworm.com/index.php?rid=5250681&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939885%26dopt%3DAbstract Authors: Beccaloni AM Abstract Patients awaiting surgical procedures often experience anxiety in anticipation of events that are uncomfortable, uncertain, and may include a health risk. High levels of anxiety result in negative physiological manifestations. Sedatives are regularly administered before surgery to reduce patient anxiety. However, sedatives often have negative side effects such as drowsiness and respiratory depression, and may interact with anesthetic agents, prolonging patient recovery and discharge. Therefore, increasing attention is being paid to a variety of nonpharmacological interventions for the reduction of preoperative anxiety. Music has been used in different medical fields to meet physiological, psychological, and spiritual needs of patients. It is a relati... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250681 Sun, 25 Sep 2011 10:59:07 +0100 5250681 http://www.medworm.com/index.php?rid=5250680&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939886%26dopt%3DAbstract This article will examine how each of these barriers impact care delivery along with teaching and learning strategies will be examined. PMID: 21939886 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250680 Sun, 25 Sep 2011 10:58:16 +0100 5250680 http://www.medworm.com/index.php?rid=5250679&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939887%26dopt%3DAbstract Authors: Dolezal D, Cullen L, Harp J, Mueller T PMID: 21939887 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250679 Sun, 25 Sep 2011 10:57:30 +0100 5250679 http://www.medworm.com/index.php?rid=5250678&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939888%26dopt%3DAbstract Authors: Pasero C PMID: 21939888 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250678 Sun, 25 Sep 2011 10:56:34 +0100 5250678 http://www.medworm.com/index.php?rid=5250677&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939889%26dopt%3DAbstract Authors: Ross J PMID: 21939889 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250677 Sun, 25 Sep 2011 10:55:36 +0100 5250677 http://www.medworm.com/index.php?rid=5250676&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939890%26dopt%3DAbstract Authors: Stewart MW PMID: 21939890 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250676 Sun, 25 Sep 2011 10:54:44 +0100 5250676 http://www.medworm.com/index.php?rid=5250675&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939891%26dopt%3DAbstract "Novice Authors … What You Need to Know to Make Writing for Publication Smooth" J Perianesth Nurs. 2011 Oct;26(5):352-356 Authors: Moos DD PMID: 21939891 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250675 Sun, 25 Sep 2011 10:53:51 +0100 5250675 http://www.medworm.com/index.php?rid=5250674&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21939892%26dopt%3DAbstract Authors: Odom-Forren J PMID: 21939892 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5250674 Sun, 25 Sep 2011 10:52:57 +0100 5250674 http://www.medworm.com/index.php?rid=5240320&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003741%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240320 Thu, 22 Sep 2011 15:27:24 +0100 5240320 http://www.medworm.com/index.php?rid=5240319&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100373X%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240319 Thu, 22 Sep 2011 15:27:24 +0100 5240319 http://www.medworm.com/index.php?rid=5240318&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003728%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240318 Thu, 22 Sep 2011 15:27:24 +0100 5240318 http://www.medworm.com/index.php?rid=5240317&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003716%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240317 Thu, 22 Sep 2011 15:27:24 +0100 5240317 http://www.medworm.com/index.php?rid=5240316&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003674%2Fabstract%3Frss%3Dyes OVER 3 MILLION registered nurses (RNs) comprise the largest health care profession in the United States. Even with 2.6 million of those nurses currently employed in nursing, a nursing shortage is forecast for the near future. At a time when it is projected that 32 million Americans will have access to health care due to the Patient Protection and Affordable Act of 2010, nursing schools are turning away applicants because of insufficient numbers of faculty, clinical sites, clinical preceptors and budget constraints. In 2010 alone, 67,563 qualified applicants were turned down by baccalaureate and graduate nursing programs. The 5.7% increase in enrollment in 2010 is not enough to meet projected demands for the future. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240316 Thu, 22 Sep 2011 15:27:24 +0100 5240316 http://www.medworm.com/index.php?rid=5240315&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003650%2Fabstract%3Frss%3Dyes ON BEHALF OF the American Board of PeriAnesthesia Nursing Certification, I would like to extend our congratulations to the following nurses who have achieved CPAN® or CAPA® certification during the Spring 2011 examination cycle. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240315 Thu, 22 Sep 2011 15:27:24 +0100 5240315 http://www.medworm.com/index.php?rid=5240314&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003662%2Fabstract%3Frss%3Dyes In the continuing education article, “Blood Products and the Phases of Perianesthesia Care—Reviewing the Implications” by Heather Ead (2011;26:262-276), there is an error under the Patient Blood Group column in Table 2, Compatibility for Red Blood Cell Transfusion. O negative is known as the universal donor blood type, not O positive. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240314 Thu, 22 Sep 2011 15:27:24 +0100 5240314 http://www.medworm.com/index.php?rid=5240309&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003601%2Fabstract%3Frss%3Dyes OBSTRUCTIVE SLEEP APNEA (OSA) is a recent but significant clinical issue reported in the literature only in the last couple of decades. An estimated 12 million Americans, or 2% to 7% of the population are affected by sleep apnea. Reports show that as many as 75% of obese patients experience OSA. Surgical or procedural patients have a reported prevalence of 43% and are at high risk because of the added effects of anesthetic medications. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240309 Thu, 22 Sep 2011 15:27:24 +0100 5240309 http://www.medworm.com/index.php?rid=5240308&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003595%2Fabstract%3Frss%3Dyes This article will examine how each of these barriers impact care delivery along with teaching and learning strategies will be examined. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240308 Thu, 22 Sep 2011 15:27:24 +0100 5240308 http://www.medworm.com/index.php?rid=5240303&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003686%2Fabstract%3Frss%3Dyes AS I WRITE this editorial, I am watching the weekend news coverage of Hurricane Irene. Living now between Georgia and Western NC, I am observing from a quiet and unscathed position. Although we have had a few clouds, we have not had a drop of rain. I know, however, that many of the ASPAN family are in the midst of not only securing their own homes, but additionally they are involved in mass evacuations of their hospital facilities and/or are leaving their friends and family to hunker down in their place of work to ride out the storm and provide care to those most vulnerable: hospitalized patients unable to care for or protect themselves. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240303 Thu, 22 Sep 2011 15:27:24 +0100 5240303 http://www.medworm.com/index.php?rid=5240311&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003637%2Fabstract%3Frss%3Dyes PATIENT SAFETY IS an important goal for all health care providers and administrators. However, many barriers may impede this goal. An example can be wrong-site surgeries, which are rare but very serious errors. The Joint Commission has stressed the importance of decreasing wrong-site surgeries through their Universal Protocol. Hospitals and ambulatory surgery centers have instituted policies and procedures both pre- and intraoperatively to eliminate wrong-site surgeries. Yet, wrong-site surgeries continue to be reported. As O’Leary and Jacott commented, multiple health care providers are involved in this system-dependent process—from the nurses in the preoperative setting to the operating room team. Each of these people and areas provide an opportunity for an error to be caught, or not... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240311 Fri, 02 Sep 2011 04:00:00 +0100 5240311 http://www.medworm.com/index.php?rid=5240304&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003625%2Fabstract%3Frss%3Dyes Ephedrine, a well-known sympathomimetic agent, is used in the perioperative setting to treat acute hypotension, especially hypotension related to anesthetic events. Ephedrine’s unlabeled use as an antiemetic agent is less well known despite its efficacy and safety profile for short-term and/or prophylactic treatment. The following case report describes the benefits of using ephedrine to mitigate postoperative nausea and vomiting and associated dizziness while waiting for longer lasting therapy to take effect and/or use as a secondary agent. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240304 Fri, 02 Sep 2011 04:00:00 +0100 5240304 http://www.medworm.com/index.php?rid=5240312&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003649%2Fabstract%3Frss%3Dyes WHAT DO WE know about perioperative and perianesthetic implications for patients with sickle cell disease (SCD)? Particularly, how is SCD addressed in the pediatric population undergoing surgery? In the most recent edition of PeriAnesthesia Nursing: A Critical Care Approach, the authors included considerations of patients with sickle cell anemia (SCA). (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240312 Thu, 01 Sep 2011 04:00:00 +0100 5240312 http://www.medworm.com/index.php?rid=5240307&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003029%2Fabstract%3Frss%3Dyes Patients awaiting surgical procedures often experience anxiety in anticipation of events that are uncomfortable, uncertain, and may include a health risk. High levels of anxiety result in negative physiological manifestations. Sedatives are regularly administered before surgery to reduce patient anxiety. However, sedatives often have negative side effects such as drowsiness and respiratory depression, and may interact with anesthetic agents, prolonging patient recovery and discharge. Therefore, increasing attention is being paid to a variety of nonpharmacological interventions for the reduction of preoperative anxiety. Music has been used in different medical fields to meet physiological, psychological, and spiritual needs of patients. It is a relatively inexpensive modality to implement,... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240307 Thu, 25 Aug 2011 04:00:00 +0100 5240307 http://www.medworm.com/index.php?rid=5240310&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003030%2Fabstract%3Frss%3Dyes TAPENTADOL IS A relatively new centrally acting oral analgesic with a unique dual mechanism action. Readers may be more familiar with tramadol, the first-generation dual mechanism analgesic. These dual mechanism analgesics bind weakly to the mu-opioid receptor site and block the reuptake (resorption) of the inhibitory neurotransmitters such as serotonin and/or norepinephrine at central synapses in the spinal cord and brainstem of the descending modulatory pain pathway. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240310 Tue, 16 Aug 2011 04:00:00 +0100 5240310 http://www.medworm.com/index.php?rid=5240305&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003017%2Fabstract%3Frss%3Dyes A major nursing responsibility is to provide patient care and comfort. Pain reduction is a component of this responsibility to include preanalgesia for peripheral intravenous (IV) insertion. This double-blind randomized controlled trial compared differences in the pain level experienced by 56 nurses during IV cannulation in each arm; one premedicated with bacteriostatic normal saline (BNS) and another with 1% buffered lidocaine (Lido). Subjects and IV inserters were blinded to the type of preanalgesia administered during each cannulation. Subjects rated pain after each cannulation using a 0 to 10 verbal descriptor scale. After IV cannulation was completed in both arms, subjects were asked to reflect on which arm, and thus which type of preanalgesia, would be preferred if an IV is needed i... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240305 Tue, 16 Aug 2011 04:00:00 +0100 5240305 http://www.medworm.com/index.php?rid=5240313&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002991%2Fabstract%3Frss%3Dyes DURING BASIC NURSING training, a student would not consider performing a procedure such as starting an intravenous line without first learning the basic steps. Aseptic/sterile technique, identification of a suitable vein to cannulate, setting up an infusion, and learning the motor skills involved are just some of the components of the procedure. Writing for publication also involves learning basic prerequisite information. For first time authors, there are a host of issues that should be entertained before the submission of a manuscript. Following a predetermined process of preparation should make the task easier to navigate and increase the odds of success. Without forethought and planning, the experience may be a negative one. The purpose of this column is to review some of the issues th... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240313 Mon, 08 Aug 2011 04:00:00 +0100 5240313 http://www.medworm.com/index.php?rid=5240306&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002796%2Fabstract%3Frss%3Dyes The purpose of this two-phase quality improvement audit was to analyze elective surgery cancellations in a tertiary pediatric care institution and identify and recommend nursing practice changes in the preoperative assessment clinic (POAC) to potentially influence the overall cancellation rate. A prospective review of cancellation data was conducted over a 6-month period in 2008 and again in 2010. In both phases of the audit, illness was the leading cause for surgical cancellation between the preoperative assessment and the day of surgery, with otolaryngology service representing the highest number of cancellations. Cancellations at or between the preoperative assessment and the day of surgery may be viewed as POAC successes that may have otherwise increased the day-of-surgery cancellation... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5240306 Mon, 08 Aug 2011 04:00:00 +0100 5240306 http://www.medworm.com/index.php?rid=5121754&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803269%26dopt%3DAbstract Authors: Odom-Forren J PMID: 21803269 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121754 Sun, 31 Jul 2011 23:00:00 +0100 5121754 http://www.medworm.com/index.php?rid=5121753&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803270%26dopt%3DAbstract Authors: Konstantinou EA, Brady JM, Soultati A, Mitsos A, Mamoura K, Mariolis TS, Christina DD, Fotis T Perioperative use of a cell saver device can serve as a cost-beneficial alternative to the transfusion method, especially in countries where the cost of a single unit of blood is high. The purpose of this study, conducted in a Greek hospital, was to calculate the cost benefit of using a cell saver device to salvage intraoperative blood during open surgical abdominal aortic aneurysm repair or open aortofemoral bypass for occlusive disease. This retrospective study measured the amounts of salvaged blood and reinfused blood encountered during the procedure and then calculated the cost benefit of cell saver use. With the cost of a unit of blood purchased in Greece about €450 ($585), th... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121753 Sun, 31 Jul 2011 23:00:00 +0100 5121753 http://www.medworm.com/index.php?rid=5121752&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803271%26dopt%3DAbstract Authors: Decrane SK, Sands L, Ashland M, Lim E, Tsai TL, Paul S, Leung JM Delirium occurs in 14% to 56% of postoperative, hospitalized elderly persons, making it one of the most common postoperative complications for the older patient. The aim of this study was to determine factors associated with recovery of delirium from postoperative day one (POD 1) to postoperative day two (POD 2). The hypothesis was that those with less pain are more likely to recover from delirium by POD 2. Patients aged 65 or older who were scheduled for noncardiac surgery, spoke English, and developed delirium on POD 1 as detected by the Confusion Assessment Method (CAM) were included (n = 176). Postoperative delirium on POD 2 was also measured with the CAM. Postoperative pain was assessed on PODs 1 and 2 usi... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121752 Sun, 31 Jul 2011 23:00:00 +0100 5121752 http://www.medworm.com/index.php?rid=5121751&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803272%26dopt%3DAbstract Authors: Michaelian N, Joshi R, Gillman E, Kratz R, Helmuth A, Zimmerman K, Klahre D, Warner S, McBride V, Bailey MJ, Houseal L Perioperative hyperglycemia impairs immunity and contributes to increased susceptibility to infection, higher incidence of multiorgan dysfunction, and greater mortality. Strict glycemic control is associated with lower infection rates, decreased length of stay (LOS), and faster recovery. A protocol that standardized preoperative education, testing, and treatment of elevated blood glucose (BG) safely improved perioperative glycemic control. Preoperative average BG improved from 191 to 155mg/dL (P=.016); postoperative average BG decreased from 189 to 168mg/dL (P=.094). The percentage of patients presenting with BG greater than 180mg/dL preoperatively and achievi... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121751 Sun, 31 Jul 2011 23:00:00 +0100 5121751 http://www.medworm.com/index.php?rid=5121750&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803273%26dopt%3DAbstract Authors: Siragusa L, Thiessen L, Grabowski D, Young RS In every surgical patient's journey, a well-run preoperative assessment clinic (PAC) is an essential first step in ensuring excellence in quality and patient safety. In 2007, the PAC at Victoria General Hospital, a busy community hospital, averaging more than 7,000 surgical procedures per year, struggled to support the volume of surgical patients. Processes were ill defined, staffing levels were suboptimal, and the physical space was inadequate. This hospital is one of seven acute care hospitals that provide surgical services within the city, under the umbrella of a regional health authority, and is the largest of 11 regional health authorities within the province. With support of the PAC team and administration, a commitment was m... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121750 Sun, 31 Jul 2011 23:00:00 +0100 5121750 http://www.medworm.com/index.php?rid=5121749&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803274%26dopt%3DAbstract Authors: Ead H Perianesthesia nurses often provide care for patients who have received blood products. Over the years, great advances in the safety and technology around blood products have occurred, yet transfusions are not without risk. Because 50% of blood transfusions are administered in the surgical setting, the perianesthesia nurse must know the indications and potential adverse reactions. The perianesthesia nurse has an important role in supporting appropriate use of blood products, which can be a scarce resource at times. By knowing indications, benefits, and risks of transfusion, the nurse can better advocate for the patient's needs. Additionally, with this knowledge, the nurse is able to support patient education and ensure that consent obtained is informed in nature. In this... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121749 Sun, 31 Jul 2011 23:00:00 +0100 5121749 http://www.medworm.com/index.php?rid=5121748&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803275%26dopt%3DAbstract Authors: Cartwright SM PMID: 21803275 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121748 Sun, 31 Jul 2011 23:00:00 +0100 5121748 http://www.medworm.com/index.php?rid=5121747&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803276%26dopt%3DAbstract Authors: Godden B PMID: 21803276 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121747 Sun, 31 Jul 2011 23:00:00 +0100 5121747 http://www.medworm.com/index.php?rid=5121746&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803277%26dopt%3DAbstract Authors: Noble KA PMID: 21803277 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121746 Sun, 31 Jul 2011 23:00:00 +0100 5121746 http://www.medworm.com/index.php?rid=5121745&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803278%26dopt%3DAbstract Authors: Mueller MF, Golembiewski J PMID: 21803278 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121745 Sun, 31 Jul 2011 23:00:00 +0100 5121745 http://www.medworm.com/index.php?rid=5121744&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803279%26dopt%3DAbstract Authors: Clifford T PMID: 21803279 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121744 Sun, 31 Jul 2011 23:00:00 +0100 5121744 http://www.medworm.com/index.php?rid=5121743&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21803280%26dopt%3DAbstract Authors: Hooper VD PMID: 21803280 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5121743 Sun, 31 Jul 2011 23:00:00 +0100 5121743 http://www.medworm.com/index.php?rid=5081601&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100311X%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081601 Sun, 31 Jul 2011 23:00:00 +0100 5081601 http://www.medworm.com/index.php?rid=5081600&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003108%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081600 Sun, 31 Jul 2011 23:00:00 +0100 5081600 http://www.medworm.com/index.php?rid=5081599&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003091%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081599 Sun, 31 Jul 2011 23:00:00 +0100 5081599 http://www.medworm.com/index.php?rid=5081598&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100308X%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081598 Sun, 31 Jul 2011 23:00:00 +0100 5081598 http://www.medworm.com/index.php?rid=5081597&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003054%2Fabstract%3Frss%3Dyes THE FALL OF the year is once again upon us, with many of us turning our thoughts to preparations for the start of a new academic year. School supplies must be purchased; new clothes bought; book bags and lunch boxes sought out—an all-around busy time of year. This is also the time of year when many adults consider returning to school to advance their own education. For nursing, the time has never been better. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081597 Sun, 31 Jul 2011 23:00:00 +0100 5081597 http://www.medworm.com/index.php?rid=5081590&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003005%2Fabstract%3Frss%3Dyes In every surgical patient's journey, a well-run preoperative assessment clinic (PAC) is an essential first step in ensuring excellence in quality and patient safety. In 2007, the PAC at Victoria General Hospital, a busy community hospital, averaging more than 7,000 surgical procedures per year, struggled to support the volume of surgical patients. Processes were ill defined, staffing levels were suboptimal, and the physical space was inadequate. This hospital is one of seven acute care hospitals that provide surgical services within the city, under the umbrella of a regional health authority, and is the largest of 11 regional health authorities within the province. With support of the PAC team and administration, a commitment was made to embark on improvements with limited financial resour... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081590 Sun, 31 Jul 2011 23:00:00 +0100 5081590 http://www.medworm.com/index.php?rid=5081586&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211003042%2Fabstract%3Frss%3Dyes I HAD THE privilege of attending the British Anaesthetic and Recovery Nurses Association (BARNA) annual conference in Birmingham, England, this past month to present my research findings on post discharge nausea and vomiting. Just as we suspected, patients have nausea and vomiting around the world! Every time I am in the presence of international nurses, I realize the value of what we have to offer to each other in ways that relate to practice including clinical issues and patient safety. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081586 Sun, 31 Jul 2011 23:00:00 +0100 5081586 http://www.medworm.com/index.php?rid=5081595&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002802%2Fabstract%3Frss%3Dyes AN INCREASED UNDERSTANDING of the transmission and perception of pain is leading to new, more effective, but unfortunately more complex, management strategies for postoperative pain. With increased complexity comes the potential for unanticipated errors and complications. It is imperative that the perianesthesia clinician understands the therapeutic and toxic effects associated with these new modalities of pain management. Patients will increasingly be exposed to multiple boluses and infusions of medications, delivered through intravenous (IV), perineural, and wound infusion catheters. Opioid analgesics are increasingly supplemented and even supplanted by nonopioid analgesic medications, antihyperalgesic regimens, and continuous peripheral nerve blockade. (Source: Journal of PeriAnesthesi... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081595 Sun, 26 Jun 2011 23:00:00 +0100 5081595 http://www.medworm.com/index.php?rid=5081594&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002814%2Fabstract%3Frss%3Dyes ACUTE CORONARY SYNDROME (ACS) is a heading for three smaller classes of ischemic myocardial disease: ST-segment elevation myocardial infarction (STEMI), unstable angina (UA), and non–ST-segment elevation myocardial infarction (NSTEMI). Despite variation, each leads to a sudden decline in the blood flow to the myocardial cells. Coronary artery disease (CAD) negatively impacts approximately 15 million people in the United States, resulting in a cost of more than 71.2 billion dollars for inpatient treatment. Increases over the next 20 years in CAD-related deaths are estimated by the World Health Organization as 137% in men and 120% in women. Large multisite research trials have led to the development of evidence-based practice recommendations by the American Heart Association (AHA) and t... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081594 Sun, 26 Jun 2011 23:00:00 +0100 5081594 http://www.medworm.com/index.php?rid=5081593&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002243%2Fabstract%3Frss%3Dyes THE AMERICAN SOCIETY of PeriAnesthesia Nurses' (ASPAN) Clinical Practice Network receives a myriad of questions regarding the mixing of patients and care among the phases of perianesthesia care. The questions range from “our manager wants us to put preoperative patients with PACU patients later in the day, can we do this?” to other questions such as “can I discharge a patient from phase I PACU,” “what is the recommended nurse to patient ratio if I have both a phase I and phase II patient,” or “can I give oral pain medications in phase I?” (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081593 Sun, 26 Jun 2011 23:00:00 +0100 5081593 http://www.medworm.com/index.php?rid=5081592&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002838%2Fabstract%3Frss%3Dyes AS THE SCOPE of practice evolves with more patients experiencing surgery in the ambulatory setting, the faces and factors involved in the care of these patients also change. The demographics for ambulatory surgery patients have evolved over the past decade from relatively young healthy patients to patients with complex comorbidities ranging from extremes in age to extremes in disease management. This change in population calls for a focused change in the understanding of communicable disease and role of the perianesthesia nurse in identifying, preventing, and educating their patient and family populations regarding multidrug-resistant organisms (MDROs). (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081592 Sun, 26 Jun 2011 23:00:00 +0100 5081592 http://www.medworm.com/index.php?rid=5081591&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100222X%2Fabstract%3Frss%3Dyes Perianesthesia nurses often provide care for patients who have received blood products. Over the years, great advances in the safety and technology around blood products have occurred, yet transfusions are not without risk. Because 50% of blood transfusions are administered in the surgical setting, the perianesthesia nurse must know the indications and potential adverse reactions. The perianesthesia nurse has an important role in supporting appropriate use of blood products, which can be a scarce resource at times. By knowing indications, benefits, and risks of transfusion, the nurse can better advocate for the patient’s needs. Additionally, with this knowledge, the nurse is able to support patient education and ensure that consent obtained is informed in nature. In this article, the com... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081591 Sun, 26 Jun 2011 23:00:00 +0100 5081591 http://www.medworm.com/index.php?rid=5081589&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002826%2Fabstract%3Frss%3Dyes Perioperative hyperglycemia impairs immunity and contributes to increased susceptibility to infection, higher incidence of multiorgan dysfunction, and greater mortality. Strict glycemic control is associated with lower infection rates, decreased length of stay (LOS), and faster recovery. A protocol that standardized preoperative education, testing, and treatment of elevated blood glucose (BG) safely improved perioperative glycemic control. Preoperative average BG improved from 191 to 155mg/dL (P=.016); postoperative average BG decreased from 189 to 168mg/dL (P=.094). The percentage of patients presenting with BG greater than 180mg/dL preoperatively and achieving BG less than 180mg/DL postoperatively increased from 21% to 43% (P = .09). Even though some results were statistically non-signif... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081589 Sun, 26 Jun 2011 23:00:00 +0100 5081589 http://www.medworm.com/index.php?rid=5081587&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002231%2Fabstract%3Frss%3Dyes Perioperative use of a cell saver device can serve as a cost-beneficial alternative to the transfusion method, especially in countries where the cost of a single unit of blood is high. The purpose of this study, conducted in a Greek hospital, was to calculate the cost benefit of using a cell saver device to salvage intraoperative blood during open surgical abdominal aortic aneurysm repair or open aortofemoral bypass for occlusive disease. This retrospective study measured the amounts of salvaged blood and reinfused blood encountered during the procedure and then calculated the cost benefit of cell saver use. With the cost of a unit of blood purchased in Greece about €450 ($585), the blood units salvaged and reinfused were calculated at a mean cost benefit of €754 ($980) per case. (Sour... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081587 Sun, 26 Jun 2011 23:00:00 +0100 5081587 http://www.medworm.com/index.php?rid=5081596&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002255%2Fabstract%3Frss%3Dyes QUESTION: I am a manager of a busy perianesthesia service, and I am interested in information related to workplace and horizontal violence. Education regarding this issue is an institutional and unit-based goal. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081596 Wed, 22 Jun 2011 23:00:00 +0100 5081596 http://www.medworm.com/index.php?rid=5081588&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001493%2Fabstract%3Frss%3Dyes Delirium occurs in 14% to 56% of postoperative, hospitalized elderly persons, making it one of the most common postoperative complications for the older patient. The aim of this study was to determine factors associated with recovery of delirium from postoperative day one (POD 1) to postoperative day two (POD 2). The hypothesis was that those with less pain are more likely to recover from delirium by POD 2. Patients aged 65 or older who were scheduled for noncardiac surgery, spoke English, and developed delirium on POD 1 as detected by the Confusion Assessment Method (CAM) were included (n = 176). Postoperative delirium on POD 2 was also measured with the CAM. Postoperative pain was assessed on PODs 1 and 2 using the Numeric Rating Scale (NRS). One hundred seventy-six patients developed ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=5081588 Sun, 12 Jun 2011 23:00:00 +0100 5081588 http://www.medworm.com/index.php?rid=4928190&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641527%26dopt%3DAbstract Authors: Hooper VD PMID: 21641527 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928190 Tue, 31 May 2011 23:00:00 +0100 4928190 http://www.medworm.com/index.php?rid=4928189&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641528%26dopt%3DAbstract Postanesthesia Patients With Large Upper Arm Circumference: Is Use of an "Extra-long" Adult Cuff or Forearm Cuff Placement Accurate? J Perianesth Nurs. 2011 Jun;26(3):135-42 Authors: Watson S, Aguas M, Bienapfl T, Colegrove P, Foisy N, Jondahl B, Yosses MB, Yu L, Anastas Z The purpose of this study was to determine if blood pressure (BP) measured in the forearm or with an extra-long BP cuff in the upper arm accurately reflects BP measured in the upper arm with an appropriately sized BP cuff in patients with large upper arm circumference. A method-comparison design was used with a convenience sample of 49 PACU patients. Noninvasive blood pressures were obtained in two different locations (forearm; upper arm) and in the upper arm with an extra-long adult and recommended large adu... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928189 Tue, 31 May 2011 23:00:00 +0100 4928189 http://www.medworm.com/index.php?rid=4928188&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641529%26dopt%3DAbstract This study examined agreement in temperature readings preoperatively and postoperatively between temporal artery and electronic oral/axillary thermometers as well as the seconds required to obtain temperature readings across the three measuring modes. Using a repeated measures design, 86 adult subjects had temporal artery, oral, and axillary temperatures taken upon admission to the surgical area and upon admission to the PACU. Findings indicated best agreement both preoperatively and postoperatively between the oral mode of the electronic thermometer and the temporal artery thermometer, followed by agreement between oral and axillary modes of the electronic thermometer, and the least agreement between the temporal artery and axillary readings. Seconds to temperature measurement was signifi... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928188 Tue, 31 May 2011 23:00:00 +0100 4928188 http://www.medworm.com/index.php?rid=4928187&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641530%26dopt%3DAbstract Authors: Eyelade OR, Orimadegun AE, Akinyemi OA, Tongo OO, Akinyinka OO The purpose of this study was to determine the degrees of agreement between various sites of temperature measurement and examine the trend of body temperature in children during surgery under general anaesthesia. Thirty-six consecutive children who underwent surgery with general anaesthesia, had temperatures measured at the oesophagus, skin, ear canal and rectum at baseline, every 15 minutes for the first hour and every 30 minutes thereafter. Spearman correlation and Bland-Altman analyses were used to compare data and trends of mean differences assessed by line graphs. The median age of the sample was 48 months. There were 575 temperature measurements taken. The inter-method correlation coefficients was highest for... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928187 Tue, 31 May 2011 23:00:00 +0100 4928187 http://www.medworm.com/index.php?rid=4928186&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641531%26dopt%3DAbstract Authors: Brady JM PMID: 21641531 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928186 Tue, 31 May 2011 23:00:00 +0100 4928186 http://www.medworm.com/index.php?rid=4928185&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641532%26dopt%3DAbstract Authors: Iacono MV PMID: 21641532 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928185 Tue, 31 May 2011 23:00:00 +0100 4928185 http://www.medworm.com/index.php?rid=4928184&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641533%26dopt%3DAbstract Authors: Pasero C PMID: 21641533 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928184 Tue, 31 May 2011 23:00:00 +0100 4928184 http://www.medworm.com/index.php?rid=4928183&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641534%26dopt%3DAbstract Authors: Ross J PMID: 21641534 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928183 Tue, 31 May 2011 23:00:00 +0100 4928183 http://www.medworm.com/index.php?rid=4928182&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641535%26dopt%3DAbstract Authors: Windle P PMID: 21641535 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928182 Tue, 31 May 2011 23:00:00 +0100 4928182 http://www.medworm.com/index.php?rid=4928181&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641536%26dopt%3DAbstract Authors: Stewart MW PMID: 21641536 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928181 Tue, 31 May 2011 23:00:00 +0100 4928181 http://www.medworm.com/index.php?rid=4928180&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641537%26dopt%3DAbstract "I got an 'a', then a lot of red!": converting an academic paper to a suitable manuscript. J Perianesth Nurs. 2011 Jun;26(3):179-82 Authors: Burns S PMID: 21641537 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928180 Tue, 31 May 2011 23:00:00 +0100 4928180 http://www.medworm.com/index.php?rid=4928179&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641538%26dopt%3DAbstract Authors: Fossum S PMID: 21641538 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928179 Tue, 31 May 2011 23:00:00 +0100 4928179 http://www.medworm.com/index.php?rid=4928178&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21641539%26dopt%3DAbstract Authors: Odom-Forren J PMID: 21641539 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4928178 Tue, 31 May 2011 23:00:00 +0100 4928178 http://www.medworm.com/index.php?rid=4906351&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002322%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906351 Tue, 31 May 2011 23:00:00 +0100 4906351 http://www.medworm.com/index.php?rid=4906350&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002310%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906350 Tue, 31 May 2011 23:00:00 +0100 4906350 http://www.medworm.com/index.php?rid=4906349&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002309%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906349 Tue, 31 May 2011 23:00:00 +0100 4906349 http://www.medworm.com/index.php?rid=4906348&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002292%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906348 Tue, 31 May 2011 23:00:00 +0100 4906348 http://www.medworm.com/index.php?rid=4906347&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002619%2Fabstract%3Frss%3Dyes OVER THE PAST decade much time and attention has been directed to patient safety. The Institute of Medicine’s report “To Err is Human: Building a Safer Health System” alerted health care providers, as well as the general public to the fact that medical errors are a significant contributor to patient mortality and morbidity. As many as 98,000 patients die every year because of medical errors at a cost of 17 to 29 billion dollars. Many patient safety initiatives have become commonplace in the perianesthesia and perioperative arenas including the Universal Protocol, Surgical Care Improvement Project (SCIP), and Safe Surgery Saves Lives campaign. Evidence is available that points to the use of checklists in the health care setting as a way to reduce errors, improve safety, and improve ou... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906347 Tue, 31 May 2011 23:00:00 +0100 4906347 http://www.medworm.com/index.php?rid=4906345&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001560%2Fabstract%3Frss%3Dyes WITH MORE THAN 15,000 in attendance, ASA President, Dr Mark Warner, set the tone for the 2010 American Society of Anesthesiologists (ASA) meeting held October 16-20, 2010 in San Diego, California, by commenting on the importance of focusing ASA’s efforts on patient safety during his term in office. ASA was founded in 1905 with the mission of being the voice for maintaining standards of the medical practice of anesthesiology and improvement of patient care. The ASA advocates for all patients who require anesthesia or relief from pain. ASA’s liaison to ASPAN is Dr Scott Groudine from Albany, New York. Dr Groudine has been a champion for ASPAN and PACU nurses for many years. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906345 Tue, 31 May 2011 23:00:00 +0100 4906345 http://www.medworm.com/index.php?rid=4906344&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001687%2Fabstract%3Frss%3Dyes Postoperative cardio-pulmonary arrests (CPA) are uncommon and little is known about rates and predictors of in-hospital survival. To more fully address these gaps in knowledge, we set out to study the incidence, presentation, and management characteristics and outcomes of CPA events occurring in the operating room (OR) and the postoperative period within 24 hours of surgery, including PACU arrests. To achieve this study goal, we analyzed data from the National Registry of Cardiopulmonary Resuscitation (NRCPR), an American Heart Association sponsored prospective, multi-site, observational registry, because of its detailed collection of measures of care and outcomes during in-hospital CPA events. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906344 Tue, 31 May 2011 23:00:00 +0100 4906344 http://www.medworm.com/index.php?rid=4906343&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001675%2Fabstract%3Frss%3Dyes This study sought to guide institutional blanket warming policies by producing evidence of blanket thermal behavior and patient blanket temperature preference. One hundred fifty-six adult participants were randomized to the intervention group (n = 76) or control group (n = 80). Intervention group participants received 155°F blankets and control group participants received 110°F blankets. Participants were covered with the blankets in the PACU and measurements were obtained for 10 minutes; an infrared thermometer was used to measure skin and blanket temperatures and a numeric scale was used to measure thermal comfort. Blanket temperatures decreased so that mean temperatures for both groups were less than 93°F two minutes after application. Intervention group showed higher skin temperatur... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906343 Tue, 31 May 2011 23:00:00 +0100 4906343 http://www.medworm.com/index.php?rid=4906342&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001663%2Fabstract%3Frss%3Dyes Respiratory depression is a serious side effect from the use of opioids. Nurses are essential in recognizing respiratory depression. Patients become sedated prior to clinically significant opioid-induced respiratory depression (2009). The literature is stressing the need to monitor sedation for all narcotic administration to prevent untoward events. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906342 Tue, 31 May 2011 23:00:00 +0100 4906342 http://www.medworm.com/index.php?rid=4906341&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001651%2Fabstract%3Frss%3Dyes Hypothermia has many consequences and is a problem frequently encountered in surgical patients. A new recommendation by the Surgical Care Improvement Project for preventing Surgical Site Infections is maintaining normothermia in all post-operative patients. According to the American Society for Peri-anesthesia Nurses (2009) hypothermia is defined as a core temperature less than 36°C (98.6°F). Temperature data collected in 2010, on 100 post-operative patients showed that 51% were hypothermic. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906341 Tue, 31 May 2011 23:00:00 +0100 4906341 http://www.medworm.com/index.php?rid=4906340&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100164X%2Fabstract%3Frss%3Dyes Children undergoing surgical procedures may have difficulty communicating due to language barrier, disability, temporary inability or temporary unwillingness to speak. A need exists for a standard communication strategy for post-operative children with communication barriers. Augmentative and Alternative Communication (AAC) picture communication may facilitate nurse-patient communication in post-operative pediatric patients. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906340 Tue, 31 May 2011 23:00:00 +0100 4906340 http://www.medworm.com/index.php?rid=4906339&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001638%2Fabstract%3Frss%3Dyes We noted that the number of telephone calls required to contact Non-English speaking patients to conduct the Pre-Anesthesia testing interview prior to the day of surgery appeared to be greater than the amount of calls placed to English speaking patients. The ability of patients and health care providers to communicate with each other is one of the most basic and vitally important elements to be addressed during a patient's involvement in the health care system. Because we see a large population of Non-English speaking patients entering the health care system, there is the potential for a less than desirable outcome and satisfaction. Mutual understanding is an imperative function when one enters the health care system, to the extent that the Non-English speaking patient may find oneself at ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906339 Tue, 31 May 2011 23:00:00 +0100 4906339 http://www.medworm.com/index.php?rid=4906338&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001626%2Fabstract%3Frss%3Dyes We need to question tradition-based practices to improve patient care and outcomes. In our Post Anesthesia Care Unit (PACU), we routinely use humidified oxygen for our patients. Nurses currently change multipatient humidifiers daily. Due to infection concerns, we will soon be using single use humidifiers and will change those for each patient. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906338 Tue, 31 May 2011 23:00:00 +0100 4906338 http://www.medworm.com/index.php?rid=4906337&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001614%2Fabstract%3Frss%3Dyes Femoral sheath removal followed by compression of the femoral artery after a coronary angiography for diagnostic and intervention procedures is a nursing responsibility across many hospital settings (Chlan, Sabo, Savik, 2005). Several methods exist for achieving hemostasis of the femoral artery after the discontinuation of the sheath. Nurses can use manual pressure alone, manual pressure and a compression device such as Femostop, or manual pressure and utilizing hemostasis patch such as SyvekPatch. The purpose of this quasi-experimental, randomized study was to compare the effects of two groin compression methods: manual compression and manual compression with a hemostatic patch (SyvekPatch) on patient comfort, time to hemostasis, duration of bed rest, length of stay and cost of care. (Sou... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906337 Tue, 31 May 2011 23:00:00 +0100 4906337 http://www.medworm.com/index.php?rid=4906336&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211001602%2Fabstract%3Frss%3Dyes National guidelines for blood pressure (BP) measurement recommend use of the upper arm for BP cuff placement. Clinicians sometimes use the forearm location for placement of the BP cuff in patients with large arm circumferences when the correct BP cuff size for upper arm BP is not available. The purpose of this study was to determine if blood pressures obtained in the forearm or with an extra-long BP cuff in the upper arm accurately reflects BP measured in the upper arm with an appropriately sized BP cuff in patients with large upper arm circumference. A method-comparison study design was used, with each subject serving as his or her own control. In a convenience sample of PACU patients, noninvasive blood pressures were obtained in two different locations (forearm; upper arm) and in the up... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906336 Tue, 31 May 2011 23:00:00 +0100 4906336 http://www.medworm.com/index.php?rid=4906335&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994721100219X%2Fabstract%3Frss%3Dyes StatCom is a communication and tracking tool that is used at Roswell Park Cancer Institute (RPCI). Statcom tracks patients through their pre-op, intra-op and post-op phases of surgery. Their location is viewed by doctors, nurses, families and all other ancillary staff involved in the patient's care. Communication between RPCI staff and patient families was often confusing and ineffective. This breakdown in communication was evidenced by frequent phone calls from family members to all areas of the hospital and complaints logged with our Patient Advocates. These calls were disruptive to care and appeared to create more confusion for families. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906335 Tue, 31 May 2011 23:00:00 +0100 4906335 http://www.medworm.com/index.php?rid=4906334&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947211002188%2Fabstract%3Frss%3Dyes Joint commission (JC) has very strict requirements on universal protocol to prevent incorrect site, side, person and procedure. JC established that the alternate site marking bands should be used for those procedures that are deemed unmarkable and have laterality. Some procedures included ureteral stents and deflux procedures. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=4906334 Tue, 31 May 2011 23:00:00 +0100 4906334