Journal of perioperative practice最新文献

Patient safety is vital in health care to prevent harm. Approximately 234 million surgical operations take place worldwide each year, many of which involve preventable complications. This study assesses the effectiveness of a demonstration on surgical safety knowledge and skills among operating theatre practitioners at AIIMS Bhopal. A quantitative, quasi-experimental, post-test-only design was used, involving 60 operating theatre practitioners from AIIMS Bhopal, divided into experimental and control groups. The demonstration, which combined lecture and simulation of the surgical safety checklist, was followed by assessments of knowledge and skills using a self-structured questionnaire and a simulation observation checklist. Results show that the experimental group gained better knowledge and performed the surgical safety checklist more effectively than the control group, indicating that the intervention successfully improved knowledge and skills.

This study aimed to examine the level of acceptance of illness and its relationship with spirituality and religious coping in oncological surgery patients. The study was conducted with 95 patients who underwent oncological surgery in the general surgery clinic of a hospital. The study data were collected using the Acceptance of Illness Scale, Religious Coping Scale, Spirituality Scale, and Patient Identification Form. Data were analysed using the Statistical Package for Social Sciences 25 (SPSS) software package. Patients were observed to accept the illness at a moderate level. Levels of acceptance of illness varied according to duration of illness, duration of treatment, and perception of illness. Patients had high spiritual wellbeing and positive religious coping strategies. Nevertheless, acceptance of illness was not found to be correlated with spirituality and religious coping. Perioperative care practitioners and specialists play an important role in supporting patients' psychosocial and spiritual needs. Integrating spiritual assessment into perioperative care can improve disease adaptation and surgical outcomes.

Introduction: Patient satisfaction is a patient reported outcome measure that contributes to the evaluation of the services we provide as health care professionals. We aimed to identify factors associated with satisfaction with perioperative care in adults undergoing surgery.

Methods: Cross-sectional study in which the Evaluation du Vécu de l'Anesthésie Générale (EVAN-G) questionnaire, validated and translated into Spanish, was administered to adults scheduled for elective surgery. Global satisfaction values and scores for its domains were recorded. Bivariate analyses were conducted between scores and sociodemographic/clinical characteristics of patients.

Results: A total of 115 patients were analysed. The dimension with the highest score was Attention (87.3%), while the lowest scores were Pain (68.8%) and Waiting (68.5%). The overall satisfaction index was 79.1%. There were no significant correlations between scores and patient characteristics.

Conclusions: Patients were close to an ideal satisfaction score with perioperative care. Our weakest domains were Pain and Waiting, and future strategies should be designed to improve these aspects.

The Mini C-Arm device is increasingly being used in orthopaedic and extremity surgeries, due to the understanding that it minimises radiation exposure and scatter radiation when compared to a conventional C-Arm. However, concerns persist when considering occupational exposure to individuals who routinely partake in procedures with this tool. Anaesthesia providers, surgeons, and scrub practitioners, in particular, are often positioned near the Mini C-Arm during these procedures and may be subject to multiple repetitive doses of radiation from a higher volume of cases. Unlike circulating staff that may leave the room or position themselves further from the radiation source, some practitioners often remain near the patient and within the scatter field. This review synthesises the current literature to evaluate the extent of cumulative exposures related to the Mini C-Arm, taking special consideration of anaesthesia providers due to their cumulative exposure, but also applicable to other operating room personnel who are often in close proximity to the tool. Although the Mini C-Arm could offer reductions in direct radiation and scatter, it should not be considered a negligible risk. Appropriate shielding, adherence to safety protocols, ongoing education, and proper use have been shown to reduce occupational exposure to radiation and are essential to protect health care workers from radiation hazards.

Background: Sugammadex is a relatively new therapeutic agent that reverses neuromuscular blockade. Compared to neostigmine, it is hypothesised that sugammadex could have a beneficial effect on postoperative cognitive function, benefitting postoperative recovery.

Objective: To compare the effects of both sugammadex and neostigmine on delirium and postoperative cognitive dysfunction.

Methods: A systematic search of all relevant randomised controlled trials and observational cohort studies was performed in October 2024, utilising the following inclusion criteria: incidence of delirium and postoperative cognitive dysfunction following administration of neostigmine or sugammadex, adult patients, patients given rocuronium or vecuronium, English language studies, papers since the introduction of sugammadex (2008). CASP and Cochrane risk-of-bias tools were utilised for study appraisal, with a narrative synthesis of the results.

Results: Five studies, reporting interventions in 49,910 patients, met the review criteria and were included. Of these, four showed no difference in cognitive function between sugammadex and neostigmine. One cohort study of 21 patients showed favourable outcomes postoperatively in the sugammadex group.

Conclusion: This systematic review suggests the possibility of a very limited neurological protective role of sugammadex compared to neostigmine, but no clinical significance was reported. Only a limited number of studies were available, suggesting the need for further research.

Objective: Ophthalmic complications frequently occur after procedures requiring general anaesthesia, but their incidence is widely variable and not well reported in the paediatric population. The aim was to identify the incidence and possible risk factors of postoperative ocular surface complications in a tertiary care centre.

Methods and analysis: This is a prospective study for paediatric patients undergoing general anaesthesia. An ophthalmologist performed the ocular examination after surgery. Parameters assessed were tear breakup time, punctate epithelial erosions and corneal abrasions. Multivariate logistic regression model was used to assess risk factors.

Results: A total of 108 paediatric patients were recruited, 36.1% showed abnormal corneal finding: 32 (29.6%) had decreased tear breakup time, three (2.7%) had punctate epithelial erosions, three (2.7%) had both punctate epithelial erosions and decreased tear breakup time and one (0.9%) was found to have a unilateral corneal abrasion postoperatively. A higher rate of corneal complications was noted with younger age, prolonged surgery and surgery in the head and neck region.

Conclusion: The rate of postoperative corneal abnormalities in children undergoing general anaesthesia was 36.1%, associated with younger age, prolonged surgery and surgery in the head and neck region.