Perioperative Care and Operating Room Management最新文献

{"title":"Effect of preoperative patient anxiety on post-spinal shivering during non-elective caesarean delivery – A prospective observational study","authors":"Shristee Chudal ,&nbsp;Kajal Jain ,&nbsp;Pulak Priyadarshi Padhi ,&nbsp;Vanita Jain ,&nbsp;Vighnesh Ashok","doi":"10.1016/j.pcorm.2025.100538","DOIUrl":"10.1016/j.pcorm.2025.100538","url":null,"abstract":"<div><h3>Background and aim</h3><div>Shivering is common in patients undergoing caesarean delivery (CD) under spinal anaesthesia, and can have negative perioperative consequences. Preoperative anxiety has been implicated as a potential non-thermogenic risk factor for post-spinal shivering, although data from obstetric patients is only emerging. This study was conducted to ascertain the relationship between preoperative anxiety and post-spinal shivering in obstetric patients.</div></div><div><h3>Methods</h3><div>Patients ≥18 years and undergoing non-elective CD (Royal College of Obstetricians and Gynaecologists Categories 2, 3) under spinal anaesthesia were enrolled in this prospective observational study in a university teaching hospital. Preoperative anxiety was assessed using the visual analogue scale (VAS), correlated with the occurrence of post-spinal shivering and analysed using univariate and multivariate logistic regression models.</div></div><div><h3>Results</h3><div>Of the 150 patients enrolled, 55 (37 %) experienced post-spinal shivering. The relative risk (95 % CI) of post-spinal shivering in patients with high VAS preoperative anxiety was 2.3 (1.4 - 4.0); <em>p</em> = 0.001. VAS anxiety (aOR 1.55; 95 % CI:1.25–1.92; <em>p</em> = 0.001) and history of previous neuraxial anaesthesia for CD (aOR 0.23; 95 % CI: 0.07–0.69; <em>p</em> = 0.009) were independent predictors of shivering after spinal anaesthesia.</div></div><div><h3>Conclusion</h3><div>High preoperative anxiety is an independent risk factor for post-spinal shivering during non-elective CD. A previous history of neuraxial anaesthesia for prior CD is protective for post-spinal shivering in these patients. Specific perioperative interventions to mitigate patients’ preoperative anxiety might reduce the incidence of post-spinal shivering in these patients, potentially improving perceived quality of care being provided.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100538"},"PeriodicalIF":1.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of dexamethasone versus dexmedetomidine on shivering in women undergoing cesarean delivery under spinal anesthesia","authors":"Ayman A. Abouglalah ,&nbsp;Ibrahim Elabd Hassan ,&nbsp;Abdallah Elabd Hassan ,&nbsp;Mohamed Elsayed Mahmoud","doi":"10.1016/j.pcorm.2025.100535","DOIUrl":"10.1016/j.pcorm.2025.100535","url":null,"abstract":"<div><h3>Background and aim</h3><div>Postoperative shivering is a fairly common complication of spinal anesthesia. Management of postoperative shivering encompasses variable pharmacological and non-pharmacological strategies. The aim of the present study is to perform head-to-head comparison between the effects of dexamethasone and dexmedetomidine on shivering after spinal anesthesia in women undergoing elective cesarean delivery.</div></div><div><h3>Patients and methods</h3><div>The study included 382 patients randomized to receive either intravenous dexamethasone 10 µg immediately after delivery (Group 1) or single preoperative dose of dexamethasone 8 mg intravenous infusion in 100 ml normal saline 2 h preoperatively (Group 2). Outcome assessment included the incidence of clinically significant postoperative shivering, postoperative pain, time to use of first rescue analgesia and other side effects e.g. hypotension, bradycardia, sedation grade, and postoperative nausea and vomiting.</div></div><div><h3>Results</h3><div>Comparison between the studied groups regarding the postoperative complications revealed no significantly differences regarding the frequency of shivering (17.8 % versus 12.6 %, <em>p</em> = 0.15), severity of shivering (grades 0/2/3: 82.2/7.9/10.0 % versus 87.4/4.7/7.9, <em>p</em> = 0.61), hypotension (16.2 % versus 23.0 %, <em>p</em> = 0.09), bradycardia (7.9 % versus 12.6 %, <em>p</em> = 0.13) and postoperative nausea and vomiting (8.9 % versus 6.3 %, <em>p</em> = 0.22). Also, no significant differences were found between the studied groups regarding pain assessed by visual analog scale and sedation scores at 0,2,4,6 and 8 h postoperatively.</div></div><div><h3>Conclusions</h3><div>The present study found that both dexmedetomidine and dexamethasone had comparable efficacy and safety profile when used in women undergoing CD under spinal anesthesia.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100535"},"PeriodicalIF":1.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From regional blocks to postoperative outcomes: Exploring the correlation between intraoperative hypotension and short-term postoperative outcomes in thoracic surgery","authors":"Davina Walser ,&nbsp;Roberto Dossi ,&nbsp;Andrea Saporito","doi":"10.1016/j.pcorm.2025.100534","DOIUrl":"10.1016/j.pcorm.2025.100534","url":null,"abstract":"<div><div>Video-assisted thoracic surgery (VATS) provides benefits such as fewer complications and shorter hospital stays, but postoperative pain remains a challenge. While thoracic epidural block (TEB) was once the standard, concerns over risks have shifted interest toward thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB). This study compares ESPB and TPVB, focusing on intraoperative hypotension (IOH), and its impact on hemodynamic stability. In this single-center, prospective, placebo-blinded trial, 50 elective VATS patients were randomized to receive either sham TPVB with active ESPB or sham ESPB with active TPVB at T5. The primary outcome was IOH, defined as a 20 % decrease in systolic blood pressure from induction to incision. Secondary outcomes included norepinephrine use, nausea and vomiting, and procedural duration. Statistical analyses were performed using chi-square and paired <em>t</em>-tests (<em>p</em> &lt; 0.05). Among 47 analyzed patients, IOH occurred in 14 patients in the ESPB group and 12 patients in the TPVB group (<em>p</em> = 0.671). Norepinephrine perfusors were required on only three occasions, indicating a low incidence of severe or refractory intraoperative hypotension. Nausea and vomiting showed no significant differences, while TPVB took significantly longer to perform than ESPB (<em>p</em> = 0.025). ESPB appears to be a viable alternative to TPVB in VATS, offering a technically simpler approach without compromising intraoperative hemodynamic stability. However, further studies with larger sample sizes are necessary to fully understand ESPB’s mechanisms and clinical implications.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100534"},"PeriodicalIF":1.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical rotation model to foster a positive experience in the operating room","authors":"Christine Reger ,&nbsp;Angellyn Rosario ,&nbsp;Victoria Sherry ,&nbsp;Lynn Dickinson ,&nbsp;Elizabeth Lewis","doi":"10.1016/j.pcorm.2025.100531","DOIUrl":"10.1016/j.pcorm.2025.100531","url":null,"abstract":"<div><div>Operating room (OR) nursing is a subspecialty within nursing that includes the care of patients undergoing surgical procedures. Incorporating students into OR clinical experiences can be challenging as the environment is fast paced, complex, and highly technical. Traditionally, students in the OR spend time shadowing with little to no hand-on care opportunities, which does not allow final semester nursing students to meet the clinical course objectives. Therefore, the course faculty and hospital unit leadership collaborated to develop a clinical experience that met the course objectives.</div><div>The rotation was structured to link OR nursing didactic content to clinical learning, enhance technical skills, and foster critical thinking and teamwork in a high-pressure setting. Feedback was collected from students and preceptors to gain insights into their perspectives on the rotation; both students and preceptors agreed that the rotation was worthwhile and beneficial, recommending its continuation. By integrating student preferences, fostering collaboration with unit leadership, and implementing feedback-driven improvements, this model creates a supportive learning environment that prioritizes patient safety while providing the learner with an experience to develop skills and critical thought necessary for OR nursing roles.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100531"},"PeriodicalIF":1.0,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study on ultrasound guided superior laryngeal nerve block and lignocaine nebulization for hemodynamic stress response during suspension laryngoscopy in micro laryngeal surgeries - A prospective randomized double blinded study","authors":"Kirpa Shree Panneerselvam,&nbsp;Rajesh Kumar Kodali V,&nbsp;Mahesh Vakamudi","doi":"10.1016/j.pcorm.2025.100529","DOIUrl":"10.1016/j.pcorm.2025.100529","url":null,"abstract":"<div><h3>Introduction</h3><div>Microlaryngeal surgery (MLS) is the commonest endoscopic laryngeal procedure. Insertion of suspension laryngoscopy may lead to hemodynamic response such as rise in heart rate and blood pressure. This hemodynamic instability may cause myocardial ischemia, infarction, arrhythmia, rise of intraocular and intracranial pressure. This study was conducted to compare superior laryngeal nerve block and lignocaine nebulisation in microlaryngeal procedures to circumvent these complications.</div></div><div><h3>Methodology</h3><div>In this study 46 patients were enrolled in total, out of which 23 patients in Group A received 5 ml of 4 % lignocaine nebulization and Group B patients received superior laryngeal nerve block with 2 % lignocaine. The principal outcome evaluated was the hemodynamic stress response, specifically the alteration in heart rate. The secondary outcomes examined included systolic blood pressure (SBP), diastolic blood pressure (DBP), postoperative sore throat, cough, hoarseness of voice, as well as postoperative laryngospasm and desaturation</div></div><div><h3>Results</h3><div>In this study significantly lower heart rates were recorded in Group B when compared to that of Group A at 0, 3,5,9 min with a p value&lt;0. 05. Similarly, significantly lower Systolic and diastolic blood pressures were observed in Group B patients when compared to that of Group A (p value&lt;0 0.05). In this study, there is a significantly lower incidence of complications like sore throat and cough in Group B patients than that of Group A patients (P value &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Ultrasound guided superior laryngeal nerve block was found to be more effective than lignocaine nebulization to prevent hemodynamic stress response and post operative complications following micro laryngeal surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100529"},"PeriodicalIF":1.0,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Turkish form of the questionnaire for measuring distraction due to mobile phone use in operating rooms","authors":"Burçin Irmak ,&nbsp;İnci Mercan Annak ,&nbsp;Ayşe Gül Atay Doyğacı ,&nbsp;Dilek Aktaş","doi":"10.1016/j.pcorm.2025.100533","DOIUrl":"10.1016/j.pcorm.2025.100533","url":null,"abstract":"<div><h3>Background</h3><div>Mobile phone use has become increasingly prevalent among healthcare professionals, offering convenient communication and clinical decision-making. However, within perioperative environments, this technology also introduces potential sources of distraction that may jeopardize patient safety and surgical workflow. Despite its clinical relevance, there remains a need for validated, context-specific instruments to evaluate the extent and nature of such distractions in operating room settings.</div></div><div><h3>Aim</h3><div>This study aimed to evaluate the psychometric properties of the '<em>Questionnaire for Measuring Distraction Due to Mobile Phone Use in the Operating Room</em>' for Turkish society.</div></div><div><h3>Methods</h3><div>The methodological study was conducted online between May 20, 2024, and August 20, 2024. The sample consisted of 425 healthcare professionals working in operating rooms. The data were collected using the personal information form and the questionnaire. Validity and reliability are analyzed to evaluate the research data. The questionnaire was translated and back-translated.</div></div><div><h3>Results</h3><div>The translated Turkish version was submitted to eleven experts who analyzed it for content validity, and the total item content validity index was 0.98. The Cronbach's alpha coefficient of the scale to be at an acceptable level. The factorial analysis showed that three factors explained 53.513% of the total variance.</div></div><div><h3>Conclusion</h3><div>This study found that the Turkish form of the questionnaire meets the criteria of validity and reliability. The Turkish scale can assess the distraction caused by the use of mobile phones in operating rooms for health professionals in Türkiye.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100533"},"PeriodicalIF":1.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the effect of ergonomic factors on the performance of the operating room team with ANP","authors":"Şeyda Gür","doi":"10.1016/j.pcorm.2025.100530","DOIUrl":"10.1016/j.pcorm.2025.100530","url":null,"abstract":"<div><h3>Purpose</h3><div>The unit with the largest share of income and expense items in hospitals is the operating rooms. Therefore, operating rooms are expressed as the most critical units of hospitals. The performance of the personnel working in these units is vital as it directly affects patient health. The inefficient organization of operating rooms poses ergonomic risks. These ergonomic difficulties cause illnesses or injuries in the surgical team. For healthcare professionals to provide the highest quality of care to patients, their physical health should not be overlooked. Additionally, a poor work-life balance within the surgical team can lead to burnout and negatively impact the quality of life. Therefore, this study addresses the effect of ergonomic factors in operating rooms on the performance of the surgical team.</div></div><div><h3>Methods</h3><div>In the study, eleven sub-criteria were identified through a literature review and an expert group, and these criteria were subsequently evaluated using the Analytical Network Process (ANP) method, a multi-criteria decision-making approach.</div></div><div><h3>Results</h3><div>It has been determined that the most important ergonomic factor affecting the performance of the surgical team is the working conditions criterion.</div></div><div><h3>Conclusion</h3><div>Suggestions were made based on the results obtained from the evaluation.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100530"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' views on patient privacy in the operating room environment: Phenomenological research","authors":"Dilek Talhaoğlu","doi":"10.1016/j.pcorm.2025.100532","DOIUrl":"10.1016/j.pcorm.2025.100532","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to evaluate the views of nurses working in the operating room regarding patient privacy.</div></div><div><h3>Methods</h3><div>The research is a qualitative study and phenomenological research was used. Data were collected through semi-structured interviews with 15 nurses working in the operating room unit of a university hospital in Central Anatolia between August and October 2024. The data were analyzed by content analysis method and categorized under the determined themes.</div></div><div><h3>Results</h3><div>When the qualitative data of the study were evaluated, 6 themes and 31 sub-themes were identified under the titles of “Definition of Privacy”, “Private Information”, “Violation of Privacy”, “Protection of Physical Privacy”, “Transfer Process” and “Suggestions on Protection of Privacy”. The study revealed that nurses associate patient privacy with elements such as personal information, the body, and the diagnosis and treatment process. It also indicated that nurses face various challenges in maintaining privacy during patient transfers and surgical preparation. Nurses emphasized that privacy is not only limited to physical privacy, but it is also important to protect personal information.</div></div><div><h3>Conclusions</h3><div>In the study, it was concluded that nurses care about patient privacy, but they cannot provide privacy at the desired level due to challenges such as workload, empathy gaps, teamwork problems and inadequate training. .</div></div><div><h3>Implications for Clinical Practice</h3><div>This study fills an important gap in clinical practice by revealing the current situation and challenges regarding the protection of patient privacy in the operating room environment. Violation of patient privacy can carry serious risks in terms of patient safety and ethical standards. The study provides important clinical recommendations to improve patient care quality and safety by emphasizing the need to strengthen ethical training for nurses and other healthcare professionals, to establish structured systems in operating room processes, and to increase communication within the team.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100532"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144704873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the perceived impact of the National Audit Project 6 (NAP6) recommendations on practice within perioperative anaphylaxis: A qualitative study","authors":"Sigrún Eyrúnardóttir Clark ,&nbsp;Gráinne Brady ,&nbsp;Zoe Brummell ,&nbsp;Andrew D. Kane ,&nbsp;Anna Littlejohns ,&nbsp;Iain Moppett ,&nbsp;Suneetha Ramani Moonesinghe ,&nbsp;Tim Cook ,&nbsp;Cecilia Vindrola-Padros","doi":"10.1016/j.pcorm.2025.100528","DOIUrl":"10.1016/j.pcorm.2025.100528","url":null,"abstract":"<div><h3>Background</h3><div>Patient safety within perioperative care is significant due to the potential for major complications requiring a rapid response. The Royal College of Anaesthetists’ National Audit Projects (NAPs) have sought to improve patient safety by investigating serious and rare complications occurring during anaesthesia. The sixth NAP (NAP6), focused on perioperative anaphylaxis, and produced 134 recommendations. Staff perceptions of the impact of NAP6 recommendations have not been studied, which was the purpose of this research.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with a purposive sample of 21 healthcare professionals across three teaching hospitals in England and with five stakeholders who could share a national perspective. A documentary analysis was conducted with departmental and institutional documents associated with the training for, and management of perioperative anaphylaxis.</div></div><div><h3>Results</h3><div>Examples of perceived impact included: raised awareness on the main culprits of perioperative anaphylaxis, and awareness to consider an event as anaphylaxis; changes in referrals of patients to allergy clinics; increased penicillin allergy de-labelling initiatives; better communication with healthcare professionals and patients; alerts to remind staff on recommended care; and updates to national guidelines. Limited access to allergy clinics; the need for further penicillin allergy de-labelling; the lack of accountability for implementing recommendations; misalignment between disciplines; difficulties removing incorrect allergy labels; and access to launch events were highlighted as areas for improvement in implementation. Whilst access to allergy clinics; good relationships with stakeholders in the field; hospitals engaged with quality improvement initiatives; and the perioperative allergy network were recognised as enablers to implementation.</div></div><div><h3>Conclusions</h3><div>Future areas for consideration based on the perspectives shared by interviewees include improving access to allergy testing, enhancing penicillin allergy de-labelling initiatives, and sharing guidance on how to implement the recommendations (including funding).</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100528"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the impact of combined deep serratus anterior and superficial parasternal blocks on postoperative outcomes in nipple-sparing mastectomy: A retrospective, exploratory study","authors":"Carmine Cavallo ,&nbsp;Antonio Mastrandrea ,&nbsp;Antonio Romanelli ,&nbsp;Maria Lamberti ,&nbsp;Antonio Spadino ,&nbsp;Renato Gammaldi","doi":"10.1016/j.pcorm.2025.100527","DOIUrl":"10.1016/j.pcorm.2025.100527","url":null,"abstract":"<div><h3>Background</h3><div>Single-centre, retrospective, and exploratory study. We evaluated the effectiveness of combining the deep serratus anterior plane block (dSAPB) and superficial parasternal block (sPSB) for managing postoperative pain in patients undergoing nipple-sparing mastectomy (NSM) with skin expander placement under general anesthesia (GA). We analyzed the relationships with postoperative pain, the need for rescue doses, early postoperative mobilization, and postoperative nausea and vomiting (PONV).</div></div><div><h3>Methods</h3><div>We included patients scheduled for elective NSM with skin expander placement. Patients performed regional anesthesia (dSAPB+sPSB before GA) were compared vs. standard of care (SoC, post-operative pain management with morphine plus ketorolac) group. We tested differences using the Chi-square test for categorical variables and Student's <em>t</em>-test or Mann-Whitney test for continuous variables. To evaluate the relationships between anesthesiologic management and outcomes (24 h postoperative pain, rescue dose administration [ketorolac 30 mg], PONV, and early mobilization), we performed univariate logistic regression. Odds ratios (OR) with 95 % confidence intervals (CI_{95 %}) were computed. All tests were conducted with α=0.05. A p-value &lt;0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The analysis was based on 31 patients. Patients in the regional group (19 patients) reported a significant reduction in the median of worst NRS (<em>P</em> = 0.0076), with a low percentage of patients reporting moderate pain (NRS 4–6, 5.3 % vs 50.0 % for SoC, -44.7 %, CI_{95 %} -81.5- -7.9 %, <em>P</em> = 0.0132). Regional anesthesia significantly reduced the development of postoperative pain (OR 0.18, CI_{95 %} 0.03–0.81, <em>P</em> = 0.0321) and the need for rescue doses (OR 0.19, CI_{95 %} 0.03–0.89, <em>P</em> = 0.0412).</div></div><div><h3>Conclusion</h3><div>The combination of dSAPB+sPSB appeared to provide improved postoperative pain control compared to SoC. However, due to the limited sample size and retrospective design, these findings should be considered preliminary and hypothesis-generating. Further studies are warranted to determine whether this approach has an impact on PONV, early mobilization, and LOS.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100527"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}