Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100593
Ruocui Zhang , Jintian Gu , Qing Wang , Xueyun Li , Zhuanyun Zhang
Background
Perianesthesia nursing in China faces challenges of fragmented management and uneven resources, calling for systematic guidance aligned with national policies and international benchmarks.
Aim
This quality improvement project aimed to develop, implement, and evaluate a Perianesthesia Nursing Care Management Model (PNCMM) based on China’s Tertiary Hospital Evaluation Standards.
Methods
This quality improvement project employed a pre/post design.The PNCMM was implemented in January 2019.Outcomes were evaluated by comparing data before (December 2018) and after (December 2023) implementation using standardized nursing evaluations, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and records of scholarly outputs.
Results
Following implementation, the comprehensive nursing care evaluation score improved significantly (P=0.001). The nursing practice environment composite score also increased markedly (P<0.05). Furthermore, scholarly outputs such as research projects, publications, and evidence-based projects rose substantially (P<0.05).
Conclusion
The PNCMM successfully standardized perianesthesia nursing management, improved the practice environment, and fostered scholarly activity. This model provides a feasible framework for aligning perianesthesia nursing with national standards and international benchmarks, such as the ASPAN standards.
{"title":"Construction and application of a perianesthesia nursing care management model based on China’s tertiary hospital evaluation standards: A quality improvement project","authors":"Ruocui Zhang , Jintian Gu , Qing Wang , Xueyun Li , Zhuanyun Zhang","doi":"10.1016/j.pcorm.2025.100593","DOIUrl":"10.1016/j.pcorm.2025.100593","url":null,"abstract":"<div><h3>Background</h3><div>Perianesthesia nursing in China faces challenges of fragmented management and uneven resources, calling for systematic guidance aligned with national policies and international benchmarks.</div></div><div><h3>Aim</h3><div>This quality improvement project aimed to develop, implement, and evaluate a Perianesthesia Nursing Care Management Model (PNCMM) based on China’s Tertiary Hospital Evaluation Standards.</div></div><div><h3>Methods</h3><div>This quality improvement project employed a pre/post design.The PNCMM was implemented in January 2019.Outcomes were evaluated by comparing data before (December 2018) and after (December 2023) implementation using standardized nursing evaluations, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and records of scholarly outputs.</div></div><div><h3>Results</h3><div>Following implementation, the comprehensive nursing care evaluation score improved significantly (P=0.001). The nursing practice environment composite score also increased markedly (P<0.05). Furthermore, scholarly outputs such as research projects, publications, and evidence-based projects rose substantially (P<0.05).</div></div><div><h3>Conclusion</h3><div>The PNCMM successfully standardized perianesthesia nursing management, improved the practice environment, and fostered scholarly activity. This model provides a feasible framework for aligning perianesthesia nursing with national standards and international benchmarks, such as the ASPAN standards.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100593"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617886","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}
Pub Date : 2025-12-01DOI: 10.1016/j.pcorm.2025.100590
Ashkan karimi , Behzad Imani , Jaber Zabihirad , Reza Feizi , Ali Gharahzade , Reza Tavakkol
{"title":"Corrigendum to “A cross-sectional study on dimensions of low back pain in Hamedan Hospitals” [Perioperative Care and Operating Room Management 38 (2025), 100464]","authors":"Ashkan karimi , Behzad Imani , Jaber Zabihirad , Reza Feizi , Ali Gharahzade , Reza Tavakkol","doi":"10.1016/j.pcorm.2025.100590","DOIUrl":"10.1016/j.pcorm.2025.100590","url":null,"abstract":"","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100590"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736192","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}
Pub Date : 2025-11-26DOI: 10.1016/j.pcorm.2025.100595
Rachel RP Lee , Angus Douglas , Levon D Rush , Louisa Lowes
Background
Multidisciplinary preoperative team briefings (PTBs) enhance communication, teamwork, and safety culture. At our two co-located large tertiary teaching hospitals, PTBs were not conducted routinely despite evidence supporting their benefit.
Methods
We undertook a quality improvement (QI) project with a SMART aim of achieving ≥80 % compliance with full multidisciplinary PTB attendance within one month. This involved education sessions, information dissemination and staged implementation. A modified checklist was co-designed with anaesthetic, surgical and nursing staff, piloted, and then rolled out. Compliance was measured using PTB checklists, and safety climate using Safety Attitudes Questionnaire (SAQ) Short Form.
Results
PTB compliance increased from 0 % to 80.6 % (p < 0.001). Post-intervention staff surveys reported positive feedback on communication and teamwork, though SAQ scores declined modestly (76.6 % vs 72.2 %, p = 0.035).
Conclusions
Introducing structured PTBs achieved the compliance target and was valued by staff. Key factors to sustain its implementation include embedding PTBs as a default practice and ensuring ongoing targeted education of staff.
多学科术前小组简报（ptb）可以加强沟通、团队合作和安全文化。在我们的两家位于同一地点的大型三级教学医院，尽管有证据支持ptb的益处，但ptb并未常规进行。方法：我们开展了一项质量改进（QI）项目，其SMART目标是在一个月内达到≥80%的多学科PTB患者出席率。这包括教育会议、信息传播和分阶段执行。与麻醉、外科和护理人员共同设计了一份修改后的检查表，进行了试点，然后推出。使用PTB检查表测量依从性，使用安全态度问卷（SAQ）简短形式测量安全气候。结果sptb依从性由0%提高至80.6% （p < 0.001）。干预后的员工调查报告了沟通和团队合作方面的积极反馈，尽管SAQ得分略有下降（76.6% vs 72.2%, p = 0.035）。结论引入结构化ptb达到了合规目标，受到员工的重视。维持其实施的关键因素包括将ptb作为默认做法，并确保对工作人员进行持续的有针对性的教育。
{"title":"Improving multidisciplinary communication through daily preoperative team huddles: A quality improvement initiative in Australian operating theatres","authors":"Rachel RP Lee , Angus Douglas , Levon D Rush , Louisa Lowes","doi":"10.1016/j.pcorm.2025.100595","DOIUrl":"10.1016/j.pcorm.2025.100595","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary preoperative team briefings (PTBs) enhance communication, teamwork, and safety culture. At our two co-located large tertiary teaching hospitals, PTBs were not conducted routinely despite evidence supporting their benefit.</div></div><div><h3>Methods</h3><div>We undertook a quality improvement (QI) project with a SMART aim of achieving ≥80 % compliance with full multidisciplinary PTB attendance within one month. This involved education sessions, information dissemination and staged implementation. A modified checklist was co-designed with anaesthetic, surgical and nursing staff, piloted, and then rolled out. Compliance was measured using PTB checklists, and safety climate using Safety Attitudes Questionnaire (SAQ) Short Form.</div></div><div><h3>Results</h3><div>PTB compliance increased from 0 % to 80.6 % (<em>p</em> < 0.001). Post-intervention staff surveys reported positive feedback on communication and teamwork, though SAQ scores declined modestly (76.6 % vs 72.2 %, <em>p</em> = 0.035).</div></div><div><h3>Conclusions</h3><div>Introducing structured PTBs achieved the compliance target and was valued by staff. Key factors to sustain its implementation include embedding PTBs as a default practice and ensuring ongoing targeted education of staff.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100595"},"PeriodicalIF":1.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145652088","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}
In a time characterized by rapid advancements in knowledge, technology, and cultural and social changes, the combination of innovative teaching methods, such as game-based learning, with traditional approaches like lectures has gained significant interest. This study aimed to compare the effects of mafia game -based and lecture-based learning methods on the Knowledge and satisfaction of nurse anesthesia students.
Methods and Materials
This quasi-experimental study involved 28 nurse anesthesia students at the School of Nursing and Midwifery, Shiraz University of Medical Sciences, in 2024. The participants were divided into two groups: the game-based learning group (14 students), and the lecture-Based Learning group (14 students). The game-based learning group engaged in the Mafia game within a simulated, interactive environment, whereas the lecture teaching group underwent traditional lecture-based instruction. The data collection tools were a demographic form, Teaching Method Satisfaction Questionnaire and the Anesthesia Knowledge Questionnaire in Pediatric Surgery. Data were analyzed in SPSS v.22 software using descriptive statistics (frequency, mean, standard deviation), Shapiro-Wilk, Mann-Whitney, Kruskal-Wallis test, Spearman’s correlation test.
Results
Both the game-based learning group (P = 0.001) and the lecture-based learning group (P = 0.002) demonstrated significant improvements in knowledge scores compared to baseline measurements. The between-group comparison showed that the post-test knowledge score in the game-based learning group was significantly higher (P = 0.008). The median post-test knowledge score for the game group was 88.9(87.5,94.5) out of a maximum of 100 %, compared to 80.6(68.1,83.4) in the lecture group. Furthermore, the satisfaction level of students in the game-based learning group was significantly higher (P = 0.005), with a median score of 48.0(47.7,48.0) compared to 48.0(47.7,48.0) for the lecture-based group.
Conclusion
This study's results indicate that game-based learning is an effective educational tool for nurse anesthesia students. Further research is recommended to validate the generalizability of the findings associated with this educational method.
{"title":"A comparative study of mafia game-based learning versus lecture-based learning on knowledge and satisfaction among nurse anesthesia students at shiraz university of medical sciences in 2024","authors":"Samira Mahmoudi , Armin Fereidouni , Zahra Maleki , Amirali Alizadeh","doi":"10.1016/j.pcorm.2025.100592","DOIUrl":"10.1016/j.pcorm.2025.100592","url":null,"abstract":"<div><h3>Background</h3><div>In a time characterized by rapid advancements in knowledge, technology, and cultural and social changes, the combination of innovative teaching methods, such as game-based learning, with traditional approaches like lectures has gained significant interest. This study aimed to compare the effects of mafia game -based and lecture-based learning methods on the Knowledge and satisfaction of nurse anesthesia students.</div></div><div><h3>Methods and Materials</h3><div>This quasi-experimental study involved 28 nurse anesthesia students at the School of Nursing and Midwifery, Shiraz University of Medical Sciences, in 2024. The participants were divided into two groups: the game-based learning group (14 students), and the lecture-Based Learning group (14 students). The game-based learning group engaged in the Mafia game within a simulated, interactive environment, whereas the lecture teaching group underwent traditional lecture-based instruction. The data collection tools were a demographic form, Teaching Method Satisfaction Questionnaire and the Anesthesia Knowledge Questionnaire in Pediatric Surgery. Data were analyzed in SPSS v.22 software using descriptive statistics (frequency, mean, standard deviation), Shapiro-Wilk, Mann-Whitney, Kruskal-Wallis test, Spearman’s correlation test.</div></div><div><h3>Results</h3><div>Both the game-based learning group (<em>P</em> = 0.001) and the lecture-based learning group (<em>P</em> = 0.002) demonstrated significant improvements in knowledge scores compared to baseline measurements. The between-group comparison showed that the post-test knowledge score in the game-based learning group was significantly higher (<em>P</em> = 0.008). The median post-test knowledge score for the game group was 88.9(87.5,94.5) out of a maximum of 100 %, compared to 80.6(68.1,83.4) in the lecture group. Furthermore, the satisfaction level of students in the game-based learning group was significantly higher (<em>P</em> = 0.005), with a median score of 48.0(47.7,48.0) compared to 48.0(47.7,48.0) for the lecture-based group.</div></div><div><h3>Conclusion</h3><div>This study's results indicate that game-based learning is an effective educational tool for nurse anesthesia students. Further research is recommended to validate the generalizability of the findings associated with this educational method.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"42 ","pages":"Article 100592"},"PeriodicalIF":1.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685595","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}
Pub Date : 2025-11-17DOI: 10.1016/j.pcorm.2025.100589
Mobin Mottahedi
Healthcare systems contribute significantly to climate change, with perioperative care among the most resource-intensive domains. Anesthetic practice plays a major role due to the environmental burden of volatile agents and the growing challenges of plastic waste and water pollution. This commentary examines the environmental trade-offs inherent in current anesthetic techniques and outlines equitable, context-specific strategies for greener perioperative care.
Practical approaches include minimizing fresh gas flow, avoiding desflurane and nitrous oxide, and adopting intravenous or regional techniques when clinically appropriate. While volatile-capture devices have been proposed as a technical solution, recent real-world studies demonstrate low efficiency and prohibitive costs, highlighting the need for alternative strategies. Equally important are innovations from resource-limited settings, such as low-cost reusable equipment and streamlined supply practices, which offer scalable lessons for high-resource health systems.
This commentary further underscores the importance of governance and local leadership. Strengthening institutional review boards in resource-limited settings ensures sustainability initiatives align with local priorities rather than being externally imposed. By integrating clinical, environmental, and ethical considerations, anesthesiologists can act as change agents who drive sustainable practices in both high- and low-resource contexts.
In conclusion, achieving green anesthesia requires acknowledging unavoidable trade-offs, tailoring solutions to local realities, and promoting mutual learning across diverse health systems. Equity and context-specific strategies are central to ensuring that perioperative sustainability advances environmental goals while supporting patient safety, resource stewardship, and social justice.
{"title":"Green anesthesia: A call for equitable and context-specific sustainable perioperative care","authors":"Mobin Mottahedi","doi":"10.1016/j.pcorm.2025.100589","DOIUrl":"10.1016/j.pcorm.2025.100589","url":null,"abstract":"<div><div>Healthcare systems contribute significantly to climate change, with perioperative care among the most resource-intensive domains. Anesthetic practice plays a major role due to the environmental burden of volatile agents and the growing challenges of plastic waste and water pollution. This commentary examines the environmental trade-offs inherent in current anesthetic techniques and outlines equitable, context-specific strategies for greener perioperative care.</div><div>Practical approaches include minimizing fresh gas flow, avoiding desflurane and nitrous oxide, and adopting intravenous or regional techniques when clinically appropriate. While volatile-capture devices have been proposed as a technical solution, recent real-world studies demonstrate low efficiency and prohibitive costs, highlighting the need for alternative strategies. Equally important are innovations from resource-limited settings, such as low-cost reusable equipment and streamlined supply practices, which offer scalable lessons for high-resource health systems.</div><div>This commentary further underscores the importance of governance and local leadership. Strengthening institutional review boards in resource-limited settings ensures sustainability initiatives align with local priorities rather than being externally imposed. By integrating clinical, environmental, and ethical considerations, anesthesiologists can act as change agents who drive sustainable practices in both high- and low-resource contexts.</div><div>In conclusion, achieving green anesthesia requires acknowledging unavoidable trade-offs, tailoring solutions to local realities, and promoting mutual learning across diverse health systems. Equity and context-specific strategies are central to ensuring that perioperative sustainability advances environmental goals while supporting patient safety, resource stewardship, and social justice.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100589"},"PeriodicalIF":1.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571748","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}
Pub Date : 2025-11-16DOI: 10.1016/j.pcorm.2025.100587
Sevda SUÇEKEN , Semra BÜLBÜLOĞLU , Fatma ETİ ASLAN
Background/aim
Coronary artery bypass grafting is a widely performed surgical procedure in patients with advanced coronary artery disease. Despite physical recovery, patients in the postoperative period frequently experience cardiac symptoms, increased anxiety, and concerns about death, which may negatively affect their overall recovery and quality of life. This study aimed to comprehensively evaluate cardiac symptoms, anxiety levels, and attitudes toward death in patients after coronary artery bypass grafting via telehealth and to demonstrate the potential of this approach as a significant support in enhancing the effectiveness of postoperative care.
Methods
This prospective, descriptive, cross-sectional study was conducted at the authors’ institution. The study included 180 patients who underwent coronary artery bypass graft surgery and completed at least four to six weeks of the postoperative period. During the data collection process, patients were reached by telehealth method and sociodemographic and health-related data recording form, Cardiac Symptom Scale, Dyspnoea-12 Scale, Beck Anxiety Scale, Death Anxiety Scale, and Attitude Towards Death Scale were used. The reporting of this study was conducted in accordance with the STROBE guidelines.
Results
The most common cardiac symptoms were sadness (18.3%), sleep problems (18.3%), shortness of breath (16.1%), chest pain (15.6%), and fatigue (13.9%). Fatigue and shortness of breath were reported as the most severe and debilitating symptoms. Significant positive correlations were found between dyspnea, anxiety, fear of death, and cardiac symptoms (p<0.05). Of the participants in the study, 14.4% were readmitted to the hospital after discharge, with the most common reasons for readmission being shortness of breath (46.2%), tachycardia (15.4%), and fatigue (11.5%). A significant and positive relationship was found between psychiatric outpatient clinic visits and the total Beck Anxiety Scale score (p<0.001).
Conclusions
It has been determined that an increase in the severity of cardiac symptoms following coronary artery bypass grafting leads to a significant rise in patients' levels of anxiety and fear of death, highlighting the importance of monitoring patients' physical and psychological conditions during the postoperative period. In this context, telehealth applications can be used as an easily accessible and economical method in the follow-up and evaluation processes of patients, and can be an important tool in effectively supporting the recovery process.
{"title":"Examination of cardiac symptoms, anxiety levels, and attitudes toward death in patients after coronary artery bypass grafting using telehealth","authors":"Sevda SUÇEKEN , Semra BÜLBÜLOĞLU , Fatma ETİ ASLAN","doi":"10.1016/j.pcorm.2025.100587","DOIUrl":"10.1016/j.pcorm.2025.100587","url":null,"abstract":"<div><h3>Background/aim</h3><div>Coronary artery bypass grafting is a widely performed surgical procedure in patients with advanced coronary artery disease. Despite physical recovery, patients in the postoperative period frequently experience cardiac symptoms, increased anxiety, and concerns about death, which may negatively affect their overall recovery and quality of life. This study aimed to comprehensively evaluate cardiac symptoms, anxiety levels, and attitudes toward death in patients after coronary artery bypass grafting via telehealth and to demonstrate the potential of this approach as a significant support in enhancing the effectiveness of postoperative care.</div></div><div><h3>Methods</h3><div>This prospective, descriptive, cross-sectional study was conducted at the authors’ institution. The study included 180 patients who underwent coronary artery bypass graft surgery and completed at least four to six weeks of the postoperative period. During the data collection process, patients were reached by telehealth method and sociodemographic and health-related data recording form, Cardiac Symptom Scale, Dyspnoea-12 Scale, Beck Anxiety Scale, Death Anxiety Scale, and Attitude Towards Death Scale were used. The reporting of this study was conducted in accordance with the STROBE guidelines.</div></div><div><h3>Results</h3><div>The most common cardiac symptoms were sadness (18.3%), sleep problems (18.3%), shortness of breath (16.1%), chest pain (15.6%), and fatigue (13.9%). Fatigue and shortness of breath were reported as the most severe and debilitating symptoms. Significant positive correlations were found between dyspnea, anxiety, fear of death, and cardiac symptoms (p<0.05). Of the participants in the study, 14.4% were readmitted to the hospital after discharge, with the most common reasons for readmission being shortness of breath (46.2%), tachycardia (15.4%), and fatigue (11.5%). A significant and positive relationship was found between psychiatric outpatient clinic visits and the total Beck Anxiety Scale score (p<0.001).</div></div><div><h3>Conclusions</h3><div>It has been determined that an increase in the severity of cardiac symptoms following coronary artery bypass grafting leads to a significant rise in patients' levels of anxiety and fear of death, highlighting the importance of monitoring patients' physical and psychological conditions during the postoperative period. In this context, telehealth applications can be used as an easily accessible and economical method in the follow-up and evaluation processes of patients, and can be an important tool in effectively supporting the recovery process.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100587"},"PeriodicalIF":1.0,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571746","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}
Fibroblastic sleeve (FS) and catheter-related thrombosis (CRT) are two distinct non–infective complications of venous access devices and differentiating between them is essential for decision-making on therapeutic interventions. This study explored the incidence of FS and CRT with the novel midclavicular midline catheters.
Methods
Fifty consecutive mid-clavicular midline catheters during the study period were scanned at the bedside every alternate day using established diagnostic criteria to identify the development and progression of FS and CRT. The presence of forward and backwards flow, types of infusates and signs of local and systemic infections were recorded by the departmental vascular access team.
Results
50 catheters served for 513 catheter days. The FS was identified in 12 catheters on a median catheter day of 7. The detection of FS coincides with the loss of backwards flow, and none of the FS progressed to CRT, and 83 % of FS catheters completed the intended duration of therapy. The CRT was noted in 6 catheters on a median catheter day of 5.5. Among the 6 CRT, 3 were symptomatic necessitating removal on detection, while three asymptomatic CRT were removed on loss of forward flow on median catheter day of 5. All CRTs were resolved on patient discharge without anticoagulant intervention.
Conclusion
The incidence of FS and CRT was 23 and 11.7 per 1000 catheter days, respectively. The incidence of symptomatic CRT was 5.85 per 1000 catheter days. Catheter removal led to thrombus dissolution in all patients without the need for therapeutic anticoagulation.
{"title":"Incidence of fibroblastic sleeve and catheter related thrombosis with novel mid-clavicular midline catheters - a prospective longitudinal observational study","authors":"Ajiba Sabana Rafeekullah Khan , Charulatha Ravindran, Swetha Nallasamy Sivachalam , Sivashanmugam Thiyagarajan","doi":"10.1016/j.pcorm.2025.100586","DOIUrl":"10.1016/j.pcorm.2025.100586","url":null,"abstract":"<div><h3>Background</h3><div>Fibroblastic sleeve (FS) and catheter-related thrombosis (CRT) are two distinct non–infective complications of venous access devices and differentiating between them is essential for decision-making on therapeutic interventions. This study explored the incidence of FS and CRT with the novel midclavicular midline catheters.</div></div><div><h3>Methods</h3><div>Fifty consecutive mid-clavicular midline catheters during the study period were scanned at the bedside every alternate day using established diagnostic criteria to identify the development and progression of FS and CRT. The presence of forward and backwards flow, types of infusates and signs of local and systemic infections were recorded by the departmental vascular access team.</div></div><div><h3>Results</h3><div>50 catheters served for 513 catheter days. The FS was identified in 12 catheters on a median catheter day of 7. The detection of FS coincides with the loss of backwards flow, and none of the FS progressed to CRT, and 83 % of FS catheters completed the intended duration of therapy. The CRT was noted in 6 catheters on a median catheter day of 5.5. Among the 6 CRT, 3 were symptomatic necessitating removal on detection, while three asymptomatic CRT were removed on loss of forward flow on median catheter day of 5. All CRTs were resolved on patient discharge without anticoagulant intervention.</div></div><div><h3>Conclusion</h3><div>The incidence of FS and CRT was 23 and 11.7 per 1000 catheter days, respectively. The incidence of symptomatic CRT was 5.85 per 1000 catheter days. Catheter removal led to thrombus dissolution in all patients without the need for therapeutic anticoagulation.</div><div>Trial Registry number</div><div>Clinical Trial Registry – India</div><div>URL – <span><span>https://ctri.nic.in</span><svg><path></path></svg></span></div><div>Registration number – CTRI/ 2021/ 09/036967</div><div>Date of registration – 29.09.2021</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100586"},"PeriodicalIF":1.0,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571747","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}
Pub Date : 2025-11-07DOI: 10.1016/j.pcorm.2025.100583
Ravi Yadav , Debasrita Banerjee , Rohin Kumar
Background
Perioperative pressure injuries (PIs) are a preventable source of morbidity in surgical patients, commonly arising from sustained tissue loading over bony prominences. Evidence on the relative efficacy of padding materials across surgical positions remains limited, particularly from controlled simulation-based studies.
Aim
To compare the effectiveness of five padding materials in redistributing interface pressure and preventing early skin changes across common surgical positions.
Methods
A prospective, simulation-based study was conducted on 20 healthy volunteers. Participants were sequentially placed in supine, prone, lateral decubitus, lithotomy, and Trendelenburg positions. Five padding materials—viscoelastic memory foam, silicone gel sheets, polyurethane foam, air-inflated pads, and cotton sheets—were applied in randomized order at high-risk anatomical points. Interface pressures were measured using a pressure mapping system at 5 and 15 min, while skin was assessed using a modified Skin Pressure Assessment Score (SPAS). Data were analyzed using repeated-measures ANOVA.
Results
Mean peak pressures across conditions were consistent (∼29–31 mmHg). Neither padding material nor position independently influenced interface pressure (p > 0.75). A significant interaction was observed (p = 0.035), driven by slightly higher pressures with silicone gel compared to cotton in the lithotomy position (p = 0.028). Mean SPAS scores ranged from 1.3 to 1.6 (mild transient erythema), with no significant differences between padding materials or positions (p > 0.5).
Conclusion
All tested padding materials performed similarly in pressure redistribution and early skin protection under short simulated exposures. While advanced materials did not show superiority over cotton in this setting, further clinical trials with longer operative durations and at-risk patients are warranted to confirm their role in PI prevention.
{"title":"Padding strategies for high-risk pressure points in common surgical positions: A prospective simulation-based study","authors":"Ravi Yadav , Debasrita Banerjee , Rohin Kumar","doi":"10.1016/j.pcorm.2025.100583","DOIUrl":"10.1016/j.pcorm.2025.100583","url":null,"abstract":"<div><h3>Background</h3><div>Perioperative pressure injuries (PIs) are a preventable source of morbidity in surgical patients, commonly arising from sustained tissue loading over bony prominences. Evidence on the relative efficacy of padding materials across surgical positions remains limited, particularly from controlled simulation-based studies.</div></div><div><h3>Aim</h3><div>To compare the effectiveness of five padding materials in redistributing interface pressure and preventing early skin changes across common surgical positions.</div></div><div><h3>Methods</h3><div>A prospective, simulation-based study was conducted on 20 healthy volunteers. Participants were sequentially placed in supine, prone, lateral decubitus, lithotomy, and Trendelenburg positions. Five padding materials—viscoelastic memory foam, silicone gel sheets, polyurethane foam, air-inflated pads, and cotton sheets—were applied in randomized order at high-risk anatomical points. Interface pressures were measured using a pressure mapping system at 5 and 15 min, while skin was assessed using a modified Skin Pressure Assessment Score (SPAS). Data were analyzed using repeated-measures ANOVA.</div></div><div><h3>Results</h3><div>Mean peak pressures across conditions were consistent (∼29–31 mmHg). Neither padding material nor position independently influenced interface pressure (<em>p</em> > 0.75). A significant interaction was observed (<em>p</em> = 0.035), driven by slightly higher pressures with silicone gel compared to cotton in the lithotomy position (<em>p</em> = 0.028). Mean SPAS scores ranged from 1.3 to 1.6 (mild transient erythema), with no significant differences between padding materials or positions (<em>p</em> > 0.5).</div></div><div><h3>Conclusion</h3><div>All tested padding materials performed similarly in pressure redistribution and early skin protection under short simulated exposures. While advanced materials did not show superiority over cotton in this setting, further clinical trials with longer operative durations and at-risk patients are warranted to confirm their role in PI prevention.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100583"},"PeriodicalIF":1.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519808","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}
This study aimed to determine the effect of music therapy on postoperative pain and physiological parameters in patients undergoing lobectomy.
Method
This prospective and randomized controlled study was conducted between January 2023 and September 2024 in the Thoracic Surgery Clinic of Trakya University. The study was determined to be performed with at least 20 patients in each group and 60 patients in total. Patients were divided into Group 1 (nature-based sound therapy), Group 2 (music of the patient's own choice), and Group 3 (control group).
Results
According to the 1st, 2nd, and 3rd measurement values of the pain variable of the patients participating in the study, it was determined that the pain score of the nature-based sound therapy group was statistically significantly lower than the music and control group (p = 0.000; p = 0.002; p = 0.002; p = 0.000; p < 0.05).
Conclusion
It was determined that the pain score of the nature-based sound therapy group of the patients participating in the study was lower than the music and control group in the first minutes after surgery. In addition, it was determined that the pain level of the nature-based sound therapy group was lower in the 8th hour after the intervention compared to before.
目的探讨音乐治疗对肺叶切除术患者术后疼痛及生理指标的影响。方法本前瞻性随机对照研究于2023年1月至2024年9月在Trakya大学胸外科诊所进行。本研究确定每组至少20例患者，共60例患者。将患者分为1组（自然声疗法）、2组（患者自己选择的音乐）和3组（对照组）。结果根据参与研究患者疼痛变量的第1、2、3次测量值，确定自然声治疗组疼痛评分低于音乐组和对照组，差异有统计学意义（p = 0.000; p = 0.002; p = 0.002; p = 0.000; p < 0.05）。结论参与研究的患者在术后第一分钟，自然声治疗组的疼痛评分低于音乐组和对照组。此外，我们还确定自然声疗法组在干预后第8小时的疼痛水平较干预前有所降低。
{"title":"The effect of music therapy on postoperative pain and physiological parameters in pulmonary lobectomy patients","authors":"Yekta Altemur Karamustafaoğlu , Ayşe Gökce Işıklı , Figen Dığın , Levent Öztürk","doi":"10.1016/j.pcorm.2025.100582","DOIUrl":"10.1016/j.pcorm.2025.100582","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine the effect of music therapy on postoperative pain and physiological parameters in patients undergoing lobectomy.</div></div><div><h3>Method</h3><div>This prospective and randomized controlled study was conducted between January 2023 and September 2024 in the Thoracic Surgery Clinic of Trakya University. The study was determined to be performed with at least 20 patients in each group and 60 patients in total. Patients were divided into Group 1 (nature-based sound therapy), Group 2 (music of the patient's own choice), and Group 3 (control group).</div></div><div><h3>Results</h3><div>According to the 1st, 2nd, and 3rd measurement values of the pain variable of the patients participating in the study, it was determined that the pain score of the nature-based sound therapy group was statistically significantly lower than the music and control group (<em>p</em> = 0.000; <em>p</em> = 0.002; <em>p</em> = 0.002; <em>p</em> = 0.000; <em>p</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>It was determined that the pain score of the nature-based sound therapy group of the patients participating in the study was lower than the music and control group in the first minutes after surgery. In addition, it was determined that the pain level of the nature-based sound therapy group was lower in the 8th hour after the intervention compared to before.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100582"},"PeriodicalIF":1.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466540","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}
Pub Date : 2025-11-04DOI: 10.1016/j.pcorm.2025.100584
Andrew Girjes, Holly Wardlaw, Richard Page, Stephen Gill, Margaret Rogers, Kevin Eng
Background
Theatre inefficiencies can lead to delayed care, increased costs, and reduced patient satisfaction. A tertiary hospital in regional Australia identified delays in orthopaedic surgery start times and prolonged turnaround times.
Methods
A strategic initiative to improve theatre efficiency was introduced at a regional tertiary hospital in south-west Victoria, Australia in July 2023. Operating room data were compared 12 months pre and post intervention.
Intervention
Earlier starting times for perioperative staff, improved timepoint recording and focus on causes for delay.
Results
Procedure volume increased by 6 %. On-time starts rose from 38 % to 47 % (p < 0.01), and turnaround time decreased by 2 min (p = 0.02). Recorded reasons for delay increased and "Not specified" decreased.
Conclusion
Small but meaningful changes improved data capture and theatre flow.
Recommendations
Redesigning theatre processes using value stream mapping can lead to measurable improvements in theatre efficiency and data quality. With enhanced data capture, further targeted process such as optimising staffing patterns, improving handover protocols, and reducing variability in surgical lists can be made.
{"title":"Optimising theatre time management for orthopaedic surgery","authors":"Andrew Girjes, Holly Wardlaw, Richard Page, Stephen Gill, Margaret Rogers, Kevin Eng","doi":"10.1016/j.pcorm.2025.100584","DOIUrl":"10.1016/j.pcorm.2025.100584","url":null,"abstract":"<div><h3>Background</h3><div>Theatre inefficiencies can lead to delayed care, increased costs, and reduced patient satisfaction. A tertiary hospital in regional Australia identified delays in orthopaedic surgery start times and prolonged turnaround times.</div></div><div><h3>Methods</h3><div>A strategic initiative to improve theatre efficiency was introduced at a regional tertiary hospital in south-west Victoria, Australia in July 2023. Operating room data were compared 12 months pre and post intervention.</div></div><div><h3>Intervention</h3><div>Earlier starting times for perioperative staff, improved timepoint recording and focus on causes for delay.</div></div><div><h3>Results</h3><div>Procedure volume increased by 6 %. On-time starts rose from 38 % to 47 % (<em>p</em> < 0.01), and turnaround time decreased by 2 min (<em>p</em> = 0.02). Recorded reasons for delay increased and \"Not specified\" decreased.</div></div><div><h3>Conclusion</h3><div>Small but meaningful changes improved data capture and theatre flow.</div></div><div><h3>Recommendations</h3><div>Redesigning theatre processes using value stream mapping can lead to measurable improvements in theatre efficiency and data quality. With enhanced data capture, further targeted process such as optimising staffing patterns, improving handover protocols, and reducing variability in surgical lists can be made.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100584"},"PeriodicalIF":1.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519809","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}
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