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Evaluation of surgical technologists' performance in laparoscopic instrument decontamination and sterilization by 360-degree appraisal method: An observational study 用360度评价法评价外科技术人员在腹腔镜器械消毒灭菌中的表现:一项观察性研究
IF 1 Q2 Nursing Pub Date : 2025-09-06 DOI: 10.1016/j.pcorm.2025.100551
Leila Sadati, Seyedeh Sanaz Mirrahimi, Rana Abjar

Introduction

Surgical technologists play a crucial role in maintaining patient safety and ensuring the overall quality of care in surgical settings. Their performance in the field of decontamination and sterilization of laparoscopic instruments is as important as it directly affects the risk of surgical complications. Therefore, the present study aimed to appraise the performance of surgical technologists in laparoscopic instrument decontamination and sterilization by A 360-degree performance appraisal method in selected hospitals in Alborz Province, Iran.

Methods

The present study is a cross-sectional study which was conducted among 110 surgical technologists in Alborz Province, Iran from May 2024 to January 2025 using convenient sampling. Data were collected using a performance checklist and the 360-degree evaluation method. The checklist's validity was confirmed through content validity and expert panel opinions. Its reliability was established with a 0.91 agreement coefficient between two external raters and an intraclass correlation coefficient (ICC) of 0.822 for the questionnaire. Data were analyzed using SPSS version 28 software and one-sample t-test, independent groups t-test, and one-way analysis of variance.

Results

The findings on the performance of surgical technologists in the decontamination and sterilization of laparoscopic instruments reveal that 2 technologists were classified in the low performance category, with scores between 0 and 16. A total of 101 technologists fell into the moderate performance category, achieving scores ranging from 17 to 33. Furthermore, 7 technologists achieved the high-performance level, with scores between 34 and 50.

Conclusion

This study utilized the 360-degree feedback method, which revealed that surgical technologists perform moderately in reprocessing laparoscopic instruments. To gain a clearer understanding of their strengths and areas needing improvement, it is important to conduct ongoing evaluations using a range of methods.
外科技术人员在维护患者安全和确保手术环境的整体护理质量方面发挥着至关重要的作用。它们在腹腔镜手术器械的消毒和灭菌方面的表现同样重要,因为它直接影响手术并发症的风险。因此,本研究旨在通过360度绩效评估方法,对伊朗Alborz省选定医院的外科技术人员在腹腔镜器械去污消毒方面的表现进行评估。方法采用方便抽样的方法,对2024年5月至2025年1月伊朗阿尔博尔兹省110名外科技术人员进行横断面调查。使用性能检查表和360度评估方法收集数据。通过内容效度和专家小组意见两种方式确认了本量表的效度。两外部评分者的一致系数为0.91,类内相关系数(ICC)为0.822。数据分析采用SPSS 28版软件,采用单样本t检验、独立组t检验和单因素方差分析。结果对外科技术人员在腹腔镜器械消毒灭菌工作中的表现进行调查,结果显示有2名技术人员表现较差,得分在0 ~ 16分之间。共有101名技术人员属于中等表现类别,得分从17分到33分不等。此外,7名技术人员达到了高性能水平,得分在34到50之间。结论本研究采用360度反馈方法,显示外科医师在腹腔镜器械的再处理中表现适度。为了更清楚地了解它们的优势和需要改进的领域,使用一系列方法进行持续的评估是很重要的。
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引用次数: 0
Unveiling a rare yet critical peril: Subcutaneous emphysema and pneumomediastinum post-tonsillectomy - A case report 揭示一个罕见但危险的危险:扁桃体切除术后皮下肺气肿和纵隔气肿1例报告
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100550
Serveh Mohammadi , Behzad Imani , Abbas Khalilpour , Yaser Ghaderi , Habib Azimi , Mohsen Akbaribazm
This case report describes a highly unusual presentation of extensive subcutaneous emphysema (SE), pneumomediastinum (PM), and right-sided pneumothorax in a 6-year-old boy following an otherwise uneventful elective tonsillectomy. The patient’s intraoperative course, including the wound closure phase, remained completely stable, with no notable changes in hemodynamics or respiratory status observed. However, in the post-anesthesia care unit (PACU), the patient was suddenly diagnosed with crepitus, which rapidly spread from the face toward the chest. Concurrently, capnography showed persistent hypercapnia, with end-tidal CO₂ values ranging from 60 to 70 mmHg. Chest imaging confirmed the presence of SE, PM, and pneumothorax in the absence of tracheal or esophageal injury. The patient was managed conservatively with supplemental oxygen and close monitoring in an intensive care unit. No surgical intervention was required, and full recovery was observed within one week. This report also provides a brief literature review exploring the possible mechanisms behind these rare complications, as well as current evidence-based management strategies.
这个病例报告描述了一个非常不寻常的表现,广泛的皮下肺气肿(SE),纵隔气肿(PM),和右侧气胸在一个6岁的男孩在其他平安无事的选择性扁桃体切除术后。患者的术中过程,包括伤口闭合阶段,保持完全稳定,血流动力学和呼吸状态未见明显变化。然而,在麻醉后护理病房(PACU),患者突然被诊断为crepitus,并迅速从面部向胸部扩散。同时,血糖检查显示持续的高碳酸血症,潮末CO₂值在60 - 70 mmHg之间。胸部影像学证实在没有气管或食管损伤的情况下存在SE、PM和气胸。患者在重症监护病房接受保守治疗,补充氧气并密切监测。无手术干预,1周内完全恢复。本报告还提供了一个简短的文献综述,探讨这些罕见并发症背后的可能机制,以及目前的循证管理策略。
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引用次数: 0
The relationship between operating room nurses' comfort and burnout levels: A cross-sectional study 手术室护士舒适度与职业倦怠的关系:一项横断面研究
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100548
Hatice Çiftçi , Sevda Korkut , Mustafa Mart , Zerrin Özçelik

Background

Nurses' comfort level plays an important role in their ability to perform their professional duties effectively and in supporting their job satisfaction and physical-psychological well-being. Comfort can reduce stress levels and increase a person's ability to cope with challenges in their work or personal life. The study was conducted to determine the relationship between comfort and burnout level of operating room nurses.

Methods

This cross-sectional study was completed with the participation of 115 operating room nurses. Descriptive Characteristics Form, Nurse Comfort Questionnaire and Maslach Burnout Inventory were used to collect the study data.

Results

The burnout level of the nurses was significant and negatively correlated with the total comfort level, sociocultural, psychospiritual and physical comfort. The physical, sociocultural and psychospiritual comfort predicted 49% of the total variance in emotional exhaustion and 18% of the total variance in depersonalization.

Conclusions

As the comfort of the nurses working in the operating room decreased, their burnout levels increased. The nurses' emotional burnout level was significantly and negatively correlated with total comfort level, sociocultural and psychospiritual comfort, and depersonalization level was significantly and negatively correlated with total comfort level, sociocultural, psychospiritual and physical comfort level. In addition, comfort sub-dimensions significantly predicted emotional exhaustion and depersonalization. In order to improve the quality of healthcare services and increase nurses' overall well-being and job satisfaction, it is recommended that future studies focus on intervention-based studies aimed at increasing nurses' comfort.
护士的舒适程度在他们有效履行专业职责的能力和支持他们的工作满意度和身心健康方面起着重要的作用。舒适可以减轻压力,提高一个人在工作或个人生活中应对挑战的能力。本研究旨在探讨手术室护士的舒适度与职业倦怠水平的关系。方法对115名手术室护士进行横断面研究。采用描述性特征表、护士舒适度问卷和Maslach倦怠量表收集研究数据。结果护士职业倦怠水平与总舒适度、社会文化舒适度、身心舒适度呈显著负相关。身体、社会文化和心理安慰预测了情绪耗竭总方差的49%和人格解体总方差的18%。结论手术室护士的工作舒适度越低,倦怠程度越高。护士情绪倦怠水平与总舒适度、社会文化舒适度、心理精神舒适度呈显著负相关,去人格化水平与总舒适度、社会文化舒适度、心理精神舒适度、身体舒适度呈显著负相关。此外,舒适子维度显著预测情绪耗竭和去人格化。为了提高医疗服务质量,提高护士的整体幸福感和工作满意度,建议未来的研究侧重于以干预为基础的研究,以提高护士的舒适度。
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引用次数: 0
Prioritization of operating room maintenance factors with fuzzy analytic hierarchy process 用模糊层次分析法确定手术室维护因素的优先级
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100549
Şeyda Gür , Tamer Eren
Operating rooms are one of the most critical units of hospitals and, therefore, the health system. Managers need to keep the effectiveness of these units at a high level. Since the results of operating room performance directly affect patient health, maintenance in these priority areas must be carried out regularly and properly. For this reason, it is necessary to determine the factors affecting the planned maintenance strategy and to prevent the adverse effects that these factors may cause. This required maintenance increases the economic life of the expensive equipment in the operating rooms and ensures the continuity of the use of the operating rooms. In this study, the factors influencing the maintenance processes of operating rooms were identified, and their impact on the performance of these rooms was evaluated. In this evaluation phase, the fuzzy analytic hierarchy method was used. According to the results obtained, suggestions were made to hospital managers.
手术室是医院最关键的单位之一,因此也是卫生系统最关键的单位之一。管理者需要将这些单位的效率保持在一个较高的水平。由于手术室的工作结果直接影响病人的健康,必须定期和适当地对这些优先领域进行维护。因此,有必要确定影响计划维护策略的因素,并防止这些因素可能造成的不利影响。这种必要的维护增加了手术室昂贵设备的经济寿命,保证了手术室使用的连续性。本研究确定了手术室维护过程的影响因素,并对其对手术室性能的影响进行了评估。在评价阶段,采用了模糊层次分析法。根据所得结果,对医院管理者提出了建议。
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引用次数: 0
Updated risk prediction model for perioperative hypothermia in adults: A systematic review and meta-analysis 更新的成人围手术期低温风险预测模型:系统回顾和荟萃分析
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100540
Na Zhang, Huijuan He, Guiyuan Qiao, Mengying Li, Ling Wang, Lei Yue, Xiangrong Wang

Aim

To systematically review and critically assess existing risk prediction models for inadvertent perioperative hypothermia (IPH) in adult patients undergoing non-cardiac surgery.

Design

Systematic review and meta-analysis of observational studies.

Methods

A comprehensive search was conducted from inception to December 31, 2023. The databases searched included PubMed, Web of Science, Medline, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, and China Science and Technology Journal Database (VIP). Two researchers independently extracted data following CHARMS guidelines, and quality assessment was performed using the PROBAST checklist. Meta-analysis included studies with externally validated models, with effect measures calculated using MetaDiSc 1.4 software.

Results

A total of 1792 studies were retrieved, with 43 studies comprising 49 IPH prediction models included in the final review. Logistic regression was the most common method for model development. Model performance, assessed by AUC, ranged from 0.683 to 0.968. Frequent predictors included age, BMI, and ambient temperature. The meta-analysis of externally validated models showed a pooled AUROC of 0.908, demonstrating strong predictive capability.

Conclusion

Despite the promising performance of the IPH prediction models, their applicability to diverse populations needs further consideration. High risk of bias highlights the need for methodological rigor. Nonetheless, meta-analysis confirms the robustness of these models in predicting perioperative hypothermia.

Implications

Implementing robust IPH prediction models can aid healthcare professionals in identifying high-risk patients, thus improving perioperative temperature management and patient outcomes.

Trial and Protocol Registration

The review was registered in PROSPERO (ID: CRD42023343403).
目的系统回顾和批判性评估成人非心脏手术患者意外围手术期低温(IPH)的现有风险预测模型。设计观察性研究的系统回顾和荟萃分析。方法自成立至2023年12月31日进行综合检索。检索的数据库包括PubMed、Web of Science、Medline、Cochrane Library、中国知网(CNKI)、万方数据库、中国科技期刊库(VIP)。两名研究人员按照CHARMS指南独立提取数据,并使用PROBAST检查表进行质量评估。meta分析包括采用外部验证模型的研究,使用MetaDiSc 1.4软件计算效果测量。结果共检索到1792项研究,最终纳入43项研究,包括49个IPH预测模型。逻辑回归是最常用的模型开发方法。以AUC评价模型性能,其范围为0.683 ~ 0.968。常见的预测因素包括年龄、体重指数和环境温度。外部验证模型的meta分析显示,合并AUROC为0.908,具有较强的预测能力。结论IPH预测模型具有良好的应用前景,但其在不同人群中的适用性有待进一步研究。高偏倚风险凸显了方法严谨性的必要性。尽管如此,荟萃分析证实了这些模型在预测围手术期低温方面的稳健性。实施稳健的IPH预测模型可以帮助医疗保健专业人员识别高危患者,从而改善围手术期温度管理和患者预后。试验和方案注册该综述在PROSPERO注册(ID: CRD42023343403)。
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引用次数: 0
ChatGPT and American Society of Anesthesiologists (ASA) classifications - utilizing artificial intelligence in ASA classification of pediatric surgical patients ChatGPT和美国麻醉医师协会(ASA)分类-利用人工智能对儿科手术患者进行ASA分类
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100547
Chaitanya Challa , Abdulla Ahmed , Giuliana Geng-Ramos , Jennica Luu , Sohel Rana , Jessica A. Cronin

Background

The American Society of Anesthesiologists (ASA) physical status classification system is a widely used tool to assess preoperative risk. However, variability in assigning ASA scores due to subjectivity among healthcare workers remains an issue. Advances in artificial intelligence (AI) present an opportunity to improve the consistency of ASA classifications. The aim of this study was to evaluate the potential of ChatGPT, a large language model (LLM), to assign ASA scores in pediatric surgical patients. The authors hypothesized that ChatGPT's classifications would correlate with anesthesiologist-determined ASA scores.

Methods

This retrospective cross-sectional pilot study was conducted at a tertiary pediatric hospital, including 203 pediatric patients who underwent surgery between June 4–7, 2023. Summaries of each patient's medical history and surgery details were created and reviewed by a board-certified anesthesiologist. These summaries were presented to both a study anesthesiologist and entered into ChatGPT (x2) for ASA classification. The ASA classifications by ChatGPT were compared to those provided by both the study anesthesiologist and the day-of-surgery (DOS) anesthesiologist. Cohen's kappa with linear weighting was used to assess inter-rater agreement between ChatGPT and anesthesiologists and to measure intra-rater reliability between different ChatGPT outputs.

Results

A total of 203 pediatric cases were analyzed. The agreement between repeated ASA classifications from ChatGPT was significant (κ=0.61, 95% CI 0.52–0.69) with 66% exact match in classifications. The agreement between the first ChatGPT output and the study anesthesiologist showed statistical agreement (κ=0.60, 95% CI 0.51–0.69), with a 66% match. Similarly, the second ChatGPT output had agreement with the study anesthesiologist (κ=0.59, 95% CI 0.50–0.68), with a 67% match. The highest agreement (κ=0.72, 95% CI 0.62–0.81) was observed between the DOS anesthesiologist and the study anesthesiologist, with a 75% match.

Conclusions

The correlation between ChatGPT's ASA scores and those assigned by the pilot study anesthesiologist was found to be 66–67%. These findings indicate that AI has the potential to support pediatric anesthesiologists in determining patient ASA classifications.
美国麻醉医师协会(ASA)的身体状态分类系统是一种广泛使用的评估术前风险的工具。然而,由于医疗工作者的主观性,分配ASA分数的可变性仍然是一个问题。人工智能(AI)的进步为提高ASA分类的一致性提供了机会。本研究的目的是评估ChatGPT(一个大型语言模型(LLM))在儿科外科患者中分配ASA评分的潜力。作者假设ChatGPT的分类与麻醉师确定的ASA分数相关。方法本回顾性横断面初步研究在一家三级儿科医院进行,包括203例于2023年6月4日至7日接受手术的儿童患者。每位患者的病史和手术细节的摘要由委员会认证的麻醉师创建和审查。这些总结提交给一名研究麻醉师,并输入ChatGPT (x2)进行ASA分类。将ChatGPT提供的ASA分类与研究麻醉师和手术当日麻醉师提供的分类进行比较。Cohen's kappa与线性加权用于评估ChatGPT和麻醉师之间的内部一致性,并测量不同ChatGPT输出之间的内部可靠性。结果共分析203例患儿。ChatGPT中重复ASA分类之间的一致性显著(κ=0.61, 95% CI 0.52-0.69),分类之间的精确匹配率为66%。第一次ChatGPT输出与研究麻醉师之间的一致性显示统计一致性(κ=0.60, 95% CI 0.51-0.69),匹配度为66%。同样,第二次ChatGPT输出与研究麻醉师一致(κ=0.59, 95% CI 0.50-0.68),匹配度为67%。在DOS麻醉师和研究麻醉师之间观察到最高的一致性(κ=0.72, 95% CI 0.62-0.81),匹配度为75%。结论ChatGPT的ASA评分与初步研究麻醉师分配的评分之间的相关性为66-67%。这些发现表明,人工智能有可能支持儿科麻醉师确定患者ASA分类。
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引用次数: 0
Perceived barriers and facilitators for using video consultations in a surgical outpatient clinic – A qualitative study among clinicians with limited prior experience 在外科门诊诊所使用视频咨询的感知障碍和促进因素-一项对具有有限经验的临床医生的定性研究
IF 1 Q2 Nursing Pub Date : 2025-09-01 DOI: 10.1016/j.pcorm.2025.100546
Mia Grøftholdt Pedersen , Helle Poulsen , Lærke Kjær Tolstrup

Introduction

Accelerated use of telehealth, including video consultations, is a highly relevant topic in healthcare worldwide. While video consultations offer potential benefits, clinicians remain reluctant to use them. Clinicians’ perspectives might affect the implementation of video consultations, however, research investigating clinicians’ perspectives is limited in surgical settings. This study aimed to investigate clinicians’ perspectives on barriers and facilitators for using video consultations in a surgical outpatient clinic among clinicians with limited prior experience with video consultations.

Methods

A qualitative study was conducted through three focus groups with thirteen nurses and seven physicians. The focus groups were based on dilemma games, using a semi-structured interview guide based on a contextual case to give participants different roles to reflect upon. Data were analyzed by systematic text condensation.

Results

Clinicians identified several barriers, including fear of failing technology, limited ability to conduct clinical assessments or to care for the patient, and difficulty in choosing the right consultation type. On the other hand, facilitators included time savings for patients and relatives, increased patient comfort, and advantages of video consultations over telephone consultations, including the ability to observe non-verbal cues during communication and the option to illustrate or screen-share.

Conclusions

The study identifies barriers and facilitators concerning video consultations in a surgical outpatient setting among clinicians with limited experience with video consultations. Identifying barriers and facilitators can possibly reduce potential resistance from clinicians, ensuring a better application of video consultations. Clinicians proposed initiatives to ease implementation, including adequate introduction, ‘How-to’ guides, and help from others.
加速使用远程医疗,包括视频咨询,是全球医疗保健领域一个高度相关的主题。虽然视频咨询提供了潜在的好处,但临床医生仍然不愿意使用它们。临床医生的观点可能会影响视频会诊的实施,然而,调查临床医生观点的研究在外科环境中是有限的。本研究旨在调查临床医生对在外科门诊诊所使用视频会诊的障碍和促进因素的看法,这些临床医生在视频会诊方面的经验有限。方法通过3个焦点小组对13名护士和7名医生进行定性研究。焦点小组以两难游戏为基础,使用基于情境案例的半结构化访谈指南,让参与者反思不同的角色。通过系统的文本浓缩对数据进行分析。结果临床医生发现了几个障碍,包括对技术失败的恐惧,进行临床评估或护理患者的能力有限,以及难以选择正确的咨询类型。另一方面,引导者包括为患者和家属节省时间,增加患者舒适度,以及视频咨询比电话咨询的优势,包括在沟通过程中观察非语言线索的能力,以及插图或屏幕共享的选择。结论:该研究确定了在外科门诊进行视频会诊的障碍和促进因素,这些临床医生在视频会诊方面的经验有限。确定障碍和促进因素可能会减少临床医生的潜在阻力,确保更好地应用视频咨询。临床医生提出了简化实施的举措,包括充分的介绍、“操作指南”和他人的帮助。
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引用次数: 0
Strengthening professional commitment in Ethiopia’s operating rooms — Insights and imperatives 加强埃塞俄比亚手术室的专业承诺——见解和必要性
IF 1 Q2 Nursing Pub Date : 2025-08-20 DOI: 10.1016/j.pcorm.2025.100545
Alaye Debas Ayenew , Tadesse Belayneh Melkie , Nurhusen Riskey Arefayne , Zewditu Abdissa Denu , Belete Muluadam Admassie

Background

Professional commitment is crucial in high-stress settings like operating rooms, directly influencing healthcare quality and patient outcomes. However, evidence on the commitment levels of operating room staff in low-resource settings remains scarce.

Objective

To assess professional commitment and its associated factors among operating room staff in referral hospitals in Northwest Ethiopia in 2023.

Methods

A multi-center, cross-sectional study was conducted from April 20 to May 20, 2023, involving 424 participants selected by simple random sampling. Data were collected using a pre-tested, self-administered questionnaire and analyzed with SPSS version 26. Factor analysis and multiple linear regression identified significant predictors at a 95 % confidence level.

Results

The response rate was 96.9 %. The mean professional commitment score was moderate at 67.4 % (95 % CI: 66.6–71.0). Key predictors included educational level, monthly income, work experience, affective and normative organizational commitment, personal characteristics, and ethical leadership.

Conclusion

Operating room staff showed moderate professional commitment. Improving commitment requires targeted interventions, including training, fair remuneration, and promotion of ethical leadership to strengthen workforce resilience and care quality in LMIC healthcare systems.
专业承诺在手术室等高压力环境中至关重要,直接影响医疗质量和患者预后。然而,关于低资源环境下手术室工作人员承诺水平的证据仍然很少。目的评估2023年埃塞俄比亚西北部转诊医院手术室工作人员的专业承诺及其影响因素。方法采用简单随机抽样法,于2023年4月20日至5月20日进行多中心、横断面研究。数据收集采用预测试,自我管理的问卷,并分析与SPSS版本26。因子分析和多元线性回归在95%的置信水平上确定了显著的预测因子。结果总有效率为96.9%。平均专业承诺得分中等,为67.4% (95% CI: 66.6-71.0)。主要预测因子包括教育程度、月收入、工作经验、情感性与规范性组织承诺、个人特质、伦理型领导。结论手术室工作人员表现出中等程度的专业承诺。改善承诺需要有针对性的干预措施,包括培训、公平薪酬和促进道德领导,以加强低收入和中等收入国家卫生保健系统的劳动力复原力和护理质量。
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引用次数: 0
Intraoperative warming during abdominal surgery with a closed-circuit water sleeve 腹部手术中使用闭路水套进行术中保温
IF 1 Q2 Nursing Pub Date : 2025-08-16 DOI: 10.1016/j.pcorm.2025.100544
Allison McIntosh , Stephanie Lewis , Tanjina Jalil , Gorgio Melloni , Peter Wu , Jeffery Weiss , Enrico Camporesi

Introduction

Post-operative hypothermia is an adverse effect of anesthesia due to widespread inhibition of thermoregulatory processes, which can be mitigated through intraoperative warming. While forced warm-air systems are commonly used, they can pose challenges during procedures. Our study compared an enclosed water-sleeve warming system with a standard forced-air warming system, to compare their efficacy in maintaining normothermia during intrabdominal surgery.

Methods

In this controlled trial, 67 patients that underwent elective intrabdominal surgery were assigned to either the water-sleeve warming system (N = 30) or the forced-air warming system (N = 37). Patients gave written consent to the assignment of the warming method (IRB#1814, USF). The water-sleeve system utilized a plastic sleeve circulating warm sterile water at 40 °C on the patient's upper arm, with mild suction (-7 cm H2O) applied to promote venous dilation. The forced-air system used a disposable perforated blanket over the patient's upper body. Operating room temperatures were maintained at 20 °C. Temperatures were recorded preoperatively (sublingual), intraoperatively every 15 min (esophageal), and postoperatively upon arrival in PACU (sublingual).

Results

The water-sleeve group maintained a slightly higher median temperature intraoperatively compared to the control group, although the differences were not statistically significant. A Fisher test revealed that the water-sleeve group had fewer patients experiencing at least one intraoperative interval below 36 °C. Both warming methods successfully maintained normothermia upon arrival to the post-anesthesia care unit (PACU).

Conclusions

This study demonstrated that the water-sleeve warming system and the forced-air warming system were comparably effective in maintaining normothermia during intrabdominal surgery. No significant differences were observed in intraoperative or postoperative temperatures between the two groups. Given the similar efficacy and utility of the water-sleeve and forced-air warming systems, further research is needed to evaluate the cost-effectiveness of the water-sleeve warming system and to identify clinical scenarios where it may be preferable.
术后低体温是麻醉的不良反应,由于体温调节过程的广泛抑制,可以通过术中加热来减轻。虽然通常使用强制暖空气系统,但它们在操作过程中可能会带来挑战。我们的研究比较了封闭的水套加热系统和标准的强制空气加热系统,比较了它们在腹腔手术期间维持体温正常的效果。方法在本对照试验中,67例择期腹腔手术患者被分配到水套加热系统(N = 30)和强制空气加热系统(N = 37)。患者书面同意使用升温方法(IRB#1814, USF)。水套系统利用塑料套循环40°C的温无菌水在患者上臂上,轻微吸引(-7 cm H2O)以促进静脉扩张。强制空气系统使用一次性穿孔毯盖在病人的上半身。手术室温度保持在20℃。术前(舌下)、术中(食管)每15分钟记录一次体温,术后到达PACU时(舌下)记录一次体温。结果水套组术中中位温度略高于对照组,但差异无统计学意义。Fisher试验显示,水套组至少有一次术中间隔低于36°C的患者较少。两种加热方法在到达麻醉后护理单元(PACU)时都成功地维持了正常体温。结论水套加热系统与强制空气加热系统在腹腔手术中维持体温的效果相当。两组患者术中或术后温度均无显著差异。鉴于水套加热系统和强制空气加热系统的功效和效用相似,需要进一步的研究来评估水套加热系统的成本效益,并确定它可能更可取的临床场景。
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引用次数: 0
Gender differences in prevalence of musculoskeletal disorders (MSDs) among surgeons 外科医生肌肉骨骼疾病(MSDs)患病率的性别差异
IF 1 Q2 Nursing Pub Date : 2025-08-15 DOI: 10.1016/j.pcorm.2025.100542
Layalee Abo-Naser , Gideon Leibner , Rotem Givoli Vilenski , Shai Luria , Yuval Kriger

Background

work-related musculoskeletal disorders (MSDs) have been studied extensively in different types of occupations. Surgeons are especially prone to MSDs owing to their long working hours, high strain, and abnormal working postures. In this study, we examined the prevalence of MSDs in surgeons, with special regard to gender differences.

Methods

we surveyed surgeons at two tertiary referral hospitals, Soroka Medical Center, and Hadassah Medical Center. Participants were asked to complete standardized questionnaires regarding musculoskeletal symptoms using the Standardized Nordic Questionnaire.

Results

a total of 105 questionnaires were collected and analyzed. 43 % were filled by females and 57 % by males. Most respondents experienced MSDs in the last twelve months, with a higher proportion in females. females were also more likely to report symptoms in the upper extremity area in comparison to males.

Conclusion

the prevalence of MSDs in surgeons is high, females are more prone to MSDs than males. Further research is needed to identify the reasons and to provide a prevention plan.
背景与工作相关的肌肉骨骼疾病(MSDs)在不同类型的职业中得到了广泛的研究。外科医生由于工作时间长、压力大、工作姿势异常等原因,特别容易发生msd。在这项研究中,我们调查了外科医生中msd的患病率,并特别考虑了性别差异。方法对两家三级转诊医院Soroka医疗中心和Hadassah医疗中心的外科医生进行调查。参与者被要求使用标准化北欧问卷完成关于肌肉骨骼症状的标准化问卷。结果共收集并分析问卷105份。43%是女性,57%是男性。大多数受访者在过去12个月内经历过msd,其中女性比例更高。与男性相比,女性更有可能报告上肢区域的症状。结论外科医生的MSDs患病率较高,女性比男性更易发生MSDs。需要进一步的研究来确定原因并提供预防计划。
{"title":"Gender differences in prevalence of musculoskeletal disorders (MSDs) among surgeons","authors":"Layalee Abo-Naser ,&nbsp;Gideon Leibner ,&nbsp;Rotem Givoli Vilenski ,&nbsp;Shai Luria ,&nbsp;Yuval Kriger","doi":"10.1016/j.pcorm.2025.100542","DOIUrl":"10.1016/j.pcorm.2025.100542","url":null,"abstract":"<div><h3>Background</h3><div>work-related musculoskeletal disorders (MSDs) have been studied extensively in different types of occupations. Surgeons are especially prone to MSDs owing to their long working hours, high strain, and abnormal working postures. In this study, we examined the prevalence of MSDs in surgeons, with special regard to gender differences.</div></div><div><h3>Methods</h3><div>we surveyed surgeons at two tertiary referral hospitals, Soroka Medical Center, and Hadassah Medical Center. Participants were asked to complete standardized questionnaires regarding musculoskeletal symptoms using the Standardized Nordic Questionnaire.</div></div><div><h3>Results</h3><div>a total of 105 questionnaires were collected and analyzed. 43 % were filled by females and 57 % by males. Most respondents experienced MSDs in the last twelve months, with a higher proportion in females. females were also more likely to report symptoms in the upper extremity area in comparison to males.</div></div><div><h3>Conclusion</h3><div>the prevalence of MSDs in surgeons is high, females are more prone to MSDs than males. Further research is needed to identify the reasons and to provide a prevention plan.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100542"},"PeriodicalIF":1.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887327","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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Perioperative Care and Operating Room Management
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