Laryngospasm is a rare but potentially life-threatening critical event. The aim of this study was to identify the incidence and the associated risk factors of laryngospasm in elective pediatric anesthesia.
Methods
A prospective single-center cohort study was conducted in the pediatric anesthesia department at Canastel Hospital in Oran (Algeria). It included patients up to 16 years of age who underwent any elective procedure between July 2017 and August 2019. Children undergoing emergency surgery, those with an upper respiratory tract infection (URTI) within two weeks before the procedure, or those who had an asthma attack within 30 days before surgery were not included. Laryngospasm was defined as persistent hypoxemia with oxygen saturation (SpO2) <90 % for ≥30 s, with inspiratory and expiratory stridor.
Results
We analyzed 1270 procedures, identifying 12 cases of laryngospasm (incidence 0.9 %). The mean age was 55.41 ± 43.233 months. 7 (58.33 %) of cases of laryngospasm occurred during awakening phase while 5 (41.67 %) were recorded at induction. The major risk factors included: age less than one year (RR: 5.667, 95 % CI: 1.744–17.779, P = 0.05), history of prematurity (RR: 0.161, 95 % CI: 0.0181–1.233, P = 0.042), and maxillofacial surgery (RR: 6.768, 95 % CI: 1.494–33.568, P = 0.045).
The multivariate analysis determined the following risk factors: age of less than one year (RR: 4.888, 95 % CI: 1.461–16.356, P = 0.01) and anesthesiologist experience of less than one year (RR: 2.324, 95 % CI: 1.014–5.323, P = 0.046). The study also revealed evidence of the beneficial effect of laryngeal mask airway management.
Conclusion
The findings highlight increased associations of laryngospasm in elective pediatric anesthesia with multiple factors.
喉痉挛是一种罕见但可能危及生命的严重事件。本研究的目的是确定喉痉挛在选择性小儿麻醉中的发生率和相关危险因素。方法在阿尔及利亚奥兰市卡纳斯特尔医院儿科麻醉科进行前瞻性单中心队列研究。它包括在2017年7月至2019年8月期间接受任何选择性手术的16岁以下患者。接受紧急手术的儿童，手术前两周内患有上呼吸道感染（URTI）的儿童，或手术前30天内哮喘发作的儿童不包括在内。喉痉挛定义为持续低氧血症，血氧饱和度(SpO2)≥90%，持续≥30 s，伴吸气和呼气喘鸣。结果分析1270例手术，发现喉痉挛12例（发生率0.9%）。平均年龄55.41±43.233个月。7例（58.33%）喉痉挛发生在觉醒期，5例（41.67%）喉痉挛发生在诱导期。主要危险因素包括：年龄小于1岁（RR: 5.6667, 95% CI: 1.744 ~ 17.779, P = 0.05）、早产史（RR: 0.161, 95% CI: 0.0181 ~ 1.233, P = 0.042）、颌面手术史（RR: 6.768, 95% CI: 1.494 ~ 33.568, P = 0.045）。多因素分析确定以下危险因素：年龄小于1年（RR: 4.888, 95% CI: 1.461 ~ 16.356, P = 0.01）和麻醉师经验小于1年（RR: 2.324, 95% CI: 1.014 ~ 5.323, P = 0.046）。该研究还揭示了喉罩气道管理的有益效果的证据。结论小儿择期麻醉中喉痉挛的增加与多种因素有关。
{"title":"Laryngospasm in elective pediatric anesthesia: incidence and risk factors","authors":"Saliha Benabdi , Meriem Amani , Derouicha Matmour , Nour eddine Chikh , Kheira Daho , Dalila Boumendil","doi":"10.1016/j.pcorm.2025.100543","DOIUrl":"10.1016/j.pcorm.2025.100543","url":null,"abstract":"<div><h3>Background</h3><div>Laryngospasm is a rare but potentially life-threatening critical event. The aim of this study was to identify the incidence and the associated risk factors of laryngospasm in elective pediatric anesthesia.</div></div><div><h3>Methods</h3><div>A prospective single-center cohort study was conducted in the pediatric anesthesia department at Canastel Hospital in Oran (Algeria). It included patients up to 16 years of age who underwent any elective procedure between July 2017 and August 2019. Children undergoing emergency surgery, those with an upper respiratory tract infection (URTI) within two weeks before the procedure, or those who had an asthma attack within 30 days before surgery were not included. Laryngospasm was defined as persistent hypoxemia with oxygen saturation (SpO2) <90 % for ≥30 s, with inspiratory and expiratory stridor.</div></div><div><h3>Results</h3><div>We analyzed 1270 procedures, identifying 12 cases of laryngospasm (incidence 0.9 %). The mean age was 55.41 ± 43.233 months. 7 (58.33 %) of cases of laryngospasm occurred during awakening phase while 5 (41.67 %) were recorded at induction. The major risk factors included: age less than one year (RR: 5.667, 95 % CI: 1.744–17.779, <em>P</em> = 0.05), history of prematurity (RR: 0.161, 95 % CI: 0.0181–1.233, <em>P</em> = 0.042), and maxillofacial surgery (RR: 6.768, 95 % CI: 1.494–33.568, <em>P</em> = 0.045).</div><div>The multivariate analysis determined the following risk factors: age of less than one year (RR: 4.888, 95 % CI: 1.461–16.356, <em>P</em> = 0.01) and anesthesiologist experience of less than one year (RR: 2.324, 95 % CI: 1.014–5.323, <em>P</em> = 0.046). The study also revealed evidence of the beneficial effect of laryngeal mask airway management.</div></div><div><h3>Conclusion</h3><div>The findings highlight increased associations of laryngospasm in elective pediatric anesthesia with multiple factors.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100543"},"PeriodicalIF":1.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888844","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}
Hypotension is defined as a decrease in mean arterial blood pressure of more than 30% within a 10-minute period after spinal anesthesia. Spinal anesthesia is a subarachnoid block and is the preferred approach for certain surgical procedures, such as cesarean sections. Spinal anesthesia is the most often used neuraxial approach for patients in many institutions because of the superior quality of surgical anesthesia, quick onset of action, excellent patient comfort, and low complication rates. This systematic review and meta-analysis aimed to assess the incidence of SIH and related factors among patients who underwent cesarean sections in Ethiopia.
Methods
This systematic review and meta-analysis was conducted using two different methods. The first was an exploration of electronic databases (PubMed, Scopus, Web of Science, MEDLINE, CINAHL, Cochrane Library, Embase, and Google Scholar) for the presence of evidence about the incidence of spinal-induced hypotension and its predictors among pregnant mothers who underwent cesarean section under spinal anesthesia in Ethiopia. Data were extracted using a Microsoft Excel spreadsheet and analyzed using Stata 17. Quality appraisal was conducted using the PRISMA guidelines and Newcastle‒Ottawa assessment scales. Higgins I2 tests were used to assess heterogeneity. Sensitivity and subgroup analyses were performed. Egger's test and funnel plots were employed to identify potential publication bias.
Results
The pooled incidence of SIH among pregnant women who underwent cesarean section in Ethiopia was 64.5% (95% CI: 56.2–72.8). The subgroup analysis by region revealed that the pooled incidence of SIH among pregnant mothers in Addis Ababa was 68.6%, and that in the Oromia region was 74%. Baseline systolic blood pressure <120 mmHg (AOR 6, 95% CI 2.878–9.09), newborn weight (AOR 5.4, 95% CI 3.4–7.35), sensory block height (AOR 6.75, 95% CI 4.3–9.201), speed of injection < 10 sec (AOR 4.47, 95% CI 2.348–6.215), and dose of local anesthetics > 2.5 ml (AOR 7.8, 95% CI 6.3–11.56) were significantly associated with SIH.
Conclusion
This systematic review and meta-analysis revealed a high pooled incidence of SIH among pregnant women who underwent cesarean section under spinal anesthesia in Ethiopia. Hence, to reduce SIH and other maternal-related complications among pregnant women, much consideration must be given to increasing anesthesia professionals’ knowledge and skills in teaching universities and governmental hospitals in Ethiopia.
低血压的定义是脊髓麻醉后10分钟内平均动脉血压下降超过30%。脊髓麻醉是一种蛛网膜下腔阻滞，是某些外科手术（如剖宫产）的首选方法。脊髓麻醉是许多机构中最常用的神经轴入路，因为手术麻醉质量好，起效快，患者舒适度好，并发症发生率低。本系统综述和荟萃分析旨在评估埃塞俄比亚剖宫产患者中SIH的发生率及相关因素。方法采用两种不同的方法进行系统评价和荟萃分析。首先是对电子数据库（PubMed、Scopus、Web of Science、MEDLINE、CINAHL、Cochrane Library、Embase和谷歌Scholar）的探索，寻找埃塞俄比亚脊柱麻醉下剖宫产孕妇脊柱性低血压发生率及其预测因素的证据。使用Microsoft Excel电子表格提取数据，并使用Stata 17进行分析。使用PRISMA指南和纽卡斯尔-渥太华评估量表进行质量评估。采用Higgins I2检验评估异质性。进行敏感性和亚组分析。采用Egger检验和漏斗图来确定潜在的发表偏倚。结果埃塞俄比亚剖宫产孕妇SIH的总发生率为64.5% （95% CI: 56.2-72.8）。按地区进行亚组分析，亚的斯亚贝巴孕妇SIH总发病率为68.6%，奥罗米亚地区为74%。基线收缩压120 mmHg （AOR 6, 95% CI 2.878-9.09）、新生儿体重（AOR 5.4, 95% CI 3.4-7.35）、感觉阻滞高度（AOR 6.75, 95% CI 4.3-9.201）、注射速度（AOR 4.47, 95% CI 2.348-6.215）、局麻药剂量（AOR 7.8, 95% CI 6.3-11.56）与SIH显著相关。结论：本系统综述和荟萃分析显示，埃塞俄比亚脊柱麻醉下剖宫产的孕妇SIH发生率较高。因此，为了减少孕妇的SIH和其他与产妇有关的并发症，必须在埃塞俄比亚的教学大学和政府医院中充分考虑提高麻醉专业人员的知识和技能。
{"title":"Incidence and predictors of post spinal anesthesia-induced hypotension for cesarean section in Ethiopia: A systematic review and meta-analysis","authors":"Sintayehu Samuel Lorato , Feleke Doyore Agide , Genanew Kassie Getahun , Kedir Seid Yesuf , Yohannes Addisu Wondimagne , Mitiku Desalegn , Dawit Tesfaye Rundasa , Yohannes Godie , Tolasa Yadate , Yisehak wolde , Eyob Ketema Bogale","doi":"10.1016/j.pcorm.2025.100541","DOIUrl":"10.1016/j.pcorm.2025.100541","url":null,"abstract":"<div><h3>Introduction</h3><div>Hypotension is defined as a decrease in mean arterial blood pressure of more than 30% within a 10-minute period after spinal anesthesia. Spinal anesthesia is a subarachnoid block and is the preferred approach for certain surgical procedures, such as cesarean sections. Spinal anesthesia is the most often used neuraxial approach for patients in many institutions because of the superior quality of surgical anesthesia, quick onset of action, excellent patient comfort, and low complication rates. This systematic review and meta-analysis aimed to assess the incidence of SIH and related factors among patients who underwent cesarean sections in Ethiopia.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis was conducted using two different methods. The first was an exploration of electronic databases (PubMed, Scopus, Web of Science, MEDLINE, CINAHL, Cochrane Library, Embase, and Google Scholar) for the presence of evidence about the incidence of spinal-induced hypotension and its predictors among pregnant mothers who underwent cesarean section under spinal anesthesia in Ethiopia. Data were extracted using a Microsoft Excel spreadsheet and analyzed using Stata 17. Quality appraisal was conducted using the PRISMA guidelines and Newcastle‒Ottawa assessment scales. Higgins I2 tests were used to assess heterogeneity. Sensitivity and subgroup analyses were performed. Egger's test and funnel plots were employed to identify potential publication bias.</div></div><div><h3>Results</h3><div>The pooled incidence of SIH among pregnant women who underwent cesarean section in Ethiopia was 64.5% (95% CI: 56.2–72.8). The subgroup analysis by region revealed that the pooled incidence of SIH among pregnant mothers in Addis Ababa was 68.6%, and that in the Oromia region was 74%. Baseline systolic blood pressure <120 mmHg (AOR 6, 95% CI 2.878–9.09), newborn weight (AOR 5.4, 95% CI 3.4–7.35), sensory block height (AOR 6.75, 95% CI 4.3–9.201), speed of injection < 10 sec (AOR 4.47, 95% CI 2.348–6.215), and dose of local anesthetics > 2.5 ml (AOR 7.8, 95% CI 6.3–11.56) were significantly associated with SIH.</div></div><div><h3>Conclusion</h3><div>This systematic review and meta-analysis revealed a high pooled incidence of SIH among pregnant women who underwent cesarean section under spinal anesthesia in Ethiopia. Hence, to reduce SIH and other maternal-related complications among pregnant women, much consideration must be given to increasing anesthesia professionals’ knowledge and skills in teaching universities and governmental hospitals in Ethiopia.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100541"},"PeriodicalIF":1.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865213","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 : 2025-08-06DOI: 10.1016/j.pcorm.2025.100536
Ayman Mohamady Eldemrdash, Hani Mohammed Ahmed Raslan, Taha Tairy Dardeer Alsawy, Ibrahim Elabd Hassan, Ahmed Khaled Mohamed, Mohammed Ahmed Alazhary
Background
Transversalis Fascia Plane Block (TFPB) and Quadratus Lumborum Block (QLB) provide superior analgesia to Transversus Abdominis Plane Block (TAPB) for post-cesarean pain management. This study evaluates whether TFPB or QLB is preferable when their analgesic efficacy is nearly equal, focusing on ease of performance and execution time.
Methods
In this randomized controlled trial, 108 patients scheduled for elective cesarean delivery under spinal anesthesia were randomized into three equal groups to receive either TAPB (control), TFPB, or QLB. Postoperative pain was assessed using the Numeric Pain Rating Scale (NRS) at 6, 12, and 24 hours as the primary outcome. Secondary outcomes included the time to first analgesic request, total opioid consumption within the first 24 hours, the ease of block performance (rated as easy, moderately difficult, or difficult), and the time required for block execution. All blocks were performed bilaterally under ultrasound guidance by a single experienced anesthesiologist to ensure consistency.
Results
Both the TFPB and QLB groups demonstrated significantly lower postoperative pain scores compared to the TAPB group at 6, 12, and 24 hours (p < 0.001 for all time points), with no significant difference in analgesic efficacy between TFPB and QLB (p > 0.05). In addition, patients in the TFPB and QLB groups required significantly less opioids within 24 hours and had a longer time before requesting analgesia than those in the TAPB group (p < 0.001). Notably, the TFPB technique required significantly less time for execution and was rated as easier to perform than the QLB technique (p < 0.001). No significant complications or adverse events were observed in any group during the study period.
Conclusions
Both TFPB and QLB offer superior postoperative analgesia compared to TAPB, with comparable pain relief between the two techniques. However, TFPB is associated with a shorter execution time and greater ease of performance, making it particularly advantageous in busy clinical settings. These findings suggest that TFPB may be the preferred method for post-cesarean analgesia, especially in high-volume obstetric units where efficiency and simplicity are paramount.
{"title":"A randomized controlled trial comparing transversalis fascia plane block and quadratus lumborum block for post-cesarean pain management: Efficacy, execution time, and practicality","authors":"Ayman Mohamady Eldemrdash, Hani Mohammed Ahmed Raslan, Taha Tairy Dardeer Alsawy, Ibrahim Elabd Hassan, Ahmed Khaled Mohamed, Mohammed Ahmed Alazhary","doi":"10.1016/j.pcorm.2025.100536","DOIUrl":"10.1016/j.pcorm.2025.100536","url":null,"abstract":"<div><h3>Background</h3><div>Transversalis Fascia Plane Block (TFPB) and Quadratus Lumborum Block (QLB) provide superior analgesia to Transversus Abdominis Plane Block (TAPB) for post-cesarean pain management. This study evaluates whether TFPB or QLB is preferable when their analgesic efficacy is nearly equal, focusing on ease of performance and execution time.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, 108 patients scheduled for elective cesarean delivery under spinal anesthesia were randomized into three equal groups to receive either TAPB (control), TFPB, or QLB. Postoperative pain was assessed using the Numeric Pain Rating Scale (NRS) at 6, 12, and 24 hours as the primary outcome. Secondary outcomes included the time to first analgesic request, total opioid consumption within the first 24 hours, the ease of block performance (rated as easy, moderately difficult, or difficult), and the time required for block execution. All blocks were performed bilaterally under ultrasound guidance by a single experienced anesthesiologist to ensure consistency.</div></div><div><h3>Results</h3><div>Both the TFPB and QLB groups demonstrated significantly lower postoperative pain scores compared to the TAPB group at 6, 12, and 24 hours (<em>p</em> < 0.001 for all time points), with no significant difference in analgesic efficacy between TFPB and QLB (<em>p</em> > 0.05). In addition, patients in the TFPB and QLB groups required significantly less opioids within 24 hours and had a longer time before requesting analgesia than those in the TAPB group (<em>p</em> < 0.001). Notably, the TFPB technique required significantly less time for execution and was rated as easier to perform than the QLB technique (<em>p</em> < 0.001). No significant complications or adverse events were observed in any group during the study period.</div></div><div><h3>Conclusions</h3><div>Both TFPB and QLB offer superior postoperative analgesia compared to TAPB, with comparable pain relief between the two techniques. However, TFPB is associated with a shorter execution time and greater ease of performance, making it particularly advantageous in busy clinical settings. These findings suggest that TFPB may be the preferred method for post-cesarean analgesia, especially in high-volume obstetric units where efficiency and simplicity are paramount.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100536"},"PeriodicalIF":1.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842829","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}
Post operative Atrial Fibrillation _POAF_ is the most common type of arrhythmia after open heart surgeries with incidence 30–50 %. Atrial fibrillation has been a challenging postoperative morbidity, its mechanism is yet to be known, however, a lot of studies have tried to find a predictive biomarker for POAF, in this study we investigated the relationship between Red cell distribution width (RDW)_ and the prediction of POAF
Methodology
the eligible patients were 76 patients, the duration of study was 2 months of data collection, Patients enrolled in the study was allocated into two groups according to development of POAF. Group A: patients develop POAF. Group B: patients didn’t develop POAF. Pre operative RDW was compared between the two groups, ROC analysis is done for all patients to predict POAF.
Results
there were significant statistical difference between groups preoperative and post operative RDW (p-value 0.023, 0.011, respectively), ROC analysis for RDW in all patient to detect POAF sowed AUC 0.634 with cut off value >15.1 with sensitivity 58.62 % and specificity 78.72 %.
Conclusion
We found that RDW was significantly higher in patients who developed POAF in comparison to patients who didn’t develop atrial fibrillation.
{"title":"Red cell distribution width as a predictor for post-operative atrial fibrillation after open heart surgeries","authors":"Ashraf Nabil Saleh, Khaled Abdou, Mohamed Dawood, Wail Abdelaal, Marwa Salem","doi":"10.1016/j.pcorm.2025.100539","DOIUrl":"10.1016/j.pcorm.2025.100539","url":null,"abstract":"<div><h3>Background</h3><div>Post operative Atrial Fibrillation _POAF_ is the most common type of arrhythmia after open heart surgeries with incidence 30–50 %. Atrial fibrillation has been a challenging postoperative morbidity, its mechanism is yet to be known, however, a lot of studies have tried to find a predictive biomarker for POAF, in this study we investigated the relationship between Red cell distribution width (RDW)_ and the prediction of POAF</div></div><div><h3>Methodology</h3><div>the eligible patients were 76 patients, the duration of study was 2 months of data collection, Patients enrolled in the study was allocated into two groups according to development of POAF. Group A: patients develop POAF. Group B: patients didn’t develop POAF. Pre operative RDW was compared between the two groups, ROC analysis is done for all patients to predict POAF.</div></div><div><h3>Results</h3><div>there were significant statistical difference between groups preoperative and post operative RDW (p-value 0.023, 0.011, respectively), ROC analysis for RDW in all patient to detect POAF sowed AUC 0.634 with cut off value >15.1 with sensitivity 58.62 % and specificity 78.72 %.</div></div><div><h3>Conclusion</h3><div>We found that RDW was significantly higher in patients who developed POAF in comparison to patients who didn’t develop atrial fibrillation.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100539"},"PeriodicalIF":1.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144893499","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}
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.
Methods
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.
Results
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); p = 0.001. VAS anxiety (aOR 1.55; 95 % CI:1.25–1.92; p = 0.001) and history of previous neuraxial anaesthesia for CD (aOR 0.23; 95 % CI: 0.07–0.69; p = 0.009) were independent predictors of shivering after spinal anaesthesia.
Conclusion
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.
背景和目的寒战在脊髓麻醉下剖腹产（CD）患者中很常见，并可能产生不良的围手术期后果。术前焦虑被认为是脊髓后寒战的潜在非热源性危险因素，尽管来自产科患者的数据刚刚出现。本研究旨在确定产科患者术前焦虑与脊柱后寒战之间的关系。方法在一所大学教学医院进行前瞻性观察研究，患者年龄≥18岁，在脊髓麻醉下接受非选择性CD （Royal College of Obstetricians and gynaologists Categories 2,3）。术前焦虑使用视觉模拟量表（VAS）进行评估，与脊柱后寒战的发生相关，并使用单因素和多因素logistic回归模型进行分析。结果在150例入组患者中，55例（37%）出现脊髓后寒战。VAS术前焦虑高的患者发生脊髓后寒战的相对危险度（95% CI）为2.3 (1.4 ~ 4.0)；P = 0.001。VAS焦虑(aOR 1.55；95% ci: 1.25-1.92；p = 0.001)和既往CD的神经轴麻醉史(aOR 0.23；95% ci: 0.07-0.69；P = 0.009)是脊髓麻醉后寒战的独立预测因子。结论术前高度焦虑是非选择性CD患者脊柱后寒战的独立危险因素。既往CD患者的轴向麻醉史对脊柱后寒战具有保护作用。特定围手术期干预减轻患者术前焦虑可能会减少这些患者脊柱后寒战的发生率，潜在地提高所提供护理的感知质量。
{"title":"Effect of preoperative patient anxiety on post-spinal shivering during non-elective caesarean delivery – A prospective observational study","authors":"Shristee Chudal , Kajal Jain , Pulak Priyadarshi Padhi , Vanita Jain , 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}
Pub Date : 2025-07-31DOI: 10.1016/j.pcorm.2025.100535
Ayman A. Abouglalah , Ibrahim Elabd Hassan , Abdallah Elabd Hassan , Mohamed Elsayed Mahmoud
Background and aim
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.
Patients and methods
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.
Results
Comparison between the studied groups regarding the postoperative complications revealed no significantly differences regarding the frequency of shivering (17.8 % versus 12.6 %, p = 0.15), severity of shivering (grades 0/2/3: 82.2/7.9/10.0 % versus 87.4/4.7/7.9, p = 0.61), hypotension (16.2 % versus 23.0 %, p = 0.09), bradycardia (7.9 % versus 12.6 %, p = 0.13) and postoperative nausea and vomiting (8.9 % versus 6.3 %, p = 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.
Conclusions
The present study found that both dexmedetomidine and dexamethasone had comparable efficacy and safety profile when used in women undergoing CD under spinal anesthesia.
背景和目的术后寒战是脊髓麻醉相当常见的并发症。术后颤抖的管理包括可变的药理学和非药理学策略。本研究的目的是比较地塞米松和右美托咪定对选择性剖宫产妇女脊柱麻醉后寒战的影响。患者和方法382例患者随机分为两组，一组在分娩后立即静脉注射地塞米松10µg（组1），另一组术前2小时单次静脉滴注地塞米松8 mg（组2）。结局评估包括临床意义的术后寒战发生率、术后疼痛、使用首次抢救镇痛的时间和其他副作用，如低血压、心动过缓、镇静程度、术后恶心和呕吐。结果两组术后并发症比较，在寒战发生率（17.8% vs 12.6%, p = 0.15）、寒战严重程度（0/2/3级：82.2/7.9/ 10.0% vs 87.4/4.7/7.9, p = 0.61）、低血压（16.2% vs 23.0%, p = 0.09）、心动过缓（7.9% vs 12.6%, p = 0.13）、术后恶心呕吐（8.9% vs 6.3%, p = 0.22）方面无显著差异。此外，术后0、2、4、6、8 h的视觉模拟评分和镇静评分在实验组之间无显著差异。结论：本研究发现，右美托咪定和地塞米松在脊髓麻醉下用于女性CD患者时具有相当的疗效和安全性。
{"title":"Effect of dexamethasone versus dexmedetomidine on shivering in women undergoing cesarean delivery under spinal anesthesia","authors":"Ayman A. Abouglalah , Ibrahim Elabd Hassan , Abdallah Elabd Hassan , 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}
Pub Date : 2025-07-29DOI: 10.1016/j.pcorm.2025.100534
Davina Walser , Roberto Dossi , Andrea Saporito
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 t-tests (p < 0.05). Among 47 analyzed patients, IOH occurred in 14 patients in the ESPB group and 12 patients in the TPVB group (p = 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 (p = 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.
{"title":"From regional blocks to postoperative outcomes: Exploring the correlation between intraoperative hypotension and short-term postoperative outcomes in thoracic surgery","authors":"Davina Walser , Roberto Dossi , 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> < 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}
Pub Date : 2025-07-26DOI: 10.1016/j.pcorm.2025.100531
Christine Reger , Angellyn Rosario , Victoria Sherry , Lynn Dickinson , Elizabeth Lewis
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.
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.
{"title":"Clinical rotation model to foster a positive experience in the operating room","authors":"Christine Reger , Angellyn Rosario , Victoria Sherry , Lynn Dickinson , 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}
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.
Methodology
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
Results
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<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<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 < 0.01).
Conclusion
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.
喉内镜手术是最常见的喉内镜手术。插入悬吊喉镜可引起血流动力学反应，如心率和血压升高。这种血流动力学不稳定可引起心肌缺血、梗死、心律失常、眼压和颅内压升高。本研究比较了喉上神经阻滞和利多卡因雾化在微喉手术中避免这些并发症的效果。方法本研究共纳入46例患者，其中A组23例患者接受5 ml 4%利多卡因雾化治疗，B组患者接受2%利多卡因喉上神经阻滞治疗。评估的主要结果是血流动力学应激反应，特别是心率的改变。次要结局包括收缩压（SBP）、舒张压（DBP）、术后喉咙痛、咳嗽、声音沙哑以及术后喉痉挛和去饱和。结果在本研究中，与A组相比，B组在0、3、5、9 min的心率显著降低，p值为0。05. 与A组相比，B组患者的收缩压和舒张压也明显降低（p值<； 0.05）。本研究中，B组患者喉咙痛、咳嗽等并发症的发生率明显低于a组患者(P值<；0.01)。结论超声引导下喉上神经阻滞比利多卡因雾化更能有效预防喉微手术后血流动力学应激反应和术后并发症。
{"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, Rajesh Kumar Kodali V, 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<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<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 < 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}
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.
Aim
This study aimed to evaluate the psychometric properties of the 'Questionnaire for Measuring Distraction Due to Mobile Phone Use in the Operating Room' for Turkish society.
Methods
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.
Results
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.
Conclusion
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.
{"title":"Psychometric properties of the Turkish form of the questionnaire for measuring distraction due to mobile phone use in operating rooms","authors":"Burçin Irmak , İnci Mercan Annak , Ayşe Gül Atay Doyğacı , 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}
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