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":"2025-12-01","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 : 2025-12-01Epub Date: 2025-10-15DOI: 10.1016/j.pcorm.2025.100576
Franklin Dexter , Paul Cover , Randy W. Loftus
Background
Earlier studies showed that prevention of Staphylococcus aureus transmission through the anesthesia work area (e.g., from hands of the anesthesiologist to intravenous lumen) resulted in fewer postoperative healthcare-associated infections, specifically surgical site infections. Test results for contamination (e.g., of the anesthesia machine) guide anesthesia clinicians’ efforts. In the studies, a single national laboratory was used, providing such information at least several days later. Future clinical trials could use rapid assays to test reservoirs (e.g., intravenous lumen) at the end of the case for prompt treatment. Study designs depend on knowing how quickly results would be needed.
Methods
The retrospective cohort study was performed using data from 13,512 elective cases performed at a teaching hospital’s inpatient adult surgical suite over 12 months in 2023–2024. Postoperative healthcare-associated infections were obtained from International Classification of Diseases, Tenth Revision, Clinical Modification codes listed <91 days postoperatively, when diagnosed by a surgical team. Different periods from operating room exit were studied (e.g., 1.0, 2.0, and 4.0 h). For each endpoint, 99 % lower one-sided confidence limits for proportions were calculated using intercept-only logistic regression, with robust clustered variance estimation by day.
Results
After 1.0 and 2.0 h, there were 98.9 % (≥97.7 %) and 90.6 % (≥87.3 %) of patients who developed postoperative healthcare-associated infection who had not yet been discharged from the hospital, respectively. There were 89.0 % (≥84.9 %) and 44.2 % (≥38.2 %) who had not yet been discharged from the phase I post-anesthesia care unit. In contrast, at 4.0 h, the lower confidence limits were 76.1 % and 16.5 %, respectively.
Conclusions
Clinical trial designs to evaluate the use of rapid bacterial pathogen tests from anesthesia work areas should plan on results being obtained and used for treatment no greater than 2.0 h after patients exit operating rooms, but <1.0 h is not needed. Medical/surgical nurses throughout the hospital who care for surgical patients would need to be involved, not only post-anesthesia care unit teams.
{"title":"Characterizing periods for rapid testing of bacterial pathogens at ends of surgical cases for interventions in the post-anesthesia care unit or hospital wards using discharge times of patients with and without postoperative healthcare-associated infections","authors":"Franklin Dexter , Paul Cover , Randy W. Loftus","doi":"10.1016/j.pcorm.2025.100576","DOIUrl":"10.1016/j.pcorm.2025.100576","url":null,"abstract":"<div><h3>Background</h3><div>Earlier studies showed that prevention of <em>Staphylococcus aureus</em> transmission through the anesthesia work area (e.g., from hands of the anesthesiologist to intravenous lumen) resulted in fewer postoperative healthcare-associated infections, specifically surgical site infections. Test results for contamination (e.g., of the anesthesia machine) guide anesthesia clinicians’ efforts. In the studies, a single national laboratory was used, providing such information at least several days later. Future clinical trials could use rapid assays to test reservoirs (e.g., intravenous lumen) at the end of the case for prompt treatment. Study designs depend on knowing how quickly results would be needed.</div></div><div><h3>Methods</h3><div>The retrospective cohort study was performed using data from 13,512 elective cases performed at a teaching hospital’s inpatient adult surgical suite over 12 months in 2023–2024. Postoperative healthcare-associated infections were obtained from International Classification of Diseases, Tenth Revision, Clinical Modification codes listed <91 days postoperatively, when diagnosed by a surgical team. Different periods from operating room exit were studied (e.g., 1.0, 2.0, and 4.0 h). For each endpoint, 99 % lower one-sided confidence limits for proportions were calculated using intercept-only logistic regression, with robust clustered variance estimation by day.</div></div><div><h3>Results</h3><div>After 1.0 and 2.0 h, there were 98.9 % (≥97.7 %) and 90.6 % (≥87.3 %) of patients who developed postoperative healthcare-associated infection who had not yet been discharged from the hospital, respectively. There were 89.0 % (≥84.9 %) and 44.2 % (≥38.2 %) who had not yet been discharged from the phase I post-anesthesia care unit. In contrast, at 4.0 h, the lower confidence limits were 76.1 % and 16.5 %, respectively.</div></div><div><h3>Conclusions</h3><div>Clinical trial designs to evaluate the use of rapid bacterial pathogen tests from anesthesia work areas should plan on results being obtained and used for treatment no greater than 2.0 h after patients exit operating rooms, but <1.0 h is not needed. Medical/surgical nurses throughout the hospital who care for surgical patients would need to be involved, not only post-anesthesia care unit teams.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100576"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145364101","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}
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.
{"title":"Strengthening professional commitment in Ethiopia’s operating rooms — Insights and imperatives","authors":"Alaye Debas Ayenew , Tadesse Belayneh Melkie , Nurhusen Riskey Arefayne , Zewditu Abdissa Denu , Belete Muluadam Admassie","doi":"10.1016/j.pcorm.2025.100545","DOIUrl":"10.1016/j.pcorm.2025.100545","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>To assess professional commitment and its associated factors among operating room staff in referral hospitals in Northwest Ethiopia in 2023.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100545"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906836","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}
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.
{"title":"Gender differences in prevalence of musculoskeletal disorders (MSDs) among surgeons","authors":"Layalee Abo-Naser , Gideon Leibner , Rotem Givoli Vilenski , Shai Luria , 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":"2025-09-01","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}
Pub Date : 2025-09-01Epub Date: 2025-09-03DOI: 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.
{"title":"Unveiling a rare yet critical peril: Subcutaneous emphysema and pneumomediastinum post-tonsillectomy - A case report","authors":"Serveh Mohammadi , Behzad Imani , Abbas Khalilpour , Yaser Ghaderi , Habib Azimi , Mohsen Akbaribazm","doi":"10.1016/j.pcorm.2025.100550","DOIUrl":"10.1016/j.pcorm.2025.100550","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100550"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104342","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 : 2025-09-01Epub 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":"2025-09-01","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}
The COVID-19 pandemic disrupted routine healthcare services, including elective surgeries, and heightened patient fear and anxiety. This study evaluates predictors of COVID-19-related fear among patients undergoing elective surgeries in central India, using the Indian Scale for Fear of COVID-19 (ISF-C19) and the Numerical Anxiety Score (NAS).
Methodology
An observational study of 687 patients was conducted at a multispeciality hospital between October 2021 and May 2022. Data were collected using a semi-structured questionnaire, ISF-C19, and NAS. Patients were stratified into high (≥27) and low (<27) ISF-C19 score groups. Logistic regression was employed to identify predictors of high fear scores.
Results
High ISF-C19 scores correlated significantly with elevated NAS (≥5), comorbidities, and lack of prior COVID-19 infection. NAS emerged as the strongest predictor of fear (p = 0.001), while comorbidities also had a significant impact (p = 0.007). The model demonstrated a sensitivity of 67.40 % and a specificity of 69.21 %.
Conclusion
This study identifies preoperative anxiety (NAS) and comorbidities as key predictors of COVID-19-related fear among surgical patients.
{"title":"Predictors of fear of COVID-19 among patients undergoing elective surgery during the COVID-19 pandemic: An observational study","authors":"Meghna Maheshwari , Anuj Jain , Pankaj Singhai , Swapnil Kumar Barasker","doi":"10.1016/j.pcorm.2025.100516","DOIUrl":"10.1016/j.pcorm.2025.100516","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic disrupted routine healthcare services, including elective surgeries, and heightened patient fear and anxiety. This study evaluates predictors of COVID-19-related fear among patients undergoing elective surgeries in central India, using the Indian Scale for Fear of COVID-19 (ISF-C19) and the Numerical Anxiety Score (NAS).</div></div><div><h3>Methodology</h3><div>An observational study of 687 patients was conducted at a multispeciality hospital between October 2021 and May 2022. Data were collected using a semi-structured questionnaire, ISF-C19, and NAS. Patients were stratified into high (≥27) and low (<27) ISF-C19 score groups. Logistic regression was employed to identify predictors of high fear scores.</div></div><div><h3>Results</h3><div>High ISF-C19 scores correlated significantly with elevated NAS (≥5), comorbidities, and lack of prior COVID-19 infection. NAS emerged as the strongest predictor of fear (<em>p</em> = 0.001), while comorbidities also had a significant impact (<em>p</em> = 0.007). The model demonstrated a sensitivity of 67.40 % and a specificity of 69.21 %.</div></div><div><h3>Conclusion</h3><div>This study identifies preoperative anxiety (NAS) and comorbidities as key predictors of COVID-19-related fear among surgical patients.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100516"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519186","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}
: Opioids are generally considered a risk factor for postoperative nausea and vomiting (PONV). However, our clinical experience suggests that intraoperative fentanyl and remifentanil dosages, as well as tramadol use, were not risks of PONV in patients receiving intravenous patient-controlled analgesia (IVPCA) containing fentanyl and an H1 antihistamine (PCA-H). Additionally, intraoperative use of an H1 antihistamine does not appear to reduce the incidence of PONV in patients receiving PCA-H. We hypothesized that neither opioid use nor intraoperative H1 antihistamine use would be associated with PONV in patients receiving PCA-H, and we investigated the incidence of and risk factors for PONV in these patients followng laparoscopic gynecological surgery.
Methods
: We examined the incidence of PONV in patients receiving PCA-H after laparoscopic gynecological surgery under general anesthesia. Patient characteristics, anesthetic factors, and intraoperative prophylactic antiemetics were analyzed through multiple logistic regression to assess their relationships with PONV.
Results
: A total of 1,778 patients were included, with 1,767 (99.4 %) receiving propofol-based anesthesia and 1,719 (96.7 %) received an intraoperative prophylactic antiemetic. Overall incidences of nausea, vomiting, and postoperative antiemetic use were 26.5 %, 8.7 %, 11.0 %, respectively. Intraoperative opioid use (fentanyl, remifentanil dose, or tramadol use) was not a risk factor for PONV. Additionally, intraoperative antihistamine use was ineffective.
Conclusion
: Intraoperative doses of fentanyl, remifentanil, and the tramadol use were not PONV risk factors in patients receiving PCA-H under propofol-based anesthesia. Concurrent use of an intraoperative antihistamine was not associated with a further reduction in PONV among patients receiving PCA-H.
{"title":"Intraoperative opioid use is not a risk factor for postoperative nausea and vomiting in patients receiving intravenous patient-controlled analgesia with H1 antihistamines: a retrospective analysis","authors":"Takehiko Nagaoka , Yoshinori Nakata , Toshiya Shiga","doi":"10.1016/j.pcorm.2025.100502","DOIUrl":"10.1016/j.pcorm.2025.100502","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Opioids are generally considered a risk factor for postoperative nausea and vomiting (PONV). However, our clinical experience suggests that intraoperative fentanyl and remifentanil dosages, as well as tramadol use, were not risks of PONV in patients receiving intravenous patient-controlled analgesia (IVPCA) containing fentanyl and an H<sub>1</sub> antihistamine (PCA-H). Additionally, intraoperative use of an H<sub>1</sub> antihistamine does not appear to reduce the incidence of PONV in patients receiving PCA-H. We hypothesized that neither opioid use nor intraoperative H<sub>1</sub> antihistamine use would be associated with PONV in patients receiving PCA-H, and we investigated the incidence of and risk factors for PONV in these patients followng laparoscopic gynecological surgery.</div></div><div><h3>Methods</h3><div><strong>:</strong> We examined the incidence of PONV in patients receiving PCA-H after laparoscopic gynecological surgery under general anesthesia. Patient characteristics, anesthetic factors, and intraoperative prophylactic antiemetics were analyzed through multiple logistic regression to assess their relationships with PONV.</div></div><div><h3>Results</h3><div><strong>:</strong> A total of 1,778 patients were included, with 1,767 (99.4 %) receiving propofol-based anesthesia and 1,719 (96.7 %) received an intraoperative prophylactic antiemetic. Overall incidences of nausea, vomiting, and postoperative antiemetic use were 26.5 %, 8.7 %, 11.0 %, respectively. Intraoperative opioid use (fentanyl, remifentanil dose, or tramadol use) was not a risk factor for PONV. Additionally, intraoperative antihistamine use was ineffective.</div></div><div><h3>Conclusion</h3><div><strong>:</strong> Intraoperative doses of fentanyl, remifentanil, and the tramadol use were not PONV risk factors in patients receiving PCA-H under propofol-based anesthesia. Concurrent use of an intraoperative antihistamine was not associated with a further reduction in PONV among patients receiving PCA-H.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100502"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263092","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 : 2025-09-01Epub Date: 2025-07-21DOI: 10.1016/j.pcorm.2025.100530
Şeyda Gür
Purpose
The unit with the largest share of income and expense items in hospitals is the operating rooms. Therefore, operating rooms are expressed as the most critical units of hospitals. The performance of the personnel working in these units is vital as it directly affects patient health. The inefficient organization of operating rooms poses ergonomic risks. These ergonomic difficulties cause illnesses or injuries in the surgical team. For healthcare professionals to provide the highest quality of care to patients, their physical health should not be overlooked. Additionally, a poor work-life balance within the surgical team can lead to burnout and negatively impact the quality of life. Therefore, this study addresses the effect of ergonomic factors in operating rooms on the performance of the surgical team.
Methods
In the study, eleven sub-criteria were identified through a literature review and an expert group, and these criteria were subsequently evaluated using the Analytical Network Process (ANP) method, a multi-criteria decision-making approach.
Results
It has been determined that the most important ergonomic factor affecting the performance of the surgical team is the working conditions criterion.
Conclusion
Suggestions were made based on the results obtained from the evaluation.
{"title":"Analysis of the effect of ergonomic factors on the performance of the operating room team with ANP","authors":"Şeyda Gür","doi":"10.1016/j.pcorm.2025.100530","DOIUrl":"10.1016/j.pcorm.2025.100530","url":null,"abstract":"<div><h3>Purpose</h3><div>The unit with the largest share of income and expense items in hospitals is the operating rooms. Therefore, operating rooms are expressed as the most critical units of hospitals. The performance of the personnel working in these units is vital as it directly affects patient health. The inefficient organization of operating rooms poses ergonomic risks. These ergonomic difficulties cause illnesses or injuries in the surgical team. For healthcare professionals to provide the highest quality of care to patients, their physical health should not be overlooked. Additionally, a poor work-life balance within the surgical team can lead to burnout and negatively impact the quality of life. Therefore, this study addresses the effect of ergonomic factors in operating rooms on the performance of the surgical team.</div></div><div><h3>Methods</h3><div>In the study, eleven sub-criteria were identified through a literature review and an expert group, and these criteria were subsequently evaluated using the Analytical Network Process (ANP) method, a multi-criteria decision-making approach.</div></div><div><h3>Results</h3><div>It has been determined that the most important ergonomic factor affecting the performance of the surgical team is the working conditions criterion.</div></div><div><h3>Conclusion</h3><div>Suggestions were made based on the results obtained from the evaluation.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100530"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01Epub Date: 2025-08-30DOI: 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.
{"title":"The relationship between operating room nurses' comfort and burnout levels: A cross-sectional study","authors":"Hatice Çiftçi , Sevda Korkut , Mustafa Mart , Zerrin Özçelik","doi":"10.1016/j.pcorm.2025.100548","DOIUrl":"10.1016/j.pcorm.2025.100548","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"40 ","pages":"Article 100548"},"PeriodicalIF":1.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925475","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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