Studies have shown that using warmed irrigation solution is an effective method for maintaining perioperative patient normothermia. This randomized single-blind comparative study aimed to evaluate the accuracy of a hand-checking method to assess irrigation fluid temperature and suitability for use. Twenty-eight scrub nurses were enrolled and assigned to one of three groups using either hot, cold, or euthermic irrigation fluid. Measurements were taken at 30-minute intervals in either a cold (18 °C [64.4 °F]) or room-temperature (22 °C to 24 °C [71.6 °F to 75.2 °F]) environment. Incorrect assessments regarding irrigation fluid temperature were made by 89.3% of participants, with 78.6% doing so in the cold environment. Participants with experience in gynecological and plastic surgery were more accurate in their assessments. This study revealed disparities between subjective assessments and objectively measured temperatures. The high rate of inaccurate evaluations underscores the need to use objective methods for temperature measurements.
{"title":"Accuracy of Subjective Temperature Assessment of Surgical Irrigation Fluids: A Randomized Controlled Single-Blind Comparative Study.","authors":"Nuran Ayşen Pamir Aksoy, Nermin Ocaktan","doi":"10.1002/aorn.70004","DOIUrl":"10.1002/aorn.70004","url":null,"abstract":"<p><p>Studies have shown that using warmed irrigation solution is an effective method for maintaining perioperative patient normothermia. This randomized single-blind comparative study aimed to evaluate the accuracy of a hand-checking method to assess irrigation fluid temperature and suitability for use. Twenty-eight scrub nurses were enrolled and assigned to one of three groups using either hot, cold, or euthermic irrigation fluid. Measurements were taken at 30-minute intervals in either a cold (18 °C [64.4 °F]) or room-temperature (22 °C to 24 °C [71.6 °F to 75.2 °F]) environment. Incorrect assessments regarding irrigation fluid temperature were made by 89.3% of participants, with 78.6% doing so in the cold environment. Participants with experience in gynecological and plastic surgery were more accurate in their assessments. This study revealed disparities between subjective assessments and objectively measured temperatures. The high rate of inaccurate evaluations underscores the need to use objective methods for temperature measurements.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"123 1","pages":"89-100"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pressure injuries are a known complication during surgery, especially in patients positioned laterally under general anesthesia. This study investigated the relationship between preoperative transepidermal water loss (TEWL) and postoperative skin injuries in patients undergoing thoracoscopic pneumonectomy. A prospective observational study was conducted in 86 patients aged 20 years or older. Preoperative assessments included TEWL; stratum corneum hydration; and skin temperature, moisture, and pH at high-risk sites. Logistic regression and receiver operating characteristic analyses were used to evaluate predictive factors. Preoperative TEWL was significantly associated with postoperative skin injuries (R2 = 0.545, B = -0.094; 95% confidence interval, -0.161 to -0.037; P < .001). Receiver operating characteristic analysis identified a TEWL cut-off of 19.5 g/m2/h, with sensitivity of 0.500 and specificity of 0.903. These findings suggest that TEWL may indicate patients at risk for postoperative skin injuries, and early preventive strategies may reduce the incidence of these injuries in high-risk patients.
压伤是手术中常见的并发症，特别是在全麻下侧卧位的患者。本研究探讨胸腔镜肺切除术患者术前经皮失水（TEWL）与术后皮肤损伤的关系。一项前瞻性观察研究对86名20岁及以上的患者进行了研究。术前评估包括TEWL；角质层水化；以及高危部位的皮肤温度、湿度和pH值。采用Logistic回归和受试者工作特征分析对预测因素进行评价。术前TEWL与术后皮肤损伤显著相关（R2 = 0.545, B = -0.094； 95%可信区间为-0.161 ~ -0.037;P 2/h），敏感性为0.500，特异性为0.903。这些研究结果表明，TEWL可能表明患者有术后皮肤损伤的风险，早期预防策略可能会降低高危患者皮肤损伤的发生率。
{"title":"Preoperative Cutaneous Conditions and Postoperative Skin Injuries in Patients Undergoing Surgery in the Lateral Decubitus Position: A Prospective Cohort Study.","authors":"Kentaro Hara, Sotaro Takami, Takahiro Uemura, Reika Tachibana, Ryosuke Kumashiro, Ayaka Yuge, Koichiro Shimoyama, Koichi Tomoshige, Michiko Yamaguchi, Masaki Fujioka, Tsutomu Tagawa","doi":"10.1002/aorn.14441","DOIUrl":"10.1002/aorn.14441","url":null,"abstract":"<p><p>Pressure injuries are a known complication during surgery, especially in patients positioned laterally under general anesthesia. This study investigated the relationship between preoperative transepidermal water loss (TEWL) and postoperative skin injuries in patients undergoing thoracoscopic pneumonectomy. A prospective observational study was conducted in 86 patients aged 20 years or older. Preoperative assessments included TEWL; stratum corneum hydration; and skin temperature, moisture, and pH at high-risk sites. Logistic regression and receiver operating characteristic analyses were used to evaluate predictive factors. Preoperative TEWL was significantly associated with postoperative skin injuries (R<sup>2</sup> = 0.545, B = -0.094; 95% confidence interval, -0.161 to -0.037; P < .001). Receiver operating characteristic analysis identified a TEWL cut-off of 19.5 g/m<sup>2</sup>/h, with sensitivity of 0.500 and specificity of 0.903. These findings suggest that TEWL may indicate patients at risk for postoperative skin injuries, and early preventive strategies may reduce the incidence of these injuries in high-risk patients.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 6","pages":"380-392"},"PeriodicalIF":1.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"If You See Something, Say Something,\" for Patient Advocacy.","authors":"M Imelda Wright","doi":"10.1002/aorn.14432","DOIUrl":"https://doi.org/10.1002/aorn.14432","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 5","pages":"331-333"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guideline for Care and Cleaning of Surgical Instruments.","authors":"","doi":"10.1002/aorn.14429","DOIUrl":"https://doi.org/10.1002/aorn.14429","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 5","pages":"P2-P5"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lighting the Pathway for the Future of Perioperative Nursing.","authors":"Darlene B Murdock","doi":"10.1002/aorn.14437","DOIUrl":"https://doi.org/10.1002/aorn.14437","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 5","pages":"279-281"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naja Nielsen, Thomas Korgaard Jensen, Jakob Burcharth, Lasse Rehné Jensen
Time outs during surgery are designed to enhance patient safety, yet the use of standardized intraoperative time outs remains understudied. This nationwide cross-sectional survey explored how intraoperative time outs are used and perceived by OR nurses across all surgical specialties in Denmark. Most respondents had more than four years of experience and regularly assisted with emergency surgeries. Although nearly all were familiar with preoperative checklists, 76% indicated that structured intraoperative time outs were not performed during routine or emergency procedures. Furthermore, although 64% of nurses observed changes in surgical strategy during procedures, only 27% reported that a predefined plan for such changes was in place. Intraoperative discussions often focused on the patient's clinical condition, with less attention on communication and collaboration. These findings suggest that standardized intraoperative time outs are infrequently used in Danish surgical practice. Implementing structured time outs during surgery may improve communication, care quality, and patient safety.
{"title":"Standardized Intraoperative Time Outs in Denmark - A National Survey of OR Nurses.","authors":"Naja Nielsen, Thomas Korgaard Jensen, Jakob Burcharth, Lasse Rehné Jensen","doi":"10.1002/aorn.14426","DOIUrl":"https://doi.org/10.1002/aorn.14426","url":null,"abstract":"<p><p>Time outs during surgery are designed to enhance patient safety, yet the use of standardized intraoperative time outs remains understudied. This nationwide cross-sectional survey explored how intraoperative time outs are used and perceived by OR nurses across all surgical specialties in Denmark. Most respondents had more than four years of experience and regularly assisted with emergency surgeries. Although nearly all were familiar with preoperative checklists, 76% indicated that structured intraoperative time outs were not performed during routine or emergency procedures. Furthermore, although 64% of nurses observed changes in surgical strategy during procedures, only 27% reported that a predefined plan for such changes was in place. Intraoperative discussions often focused on the patient's clinical condition, with less attention on communication and collaboration. These findings suggest that standardized intraoperative time outs are infrequently used in Danish surgical practice. Implementing structured time outs during surgery may improve communication, care quality, and patient safety.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 5","pages":"290-298"},"PeriodicalIF":1.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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