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Clinical Issues - August 2025. 临床问题- 2025年8月。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-08-01 DOI: 10.1002/aorn.14394
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引用次数: 0
Managing Medication Shortages. 管理药品短缺。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-08-01 DOI: 10.1002/aorn.14389
Julie Cahn
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引用次数: 0
AORN Global Surgical Conference & Expo, April 5-8 2025, Boston, Massachusetts Conference Highlights. 2025年会议亮点。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-06-01 DOI: 10.1002/aorn.14366
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引用次数: 0
Surgical Site Infections and the Use of Forced-Air Warming Devices During Surgical Procedures: A Systematic Review and Meta-Analysis. 外科手术过程中手术部位感染和强制空气加热装置的使用：系统回顾和荟萃分析。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-06-01 DOI: 10.1002/aorn.14352
Liang Qin Liu, Sinead Mehigan

Forced-air warming (FAW) is effective in preventing hypothermia, yet its effect on surgical site infections (SSIs) remains debated. This systematic review synthesizes available evidence on the effect of FAW devices on SSI incidence among surgical patients. We searched several databases and identified 14 studies, including randomized controlled trials, nonrandomized controlled trials, and observational studies, that compared FAW devices to other warming methods or no warming in adult patients undergoing elective or emergency surgeries. The Effective Public Health Practice Project tool was used for quality assessment, and a narrative synthesis and meta-analysis were performed. The pooled analysis did not show a significant increase in SSI risk with FAW use. However, heterogeneity in study designs and small sample sizes limit the generalizability of findings. Future research should focus on larger, multicenter randomized controlled trials in diverse surgical settings and documenting patient characteristics and anesthetic methods.

强制空气加热（FAW）对预防低温有效，但其对手术部位感染（ssi）的影响仍存在争议。本系统综述综合了FAW器械对外科患者SSI发生率影响的现有证据。我们检索了几个数据库，并确定了14项研究，包括随机对照试验、非随机对照试验和观察性研究，这些研究将FAW装置与其他加热方法或不加热的成年患者进行选择性或紧急手术。使用有效公共卫生实践项目工具进行质量评估，并进行叙事综合和荟萃分析。合并分析没有显示使用一汽后SSI风险显著增加。然而，研究设计的异质性和小样本量限制了研究结果的普遍性。未来的研究应该集中在更大的、多中心的随机对照试验，在不同的手术环境下，记录患者的特征和麻醉方法。
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引用次数: 0
Team Communication. 团队沟通。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14345
Zach Swartz
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引用次数: 0
The Association Between OR Traffic and Airborne Microbial Counts During Two Types of Abdominal Surgeries. 两种腹部手术中手术室流量与空气微生物数量的关系
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14335
Margaret Kuehl, Kimberly Mitchell, Mark Crucero, Stephanie Gore, Mary Hook

Airborne contamination via OR traffic (ie, number of personnel and door openings, personnel movement) can contribute to the deposit of microbes on surfaces and contribute to surgical site infections. Researchers at a midwestern health system used a mixed-methods approach to evaluate the association between OR traffic and microbial deposits during colon surgeries and abdominal hysterectomies using nonparticipant observations and agar settle plate testing. Door openings were at the low end of published rates, although some openings were for nonessential reasons. Door openings were strongly correlated with surgery duration (r58 = 0.72, P < .0001). Total microbial deposits were weakly correlated with increased door openings (r58 = 0.37, P < .004) and personnel (r58 = 0.27, P = .034), but most (83%) of the wound zone deposit values were below the established threshold. Perioperative personnel may be able to reduce microbial contamination risk by decreasing OR traffic.

通过手术室交通（即人员数量和门洞、人员移动）产生的空气污染可能导致微生物在表面沉积，并导致手术部位感染。中西部卫生系统的研究人员采用混合方法，通过非参与者观察和琼脂沉淀平板试验，评估结肠手术和腹部子宫切除术期间手术室流量与微生物沉积之间的关系。开门率处于公布率的低端，尽管有些开门是出于不必要的原因。开门与手术时间密切相关（r58 = 0.72, P 58 = 0.37, P 58 = 0.27, P = 0.034），但大多数（83%）创面沉积值低于设定阈值。围手术期人员可以通过减少手术室流量来降低微生物污染的风险。
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引用次数: 0
Guideline for Pneumatic Tourniquet Safety. 气动止血带安全指南。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14339
Lindsay Fischer
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引用次数: 0
Robotic-Assisted Surgery Shows Promise in Breast Reconstruction. 机器人辅助手术显示乳房重建的前景。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14336
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引用次数: 0
Clinical Issues - May 2025. 临床问题- 2025年5月。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14341
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引用次数: 0
The History of Robotic-Assisted Surgery. 机器人辅助手术的历史。
IF 0.8 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-05-01 DOI: 10.1002/aorn.14338
{"title":"The History of Robotic-Assisted Surgery.","authors":"","doi":"10.1002/aorn.14338","DOIUrl":"https://doi.org/10.1002/aorn.14338","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"P10-P11"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021856","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}
引用次数: 0
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