Development of Perioperative Hypothermia Management Protocol for Surgical Patients
Unintended perioperative hypothermia is occurring in 50-90% of surgical patients, leading to problems such as increased infections, increased bleeding, cardiovascular complications, and delayed recovery. Therefore, it is important to manage the patient's body temperature integrally. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Hyejin Kim, Nayoung Kim, Yunkyung Kil, JuHee Lee, Jebog Yoo, HyeonJeong Kim, Hyeran Kim Tags: ASPAN National Conference Abstract Source Type: research

Pre-Operative Warming: Are Warm Cotton Blankets Enough?
Hypothermia is a serious, yet preventable post-operative challenge. Post-operative hypothermia can lead to multiple complications including infection, poor wound healing, cardiac events, and death. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Katina Martha Turner Tags: ASPAN National Conference Abstract Source Type: research

Change in Nurses ’ Confidence in Patient Readiness for Post Anesthesia Discharge after Viewing End Tidal C02
Post-surgical patients are at risk for respiratory depression or hypoventilation. End tidal carbon dioxide (etCO2) values may indicate respiratory abnormalities better than pulse oximetry. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Antoinette A. Zito, Amy Berardinelli, Robert Butler, Shannon L. Morrison, Nancy M. Albert Tags: ASPAN National Conference Abstract Source Type: research

Improving Education for Pediatric Day Surgery (DSU) Patients
Post-operative discharge instructions for day surgery pediatric patients at BCH are given in the busy post-anesthesia care unit (PACU), an environment where many patients are recovering from surgery. This method of delivering discharge education has remained the same for many years. However, due to many environmental distractions, there is concern whether patients and their families retain important discharge instructions such as medication administration, activity level, and scheduling of follow up appointments. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Phyllis Rose Santucci Tags: ASPAN National Conference Abstract Source Type: research

Use of Ketamine during Anesthesia in Adult Patients
Post anesthesia care unit (PACU) nurses expressed concern about patients being restless/agitated upon awakening after receiving Ketamine intraoperatively. Anesthesia providers support the use of Ketamine stating reduction in the overall need for opioid pain medications and decreased length of stay in the PACU. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Doris Winkle, Lisa Coffman, Roxanne Neff, Melodie Richardson, Heather Wolfenberger Tags: ASPAN National Conference Abstract Source Type: research

Ensuring Pediatric Competency for Adult PACU Nurses
Nurses should have good assessment skills; however, post-anesthesia care unit (PACU) nurses must be particularly diligent in monitoring patients and quick to respond in potentially life-threatening situations. Pediatric and adult patients obviously have different needs when recovering from anesthesia and surgical procedures. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Brittany Elliott, Renee Russell, Stephanie Rico, Kathryn Boschen Tags: ASPAN National Conference Abstract Source Type: research

Pulling Patients from the Pacu: the Uphill Push that became the Effortless Pull
Analysis of hospital boarding times showed variability and delays in the placement of patients from PACU to the Inpatient Surgical Unit. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Heidi Childs, Sarah Derieg, Rebecca Colley, Maryam El-Bakry, Regina Hoefner-Notz, Erica Gutierrez, Cynthia Knapp, Sheri Neu, Meghan Rach, James Ray, Christine Silva, Jesse Tuohy, Nicole Widmer Tags: ASPAN National Conference Abstract Source Type: research

Different Approach to Post-operative Pain Management: Trans Abdominis Plane (TAP) Blocks
Transversus abdominis plane (TAP) blocks are a new approach of injecting local anesthesia into the plane between the internal oblique and transversus abdominis muscle, giving somatic pain relief. TAP blocks are a promising technique in alleviating postoperative pain in patients undergoing open abdominal surgeries, especially when used as part of a multi-modal analgesia regimen. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Joi H. Calloway, Jay Arcilla, Joan Riswold Tags: ASPAN National Conference Abstract Source Type: research

Exploring a Multi-Modal Approach to Pain Control in the Post-Anesthesia Care Area
Surgical spine patients often arrive in the PACU with a pain score of 10 out of 10. When pain level is this high, it is very difficult to get it under control. The primary type of medication given for pain in the PACU is an opioid which is known to cause respiratory depression. Patients recovering from anesthesia frequently need to be prompted to breathe. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Samantha Padre, Dawn Sullivan Tags: ASPAN National Conference Abstract Source Type: research

Intraoperative Hypothermia: Effects of Pre-warming Using Forced-Air Warming in Colorectal Surgery
Perioperative hypothermia (core temperature less than 960F) has been linked to adverse myocardial outcomes, surgical site infections (SSI), bleeding, and increased length of hospital stay. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Lini Thomas, Rowena Garcia, Rusela Desilva, Tesha Seabra Tags: ASPAN National Conference Abstract Source Type: research

Eliminating Specimen Labeling Errors in Post-Anesthesia Care Unit (PACU)- Phase Ii
Inaccurately identified specimens can result in critical patient safety issues through delayed or wrong diagnoses, missed or incorrect treatments, blood transfusion errors, and the need for additional laboratory testing. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Lini Thomas, Joey Yap Tags: ASPAN National Conference Abstract Source Type: research

Exploring CV-PACU Clinical Guidelines Utilizing Independent Perianesthesia Nursing Interventions
This study presents how independent nursing interventions helped in achieving fast and efficient mechanical ventilator weaning that delivers safe and quality outcomes for open heart surgery patients in Cardiovascular Post Anesthesia Care Unit (CV-PACU). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Paul Michael Tan, Jazzle Anne Magdaug, Marie Camille Agustin, Carlo Miguel Villafa ña Tags: ASPAN National Conference Abstract Source Type: research

Attacking Surgical Site Infections One Bug at a Time
In 2016, an average of 16 patients per month arrived to the preoperative unit with a history of Methicillin Resistant Staphylococcus Aureus (MRSA). Surgeons demonstrated variations in preoperative surveillance and treatment practices. Known MRSA patients required contact isolation throughout hospitalization, 1:1 nursing care in the post anesthesia care unit, with surgical site infection (SSI) prevention and contact isolation education. Patients expressed dissatisfaction and perceived stigma associated with isolation. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Linda Mossey, Rebecca Serra, Gloria Romano, Maureen Lansing, Ana Stoehr, Mireille Malkoun Tags: ASPAN National Conference Abstract Source Type: research

The Use of Music and Visual Therapy for Post-Operative Pain, Anxiety and Nausea in the Adult Oncology Patient
Research shows music can move people and motivate us to overcome obstacles. Music therapy can lower stress, promote comfort and reduce pain for all ages, genders and race. Our proposal, Music and Visual therapy for the Post-Operative Pain, Anxiety and Naus The Use of Music and Visual Therapy for Post-Operative Pain, Anxiety and Nausea in the Adult Oncology Patientea has the potential to positively impact Symptom Management, Wellness and Quality Improvement. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Danielle Plapus-George, Charlene Weiss Tags: ASPAN National Conference Abstract Source Type: research

How Perioperative Leadership Fits into the Organization ’s Episode of Care Model Plan
Under the new Episode of Care payment model, payments are structured to better align incentives to promote high quality and efficient care. Healthcare providers are still paid fee-for- service(FFS), but they are held to a greater level of accountability for the cost of care delivered to their patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Carolyn Hoenicke, Lisa Hess, Mary Pat Gilligan, Judi Conley, Lori Vernon, R. Matt Schantz, Hamza Guend, Kathleen Wright Tags: ASPAN National Conference Abstract Source Type: research

The Effects of a “Pacu Pause” and Perioperative Handoff Protocol in Promoting Safety and Improving Provider Satisfaction
According to the Joint Commission Center for Transforming Healthcare (2013), The Joint Commission (TJC) has attributed 80% of serious medical errors to miscommunication during handoff between medical providers. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Lori Servas, Cathy Hayes, Tiffany Mayhorn, Christie Knight, Regina Strange, Sarah Kurtz, Bridget Houlihan, Brigitte Wilson, Valerie Wall, Terry Hurt, David Cassada, Dale Scanlan Tags: ASPAN National Conference Abstract Source Type: research

Same Day Surgery Follow-up Phone Calls – Return on Investment?
Surgical patients are less likely to spend the night in the hospital resulting in same day discharge to home. In the phase II recovery area of a surgical center, nurses and patients have little time together to discuss home-going instructions. Post-operative calls to the patient were made by the secretary in the perioperative unit and only elevated to the nurse if there were clinical questions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Amy Berardinelli, Angela Sotka, Esther Bernhofer Tags: ASPAN National Conference Abstract Source Type: research

Implementation of a Regional Nerve Block Nurse Coordinator to Improve Quality Outcomes
500-bed, level II trauma, surgery center, perioperative nurses are cross-trained in: pre-op, PACU Phase I and II, regional anesthesia nerve blocks, and ophthalmological surgeries. With an increase in the awareness of post-operative pain resulting in opioid use and decreased patient experience scores related to post-operative pain, we saw a rise in pre-operative regional anesthesia nerve block volumes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Amy Berardinelli, Antoinette Zito Tags: ASPAN National Conference Abstract Source Type: research

Patient Engagement Drives Regional Block Education and Outcomes
Andrews Institute has performed nearly 30,000 regional blocks since opening in 2007. Our mission statement “to improve patient care through research and education” set the foundation for our perioperative team to study ways in which to improve patient education. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Barbara J. Holder, Alyson Hughes Tags: ASPAN National Conference Abstract Source Type: research

Improving Our Quality Safe Culture
A baseline Safety Culture Survey administered in our facility in 2014 yielded a rating of B- (82.5) by our staff. The low rating began us on a quest to review and improve our processes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Barbara J. Holder, Alyson Hughes Tags: ASPAN National Conference Abstract Source Type: research

Preoperative Education for Peripheral Nerve Blocks in the Ambulatory Surgery Setting
Identified the lack of knowledge for those patients needing a peripheral nerve block (PNB) prior to surgery; resulting in an increased delay of surgical start times. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Sheri Parman, Donna Dolezal, Jennifer Lalonde, Pasquel Doresca Tags: ASPAN National Conference Abstract Source Type: research

Aromatherapy in the Perianesthesia Areas
Aromatherapy, a nurse driven comfort intervention to promote well-being and relief of distressing symptoms, is new to the Perioperative service areas. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Donna Dolezal, Pam Uhrich, Megan Lampel Tags: ASPAN National Conference Abstract Source Type: research

An Interprofessional Approach to Hospital Acquired Pressure Injury (HAPI) Reduction in the Perioperative Patient
Prone, occipital, and sacral locations were common sites for hospital acquired pressure injury (HAPI ’s) at this medical center. The Centers for Medicare and Medicaid Services (CMS) halted payment for hospital acquired pressure injuries for stage 3, 4 and unstageable ulcers in 2007. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Julia Langin, Pat Pezzella, Laura Phearman, Linda Abbott, Michelle Mathias, Amos Schonrock, Cormac O ’Sullivan, Donna Dolezal, Gail O’Donnell, Sarah Tweedy, Jerrod N. Keith, Lori Stebral Tags: ASPAN National Conference Abstract Source Type: research

Competency, Confidence, Knowledge Retention: Is Simulation the Answer?
Annual competency assessment for RN ’s is a regulatory requirement. The traditional method of assessing annual competence has been objective testing and observation. Learning theories suggest adults learn best by doing. Could changing our assessment methodology increase learning, confidence and improve retention of knowledge about high risk/low volume events in the Perianesthesia environment? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Amy L. Dooley, Joan O ’Connell, Mary T. Sutton, Virginia D. Griffin Tags: ASPAN National Conference Abstract Source Type: research

Portable X-Ray Radiation Safety Practices in Post-Anesthesia Care Unit Nurses
Many surgeries require post-operative imaging after a procedure. Because of this, post-anesthesia care unit (PACU) nurses are exposed to portable x-ray radiation on a regular basis. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Collins Melissa, Corridon Emily, Reene Samantha Tags: ASPAN National Conference Abstract Source Type: research

Adverse Event Debriefing
Adverse events come in many forms, are often unexpected and traumatic, and cause excessive amounts of stress among nurses. Nurses are trained to respond to clinical situations but do not always have the  coping mechanisms necessary to manage their emotional response and subsequent stress following adverse events. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Katja Jaramillo, Dina A. Krenzischek, Monica Anderson, Juanita Baroya, Jessica Thibeault Tags: ASPAN National Conference Abstract Source Type: research

Developing Family Visitation Guidelines to Enhance the Patients Perioperative Experience
Facilitating family visitation throughout perioperative phases of care has been controversial due to obstacles  inherent of this setting. However, literature demonstrates facilitating family visitation can be beneficial to patient outcomes and is supported by the Centers for Medicare and Medicaid Services, Institute of Medicine and the American Society of Perianesthesia Nurses. Consequently, hospitals are c hallenged to develop and implement policies and procedures supporting family visitation. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Eugenia Johnson Tags: ASPAN National Conference Abstract Source Type: research

Surgical Services Hair Removal Protocol “To Clip or Not To Clip”
The Joint Commission National Patient Safety Goal 07.05.01.8 states: When hair removal is necessary, use a method that is cited in scientific literature or endorsed by professional organizations. Upon literature review, best practice related to surgical hair removal includes; (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Susan Elliot, Dawnmarie Devito, Jennifer Pirrozzi, Karin Graulich Tags: ASPAN National Conference Abstract Source Type: research

Suicide and Nurses
OVER A MILLION persons will die by suicide each year worldwide.1 Suicide is the 10th leading cause of death in the United States; in 2016, 44,000 persons took their lives by suicide in the United States.2 Unfortunately, overall suicide rates are increasing.3 Suicide was brought to international attention with the high-profile suicides of Kate Spade and Anthony Bourdain. Data suggests that physicians are at a greater risk to die by suicide, and emerging data indicates that the same is true for other health care workers. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Jan Odom-Forren Tags: Editorial Opinion Source Type: research

Information for Readers
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Source Type: research

Table of Contents
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Source Type: research

Accuracy of Temporal Artery Thermometry as an Indicator of Core Body Temperature in Patients Receiving General Anesthesia.
Abstract PURPOSE: To evaluate the agreement of temporal artery temperature (Tat) with esophageal temperature (Tes) and oral temperature (Tor), and explore potential factors associated with the level of agreement between the thermometry methods in different clinical settings. DESIGN: A prospective repeated measures (induction, emergence, and postanesthesia care unit) design was used. METHODS: Temperature data were collected for 54 patients receiving general anesthesia. Analyses included descriptive statistics, paired t tests for the within-patient comparison of temperature methods, Bland-Altman plots to e...
Source: Journal of Perianesthesia Nursing - July 19, 2018 Category: Nursing Authors: Paik GJ, Henker H, Sereika S, Alexander S, Piotrowski KA, Appel N, Meng L, Bircher N, Henker R Tags: J Perianesth Nurs Source Type: research

The Use of Complementary and Alternative Medicines Among Surgical Patients: A Survey Study.
CONCLUSIONS: Health care providers, and nursing staff, in particular, should have adequate knowledge of societal approaches to CAMs, as well as the possible benefits and harms CAM may cause. PMID: 30033002 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 19, 2018 Category: Nursing Authors: Yazici G, Erdogan Z, Bulut H, Ay A, Kalkan N, Atasayar S, Erden Yuksekkaya S Tags: J Perianesth Nurs Source Type: research

The Use of Complementary and Alternative Medicines Among Surgical Patients: A Survey Study
This study evaluates CAM use in surgery patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 19, 2018 Category: Nursing Authors: Gulay Yazici, Zuhal Erdogan, Hulya Bulut, Ali Ay, Nevra Kalkan, Semra Atasayar, Sevilay Erden Yuksekkaya Tags: Original Article Source Type: research

Accuracy of Temporal Artery Thermometry as an Indicator of Core Body Temperature in Patients Receiving General Anesthesia
To evaluate the agreement of temporal artery temperature (Tat) with esophageal temperature (Tes) and oral temperature (Tor), and explore potential factors associated with the level of agreement between the thermometry methods in different clinical settings. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 19, 2018 Category: Nursing Authors: Grace J. Paik, Hiroko Henker, Susan Sereika, Sheila Alexander, Kathleen A. Piotrowski, Nicole Appel, Li Meng, Nicholas Bircher, Richard Henker Tags: Original Article Source Type: research

Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea.
CONCLUSIONS: Implementation of a universal screening initiative for patients and design for the EMR improves compliance with screening and identification of patients at high risk for OSA. PMID: 30025663 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 16, 2018 Category: Nursing Authors: Stubberud AB, Moon RE, Morgan BT, Goode VM Tags: J Perianesth Nurs Source Type: research

Perioperative Considerations for Patients Diagnosed With Pulmonary Hypertension Undergoing Noncardiac Surgery.
Abstract The prevalence of pulmonary hypertension (PH) has risen in adults of all races, genders, and ethnicities. PH is a fatal disease that presents many challenges to the perioperative health care team. Through increased knowledge of PH pathophysiological changes and anesthesia medications' effect on PH, perioperative health care teams can conduct a detailed preoperative evaluation to determine appropriate therapies to administer. This will assist the perioperative health care team in reducing the pulmonary vascular resistance, optimizing the matching of right ventricle and pulmonary circulations, and reduce th...
Source: Journal of Perianesthesia Nursing - July 16, 2018 Category: Nursing Authors: Tartavoulle T, Bonanno LS, Hall S Tags: J Perianesth Nurs Source Type: research

The Impact of Music Therapy in the Postoperative Setting on Overall Patient Satisfaction Using Validated Outcome Scores.
CONCLUSIONS: MT given in the postoperative setting has no impact on overall patient satisfaction. PMID: 30025665 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 16, 2018 Category: Nursing Authors: Chiodo CP, Keyser C, Palms D, Malone C, Bluman EM, Smith JT Tags: J Perianesth Nurs Source Type: research

Perioperative Considerations for Patients Diagnosed With Pulmonary Hypertension Undergoing Noncardiac Surgery
The prevalence of pulmonary hypertension (PH) has risen in adults of all races, genders, and ethnicities. PH is a fatal disease that presents many challenges to the perioperative health care team. Through increased knowledge of PH pathophysiological changes and anesthesia medications' effect on PH, perioperative health care teams can conduct a detailed preoperative evaluation to determine appropriate therapies to administer. This will assist the perioperative health care team in reducing the pulmonary vascular resistance, optimizing the matching of right ventricle and pulmonary circulations, and reduce the incidence of int...
Source: Journal of PeriAnesthesia Nursing - July 16, 2018 Category: Nursing Authors: Todd Tartavoulle, Laura S. Bonanno, Stanley Hall Tags: Continuing Education Source Type: research

Using the Electronic Medical Record to Improve Preoperative Identification of Patients at Risk for Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is a breathing disorder found in surgical patients and associated with complications in the postoperative period. The implementation of a preoperative universal screening process using the STOP-BANG questionnaire to identify patients at high risk for OSA provides opportunities for improved management. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 16, 2018 Category: Nursing Authors: Allison B. Stubberud, Richard E. Moon, Brett T. Morgan, Victoria M. Goode Tags: Original Article Source Type: research

The Impact of Music Therapy in the Postoperative Setting on Overall Patient Satisfaction Using Validated Outcome Scores
Previous studies have examined music therapy (MT) as a potential modality to relieve negative postoperative symptoms such as pain. This randomized control trial examined the use of MT on patient satisfaction in the postanesthesia care unit. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 16, 2018 Category: Nursing Authors: Christopher P. Chiodo, Cornelia Keyser, David Palms, Christopher Malone, Eric M. Bluman, Jeremy T. Smith Tags: Original Article Source Type: research

The Effect of a Parental Visitation Program on Emergence Delirium Among Postoperative Children in the PACU.
CONCLUSIONS: Parental visitation programs could be effective on the degree of ED in children in the PACU setting. This result may contribute to the establishment of PACU visitation program policy in South Korea. PMID: 30005899 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 10, 2018 Category: Nursing Authors: In W, Kim YM, Kim HS, Hong S, Suh Y, Cha Y, Kim N, Kim J, Kang H, Kwon H, Kim Y, Park W Tags: J Perianesth Nurs Source Type: research

The Effect of a Parental Visitation Program on Emergence Delirium Among Postoperative Children in the PACU
The purpose of this study was to examine the effects of parental presence on the incidence of emergence delirium (ED) of children in the postanesthesia care unit (PACU). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 10, 2018 Category: Nursing Authors: WooYoung In, Young Man Kim, Hee Soon Kim, SeoHee Hong, YuRi Suh, Yerin Cha, Naeun Kim, JongWon Kim, HyunJi Kang, HyoEun Kwon, YangSoo Kim, Wyunkon Park Tags: Original Article Source Type: research

Perianesthetic Implications and Considerations for Myasthenia Gravis.
Abstract Myasthenia gravis (MG) is a chronic autoimmune neuromuscular disease in which antibodies against the post-nicotinic acetylcholine receptor at the neuromuscular junction develop. Although the exact cause of MG remains unknown, the thymus is a common factor in many cases. Patients with underlying junctional disease, such as MG, have greater anesthesia-related risks because of their known predisposition toward prolonged muscle weakness. Medications given in the perioperative period, such as anesthetic agents, antibiotics, cardiovascular drugs, and corticosteroids, affect neuromuscular transmission that contr...
Source: Journal of Perianesthesia Nursing - July 3, 2018 Category: Nursing Authors: Muckler VC, O'Brien JM, Matson SE, Rice AN Tags: J Perianesth Nurs Source Type: research

Perianesthetic Implications and Considerations for Myasthenia Gravis
Myasthenia gravis (MG) is a chronic autoimmune neuromuscular disease in which antibodies against the post-nicotinic acetylcholine receptor at the neuromuscular junction develop. Although the exact cause of MG remains unknown, the thymus is a common factor in many cases. Patients with underlying junctional disease, such as MG, have greater anesthesia-related risks because of their known predisposition toward prolonged muscle weakness. Medications given in the perioperative period, such as anesthetic agents, antibiotics, cardiovascular drugs, and corticosteroids, affect neuromuscular transmission that contributes to muscle w...
Source: Journal of PeriAnesthesia Nursing - July 3, 2018 Category: Nursing Authors: Virginia C. Muckler, Jennifer M. O'Brien, Stephen E. Matson, Andi N. Rice Tags: Continuing Education Source Type: research

Preoperative Risk Assessment to Guide Prophylaxis and Reduce the Incidence of Postoperative Nausea and Vomiting.
This article describes the implementation of a postoperative nausea and vomiting (PONV) risk prediction and prophylaxis protocol. DESIGN: This is a retrospective pre/post implementation quality improvement project. METHODS: This project used chart reviews to assess the impact of the implemented PONV assessment and prophylaxis in a sample population of adult females undergoing gynecologic surgical procedures. FINDINGS: The mean number of prophylactic antiemetics administered significantly increased during the postimplementation period from 3.64 (SD, 0.878) in the preimplementation period to 4.07 (SD, 1.021) i...
Source: Journal of Perianesthesia Nursing - June 23, 2018 Category: Nursing Authors: Thomas JS, Maple IK, Norcross W, Muckler VC Tags: J Perianesth Nurs Source Type: research

Difficult Airways: Key Factors for Successful Management.
CONCLUSIONS: Reflective practice can aid the anesthetic nurse in drawing on experience and remaining calm in acute situations. PMID: 29945847 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 23, 2018 Category: Nursing Authors: Dabija M, Fedog F, Engström Å, Gustafsson S Tags: J Perianesth Nurs Source Type: research

Difficult Airways: Key Factors for Successful Management
To describe anesthetic nurses' experiences of key factors for the successful management of difficult airways in adult patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 23, 2018 Category: Nursing Authors: Marius Dabija, Fredrik Fedog, Åsa Engström, Silje Gustafsson Tags: Original Article Source Type: research

Preoperative Risk Assessment to Guide Prophylaxis and Reduce the Incidence of Postoperative Nausea and Vomiting
This article describes the implementation of a postoperative nausea and vomiting (PONV) risk prediction and prophylaxis protocol. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 23, 2018 Category: Nursing Authors: John Stephenson Thomas, Ingrid K. Maple, William Norcross, Virginia C. Muckler Tags: Original Article Source Type: research