Perianesthesia Nursing Malpractice: Reducing the Risk of Litigation
Nursing malpractice claims are escalating, which equates to a higher risk of being named in a lawsuit and possibly defending one's actions in court. The perianesthesia nurse is at particular risk because of patient involvement before, during, and after surgical procedures. To minimize this risk nurses should have a clear understanding of how a malpractice claim proceeds and the common incidents involved. Three perianesthesia case studies are presented that identify potential nursing litigation threats and strategies to reduce those threats. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 18, 2018 Category: Nursing Authors: Lyerla Frank, Jamie Danks Tags: Continuing Education Source Type: research

Family Visitation in the PACU: An Evidence-Based Practice Project.
CONCLUSIONS: Family satisfaction can be increased and anxiety decreased by allowing a brief visit in the PACU. Although registered nurses expressed concerns before the change, the new visitation policy was successfully implemented and met with enthusiasm. It continues in practice today. PMID: 30528306 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Pagnard E, Sarver W Tags: J Perianesth Nurs Source Type: research

Effectiveness of a Pre-emptive Preoperative Belladonna and Opium Suppository on Postoperative Urgency and Pain After Ureteroscopy.
CONCLUSIONS: Pre-emptive preoperative administration of a B + O suppository before ureteroscopy results in decreased urinary urgency during the postoperative recovery. Pre-emptive preoperative interventions can result in positive outcomes before discharge. PMID: 30528307 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Fetzer SJ, Goodwin L, Stanizzi M Tags: J Perianesth Nurs Source Type: research

Enhancing the Quality of the Anesthesia to Postanesthesia Care Unit Patient Transfer Through Use of an Electronic Medical Record-Based Handoff Tool.
CONCLUSIONS: The use of a standardized anesthesia to PACU EMR-based handoff checklist significantly increased the percent of accurate information transferred without considerably affecting the duration of the PACU handoff process. PMID: 30528308 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Halladay ML, Thompson JA, Vacchiano CA Tags: J Perianesth Nurs Source Type: research

Enhancing the Quality of the Anesthesia to Postanesthesia Care Unit Patient Transfer Through Use of an Electronic Medical Record –Based Handoff Tool
Anesthesia to postanesthesia care unit (PACU) handoffs are often incomplete, imprecise, and highly variable with respect to information transfer, and therefore can jeopardize patient safety. A standardized anesthesia to PACU electronic medical record (EMR)-based patient handoff checklist was implemented and evaluated for its effect on the information transfer. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 5, 2018 Category: Nursing Authors: Margaret L. Halladay, Julie A. Thompson, Charles A. Vacchiano Tags: Original Article Source Type: research

Family Visitation in the PACU: An Evidence-Based Practice Project
Evidence demonstrates that allowing visitation in the postanesthesia care unit (PACU) leads to decreased anxiety and increased satisfaction. The purpose of this project was to create a visitation policy for families of patients staying overnight in the PACU, which would lead to improved satisfaction with the surgical waiting room experience and decreased family member anxiety. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 5, 2018 Category: Nursing Authors: Elizabeth Pagnard, Wendy Sarver Tags: Original Article Source Type: research

Effectiveness of a Pre-emptive Preoperative Belladonna and Opium Suppository on Postoperative Urgency and Pain After Ureteroscopy
Postoperative ureteroscopy patients can develop bladder spasms, complaints of pain, and the urgent need to void during emergence from anesthesia. Discomfort leads to patient agitation, resulting in a risk to patient safety. The purpose of this study was to determine the effectiveness of a preemptive preoperative belladonna and opium (B + O) suppository on postoperative bladder comfort, narcotic requirements, and length of stay of ureteroscopy patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 5, 2018 Category: Nursing Authors: Susan Jane Fetzer, Linda Goodwin, Matthew Stanizzi Tags: Original Article Source Type: research

Local Anesthetic Systemic Toxicity: Reviewing Updates From the American Society of Regional Anesthesia and Pain Medicine Practice Advisory.
PMID: 30449428 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Wolfe RC, Spillars A Tags: J Perianesth Nurs Source Type: research

Preoperative Optimization.
PMID: 30449429 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Clifford T Tags: J Perianesth Nurs Source Type: research

Considering Randomness.
PMID: 30449430 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Fetzer SJ Tags: J Perianesth Nurs Source Type: research

Transforming Perianesthesia Clinical Practice Through Dissemination and Implementation Science.
PMID: 30449431 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Mamaril M Tags: J Perianesth Nurs Source Type: research

A Healthier You for Christmas.
PMID: 30449432 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Odom-Forren J Tags: J Perianesth Nurs Source Type: research

Patients Scheduled for General Anesthesia: Betwixt and Between Worrying Thoughts and Keeping Focus.
CONCLUSIONS: Patients' experiences of being cared for and supported in their coping strategies by RNAs will substantiate patients' predisposed confidence in the RNA and the anesthetic procedure. This will support patients in keeping focus in a highly technological environment. PMID: 30449433 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Aagaard K, Rasmussen BS, Sørensen EE, Laursen BS Tags: J Perianesth Nurs Source Type: research

Examination of the Relationship Between Elective Surgical Patients' Methods for Coping With Stress and Sleeping Status the Night Before an Operation.
This study was conducted to examine the relationship between elective surgical patients' methods for coping with stress and sleeping status the night before an operation. DESIGN: This research was a descriptive and correlational study. METHODS: The study was conducted between November 2016 and February 2017 with 132 patients who were waiting to undergo elective surgery in the surgery clinics of a university hospital. The data were collected using a personal information form, the Richards-Campbell Sleep Questionnaire (RCSQ), and the Ways of Coping Inventory (WOC). FINDINGS: This study indicated that the mean ...
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Karaman Özlü Z, Şahin Altun Ö, Olçun Z, Kaya M, Yurttaş A Tags: J Perianesth Nurs Source Type: research

The Effectiveness of Intravenous Oxycodone in the Treatment of Acute Postoperative Pain: A Systematic Review.
CONCLUSIONS: IV oxycodone can be considered as effective analgesia for acute postoperative pain with careful regards to its adverse effects. PMID: 30449435 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Tan HP, Conroy T Tags: J Perianesth Nurs Source Type: research

The Power of Topical Anesthetics and Distraction for Peripheral Intravenous Catheter Placement in the Pediatric Perianesthesia Area.
Abstract Placing a peripheral intravenous catheter is a painful procedure and produces much anxiety for the pediatric patient, as well as for their parents and nursing staff. There is a heightened need for having effective pain control during this process, which will lead to increased cooperation and decreased anxiety for the patient, making the placement of a peripheral intravenous catheter successful. Topical analgesics and distraction are powerful tools that can make inserting a peripheral intravenous catheter easier for the patient, and also easier for a nurse with limited pediatric experience. The purpose of ...
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Martin HA Tags: J Perianesth Nurs Source Type: research

Nurse Practitioner-Driven Optimization of Presurgical Testing.
This article outlines the evolution of presurgical testing from the vantage of generic testing to one that is tailored to the patient's clinical presentation and the type of surgery to be performed, whether it is high, intermediate, or low risk. Emphasis is placed on indicated testing, screening tools to identify patients at risk for perioperative complications, the optimization of patients before undergoing major cancer surgery, and enhanced recovery after surgery. The goal was to bring awareness to our colleagues that evidence-based practice defines the present role of the nurse practitioner in this setting and evidence ...
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Cuomo S, Abate M, Springer C, Kessel D, Bracken D, Fischer-Cartlidge E Tags: J Perianesth Nurs Source Type: research

Scale Development and Psychometric Evaluation of the Preoperative Assessment of Readiness Tool.
CONCLUSIONS: The 15-item Preoperative Assessment of Readiness Tool demonstrated satisfactory psychometrics in assessing perceived surgical readiness. Nonetheless, further analysis is warranted to guarantee robust cross-cultural and cross-geographical comparisons. PMID: 30449438 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Torres GCS, Macindo JRB Tags: J Perianesth Nurs Source Type: research

A Comprehensive Protocol to Prevent Brachial Plexus Injury During Ankylosing Spondylitis Surgery.
CONCLUSIONS: With this comprehensive strategy, the brachial plexus could be effectively protected during the surgery. PMID: 30449439 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Rui L, Xu G, Lv X, Ma Z Tags: J Perianesth Nurs Source Type: research

The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study.
CONCLUSIONS: Because of its effectiveness and feasibility, wristband P6 acupuncture point acupressure application is a great alternative to pharmacologic methods in the gynecologic surgery population. PMID: 30449440 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Ünülü M, Kaya N Tags: J Perianesth Nurs Source Type: research

Benefits of Passive Warming on Surgical Patients Undergoing Regional Anesthetic Procedures.
CONCLUSIONS: Passive warming is a suitable cost-effective alternative when forced-air warming is not feasible. Additional inquiry into the use of passive warming is warranted. PMID: 30449441 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Williams AK Tags: J Perianesth Nurs Source Type: research

The Swedish Safety Attitudes Questionnaire-Operating Room Version: Psychometric Properties in the Surgical Team.
CONCLUSIONS: The refined Swedish version of the SAQ-OR is a reasonably reliable and acceptably valid instrument for the measurement of patient safety climate in the surgical team. However, the results related to the different analyses varied among the different professionals and further research, using larger samples, is needed to explore these differences, especially among the physicians. PMID: 30449442 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Nilsson U, Göras C, Wallentin FY, Ehrenberg A, Unbeck M Tags: J Perianesth Nurs Source Type: research

Patients' Experiences During Carotid Endarterectomy Performed Under Local Anesthesia.
CONCLUSIONS: Patients' experiences ranged from being pleased with the surgical procedure and local anesthesia to vowing never to undergo such a procedure again. It is important to focus on the patients' experiences and feelings when choosing a method of anesthesia. PMID: 30449443 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Ericsson A, Hult C, Kumlien C Tags: J Perianesth Nurs Source Type: research

Preoperative Pain Management Education: An Evidence-Based Practice Project.
CONCLUSIONS: More intervention patients than comparison patients reported medication side effects and were encouraged to use nonpharmacologic methods for reducing postoperative pain. Intervention patients also reported the effects of pain on mood and the use of nonpharmacologic methods more frequently than comparison patients. Preoperative pain management education may increase patients' knowledge in key areas of postoperative pain management to prevent negative outcomes. PMID: 30449444 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: O'Donnell KF Tags: J Perianesth Nurs Source Type: research

Effectiveness of a Preoperative Preparation Program on Children's Emotional States and Parental Anxiety.
Abstract PURPOSE: The study was conducted to examine the effects of a preoperative preparation program on children and their parents in a pediatric surgery outpatient clinic. DESIGN: A quasiexperimental design was used. METHODS: Seventy-three children and their primary caregivers were included in the study (intervention = 36, control = 37). Data collection tools included the Characteristics of Children and Caregivers Data Form, the PedsQL Health Care Parental Satisfaction Scale, the State Anxiety Inventory, and the children's Koppitz Human Figure Drawing Test. Data were collected...
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Bartik K, Toruner EK Tags: J Perianesth Nurs Source Type: research

Delirium: Are We Doing Enough?
PMID: 30449446 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Makic MBF Tags: J Perianesth Nurs Source Type: research

Ending the Silence for Second Victims in Health Care.
PMID: 30449447 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Ross J Tags: J Perianesth Nurs Source Type: research

ASPAN Legacy Recognition of Esther Watson, BSN, RN, ASPAN Historian.
PMID: 30449448 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 21, 2018 Category: Nursing Authors: Iacono MV Tags: J Perianesth Nurs Source Type: research

The Effect of Foot Massage on Postoperative Pain and Anxiety Levels in Laparoscopic Cholecystectomy Surgery: A Randomized Controlled Experimental Study
This study determined the effect of foot massage on postoperative pain and anxiety levels in patients undergoing laparoscopic cholecystectomy surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 20, 2018 Category: Nursing Authors: Kezban Kora ş, Neziha Karabulut Tags: Original Article Source Type: research

Postoperative Recovery After General and Regional Anesthesia in Patients Undergoing Day Surgery: A Mixed Methods Study
To investigate differences and describe experiences of postoperative recovery after day surgery between patients undergoing general anesthesia (GA) versus regional anesthesia (RA). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 20, 2018 Category: Nursing Authors: Ulrica Nilsson, Maria Jaensson, Karuna Dahlberg, Karin Hugelius Tags: Original Article Source Type: research

Transforming Perianesthesia Clinical Practice Through Dissemination and Implementation Science
PERIANESTHESIA NURSES (PNS) who seek to base clinical practice on the best available evidence understand the basic principles of evidence-based practice (EBP) and the importance of the scientific rigor. In addition, PNs know how to appraise the type, level, and quality of evidence. This crucial EBP appraisal process is a strategic underpinning to identify the soundest evidence to use and more importantly translate to clinical practice at the bedside. Patient care is ultimately advanced through the adoption of the EBP scientific findings into clinical practice guidelines. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Myrna Mamaril Tags: The Back Page Source Type: research

Considering Randomness
Randomness, a noun, describes the lack of a pattern or lack of predictability. But the use of the word “random” as an adjective in “randomized controlled trials” (RCTs) seems to fly in the face of what researchers are trying to accomplish in strictly monitoring the progress of a research study. However, randomness is critical when conducting a study designed to demonstrate the superiority of one treatment over another. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Susan J. Fetzer Tags: Research for Practice Source Type: research

Local Anesthetic Systemic Toxicity: Reviewing Updates From the American Society of Regional Anesthesia and Pain Medicine Practice Advisory
THE AMERICAN SOCIETY OF REGIONAL ANESTHESIA (ASRA) and Pain Medicine recently published updated guidance on the management of local anesthetic systemic toxicity (LAST).1,2 Organ systems that are primarily disrupted by toxic doses of local anesthetics include the cardiovascular system and central nervous system (CNS). Mild prodromal symptoms may progress to major complications such as seizures, cardiac arrest, or death. Treatment is multifactorial and involves the use of 20% lipid emulsion therapy as the antidote. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Rachel C. Wolfe, Alexander Spillars Tags: Pharmacology Facts Source Type: research

Preoperative Optimization
Question: I recently transferred to the preoperative clinic. I frequently hear the mid-level staff talking about preoperative optimization. Which key medical conditions should I focus on? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Theresa Clifford Tags: Practice Corner Source Type: research

ASPAN Legacy Recognition of Esther Watson, BSN, RN, ASPAN Historian
Each nurse impacts nursing practice, patient care, and nurse colleagues in a unique fashion. Individual gifts and talents blend with personality and motivation to help determine how involved an individual nurse will be in the workplace, community, and professional organizations such as the American Society of PeriAnesthesia Nurses (ASPAN). Nurses build their personal legacy step by step, with intent and action. Seeds are planted by their efforts and work, and an imprint is made for the profession. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Maureen V. Iacono Tags: Perianesthesia Culture Source Type: research

Delirium: Are We Doing Enough?
Delirium manifests as an acute change in mental status, inattention, disorganized thinking, altered cognition, and perception that fluctuates in nature.1-4 Patients may present with hypoactive, hyperactive, or mixed delirium symptoms. Delirium occurs most commonly in adult patients in the intensive care unit (ICU) and has been shown to result in prolonged ICU and hospital length of stay, extended duration of mechanical ventilation support needs, increased morbidity and mortality, worsened cognitive impairment at discharge, and increased health care costs. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Mary Beth Flynn Makic Tags: Critical Care Connection Source Type: research

Ending the Silence for Second Victims in Health Care
I was a nurse in the operating room working with a health care provider administering an epidural block. After the procedure the patient developed a spinal hematoma and permanent paralysis. An investigation determined that the patient was taking a new anticoagulant that should have been discontinued days before the procedure. The consents and instructions for the procedure were done in the doctor's office, so the preprocedure screening at our facility did not catch this medication. In addition, the procedure was done before the initiation of checklists. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Authors: Jacqueline Ross Tags: Patient Safety Source Type: research

A Healthier You for Christmas
Have you thought about what you want for Christmas? Parents have been planning for children, grandparents for grandchildren, or perhaps you have a significant other who will receive a special gift. How about taking time to think about what you would like for Christmas? Instead of a physical gift, think about a healthy lifestyle and the changes it would take to bring that to fruition. (And by the way, I am talking to myself as well.) (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 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 - November 16, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Source Type: research

Table of Contents
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Source Type: research

Congratulations New CPANs and CAPAs!
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 16, 2018 Category: Nursing Source Type: research

I Stay-Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace.
CONCLUSIONS: In a nonhierarchical and stable organization with a head nurse with caritative leadership skills, a welcoming working environment with opportunities for professional development is created. Thus, nurse specialists choose to stay, contributing to organizational development. PMID: 30448224 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - November 15, 2018 Category: Nursing Authors: Arakelian E, Rudolfsson G, Rask-Andersen A, Runeson-Broberg R, Wålinder R Tags: J Perianesth Nurs Source Type: research

I Stay —Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace
To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 15, 2018 Category: Nursing Authors: Erebouni Arakelian, Gudrun Rudolfsson, Anna Rask-Andersen, Roma Runeson-Broberg, Robert W ålinder Tags: Original Article Source Type: research

Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay.
Abstract PURPOSE: The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1 minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient surgery. DESIGN: Single-blinded prospective design with randomized assignment to TBID or oral midazolam group was conducted at a large pediatric hospital in southwestern United States. METHODS: A total of 102 children and caregivers were enrolled. Outcome measures included ...
Source: Journal of Perianesthesia Nursing - November 7, 2018 Category: Nursing Authors: Stewart B, Cazzell MA, Pearcy T Tags: J Perianesth Nurs Source Type: research

Single-Blinded Randomized Controlled Study on Use of Interactive Distraction Versus Oral Midazolam to Reduce Pediatric Preoperative Anxiety, Emergence Delirium, and Postanesthesia Length of Stay
The purpose of this study was to compare effects of tablet-based interactive distraction (TBID; 1  minute preseparation) with oral midazolam (15 to 45 minutes of preseparation) on preoperative anxiety, emergence delirium, and postanesthesia length of stay in children, 4 to 12 years undergoing outpatient surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 7, 2018 Category: Nursing Authors: Barbara Stewart, Mary A. Cazzell, Terri Pearcy Tags: Original Article Source Type: research

Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures.
Abstract PURPOSE: This quality improvement project examined whether the use of a validated physiological scoring protocol to determine discharge readiness for surgical procedures proximal to the airway would decrease the time at which discharge criteria were met and postanesthesia care unit (PACU) length of stay. DESIGN: An observational pre-post design compared preimplementation recovery times to postimplementation recovery times. METHODS: PACU nurses were trained to use two physiological scoring protocols to determine when patients met discharge criteria and to document when discharge criteria were met...
Source: Journal of Perianesthesia Nursing - November 3, 2018 Category: Nursing Authors: Revell CC, Rice AN, Gupta DK, Muckler VC Tags: J Perianesth Nurs Source Type: research

The Effect of Preoperative Oral Carbohydrate Administration on Insulin Resistance and Comfort Level in Patients Undergoing Surgery.
Abstract PURPOSE: The aim of this study was to evaluate the effect of preoperative oral carbohydrate solution (OCS) administration on postoperative insulin resistance and patient comfort in elective laparoscopic cholecystectomy. DESIGN: Randomized controlled clinical study. METHODS: The experimental group received OCS. The control group did not eat or drink before surgery. Glucose and insulin level were measured at baseline, 2 hours before surgery, and at the first and third hour after surgery. Insulin resistance was assessed by the homeostasis model assessment of insulin resistance (HOMA-IR). The visual...
Source: Journal of Perianesthesia Nursing - November 3, 2018 Category: Nursing Authors: Onalan E, Andsoy II, Ersoy OF Tags: J Perianesth Nurs Source Type: research

The Effect of Preoperative Oral Carbohydrate Administration on Insulin Resistance and Comfort Level in Patients Undergoing Surgery
The aim of this study was to evaluate the effect of preoperative oral carbohydrate solution (OCS) administration on postoperative insulin resistance and patient comfort in elective laparoscopic cholecystectomy. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 3, 2018 Category: Nursing Authors: Emine Onalan, Isil I. Andsoy, Omer F. Ersoy Tags: Original Article Source Type: research

Implementation of Physiological Scoring to Determine Discharge Readiness for Patients Undergoing Otolaryngology Head and Neck Procedures
This quality improvement project examined whether the use of a validated physiological scoring protocol to determine discharge readiness for surgical procedures proximal to the airway would decrease the time at which discharge criteria were met and postanesthesia care unit (PACU) length of stay. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - November 3, 2018 Category: Nursing Authors: Caroline C. Revell, Andi N. Rice, Dhanesh K. Gupta, Virginia C. Muckler Tags: Original Article Source Type: research