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

Developing a Guideline for Endotracheal Suctioning of Adults With Artificial Airways in the Perianesthesia Setting in China.
CONCLUSIONS: The adapted guideline provided the best evidence for endotracheal suctioning of adults with artificial airways and supported practitioner decisions about appropriate endotracheal suctioning practices for this population. The study also lays the groundwork for future projects on quality improvement and knowledge translation. PMID: 29937102 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 21, 2018 Category: Nursing Authors: Hu J, Yu L, Jiang L, Yuan W, Bian W, Yang Y, Ruan H Tags: J Perianesth Nurs Source Type: research

Developing a Guideline for Endotracheal Suctioning of Adults With Artificial Airways in the Perianesthesia Setting in China
This study aimed to adapt a guideline for endotracheal suctioning of adults with artificial airways in the perianesthesia setting in China. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 21, 2018 Category: Nursing Authors: Jiale Hu, Leilei Yu, Lili Jiang, Weijun Yuan, Weiwei Bian, Yuelai Yang, Hong Ruan Tags: Original Article Source Type: research

Administration of Oral Acetaminophen to Reduce Costs for the Hysterectomy Patient at a Community Hospital.
CONCLUSIONS: The administration of oral acetaminophen provided equivalent postoperative analgesia compared with IV acetaminophen and reduced costs for both the hospital and patients. PMID: 29935798 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 20, 2018 Category: Nursing Authors: Blonk KM, Davenport A, Morgan B, Muckler VC Tags: J Perianesth Nurs Source Type: research

Administration of Oral Acetaminophen to Reduce Costs for the Hysterectomy Patient at a Community Hospital
This quality improvement project aimed to change the practice of administration route of acetaminophen from intravenous (IV) to oral to patients having a hysterectomy at a community hospital, reduce costs, and maintain postanesthesia care unit pain scores for patients who receive oral acetaminophen comparable to those who receive IV acetaminophen. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 20, 2018 Category: Nursing Authors: Kristin M. Blonk, Ashley Davenport, Brett Morgan, Virginia C. Muckler Tags: Original Article Source Type: research

Local Anesthetic Systemic Toxicity (LAST): Designing an Educational Effort for Nurses That Will Last.
CONCLUSIONS: Nurses working in units where nerve blocks are performed are lacking in knowledge of the signs and symptoms and the correct course of treatment for a LAST event. This could lead to poor outcomes of a very high-risk low-volume event. PMID: 29934076 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 19, 2018 Category: Nursing Authors: Ferguson W, Coogle C, Leppert J, Odom-Maryon T Tags: J Perianesth Nurs Source Type: research

Local Anesthetic Systemic Toxicity (LAST): Designing an Educational Effort for Nurses That Will Last
To improve knowledge and raise awareness of nurses who assist certified registered nurse anesthetists or anesthesiologists with peripheral nerve block or spinal block procedures about a potential life-threatening local anesthetic systemic toxicity (LAST) event. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 19, 2018 Category: Nursing Authors: Wendy Ferguson, Carlana Coogle, Joshua Leppert, Tamara Odom-Maryon Tags: Original Article Source Type: research

Implementation of Enhanced Recovery After Surgery in a Community Hospital: An Evidence-Based Approach.
CONCLUSIONS: The ERAS order set continues to be modified based on the evidence and feedback from anesthesia and registered nurses. Monthly reports ensure consistency. PMID: 29921549 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 16, 2018 Category: Nursing Authors: Persico M, Miller D, Way C, Williamson M, O'Keefe K, Strnatko D, Wright F Tags: J Perianesth Nurs Source Type: research

Implementation of Enhanced Recovery After Surgery in a Community Hospital: An Evidence-Based Approach
Enhanced recovery after surgery (ERAS) is an evidence-based practice protocol that has been shown to reduce cost, decrease length of stay (LOS), and improve surgical outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 16, 2018 Category: Nursing Authors: Michele Persico, David Miller, Cassandra Way, Marsha Williamson, Kate O'Keefe, Dennis Strnatko, Fay Wright Tags: Original Article Source Type: research

Reimagine Health Care Leadership, Challenges and Opportunities in the 21st Century.
CONCLUSIONS: Effective nursing leadership in a healthcare organization correlates with staff job satisfaction, retention, turnover and quality of care. Nursing leadership development must be supported by appropriate level of educational preparedness, and requisite set of competencies and skills. PMID: 29908881 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - June 13, 2018 Category: Nursing Authors: Lee E, Daugherty J, Hamelin T Tags: J Perianesth Nurs Source Type: research

Reimagine Health Care Leadership, Challenges and Opportunities in the 21st Century
This paper spotlights human capital management, digital technology, and costs control as issues that healthcare leaders will face in redesigning the health care ecosystem in the 21st century. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - June 13, 2018 Category: Nursing Authors: Esther Lee, JoAnn Daugherty, Thomas Hamelin Tags: Continuing Education Source Type: research

Caring for the Most Vulnerable: The Social Determinants of Health.
PMID: 29784252 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Hooper VD Tags: J Perianesth Nurs Source Type: research

Leading With Knowledge, Serving With Heart.
PMID: 29784253 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Hoefner-Notz R Tags: J Perianesth Nurs Source Type: research

Evidence-Based Practice in Perianesthesia Nursing: Application of the American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults.
Abstract Delirium is a pervasive and dangerous syndrome for older adults in the perianesthesia setting, occurring in up to 60% of surgical cases. The American Geriatrics Society performed a systematic review to develop recommendations for the prevention and management of postoperative delirium in older adults. The recommendations emphasize nonpharmacologic interventions with a strong focus on reducing the use of psychoactive medication. Perianesthesia nurses can serve as leaders in translating these recommendations into evidence-based practice at the bedside for older adults. PMID: 29784254 [PubMed - in proce...
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Hebert C Tags: J Perianesth Nurs Source Type: research

Pediatric Review and Perioperative Considerations.
This article will outline some of these most pertinent differences, and also present current recommendations for perioperative management. PMID: 29784255 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Nelson K, Nicholls C, Muckler VC Tags: J Perianesth Nurs Source Type: research

Perioperative Delirium Protocol for the Older Patient.
CONCLUSION: Evidence informs us that early recognition and multifaceted interventions can prevent postoperative delirium in the elderly. PMID: 29784256 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Pallaria TJ, Panebianco C, Kamienski MC Tags: J Perianesth Nurs Source Type: research

Patient Empowerment Reduces Pain in Geriatric Patients After Gynecologic Onco-Surgery: Subgroup Analysis of  a Prospective Randomized Controlled Clinical Trial.
CONCLUSIONS: Patient empowerment significantly reduces postoperative pain in elderly patients undergoing gynecologic cancer surgery. PMID: 29784257 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Collette AM, Spies C, Eckardt R, Wernecke KD, Schmidt M, PERATECS Group Tags: J Perianesth Nurs Source Type: research

An Analysis of the Anxiety Levels of Mothers Who Participate in Education and Therapeutic Games About Their Children's Surgeries.
CONCLUSIONS: Anxiety levels of the mothers in the education and education + game group were found to be lower than those of the mothers in the control group. PMID: 29784258 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Tural Buyuk E, Bolişik B Tags: J Perianesth Nurs Source Type: research

The Child Induction Behavioral Assessment Tool: A Tool to Facilitate the Electronic Documentation of Behavioral Responses to Anesthesia Inductions.
CONCLUSIONS: Electronic documentation using the CIBA tool may provide useful information for optimizing induction plans for returning patients. Future research is needed to directly test the CIBA tool's validity. PMID: 29784259 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Winterberg AV, Colella CL, Weber KA, Varughese AM Tags: J Perianesth Nurs Source Type: research

Severe Obesity and Sleep-Disordered Breathing as Risk Factors for Emergence Agitation in Pediatric Ambulatory Surgery.
Abstract PURPOSE: Sleep-disordered breathing (SDB) may be a critical risk factor for emergence agitation (EA). We hypothesized that SDB diagnosis is a predictor of EA in children after general anesthesia for ambulatory surgery. DESIGN: Prospective, observational, cohort study. METHODS: Children aged 4 to 17 years were assessed for the occurrence of EA. Differences in probability of EA were assessed using multivariable logistic regression analyses. FINDINGS: Of 1,076 children, 66 (6.1%) had EA. Compared with those without EA, children with EA were younger (P
Source: Journal of Perianesthesia Nursing - May 24, 2018 Category: Nursing Authors: Reynolds T, Sankaran S, Chimbira WT, Phan T, Nafiu OO Tags: J Perianesth Nurs Source Type: research