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Specialty: Nursing
Procedure: Anesthesia

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Total 17 results found since Jan 2013.

Malignant Hyperthermia: A Killer If Ignored
J Perianesth Nurs. 2022 Apr 9:S1089-9472(21)00353-1. doi: 10.1016/j.jopan.2021.08.018. Online ahead of print.ABSTRACTMalignant hypothermia (MH) is a potentially fatal hypermetabolic reaction of skeletal muscle. It is an autosomal dominant disorder that generally occurs in people with RYR1, CACNA1S, or STAC3 mutations. And these genetic abnormalities often cause the imperfection of calcium release channels of skeletal muscle. The incidence of MH among different racial groups across the world ranges from approximately 1:5,000-1:250,000, but there is no national statistic MH incidence in China. It is not clear whether there a...
Source: Journal of Perianesthesia Nursing - April 13, 2022 Category: Nursing Authors: Xin Bin Baisheng Wang Zhangui Tang Source Type: research

Ketamine for Monitored Anesthesia Care during Transcatheter Aortic Valve Replacement
CONCLUSIONS: Our results demonstrated that employing ketamine as an adjunct during MAC for TAVR is a feasible option.PMID:34972624 | DOI:10.1016/j.jopan.2021.06.007
Source: Journal of Perianesthesia Nursing - January 1, 2022 Category: Nursing Authors: Chen B Zhao Jianjian Yu Maiying Kong Jiange Han Hongyin Du Jiapeng Huang Source Type: research

Treatment targets based on autoregulation parameters in neurocritical care patients
Purpose of review This review summarizes the physiological basis of autoregulation-oriented therapy in critically ill patients, with a particular emphasis on individual targets based on parameters that describe autoregulation of cerebral blood flow. Recent findings The concepts of optimal cerebral perfusion (CPPopt) and arterial pressures (ABPopt), which both take advantage of continuous measures of cerebral autoregulation, recently have been introduced into clinical practice. It is hypothesized that if both pressures are used as individual targets and followed, the incidence and severity of dysautoregulation will dim...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Peter Le Roux Source Type: research

Respond, Intervene and Escalate: Acute Stroke Events in the Post Anesthesia Care Unit
In the post-anesthesia care unit (PACU) setting there can be challenges in differentiating between anesthesia-related versus thrombolytic neurologic deficits. The ability to accurately assess, differentiate and escalate care is imperative to improve outcomes. The occurrence of acute stroke events in the peri-operative setting at a comprehensive cancer center emphasized the need for an evidence-based and comprehensive approach to assessment, communication and documentation of risk factors for thrombotic complications.
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lisa Jiang, Heather Douglas, Miguel Laxa, Leena Mathew, Sharon Sarmiento, Kimberly Vanderhorst, Elizabeth Vogler Tags: ASPAN National Conference Abstract Source Type: research

Identification and Management of Ischemic Stroke in the Postanesthesia Care Unit.
This report details the case of a 63-year-old male experiencing a stroke in the immediate postoperative period after total knee arthroplasty. Risk for perioperative stroke is influenced by age, sex, ethnicity, comorbidities, and some medications. The depressed neurocognitive state of patients recovering from anesthesia warrants special consideration for the identification and management of perioperative stroke. PMID: 31204272 [PubMed - as supplied by publisher]
Source: Journal of Perianesthesia Nursing - June 12, 2019 Category: Nursing Authors: O'Driscoll L, Moore C, Bonds R Tags: J Perianesth Nurs Source Type: research

Identification and Management of Ischemic Stroke in the Postanesthesia Care Unit
This report details the case of a 63-year-old male experiencing a stroke in the immediate postoperative period after total knee arthroplasty. Risk for perioperative stroke is influenced by age, sex, ethnicity, comorbidities, and some medications. The depressed neurocognitive state of patients recovering from anesthesia warrants special consideration for the identification and management of perioperative stroke.
Source: Journal of PeriAnesthesia Nursing - June 12, 2019 Category: Nursing Authors: Lisa O'Driscoll, Chad Moore, Raymond Bonds Tags: Continuing Education Source Type: research

Perioperative Stroke Screening Tool (Phase I)
Within 12-months, two patients exhibited symptoms of stroke that were not recognized in a timely manner in the PACU at UMMC. Incidence of perioperative stroke in non-cardiac, non-neurological surgery patients is approximately 1 per 1000 cases but is associated with an eight fold increase in mortality. Due to confounding factors of anesthesia and frequent opioid administration, stroke symptoms can easily be masked. No screening tool for perioperative stroke in this population was found in the literature.
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Julie Busseau, Kristin Seidl, Beatrice Hazzard, Michael S. Phipps, Jacqueline Y. Dash, Karen Yarbrough Tags: ASPAN National Conference Abstract Source Type: research

Using Simulation to Better Prepare Perianesthesia Nurses to Handle Emergency Situations in the Post Anesthesia Care Unit (PACU)
The Post Anesthesia Care Unit (PACU) is a unique environment. The patients who come through the PACU are at a state in their recovery that puts them at greater risk for an emergent (airway, cardiac, stroke, shock, etc) event. Keeping the PACU staff ready to respond to these intermittent events is key to improving critically ill patient outcomes. At The Johns Hopkins Hospital, the inpatient PACU staff are trained at the same level as the surgical Intensive Care Unit (ICU) staff to be able to care for ICU patients boarding in the PACU and to handle emergent events.
Source: Journal of PeriAnesthesia Nursing - July 28, 2016 Category: Nursing Authors: Patricia L. Ryan, Elena Lara, Michelle Porter, Laura Kaiser Source Type: research

Pediatric neurocritical care in the 21st century: from empiricism to evidence
Purpose of review: Approximately one in five children admitted to a pediatric ICU have a new central nervous system injury or a neurological complication of their critical illness. The spectrum of neurologic insults in children is diverse and clinical practice is largely empirical, as few randomized, controlled trials have been reported. This lack of data poses a substantial challenge to the practice of pediatric neurocritical care (PNCC). PNCC has emerged as a novel subspecialty, and its presence is expanding within tertiary care centers. This review highlights the recent advances in the field, with a focus on traumatic b...
Source: Current Opinion in Critical Care - March 6, 2016 Category: Nursing Tags: NEUROSCIENCE: Edited by J. Claude Hemphill Source Type: research

In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Fasting may not be required before percutaneous coronary intervention
Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are rou...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: de Aguilar-Nascimento, J. E., Feguri, G. R. Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research