Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
-
J. Perianesth. Nurs. · Jun 2005
Review Case ReportsWhen your patient is from the obstetric department: postpartum hemorrhage and massive transfusion.
When caring for patients receiving massive transfusion, the nurse will be required to perform ongoing assessments and apply critical thinking to provide optimum care and avoid further complications. The perianesthesia nurse must be aware of the hemodynamic and coagulation changes of pregnancy when caring for an obstetric patient in the PACU to optimize patient outcomes. Understanding the causes of obstetric hemorrhage, which may result in the need for massive transfusion, will enable the nurse to anticipate and prevent potentially deadly complications.
-
J. Perianesth. Nurs. · Jun 2005
ReviewPerioperative assessment of the obstetric patient undergoing abdominal surgery.
Care of the obstetric patient undergoing nonobstetric surgery can be challenging. Approximately 1 in 500 pregnancies is complicated by a nonobstetric surgical condition. To adequately care for the mother and fetus, the nurse must know the physiological changes that occur during pregnancy, and make an aggressive attempt to maintain those changes. This article reviews common reasons for abdominal surgery during pregnancy, the physiological changes that occur during pregnancy, techniques to maintain those responses, and discusses issues related to fetal monitoring and postoperative care.
-
J. Perianesth. Nurs. · Jun 2005
Randomized Controlled Trial Clinical TrialEffect of postoperative supplemental oxygen on nausea and vomiting after cesarean birth.
Postoperative nausea and vomiting (PONV) has a significant impact on patients and health care providers. Some nonpharmacologic methods may have an effect on PONV. Administration of supplemental oxygen (80%) during and for 2 hours after surgery has been shown to reduce the incidence of PONV from 44% to 22%. ⋯ The incidence of PONV during the first 6 postoperative hours was 28.3% in the experimental group and 24.5% in the control group ( P = .659). There was no statistically significant difference between the 2 groups. In this study, postoperative supplemental oxygen 8 L/min did not prevent PONV in patients undergoing cesarean birth.