Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
-
Undergoing a procedure that requires anesthesia can be anxiety provoking. Anxiety is associated with increases in heart rate and blood pressure and other changes that can have a negative impact preoperatively; during the induction, maintenance, and emergence phases of anesthesia; and postoperatively. Music therapy is a nonpharmacological intervention that has the ability to reduce anxiety levels in some patients. ⋯ In general, the majority of the published articles reviewed revealed that listening to music was beneficial to the patient no matter the setting. Offering a music selection to patients before anesthesia could enhance its positive effect. Perianesthesia nurses could easily develop a protocol for different situations where patients will be exposed to interventions where the use of general or local anesthesia is expected.
-
Traumatic brain injury (TBI) affects approximately 1.4 million individuals and has a mortality rate greater than 30% in the first 72 hours after injury. The patient with TBI can present a significant challenge for the perianesthesia nurse in the acute care setting. ⋯ New monitoring modalities have been developed to monitor cerebral blood flow and nutritional supply to neurologic tissues. A case scenario will be used to identify priorities for the perianesthesia nurse caring for this challenging patient.