Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Oct 2011
Randomized Controlled TrialRandomized controlled trial to compare effects of pain relief during IV insertion using bacteriostatic normal saline and 1% buffered lidocaine.
A major nursing responsibility is to provide patient care and comfort. Pain reduction is a component of this responsibility to include preanalgesia for peripheral intravenous (IV) insertion. This double-blind randomized controlled trial compared differences in the pain level experienced by 56 nurses during IV cannulation in each arm; one premedicated with bacteriostatic normal saline (BNS) and another with 1% buffered lidocaine (Lido). ⋯ Significant differences were detected between overall BNS and Lido pain scores (2.36±1.45 vs 0.93±1.3; P<0.05). Although blinded to the type of preanalgesia used, 89% of subjects chose the arm premedicated with Lido. Although statistical differences in perceived pain were detected, the pain scores were low and may not be clinically significant.
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J. Perianesth. Nurs. · Oct 2011
Use of ephedrine for the short-term treatment of postoperative nausea and vomiting: a case report.
Ephedrine, a well-known sympathomimetic agent, is used in the perioperative setting to treat acute hypotension, especially hypotension related to anesthetic events. Ephedrine's unlabeled use as an antiemetic agent is less well known despite its efficacy and safety profile for short-term and/or prophylactic treatment. The following case report describes the benefits of using ephedrine to mitigate postoperative nausea and vomiting and associated dizziness while waiting for longer lasting therapy to take effect and/or use as a secondary agent.
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J. Perianesth. Nurs. · Oct 2011
Surgical cancellations: a review of elective surgery cancellations in a tertiary care pediatric institution.
The purpose of this two-phase quality improvement audit was to analyze elective surgery cancellations in a tertiary pediatric care institution and identify and recommend nursing practice changes in the preoperative assessment clinic (POAC) to potentially influence the overall cancellation rate. A prospective review of cancellation data was conducted over a 6-month period in 2008 and again in 2010. ⋯ Cancellations at or between the preoperative assessment and the day of surgery may be viewed as POAC successes that may have otherwise increased the day-of-surgery cancellation rate. Educating families on the prevention of illness in the perianesthesia period may be a critical nursing role in the prevention of surgical cancellations.