Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
-
J. Perianesth. Nurs. · Dec 2013
ReviewPain management of children aged 5 to 10 years after adenotonsillectomy.
The undertreatment of pediatric pain has been widely researched and continues to be a concern for health care professionals. Adenotonsillectomy is a common pediatric surgery associated with a moderate-to-high level of postoperative pain. The purpose of this study was to increase understanding of the current pain management practices provided to children aged 5 to 10 years undergoing adenotonsillectomy and identify areas for improvement. ⋯ The combination of drug therapy and parental presence may be helpful in decreasing pain and postanesthesia care unit length of stay. Exploration of the role of nonpharmacologic pain management techniques such as distraction, guided imagery, music, and the use of ice collars in conjunction with analgesic therapy is needed.
-
J. Perianesth. Nurs. · Dec 2013
Child drawings and salivary cortisol in children undergoing preoperative procedures associated with day surgery.
Perioperative procedures in children can impair their emotional status negatively with stress and/or anxiety. Cortisol concentrations and drawings could be helpful in gaining information about a child's levels of stress and/or anxiety when attending the hospital for surgery. ⋯ The drawings and salivary cortisol concentration preoperatively on the day of surgery reflect different components of the conditions of fear, anxiety, or stress emerging in the situation.
-
J. Perianesth. Nurs. · Dec 2013
Thermal comfort and safety of cotton blankets warmed at 130°F and 200°F.
In 2009, the ECRI Institute recommended warming cotton blankets in cabinets set at 130°F or less. However, there is limited research to support the use of this cabinet temperature. ⋯ We recommend warming cotton blankets in cabinets set at 200°F or less to improve thermal comfort without compromising patient safety.