Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
-
J. Perianesth. Nurs. · Aug 2017
Meta AnalysisManagement of Emergence Delirium in Adult PTSD Patients: Recommendations for Practice.
Emergence delirium is a known phenomenon which occurs after general anesthesia in approximately 5% of the general population. However, individuals who have been diagnosed with post-traumatic stress disorder may present with symptoms refractory to conventional methods of reorientation. In the past several years, literature has begun to address the problem, but no standardized guidelines exist at present. The authors synthesize the available literature, combining data with evidence-driven principles from multiple disciplines, to submit an initial set of guidelines until research either supports or disproves these recommendations.
-
J. Perianesth. Nurs. · Aug 2017
A Turkish Version of the Critical-Care Pain Observation Tool: Reliability and Validity Assessment.
The study aim was to evaluate the validity and reliability of the Critical-Care Pain Observation Tool in critically ill patients. ⋯ The validity and reliability of the Turkish version of the Critical-Care Pain Observation Tool was determined to be acceptable for pain assessment in critical care, especially for patients who cannot communicate verbally.
-
J. Perianesth. Nurs. · Jun 2017
A Prospective Study of Nausea and Vomiting After Breast Cancer Surgery.
Postoperative nausea and vomiting (PONV) and post-discharge nausea and vomiting (PDNV) continue to be common and disturbing complications experienced after surgery, particularly in women and especially in women undergoing breast cancer surgery. The purpose of this study was to assess the incidence and risk factors associated with PONV and PDNV from preoperative to 48 hours postoperatively in 97 women scheduled for breast cancer surgery. ⋯ Twenty-nine (29.8%) women experienced nausea, and nine (9%) women experienced nausea and vomiting while in the post-anesthesia care unit despite close attention to the need for prophylactic antiemetic medications. Women who experienced PONV had higher levels of pain and received more opioids than those women who did not experience PONV. Women who received intravenous acetaminophen did not experience less PONV in this study. PDNV occurred more frequently than PONV, with 34 women (35%) reporting occurrence after discharge. About 13 women who did not experience PONV while in the PACU subsequently experienced PDNV after leaving the hospital, evidence for the importance of patient discharge teaching regarding these symptoms. Although clinical guidelines are necessary, our observation is that nurses in the PACU setting continuously challenge themselves to individualize the combination of medications and activities for each patient to reduce PONV after surgery.
-
J. Perianesth. Nurs. · Jun 2017
Propofol Versus Midazolam/Fentanyl Sedation for Colonoscopy in the Elderly Patient Population.
Despite current literature, data on the most effective sedation and best patient outcomes are insufficient for providing recovery time recommendations for elderly patients undergoing colonoscopy with sedation. We sought to identify the best sedation practice for shorter recovery times. Therefore, a study was conducted to examine recovery times among patients older than 65 years undergoing elective colonoscopy with intravenous sedation with either propofol or the combination of midazolam/fentanyl. ⋯ Propofol sedation was not associated with shorter recovery times. Further studies are needed to validate these findings.
-
J. Perianesth. Nurs. · Apr 2017
Patient Care Handoff in the Postanesthesia Care Unit: A Quality Improvement Project.
The goal of this project was to improve the process of transferring patient information between certified registered nurse anesthetists and postanesthesia care unit registered nurses using an evidence-based handoff checklist and evaluate completeness and accuracy of transferred information. ⋯ A department-specific handoff checklist can reduce the number of omission errors that may occur during patient handoff.