Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Oct 2013
The interaction between the patient and nurse anesthetist immediately before elective coronary artery bypass surgery.
Establishing a purposive interaction with a patient who is in a vulnerable situation before coronary artery bypass graft (CABG) surgery poses a challenge for the nurse anesthetist. The aim of this study was to identify and describe the interaction between the patient and the nurse anesthetist immediately before elective CABG surgery. ⋯ Reassurance can be achieved through a well-structured anesthesia nursing performance in the thoracic operating theatre, and by focusing on the patient and continuously giving him/her information during the preoperative preparation phase.
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J. Perianesth. Nurs. · Aug 2013
What is the least painful method of anesthetizing a peripheral IV site?
The placement of an intravenous (IV) catheter for the administration of fluids, blood products, and medications is a common intervention for surgical procedures and perianesthesia patients. Although the placement of a peripheral IV may be routine for perianesthesia nurses, it is important to address the patient's level of pain related to the procedure. One technique to diminish the discomfort associated with the IV insertion is anesthetizing the site. ⋯ The findings demonstrate that there was no statistical difference in pain when anesthetizing the site using the three methods. However, there was a difference with the IV insertion process. Using 1% lidocaine resulted in the least painful IV insertion.
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J. Perianesth. Nurs. · Jun 2013
ReviewProlonged-stay patients in the PACU: a review of the literature.
The postanesthesia care unit (PACU) provides general to intensive care to immediate postsurgical patients. Patients with extensive surgeries are often kept in PACU until their condition is stabilized before shifting them to their designated wards, creating more demands on PACU nurses. ⋯ Limited studies discuss the impact of prolonged PACU stays on patients, families, and PACU nurses. Future research is required to explore the experiences of PACU nurses related to prolonged-stay patients.