Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
-
J. Perianesth. Nurs. · Feb 2012
Randomized Controlled Trial Comparative StudyPreventing inadvertent hypothermia: comparing two protocols for preoperative forced-air warming.
Preoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). ⋯ There was no difference in thermal comfort scores, participant temperature, or sweating between the two protocols. When asked, participants preferred protocol A to B (70% to 30%). Starting at higher device settings appears the more favorable of the two approaches.
-
J. Perianesth. Nurs. · Dec 2011
ReviewMeasurement of postdischarge nausea and vomiting for ambulatory surgery patients: a critical review and analysis.
Approximately one-third of patients experience nausea and vomiting after discharge from ambulatory surgery settings, yet there have been no clear and definitive instruments used to measure it. A critical review and analysis of the measurement of postdischarge nausea and vomiting was conducted. Twenty-eight articles met the inclusion criteria. ⋯ Definitions, measurement, and clinical outcomes were defined differently in each study. Of the instruments examined, the Ambulatory Surgery Inventory of Nausea, Vomiting, and Retching and Functional Living Index-Emesis provide the possibility for outcome standardization. Although both instruments possess strengths, more study is needed to advance the measurement of nausea and vomiting in the postdischarge ambulatory surgery patient.
-
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.
-
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.