Journal of post anesthesia nursing
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Comparative Study
The effect of two intraoperative heat-conserving methods on orthopedic patients receiving regional and general anesthesia.
Postoperative hypothermia is a serious complication of surgery. The best way to prevent postoperative hypothermia is to prevent perioperative heat loss. The purpose of this study was to compare the efficacy of Thermadrape (O. ⋯ Hospital decisions regarding choice of perioperative heat conservation interventions will be guided by the cost of the intervention as well as efficacy. If overall hospital cost of cotton blankets is greater than that associated with Thermadrape covering, a decision to use Thermadrape covering may be warranted. Important factors for consideration in future research are presented and discussed.
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Special procedures are performed with increasing frequency in the PACU. One procedure, the epidural corticosteroid injection, is commonplace in many PACUs. The author reviews the rationale, technique, and nursing considerations of this procedure.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effect of music therapy in the postanesthesia care unit: a nursing intervention.
This study examined the effect of music on pain, hemodynamic variables, and respiration in the PACU, and the impact of music on patients' recall of their PACU experience. Sixty patients scheduled for thyroid, parathyroid, or breast surgery under general anesthesia were studied. ⋯ There was no difference in pain level, morphine requirement, hemodynamics, respiration, or length of stay in the PACU among the 3 groups, yet the music group was able to wait significantly longer before requiring analgesia on the nursing unit. Patients who listened to music perceived their PACU experience as significantly more pleasant than the patients in the other two groups as recalled both 1 day and 1 month later.