The British journal of theatre nursing : NATNews : the official journal of the National Association of Theatre Nurses
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The assessment and management of perioperative pain are critical skills for the surgical nurse, hence, the subjective nature of pain should be reflected in their approach to pain control. Unfortunately, many studies (Seers 1987, Kuhns et al 1990, Royal College of Surgeons and Royal College of Anaesthetists 1990, Closs 1992 and Field 1996) suggest that the nurse's knowledge of perioperative management is inadequate. ⋯ Clearly, perioperative pain management remains a major problem. We have suggested that surgical nurses must have a sound knowledge of the neurophysiology associated with this subjective phenomenon (Clancy and McVicar 1998) since such an understanding is paramount in assisting the decision making process which underpins effective individualised perioperative pain management.
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Malignant hyperthermia, although an uncommon condition, has dramatic consequences when it occurs. The exact cause of MH is unknown but it is triggered by agents such as suxamethonium and volatile anaesthetic agents, especially Halothane. The condition can occur at anytime during the perioperative period and practitioners need to be vigilant towards its signs and symptoms as well as fully aware of the need for prompt action should it occur. The management of MH also includes identifying those at risk and taking measures to minimise these risks during anaesthesia.