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Journal articles on the topic 'Intraoperative Care'

Author: Grafiati
Published: 4 June 2021
Last updated: 13 June 2025

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1

Mauléon, Annika Larsson, and Sirkka-Liisa Ekman. "Difficulties in Intraoperative Care." Journal of Perioperative Practice 22, no. 10 (2012): 334–37. http://dx.doi.org/10.1177/175045891602201005.

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2

Claussen, Judith A. "Intraoperative Nursing Care Plan." AORN Journal 44, no. 4 (1986): 572–74. http://dx.doi.org/10.1016/s0001-2092(07)65408-8.

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3

Peate, Ian. "The principles of surgical care: intraoperative care." British Journal of Healthcare Assistants 9, no. 11 (2015): 534–37. http://dx.doi.org/10.12968/bjha.2015.9.11.534.

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4

Hegtvedt, Arden K. "Intraoperative and Postoperative Patient Care." Oral and Maxillofacial Surgery Clinics of North America 2, no. 4 (1990): 857–68. http://dx.doi.org/10.1016/s1042-3699(20)30468-4.

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5

Tabbara, MD, Abdul Kader, Sindhu Krishnan, MD, Eduard Vaynberg, MD, Nicole Z. Spence, MD, and Donald H. Lambert, MD, PhD. "Intraoperative methadone: Proceed with care." Journal of Opioid Management 18, no. 4 (2022): 377–83. http://dx.doi.org/10.5055/jom.2022.0730.

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A recent review suggests minimal respiratory depression (RD) after perioperative methadone, while another identified RD in up to 37 percent of patients. A meta-analysis is equivocal. At our institution, five of 75 opioid naive patients (6.6 percent) given perioperative methadone received naloxone. We report three of these cases in detail. Two others were discovered during an electronic medical record search for opioid naïve patients who received methadone plus naloxone during their anesthesia care. Our five patients indicate that RD owing to methadone can occur with excessive perioperative adjuvant medications and/or in patients who are taking home central nervous system depressants. We define perioperative adjuvant medications as medications given by the anesthesiologist prior to induction and intraoperatively. The risks and benefits of perioperative methadone administration, specifically in patients who received post-operative naloxone, deserve further investigation.
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Iglesias-Zamora, M. E., S. Oscoz-Jaime, A. Larumbe-Irurzun, and B. Bonaut-Iriarte. "Intraoperative Care During Eyelid Surgery." Actas Dermo-Sifiliográficas (English Edition) 107, no. 10 (2016): 855–57. http://dx.doi.org/10.1016/j.adengl.2016.09.010.

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7

Von Rahden, RP. "Intraoperative point-of-care testing." Southern African Journal of Anaesthesia and Analgesia 20, no. 1 (2014): 62–64. http://dx.doi.org/10.1080/22201173.2014.10844569.

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8

Bordes, Brianne, David Martin, Brian Schloss, et al. "Intraoperative Anaphylactic Reaction: Is it the Floseal?" Journal of Pediatric Pharmacology and Therapeutics 21, no. 4 (2016): 358–65. http://dx.doi.org/10.5863/1551-6776-21.4.358.

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When hemodynamic or respiratory instability occurs intraoperatively, the inciting event must be determined so that a therapeutic plan can be provided to ensure patient safety. Although generally uncommon, one cause of cardiorespiratory instability is anaphylactic reactions. During anesthetic care, these most commonly involve neuromuscular blocking agents, antibiotics, or latex. Floseal is a topical hemostatic agent that is frequently used during orthopedic surgical procedures to augment local coagulation function and limit intraoperative blood loss. As these products are derived from human thrombin, animal collagen, and animal gelatin, allergic phenomenon may occur following their administration. We present 2 pediatric patients undergoing posterior spinal fusion who developed intraoperative hemodynamic and respiratory instability following use of the topical hemostatic agent, Floseal. Previous reports of such reactions are reviewed, and the perioperative care of patients with intraoperative anaphylaxis is discussed.
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Kühne, Lars-Uwe, Robert Binczyk, and Friedrich-Christian Rieß. "Comparison of intraoperative versus intraoperative plus postoperative hemoadsorption therapy in cardiac surgery patients with endocarditis." International Journal of Artificial Organs 42, no. 4 (2019): 194–200. http://dx.doi.org/10.1177/0391398819831301.

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Infective endocarditis is caused by a bacterial infection of the endocardial surface, and despite improvements in surgical interventions and antimicrobial therapy, mortality remains high. Recently published data suggest that intraoperative hemoadsorption therapy might represent a promising treatment option; however, randomized data still lack, and a comparative study on the intraoperative versus intraoperative plus postoperative use of CytoSorb has not yet been performed. We hypothesized that patients developing intraoperative renal failure benefit from additional postoperative CytoSorb treatment in terms of outcome. We examined the application of hemoadsorption therapy in 20 endocarditis patients separated into two groups: (1) sole intraoperative versus (2) intraoperative plus postoperative treatment, with regard to inflammatory and hemodynamic status, the postoperative course including development of complications, extent of extracorporeal organ support, and outcome. Despite an obviously more pronounced disease severity in the intraoperative plus postoperatively treated patients as evidenced by a higher initial European System for Cardiac Operative Risk Evaluation score, higher reoperation rate, longer cardiopulmonary bypass times, a worse inflammatory status, and perioperative development of acute renal failure, we observed a clear and comparable stabilization in hemodynamics and inflammatory parameters in both groups. More importantly and despite a higher rate of postoperative complications and a longer intensive care unit stay, patients from the intraoperative plus postoperative group showed an equal intensive care unit and 90-day survival compared to patients treated only intraoperatively. Our data suggest that postoperative continuation of hemoadsorption treatment might be beneficial in patients with endocarditis who develop perioperative renal failure in combination with severe hemodynamic instability and high-grade intraoperative findings.
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10

Thompson, Lois, Starla A. Jeppson, Roberta Hallstrom, and Lori Williams. "Intraoperative surgery techniques and patient care." Critical Care Nursing Quarterly 13, no. 1 (1990): 19–34. http://dx.doi.org/10.1097/00002727-199006000-00005.

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11

Hurley, Ciarán, and Janet McAleavy. "Preoperative Assessment and Intraoperative Care Planning." Journal of Perioperative Practice 16, no. 4 (2006): 187–94. http://dx.doi.org/10.1177/175045890601600403.

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We interviewed ten theatre nurses about their contribution to patient care. Their assessment strategy usually involved meeting patients on arrival in the department and did not include accessing the Trust's preoperative assessment document. In this paper we discuss the nursing assessment of surgical patients in the context of the nursing process as it was described in our research interviews.
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12

Spiro, Michael D., and Helge Eilers. "Intraoperative Care of the Transplant Patient." Anesthesiology Clinics 31, no. 4 (2013): 705–21. http://dx.doi.org/10.1016/j.anclin.2013.09.005.

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13

Merritt, W. T. "Infection control issues and intraoperative care." Liver Transplantation and Surgery 3, no. 4 (1997): 456–58. http://dx.doi.org/10.1002/lt.500030423.

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14

Tribuddharat, Sirirat, Thepakorn Sathitkarnmanee, Kriangsak Ngamsangsirisup, et al. "Development of an Open-Heart Intraoperative Risk Scoring Model for Predicting a Prolonged Intensive Care Unit Stay." BioMed Research International 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/158051.

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Background. Based on a pilot study with 34 patients, applying the modified sequential organ failure assessment (SOFA) score intraoperatively could predict a prolonged ICU stay, albeit with only 4 risk factors. Our objective was to develop a practicable intraoperative model for predicting prolonged ICU stay which included more relevant risk factors.Methods. An extensive literature review identified 6 other intraoperative risk factors affecting prolonged ICU stay. Another 168 patients were then recruited for whom all 10 risk factors were extracted and analyzed by logistic regression to form the new prognostic model.Results. The multivariate logistic regression analysis retained only 6 significant risk factors in the model: age ≥ 60 years, PaO2/FiO2ratio ≤ 200 mmHg, platelet count ≤ 120,000/mm3, requirement for inotrope/vasopressor ≥ 2 drugs, serum potassium ≤ 3.2 mEq/L, and atrial fibrillation grading ≥2. This model was then simplified into the Open-Heart Intraoperative Risk (OHIR) score, comprising the same 6 risk factors for a total score of 7—a score of ≥3 indicating a likely prolonged ICU stay (AUC for ROC of 0.746).Conclusions. We developed a new, easy to calculate OHIR scoring system for predicting prolonged ICU stay as early as 3 hours after CPB. It comprises 6 risk factors, 5 of which can be manipulated intraoperatively.
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15

Dice, Robert D. "Intraoperative Disseminated Intravascular Coagulopathy." Critical Care Nursing Clinics of North America 12, no. 2 (2000): 175–79. http://dx.doi.org/10.1016/s0899-5885(18)30109-6.

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16

Faruki, Adeel A., Thy B. Nguyen, Doris-Vanessa Gasangwa, et al. "Virtual reality immersion compared to monitored anesthesia care for hand surgery: A randomized controlled trial." PLOS ONE 17, no. 9 (2022): e0272030. http://dx.doi.org/10.1371/journal.pone.0272030.

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Introduction Common anesthesia practice for hand surgery combines a preoperative regional anesthetic and intraoperative monitored anesthesia care (MAC). Despite adequate regional anesthesia, patients may receive doses of intraoperative sedatives which can result in oversedation and potentially avoidable complications. VR could prove to be a valuable tool for patients and providers by distracting the mind from processing noxious stimuli resulting in minimized sedative use and reduced risk of oversedation without negatively impacting patient satisfaction. Our hypothesis was that intraoperative VR use reduces sedative dosing during elective hand surgery without detracting from patient satisfaction as compared to a usual care control. Methods Forty adults undergoing hand surgery were randomized to receive either intraoperative VR in addition to MAC, or usual MAC. Patients in both groups received preoperative regional anesthesia at provider discretion. Intraoperatively, the VR group viewed programming of their choice via a head-mounted display. The primary outcome was intraoperative propofol dose per hour (mg · hr-1). Secondary outcomes included patient reported pain and anxiety, overall satisfaction, functional outcome, and post anesthesia care unit (PACU) length of stay (LOS). Results Of the 40 enrolled patients, 34 completed the perioperative portion of the trial. VR group patients received significantly less propofol per hour than the control group (Mean (±SD): 125.3 (±296.0) vs 750.6 (±334.6) mg · hr-1, p<0.001). There were no significant differences between groups in patient reported overall satisfaction, (0–100 scale, Median (IQR) 92 (77–100) vs 100 (100–100), VR vs control, p = 0.087). There were no significant differences between groups in PACU pain scores, perioperative opioid analgesic dose, or in postoperative functional outcome. PACU LOS was significantly decreased in the VR group (53.0 (43.0–72.0) vs 75.0 (57.5–89.0) min, p = 0.018). Conclusion VR immersion during hand surgery led to significant reductions in intraoperative propofol dose and PACU LOS without negatively impacting key patient reported outcomes.
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17

PASCUAL, JORGE M. S., JAMES C. WATSON, AVID E. RUNYON, CHARLES E. WADE, and GEORGE C. KRAMER. "Resuscitation of intraoperative hypovolemia." Critical Care Medicine 20, no. 2 (1992): 200–210. http://dx.doi.org/10.1097/00003246-199202000-00009.

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18

Mutchnick, Ian, Meena Thatikunta, Julianne Braun, et al. "Protocol-driven prevention of perioperative hypothermia in the pediatric neurosurgical population." Journal of Neurosurgery: Pediatrics 25, no. 5 (2020): 548–54. http://dx.doi.org/10.3171/2019.12.peds1980.

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OBJECTIVEPerioperative hypothermia (PH) is a preventable, pathological, and iatrogenic state that has been shown to result in increased surgical blood loss, increased surgical site infections, increased hospital length of stay, and patient discomfort. Maintenance of normothermia is recommended by multiple surgical quality organizations; however, no group yet provides an ergonomic, evidence-based protocol to reduce PH for pediatric neurosurgery patients. The authors’ aim was to evaluate the efficacy of a PH prevention protocol in the pediatric neurosurgery population.METHODSA prospective, nonrandomized study of 120 pediatric neurosurgery patients was performed. Thirty-eight patients received targeted warming interventions throughout their perioperative phases of care (warming group—WG). The remaining 82 patients received no extra warming care during their perioperative period (control group—CG). Patients were well matched for age, sex, and preparation time intraoperatively. Hypothermia was defined as < 36°C. The primary outcome of the study was maintenance of normothermia preoperatively, intraoperatively, and postoperatively.RESULTSWG patients were significantly warmer on arrival to the operating room (OR) and were 60% less likely to develop PH (p < 0.001). Preoperative forced air warmer use both reduced the risk of PH at time 0 intraoperatively and significantly reduced the risk of any PH intraoperatively (p < 0.001). All patients, regardless of group, experienced a drop in core temperature until a nadir occurred at 30 minutes intraoperatively for the WG and 45 minutes for the CG. At every time interval, from preoperatively to 120 minutes intraoperatively, CG patients were between 2 and 3 times more likely to experience PH (p < 0.001). All patients were warm on arrival to the postanesthesia care unit regardless of patient group.CONCLUSIONSPreoperative forced air warmer use significantly increases the average intraoperative time 0 temperature, helping to prevent a fall into PH at the intraoperative nadir. Intraoperatively, a strictly and consistently applied warming protocol made intraoperative hypothermia significantly less likely as well as less severe when it did occur. Implementation of a warming protocol necessitated only limited resources and an OR culture change, and was well tolerated by OR staff.
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19

Hachenberg, Thomas. "Intraoperative Beatmung." AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie 56, no. 05 (2021): 315–17. http://dx.doi.org/10.1055/a-1451-6947.

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20

Schneider, G. "Intraoperative Wachheit." ains · Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie 38, no. 2 (2003): 75–84. http://dx.doi.org/10.1055/s-2003-36993.

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21

Creswell, Lawrence L., John C. Alexander, T. Bruce Ferguson, Alan Lisbon, and Lee A. Fleisher. "Intraoperative Interventions." Chest 128, no. 2 (2005): 28S—35S. http://dx.doi.org/10.1378/chest.128.2_suppl.28s.

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22

Bullock, Moderator: M. Ross, Participants: Arie Blitz, Gary Allen, and Ali Malek. "Intraoperative Temperature Management." Therapeutic Hypothermia and Temperature Management 3, no. 2 (2013): 46–51. http://dx.doi.org/10.1089/ther.2013.1509.

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Dietrich, Moderator: W. Dalton, Participants: M. Ross Bullock, Justin B. Lundbye, and W. Dalton Dietrich. "Intraoperative Temperature Management." Therapeutic Hypothermia and Temperature Management 4, no. 2 (2014): 67–71. http://dx.doi.org/10.1089/ther.2014.1505.

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24

Nichol, Graham, Jason Bartos, Joseph E. Tonna, and Markus Ferrari. "Intraoperative Temperature Management." Therapeutic Hypothermia and Temperature Management 10, no. 1 (2020): 6–10. http://dx.doi.org/10.1089/ther.2019.29068.gjn.

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25

Alsabani, Mohmad H., Abdulrazak Sibai, Saja F. Alharbi, Lafi H. Olayan, Abeer A. Samman, and Mohammed K. Al Harbi. "Characteristics and Outcomes of Liver Transplantation Recipients after Tranexamic Acid Treatment and Platelet Transfusion: A Retrospective Single-Centre Experience." Medicina 59, no. 2 (2023): 219. http://dx.doi.org/10.3390/medicina59020219.

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Background and Objectives: Patients undergoing liver transplantation (LT) often require increased blood product transfusion due to pre-existing coagulopathy and intraoperative fibrinolysis. Strategies to minimise intraoperative bleeding and subsequent blood product requirements include platelet transfusion and tranexamic acid (TXA). Prophylactic TXA administration has been shown to reduce bleeding and blood product requirements intraoperatively. However, its clinical use is still debated. The aim of this study was to report on a single-centre practice and analyse clinical characteristics and outcomes of LT recipients according to intraoperative treatment of TXA or platelet transfusion. Materials and Methods: This was a retrospective observational cohort study in which we reviewed 162 patients’ records. Characteristics, intraoperative requirement of blood products, postoperative development of thrombosis and outcomes were compared between patients without or with intraoperative TXA treatment and without or with platelet transfusion. Results: Intraoperative treatment of TXA and platelets was 53% and 57.40%, respectively. Patients who required intraoperative administration of TXA or platelet transfusion also required more transfusion of blood products. Neither TXA nor platelet transfusion were associated with increased postoperative development of hepatic artery and portal vein thrombosis, 90-day mortality or graft loss. There was a significant increase in the median length of intensive care unit (ICU) stay in those who received platelet transfusion only (2.00 vs. 3.00 days; p = 0.021). Time to extubate was significantly different in both those who required TXA and platelet transfusion intraoperatively. Conclusions: Our analysis indicates that LT recipients still required copious intraoperative transfusion of blood products, despite the use of intraoperative TXA and platelets. Our findings have important implications for current transfusion practice in LT recipients and may guide clinicians to act upon these findings, which will support global efforts to encourage a wider use of TXA to reduce transfusion requirements, including platelets.
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Hopf, Harriet W., and Gayle Gordillo. "Intraoperative Management and Pressure Ulcers." Critical Care Medicine 42, no. 1 (2014): 199–200. http://dx.doi.org/10.1097/ccm.0b013e31829ec875.

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Dietrich, Cassie C., and Joseph D. Tobias. "Intraoperative Administration of Nitric Oxide." Journal of Intensive Care Medicine 18, no. 3 (2003): 146–49. http://dx.doi.org/10.1177/0885066603251615.

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Moiyadi, Aliasgar. "Intraoperative Fluorescence Is Useful but Not Always Sufficient in Contrast-Enhancing Malignant Gliomas." Indian Journal of Neurosurgery 07, no. 03 (2018): 253–55. http://dx.doi.org/10.1055/s-0038-1639386.

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AbstractFluorescence-guided resections have become standard of care for malignant gliomas. Strong fluorescence has been shown to correlate with solid enhancing tumor. However, with experience it has also been shown that visualized fluorescence may not identify the entire extent of the tumor. Knowing that malignant gliomas extend beyond the contrast-enhancing tumor seen on magnetic resonance imaging (MRI), reliance only on the fluorescence intraoperatively may not be enough. Intraoperative ultrasound is a readily available tool for real-time assessment of resection status, irrespective of the tumor type. We describe one such case in which after resecting all the visible fluorescing tumor component, we identified a significant component of nonfluorescing tumor, using intraoperative ultrasound that was further resected completely. This illustrates the need for multimodal intraoperative guidance for achieving optimal tumor resection in malignant gliomas.
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Palla, Konstantina, Stephanie L. Hyland, Karen Posner, et al. "Intraoperative prediction of postanaesthesia care unit hypotension." British Journal of Anaesthesia 128, no. 4 (2022): 623–35. http://dx.doi.org/10.1016/j.bja.2021.10.052.

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Kohli, Manish, Bhuwan Chand Panday, and Jayashree Sood. "Smart Phones Application for Intraoperative Patient Care." Anesthesia & Analgesia 124, no. 5 (2017): 1731–32. http://dx.doi.org/10.1213/ane.0000000000001941.

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Caughey, A. B., S. L. Wood, G. A. Macones, et al. "Guidelines for Intraoperative Care in Cesarean Delivery." Obstetric Anesthesia Digest 39, no. 3 (2019): 120–21. http://dx.doi.org/10.1097/01.aoa.0000575072.88651.e7.

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Vannucci, Andrea, Steven Greenberg, and Matthew B. Weinger. "Outcomes From Intraoperative Handovers of Anesthesia Care." JAMA 328, no. 18 (2022): 1869. http://dx.doi.org/10.1001/jama.2022.16530.

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Jones, Philip M., Louise Y. Sun, and Michael J. Brenner. "Outcomes From Intraoperative Handovers of Anesthesia Care." JAMA 328, no. 18 (2022): 1869. http://dx.doi.org/10.1001/jama.2022.16527.

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Carneiro, Denise M., and George L. Irvin III. "New Point-of-care Intraoperative Parathyroid Hormone Assay for Intraoperative Guidance in Parathyroidectomy." World Journal of Surgery 26, no. 8 (2002): 1074–77. http://dx.doi.org/10.1007/s00268-002-6675-z.

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35

Hortin, Glen L., and Alexis B. Carter. "Intraoperative Parathyroid Hormone Testing." Archives of Pathology & Laboratory Medicine 126, no. 9 (2002): 1045–49. http://dx.doi.org/10.5858/2002-126-1045-ipht.

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Abstract Objective.—To examine the number and testing characteristics of laboratories that offer intraoperative testing of intact parathyroid hormone (PTH). Design.—Laboratories (n = 355) that participated in 2001 in PTH proficiency testing with the College of American Pathologists Special Ligand Survey were surveyed about intraoperative PTH testing. Results.—Of the 320 laboratories that responded to the survey, 92 performed intraoperative PTH testing. Testing practices were divided nearly equally among laboratories that performed intraoperative PTH testing for all parathyroidectomies (40%), most but not all cases (31%), and less than half of cases (30%). Testing frequency usually was low, with about two thirds of laboratories reporting 5 or fewer cases per month. A surprising finding was that, although intraoperative PTH testing originally became widely practiced as a point-of-care test, 71% of laboratories performed testing in a central laboratory, 6% in satellite laboratories, and only 23% in operating suites. A survey of methods showed that 33% used the manual QuiCk-Intraoperative test, 47% used the automated Immulite Turbo intact PTH assay, and 20% used other methods. Conclusions.—Intraoperative testing of intact PTH, although relatively new, has come into widespread practice during parathyroid surgery. Service delivery has evolved from a point-of-care model toward a central laboratory model, with this test serving as an illustrative example of factors that affect the balance between point-of-care and laboratory testing.
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Tacy, Theresa A. "Transesophageal Echocardiography for Tetralogy of Fallot Repair: What a Perioperative Physician need to know?" Journal of Perioperative Echocardiography 2, no. 2 (2014): 51–57. http://dx.doi.org/10.5005/jp-journals-10034-1021.

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ABSTRACT Transesophageal echocardiography (TEE) is now an integral part of intraoperative management of TOF patients undergoing intracardiac repair. With the availability of micro TEE probes, intraoperative TEE care can now be provided to even the smallest of patients. It provides live images of the anatomical and pathophysiological state of the heart and allows perioperative physicians to modify surgical and medical treatment perioperatively. During pre-bypass period, TEE confirms preoperative diagnosis and can provide additional information which might be missed on transthoracic echocardiography (TTE). It also helps in modifying intraoperative surgical plan if new findings are detected intraoperatively. In addition, real time information on volume status and inotropy helps in management of hemodynamics and preventing hypercyanotic spells in prebypass period. Adequacy of surgical repair can be assessed in immediate post-bypass period and any residual defect can be corrected before patient leaves the operating room. Post repair information on anatomical and pathophysiologic status helps guiding management in intensive care unit. How to cite this article Puri GD, Raj R, Tacy TA. Transesophageal Echocardiography for Tetralogy of Fallot Repair: What a Perioperative Physician need to know?. J Perioper Echocardiogr 2014;2(2):51-57.
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Cheng, Mary Ann, M. Angele Theard, and René Tempelhoff. "INTRAVENOUS AGENTS AND INTRAOPERATIVE NEUROPROTECTION." Critical Care Clinics 13, no. 1 (1997): 185–99. http://dx.doi.org/10.1016/s0749-0704(05)70301-8.

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Cation, Graziano C., William S. Howland, Sharon-Marie Rooney, Mary Kathryn Pierri, and Jeffrey S. Groeger. "INTRAOPERATIVE MONITORING BY PULMONARY ARTERY CATHETER." Critical Care Medicine 14, no. 4 (1986): 382. http://dx.doi.org/10.1097/00003246-198604000-00141.

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McGough, Edward K., and Robert R. Kirby. "HYPERTONIC SALINE FOR INTRAOPERATIVE FLUID THERAPY." Critical Care Medicine 18, Supplement (1990): S193. http://dx.doi.org/10.1097/00003246-199012001-00037.

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Gupta, Babita, Chandni Sinha, Pramendra Agrawal, and Nita D′souza. "An uncommon cause of intraoperative airleak." Indian Journal of Critical Care Medicine 15, no. 4 (2011): 237–38. http://dx.doi.org/10.4103/0972-5229.92072.

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41

Sheridan, Robert L., Kathrina M. Prelack, Lisa M. Petras, Stanislaw K. Szyfelbein, and Ronald G. Tompkins. "Intraoperative reflectance oximetry in burn patients." Journal of Clinical Monitoring 11, no. 1 (1995): 32–34. http://dx.doi.org/10.1007/bf01627417.

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42

Sharma, Mona, Dikshya Karki, Saurya Dhungel, and Ritika Gautam. "Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study." Journal of Nepal Medical Association 59, no. 244 (2021): 1262–66. http://dx.doi.org/10.31729/jnma.7117.

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Introduction: Intraoperative record form is one of the cardinal parts of anesthesia practices. Ideally, it should contain complete information about patients under anesthesia and intraoperative events. It serves as valuable information for subsequent patient management, research, or during medicolegal conditions. The objective of this study was to assess the practice and completeness of manual intraoperative anesthesia record keeping. Methods: A descriptive cross-sectional study was conducted from May 1 to July 31, 2021, in the postoperative ward of Kathmandu Medical College, which is a multispecialty tertiary care center. Approval from the ethical committee of Kathmandu Medical College Teaching Hospital was obtained (Reference: 2603202105) before conducting the study. Convenience sampling was used. The data were entered in Microsoft Excel and statistical analysis was done using Statistical Package for the Social Sciences version 20. Point estimate was done at 95% Confidence Interval and data present in numbers and percentages. We devised forty-two variables, which included demographics, personal identifiers, intraoperative events, anesthesia and airway management, intraoperative parameters, monitoring and medication. Results: The overall completion rate was 202 (52.59%) (47.6-57.57 at 95% Confidence Interval). Out of 42 variables, the completion rate of 14 variables was less than 50%. Among those were important parameters such as known allergies 94 (24.4%), Body mass index 50 (13%), intraoperative saturation of oxygen 104 (27%), intraoperative electrocardiogram recording 107 (27.8%), total fluid volume administered 45 (11.7%), patient status on transfer 84 (21.8%) had poor completion rate. Conclusions: Our intraoperative record form shows poor completion rate, which was similar to other studies. many important variables were missing and had incomplete data.
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Yoon, Diana, Nir Hoftman, Wendy Ren, Fardad Esmailian, Paul Schmidt, and Aman Mahajan. "Intraoperative Transesophageal Echocardiography in Chest Trauma." Journal of Trauma: Injury, Infection, and Critical Care 65, no. 4 (2008): 924–26. http://dx.doi.org/10.1097/ta.0b013e3180f62ed2.

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Horst, Mathilda, Scott Dlugos, John Fath, Victor Sorensen, Farouck Obeid, and Brack Bivins. "COAGULOPATHY AND INTRAOPERATIVE BLOOD SALVAGE (IBS)." Journal of Trauma: Injury, Infection, and Critical Care 31, no. 7 (1991): 1030. http://dx.doi.org/10.1097/00005373-199107000-00058.

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HORST, H. MATHILDA, SCOTT DLUGOS, JOHN J. FATH, VICTOR J. SORENSEN, FAROUCK N. OBEID, and BRACK A. BIVINS. "Coagulopathy and Intraoperative Blood Salvage (IBS)." Journal of Trauma: Injury, Infection, and Critical Care 32, no. 5 (1992): 646–53. http://dx.doi.org/10.1097/00005373-199205000-00018.

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BAXTER, B. TIMOTHY, ERNEST E. MOORE, FREDERICK A. MOORE, and MARVIN POMERANTZ. "Intraoperative Cardiac Sampling following Penetrating Wounds." Journal of Trauma: Injury, Infection, and Critical Care 29, no. 12 (1989): 1719–20. http://dx.doi.org/10.1097/00005373-198912000-00025.

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Fernández Suárez, Félix Ezequiel, David Fernández Del Valle, Adrián González Alvarez, and Blanca Pérez-Lozano. "Intraoperative care for aortic surgery using circulatory arrest." Journal of Thoracic Disease 9, S6 (2017): S508—S520. http://dx.doi.org/10.21037/jtd.2017.04.67.

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Dybec, Robert B. "Intraoperative Positioning and Care of the Obese Patient." Plastic Surgical Nursing 24, no. 3 (2004): 118–22. http://dx.doi.org/10.1097/00006527-200407000-00009.

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Hankela, Sirpa, and Irma Kiikkala. "Intraoperative Nursing Care as Experienced by Surgical Patients." AORN Journal 63, no. 2 (1996): 435–42. http://dx.doi.org/10.1016/s0001-2092(06)63231-6.

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D’Mello, Ajay J., Vidya T. Raman, and Joseph D. Tobias. "Adjustable Pressure Limit Valve Failure During Intraoperative Care." A & A Practice 13, no. 7 (2019): 257–59. http://dx.doi.org/10.1213/xaa.0000000000001045.

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