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Journal articles on the topic 'Nursing - Anesthesia'

Author: Grafiati

Published: 4 June 2021

Last updated: 31 January 2023

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1

Gao, Jingnan, Qiao Zheng, Mingmin Liu, and Jie Bao. "Functional Magnetic Resonance Imaging of Brain Function and Emergence Agitation of Patients with Dexmedetomidine-Assisted General Anesthesia under Comfortable Nursing Intervention." Computational Intelligence and Neuroscience 2022 (July 19, 2022): 1–8. http://dx.doi.org/10.1155/2022/8527568.

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In order to explore the effects of dexmedetomidine (DEX) on functional magnetic resonance imaging (fMRI) and emergence agitation of patients who underwent general anesthesia surgery with sevoflurane under comfortable nursing intervention, 66 patients who received upper abdominal surgery were selected as research objects. According to nursing and anesthesia methods, the patients were randomly divided into control group (routine nursing and anesthesia), group A (routine nursing and DEX-assisted anesthesia), and group B (comfortable nursing and DEX-assisted anesthesia). The differences in the brain fMRI characteristics, hemodynamic indexes, anesthesia recovery indexes, and nursing satisfaction in the perioperative period were evaluated. The results showed that the regional homogeneity values were different in different brain regions, but there was no difference in the Z value of functional connectivity P > 0.05 . Compared with the control group, heart rate, mean arterial pressure, awakening time, extubation time, the Riker sedation-agitation scale (SAS) score, and anesthetic dosage were signally decreased in group A and group B, while the Ramsay scores, the postanesthesia care unit (PACU) stay, and anesthesia maintenance time in the two groups was obviously increased P < 0.05 . Compared with group A, the extubation time, the SAS score, PACU stay, and hospital stay were all remarkably reduced in group B, while the nursing satisfaction score was greatly increased P < 0.05 . To sum up, DEX was helpful to safely and effectively reduce the occurrence of emergence agitation in patients under general anesthesia surgery with sevoflurane. Besides, comfortable nursing intervention could further reduce the incidence of emergence agitation in patients with general anesthesia, shorten the length of hospital stay, and improve nursing satisfaction.

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Merrill, Lois J. "Anesthesia nursing—Graduate level nursing specialty?" Journal of Professional Nursing 4, no. 3 (May 1988): 143–44. http://dx.doi.org/10.1016/s8755-7223(88)80124-8.

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3

Almasri, Mazen Ahmad, Tanveer Karpe, Sahil Mogla, Siva Kumar Pendyala, Keshini MP, Arshad Bin Hussain, and Heena Dixit Tiwari. "Efficacy of vazirani akinosi and gow gates technique in inferior alveolar nerve block." International journal of health sciences 6, S1 (March 19, 2022): 1257–62. http://dx.doi.org/10.53730/ijhs.v6ns1.4876.

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Aim: The purpose of this study is to evaluate the onset of anesthesia, anesthetic success and incidence of positive aspiration during administration of local anesthetic solution using the Vazirani Akinosi and Gow Gates techniques. Methodology: The study involves 100 subjects, divided into two different groups of 50 subjects each receiving Gow Gates, Vazirani Akinosi nerve blocks. The onset of anesthesia, positive aspiration and anesthetic success was evaluated. Results: In Vazirani Akinosi technique group, patients showed highest anesthetic success of 95.71%; there was a significant difference seen between the Gow Gates and Vazirani Akinosi techniques (p = 0.0241). The mean value of the onset of anesthesia in Gow Gates technique showed the longest 343.71 ± 153.20 s and in Vazirani Akinosi technique it was 192.86 ± 61.20 s. Conclusion: The Vazirani Akinosi technique was found to be significantly better than GG techniques with respect to both onset and success of anesthesia.

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Lima, Luciana Bjorklund de, Deise Borges, Samara da Costa, and Eneida Rejane Rabelo. "Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit." Revista Latino-Americana de Enfermagem 18, no. 5 (October 2010): 881–87. http://dx.doi.org/10.1590/s0104-11692010000500007.

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This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists - ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.

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Haghenbeck, K. "Nursing care following spinal anesthesia." Critical Care Nurse 9, no. 4 (May 1, 1989): 22–25. http://dx.doi.org/10.4037/ccn1989.9.4.22.

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Zhang, Xiaowei, JingWang, Weixu Gao, Lijuan Li, LiangYu, Kun Liu, and Nan Li. "Nursing Methods and Experience of Local Anesthesia Patients under Arthroscope." Scanning 2022 (July 27, 2022): 1–9. http://dx.doi.org/10.1155/2022/3689344.

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In order to solve the nursing problems of local anesthesia patients under arthroscopy, a nursing method and experience based on local anesthesia patients under arthroscopy was proposed. From June 2019 to May 2021, 478 patients who underwent knee arthroscopy under spinal anesthesia or local anesthesia were retrospectively investigated, including 186 cases (38.9%) under local anesthesia and 292 cases (61.1%) under spinal anesthesia. 2% lidocaine plus epinephrine was injected locally and intra-articular in patients with local anesthesia, and 0.75% bupivacaine in patients with spinal anesthesia. It was found that in the local anesthesia group and spinal anesthesia group, 94.1% (175/186) and 98.3% (287/292) patients did not feel pain during operation. 93.0% (173/186 cases) and 96.2% (281/292 cases) of patients in the two groups were satisfied or very satisfied with the effect of anesthesia, respectively. The experimental results showed that local anesthesia was a simple and effective anesthesia method for knee arthroscopy, which was more reliable and safer than spinal anesthesia. Local anesthesia could be used for knee arthroscopy or cleaning and rinsing, free body removal, or even common meniscinoplasty.

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Xuan, Hongmei, and Keping Xu. "Warning and Nursing Experience of Anesthesia Depth Monitoring for Patients with General Anesthesia Delayed to Leave Anesthesia Recovery Room and Delirium." Emergency Medicine International 2022 (November 10, 2022): 1–5. http://dx.doi.org/10.1155/2022/3610838.

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Affected by the residues of narcotic drugs, patients under general anesthesia are vulnerable to emergence of agitation, delirium, hemodynamic changes, and other adverse events in the recovery period of anesthesia. Therefore, it is necessary to strengthen the observation and care of these patients. Depth of anesthesia monitoring (DAM) has always been a concern for anesthesiologists, but there are few reports related to it. This study compared the early warning value of DAM for patients under general anesthesia with delayed exit from the anesthesia recovery unit (PACU) and delirium and summarized the related nursing experience. The results showed that DAM could reduce the incidence of complications in patients under general anesthesia, reduce the incidence of delirium, shorten the time of postoperative anesthesia recovery and PACU observation time, reduce the workload of nursing staff, and improve nursing satisfaction. DAM plays an important role in improving the quality and efficiency of care in PACU.

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Cohen, Marsha M., Linda L. O'Brien-Pallas, Christine Copplestone, Ronald Wall, Joan Porter, and Keith D. Rose. "Nursing Workload Associated with Adverse Events in the Postanesthesia Care Unit." Anesthesiology 91, no. 6 (December 1, 1999): 1882. http://dx.doi.org/10.1097/00000542-199912000-00043.

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Background The authors used a nursing task inventory system to assess nursing resources for patients with and without adverse postoperative events in the postanesthesia care unit (PACU). Methods Over 3 months, 2,031 patients were observed, and each task/activity related to direct patient care was recorded and assigned points according to the Project Research in Nursing (PRN) workload system. PRN values for each patient were merged with data from an anesthesia database containing demographics, anesthesia technique, and postoperative adverse events. Mean and median PRN points were determined by age, sex, duration of procedure, and mode of anesthesia for patients with and without adverse events in the PACU. Three theoretical models were developed to determine the effect of differing rates of adverse events on the requirements for nurses in the PACU. Results The median workload (PRN points) per patient was 31.0 (25th-75th percentile, 25-46). Median workload was 26 points for patients with no postoperative events and 155 for > or = six adverse events. Workload varied by type of postoperative event (e.g., unanticipated admission to the intensive care unit, median workload = 95; critical respiratory event = 54; and nausea/vomiting = 33). Monitored anesthesia care or general anesthesia with spontaneous ventilation used less resources compared with general anesthesia with mechanical ventilation. Modeling various scenarios (controlling for types of patients) showed that adverse events increased the number of nursing personnel required in the PACU. Conclusions Nursing care documentation based on requirements for individual patients demonstrates that the rate of postoperative adverse events affects the amount of nursing resources needed in the PACU.

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Li, Li, Jill M. Johnsen, Chau X. Doan, and Laurent A. Bollag. "Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder." F1000Research 7 (September 18, 2018): 1482. http://dx.doi.org/10.12688/f1000research.16097.1.

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Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort.

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Li, Li, Jill M. Johnsen, Chau X. Doan, and Laurent A. Bollag. "Case Report: Anesthetic management for Cesarean section in a parturient with unspecified inherited bleeding disorder." F1000Research 7 (November 29, 2018): 1482. http://dx.doi.org/10.12688/f1000research.16097.2.

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Neuraxial anesthesia, as the standard of care for Cesarean deliveries, is associated with decreased blood loss. However, parturients with inherited bleeding disorders are at increased risk for epidural hematomas. A small retrospective study has shown that parturients with known factor deficiencies can safely undergo neuraxial anesthesia once the specific factors are replenished. We present a patient who had a considerably increased risk of peripartum bleeding from an unspecified inherited bleeding disorder and was provided a successful neuraxial anesthetic without complications. We discuss the multidisciplinary approach among the surgeons, anesthesiologists, hematologist, and nursing staff to maximize patient safety and comfort.

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Agresa, Nida, Halina Rahayu, and Leonatus Limson. "The Relationship Between The Level Of Nursing Knowledge On Prevention Of Hypothermia Post-Operation Of General Anesthesia In The St.Vincentius Hospital Year 2017." Scientific Journal of Nursing Research 1, no. 1 (December 28, 2018): 15. http://dx.doi.org/10.30602/sjnr.v1i1.263.

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Background: Shivering is a condition characterized by an increase muscular activity that often occurs after anesthetic action, especially in patients undergoing surgery with general anesthesia. The combination of anesthesia and surgery can cause a disruption of the function of regulating body temperature which will cause a decrease in the body's core temperature causing hypothermia. The results of previous studies stated that the incidence of shivering after anesthesia was reported to range from 5-65%in patients undergoing general anesthesia and about 33-56.7% in patients undergoing neuraxial anesthesia. Aims: The purpose of this study was to determine the relationship between the level of knowledge of nurses on the behavior of prevention of postoperative hypothermia with general anesthesia. Methods: This type of research was observational analytic research using theapproach cross-sectional. The sample in this study were 20 respondents with this sampling technique is total sampling or saturated sampling, and data collection techniques using questionnaires. While the analysis used is thetest chi square. Result: The result of the statistical calculation with chi square value was p value of 0.000 with a significanceof 0.05. Then Ha is accepted. Conclusion: There is a relationship between knowledge of the behavior of hypothermic prevention of postoperative patients with general anesthesia in the recovery room of St. RSU. Vincentius Singkawang. Advice for nurses to always pay attention to the patient's body temperature after anesthesia to prevent hypothermia or the incidence of shivering.

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Feng, Xue, Binbin Zhao, and Yongqiang Wang. "Spiral Computed Tomography Imaging Analysis of Positioning of Lumbar Spinal Nerve Anesthesia under the Concept of Enhanced Recovery after Surgery." Contrast Media & Molecular Imaging 2022 (June 3, 2022): 1–9. http://dx.doi.org/10.1155/2022/1703250.

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The objective of this research was to explore the effect of perioperative anesthesia management for patients based on the concept of enhanced recovery after surgery (ERAS) and the application value of the computed tomography (CT) localization method in lumbar spinal nerve anesthesia, reducing the damage caused by anesthesia. One hundred and twenty patients who underwent the lumbar spinal anesthesia in lower limb surgery were selected as the research subjects. According to puncture positioning and nursing intention, the patients were classified into the control group with 30 patients (method of anatomical landmarks), CT group with 50 patients (the CT localization), and ERAS group with 40 patients (the CT localization and the ERAS management). The effects of the anesthesia positioning method and the ERAS management were compared and analyzed. The results showed that d (0.32) and r (0.27) of exponential filtering function were notably smaller than those of R-L filtering function (d = 0.40, r = 0.39) and of S-R filtering function (d = 0.37, r = 0.36) ( P < 0.05 ). Puncture time ((9.23 ± 0.32) min vs. (13.11 ± 0.45) min), puncture direction change (20% vs. 33.33%), abnormal puncture sensation (22% vs. 40%), and nerve root touch (4% vs. 23.33%) in the CT group were all lower than those in the control group. The proportion of Degree I anesthesia effect (94%) of the CT group was greatly higher than that of the control group (76.67%) ( P < 0.05 ). The VAS score, time of activity and gastrointestinal function recovery, and the incidence of adverse reactions (2.5% vs. 28%) in the ERAS group were lower than those in the CT group ( P < 0.05 ). All in all, the CT localization method can improve the difficulty of anesthesia puncture and improve the anesthetic effect; the ERAS nursing concept can improve the postoperative pain of patients and contribute to the prognosis of patients and have a good clinical value.

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Li, Zhen, Yimei Peng, Liping Zou, and Yanfang He. "Intelligent Algorithm-Based Ultrasound for Evaluating the Anesthesia and Nursing Intervention for Elderly Patients with Femoral Intertrochanteric Fractures." Computational Intelligence and Neuroscience 2022 (May 24, 2022): 1–8. http://dx.doi.org/10.1155/2022/3557994.

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This study was aimed to explore the anesthesia, analgesia, and nursing intervention scheme for elderly patients undergoing the operation of intertrochanteric fracture of femur under the guidance of ultrasound optimized by blind deblurring algorithm. Fifty elderly patients undergoing intertrochanteric femoral surgery were randomly enrolled into control group (tracheal intubation intravenous anesthesia + routine nursing) and experimental group (ultrasound-guided nerve block anesthesia + comprehensive nursing based on blind deblurring algorithm), with 25 patients in each group. The effects of anesthesia and recovery were evaluated in the two groups. The results showed that the image evaluation index of blind deblurring algorithm was superior to other algorithms (BM3D, DnCNN, and Red-Net), which improved the quality of ultrasound imaging and was more conducive to intraoperative anesthesia guidance. At the beginning and end of intubation and operation, the fluctuation range of mean arterial pressure (MAP) and heart rate (HR) in the experimental group was lower than that in the control group. The maintenance time of sensory and motor anesthesia block (7.53 ± 1.47 h, 5.45 ± 1.36 h) was longer than that of control group (3.38 ± 1.26 h, 3.02 ± 1.31 h). Visual Analogue Scale/Score (VAS) scores at 6 h, 12 h, and 24 h after surgery were lower than those in the control group. The effective rate of nursing and the incidence of complications (92% and 8%) were better than the control group (80% and 16%), and the difference was statistically significant ( P < 0.05 ). In summary, the optimization effect of blind deblurring algorithm was good, which can improve the quality of ultrasound-guided surgery and help in the smooth implementation of surgery. Moreover, nerve block anesthesia and comprehensive nursing were of great value in postoperative analgesia and recovery of patients.

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Wiercigroch, David, Maxim Ben-Yakov, Danielle Porplycia, and Steven Marc Friedman. "Regional anesthesia in Canadian emergency departments: Emergency physician practices, perspectives, and barriers to use." CJEM 22, no. 4 (May 21, 2020): 499–503. http://dx.doi.org/10.1017/cem.2020.51.

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ABSTRACTObjectivesRegional anesthesia has many applications in the emergency department (ED). It has been shown to reduce general anesthetic dose, requirement for post-procedural opioids, and recovery time. We sought to characterize the use of regional anesthesia by Canadian emergency physicians, including practices, perspectives and barriers to use in the ED.MethodsA cross-sectional survey was administered to members of the Canadian Association of Emergency Physicians (CAEP), consisting of sixteen multiple choice and numerical response questions. Responses were summarized descriptively as percentages and as the median and inter quartile range (IQR) for quantitative variables.ResultsThe survey was completed by 149/1144 staff emergency physicians, with a response rate of 13%. Respondents used regional anesthesia a median of 2 (IQR 0–4) times in the past ten shifts. The most broadly used applications were soft tissue repair (84.5% of respondents, n = 126), fracture pain management (79.2%, n = 118) and orthopedic reduction (72.5%, n = 108). Respondents agreed that regional anesthesia is safe to use in the ED (98.7%) and were interested in using it more frequently (78.5%). Almost all (98.0%) respondents had point of care ultrasound available, however less than half (49.0%) felt comfortable using it for RA. Respondents indicated that they required more training (76.5%), a departmental protocol (47.0%), and nursing assistance (30.2%) to increase their use of RA.ConclusionCanadian emergency physicians use regional anesthesia infrequently but express an interest in expanding their use. While equipment is available, additional training, protocols, and increased support from nursing staff are modifiable factors that could facilitate uptake.

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Sreeram, V., Pallavi Waghalkar, W. Atul, and Digambar Sarje. "Anesthesia Management of Prolonged Surgery with Duration of 15 Hours for Correction of Post Koch's Kyphosis." Journal of Research & Innovation in Anesthesia 1, no. 2 (2016): 73–75. http://dx.doi.org/10.5005/jp-journals-10049-0020.

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ABSTRACT Anesthetic management of post koch's kyphosis correction of 48 yr old female is discussed. The patient was under anesthesia for long duration of 15 hours which also included Wake up test. After surgery 3 months later patient went home walking. It is emphasized that with good team work between orthopedician, anesthesiologist, chest physician and nursing staff will make it possible to produce excellent outcome in these cases. How to cite this article Sreeram V, Waghalkar P, Atul W, Sarje D. Anesthesia Management of Prolonged Surgery with Duration of 15 Hours for Correction of Post Koch's Kyphosis. Res Inno in Anesth 2016;1(2):73-75.

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Duval, Donald L. "Core Curriculum for Post Anesthesia Nursing Practice." Critical Care Nursing Quarterly 15, no. 3 (November 1992): 87–88. http://dx.doi.org/10.1097/00002727-199211000-00017.

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Plaschke, Konstanze, Anne Weiskircher, Laura Benner, Bertold Klein, Tsvetomir Loukanov, Matthias Gorenflo, Markus A. Weigand, and Helmut Rauch. "Depth of anesthesia by Narcotrend® and postoperative characteristics in children undergoing cardiac surgery under extracorporeal circulation: a retrospective comparison of two anesthetic regimens." Perfusion 35, no. 5 (January 11, 2020): 427–35. http://dx.doi.org/10.1177/0267659119895447.

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Background: Depth of anesthesia may be insufficient in pediatric cardiac anesthesia if a total intravenous anesthetic regimen with opioids and midazolam is used during cardiopulmonary bypass. The advantages of sevoflurane-based balanced anesthesia may be (1) a more graduated regulation of the depth of anesthesia during cardiopulmonary bypass and (2) a reduction in postoperative ventilation time for children in comparison with total intravenous anesthesia. Aim: To evaluate a possibly positive effect of sevoflurane-based balanced anesthesia in children undergoing cardiac surgery we analyzed whether this anesthetic regimen had a significant effect related to (1) depth of anesthesia, (2) the need for opioids during cardiopulmonary bypass as well as on postoperative characteristics such as (3) time of postoperative ventilation, and (4) duration of stay in the intensive care unit in comparison with total intravenous anesthesia. Methods: In a retrospective analysis, data from heart-lung machine protocols from 2013 to 2016 were compared according to anesthetic regimen (sevoflurane-balanced anesthesia, n = 70 vs. total intravenous anesthesia, n = 65). Children (age: 8 weeks to 14 years) undergoing cardiac surgery with cardiopulmonary bypass were included. As a primary outcome measure, we compared Narcotrend® system–extracted data to detect insufficient phases of anesthetic depth during extracorporeal circulation under moderate hypothermia. Postoperatively, we measured the postoperative ventilation time and the number of days in the intensive care unit. Furthermore, we analyzed patients’ specific characteristics such as opioid consumption during cardiopulmonary bypass. Regression analysis relating primary objectives was done using the following variables: anesthetic regimen, age, severity of illness/surgery, and cumulative dosage of opiates during cardiopulmonary bypass. Results: No significant differences were observed in descriptive patient characteristics (age, body weight, height, and body temperature) between the two groups. Further, no significant differences were found in depth of anesthesia by analyzing phases of superficial B1-C2-electroencephalography Narcotrend® data. No marked difference between the groups was observed for the duration of postoperative intensive care unit stay. However, the postoperative ventilation time (median (95% CI, hours)) was significantly lower in the sevoflurane-based balanced anesthesia group (6.0 (2.0-15.0)) than in the total intravenous anesthesia group (13.5 (7.0-25)). A higher dosage of opioids and midazolam was required in the total intravenous anesthesia group to maintain adequate anesthesia during cardiopulmonary bypass. Regression analysis showed an additional, significant impact of the following factors: severity of illness and severity grade of cardiac surgery (according to Aristotle) on the primary endpoint. Conclusion: In children undergoing cardiac surgery in our department, the use of sevoflurane-balanced anesthesia during cardiopulmonary bypass showed no superiority of inhalational agents over total intravenous anesthesia with opioids and benzodiazepines preventing phases of superficial anesthesia, but a marked advantage for the postoperative ventilation time compared with total intravenous anesthesia.

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&NA;. "40. LOCAL ANESTHESIA." Journal of Infusion Nursing 29, Supplement (January 2006): S41. http://dx.doi.org/10.1097/00129804-200601001-00045.

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Aroke, Edwin N., and Jennifer R. Dungan. "Pharmacogenetics of Anesthesia." Nursing Research 65, no. 4 (2016): 318–30. http://dx.doi.org/10.1097/nnr.0000000000000164.

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Lemos, Cassiane de Santana, and Aparecida de Cassia Giani Peniche. "Nursing care in the anesthetic procedure: an integrative review." Revista da Escola de Enfermagem da USP 50, no. 1 (February 2016): 154–62. http://dx.doi.org/10.1590/s0080-623420160000100020.

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Abstract OBJECTIVE To search for the scientific evidence available on nursing professional actions during the anesthetic procedure. METHOD An integrative review of articles in Portuguese, English and Spanish, indexed in MEDLINE/PubMed, CINAHL, LILACS, National Cochrane, SciELO databases and the VHL portal. RESULTS Seven studies were analyzed, showing nurse anesthetists' work in countries such as the United States and parts of Europe, with the formulation of a plan for anesthesia and patient care regarding the verification of materials and intraoperative controls. The barriers to their performance involved working in conjunction with or supervised by anesthesiologists, the lack of government guidelines and policies for the legal exercise of the profession, and the conflict between nursing and the health system for maintenance of the performance in places with legislation and defined protocols for the specialty. Conclusion Despite the methodological weaknesses found, the studies indicated a wide diversity of nursing work. Furthermore, in countries absent of the specialty, like Brazil, the need to develop guidelines for care during the anesthetic procedure was observed.

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Yun, Xue-Yu, Shu-Juan Chen, and Qiu-Wu Zheng. "Targeted Perioperative Nursing Combined with Propofol and Fentanyl for Gynecological Laparoscopic Surgery." Evidence-Based Complementary and Alternative Medicine 2022 (October 15, 2022): 1–5. http://dx.doi.org/10.1155/2022/1257260.

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Objective. The aim of this study is to investigate the clinical effects of targeted perioperative nursing combined with propofol and fentanyl in gynecological laparoscopic surgery. Methods. Patients who were admitted to our hospital for gynecological laparoscopic surgeries from October 1, 2019 to November 30, 2021 were included in this retrospective study. Patients in group A received routine propofol and fentanyl. Patients in group B received targeted perioperative nursing on the basis of interventions in group A. The anesthetic effects, clinical indicators, mental health status, and adverse reactions were compared between the two groups. Results. A total of 84 qualified patients were retrieved. The total effective anesthesia rate, extubation time, operation time, consciousness recovery time, intraoperative blood loss, hospital stay, SAS score, SDS score, health status indicators, and adverse events in group B were all significantly better than those in group A ( P < 0.05 for all comparisons). Conclusion. Combined intervention (propofol + fentanyl + targeted perioperative care) for gynecological laparoscopic surgery patients has a significant anesthesia effect, which can effectively improve the patient's clinical indicators and mental health status and can also reduce the occurrence of adverse events. It has good safety and can be widely used in clinical practice.

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LEWICKI, LINDA J. "After Anesthesia." AJN, American Journal of Nursing 88, no. 5 (May 1988): 761–62. http://dx.doi.org/10.1097/00000446-198805000-00047.

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Xu, Zhiying, Lina Xu, Tao Li, Qunfang Sheng, Yuan Shi, and Jing Gao. "Effects of Humanized Nursing on Perioperative Glaucoma Patients under Local Anesthesia and Sleep Quality." American Journal of Health Behavior 45, no. 6 (November 15, 2021): 971–77. http://dx.doi.org/10.5993/ajhb.45.6.2.

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Objective: We assessed the effects of humanized nursing on perioperative glaucoma patients under local anesthesia and their sleep quality. Methods: Fifty glaucoma patients who underwent surgery under local anesthesia from January 2018 to January 2020 were enrolled and randomly divided into 2 groups (N=25). The control group received routine nursing care whereas the observation group underwent humanized nursing care. We compared negative emotion scores, treatment compliance, incidence of postoperative complications, comfort score, sleep quality score, and nursing satisfaction. Results: After nursing, the observation group had lower SAS and SDS scores than the control group (p < .05). The total treatment compliance rate was higher in the observation group than that in the control group (96.0% vs 72.0%, p < .05). The observation group had a lower incidence rate of postoperative complications than the control group (4.0% vs 24.0%, p < .05). After nursing, the observation group exhibited an increased GCQ score and a decreased PSQI score compared to the control group (p < .05). The total satisfaction rate of nursing was higher in the observation group than that in the control group (96.0% vs 76.0%, p < .05). Conclusion: Humanized nursing for glaucoma patients during the perioperative period under local anesthesia is able to relieve the negative emotion of patients and enhance their treatment compliance, which is conducive to reducing postoperative complications, increasing physical comfort level, and ameliorating sleep quality, thereby improving nursing satisfaction by patients.

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Sousa, Cristina Silva. "Contexto histórico da recuperação anestésica." Revista de Enfermagem UFPE on line 12, no. 4 (April 4, 2018): 1117. http://dx.doi.org/10.5205/1981-8963-v12i4a234869p1117-1121-2018.

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RESUMOObjetivo: descrever os aspectos históricos da recuperação anestésica evidenciados nas publicações. Método: investigação histórico-social, exploratória e descritiva, com base nas publicações e legislações pertinentes ao exercício da enfermagem no Brasil, representando, dessa forma, o contexto histórico da recuperação anestésica para o reconhecimento e valorização da enfermagem perioperatória. Resultados: nesta evolução histórica, a enfermagem da recuperação anestésica construiu um caminho permeado pelo enfoque técnico, necessidade de assistência individualizada e área crítica com busca de conhecimento científico e processos de acreditação hospitalar para segurança do paciente. No Brasil, iniciada apenas em 1980, a recuperação anestésica dos anos 2000 tem sido baseada na assistência sistematizada, permeada por ações de segurança do paciente em busca de melhor capacitação da equipe. Conclusão: há um movimento da enfermagem brasileira na assistência da recuperação anestésica e aprimoramento destas ações com o decorrer do tempo. Descritores: Enfermagem em Pós-Anestésico; Período de Recuperação da Anestesia; História da Enfermagem; Enfermagem Perioperatória.ABSTRACT Objective: to describe the historical aspects of anesthesia recovery evidenced in the publications. Method: this is an exploratory and descriptive historical-social research, based on the publications and legislation about nursing practice in Brazil, representing the historical context of the anesthetic recovery for the recognition and valuation of perioperative nursing. Results: In this historical evolution, the nursing of the anesthetic recovery built a path permeated by the technical approach, need for individualized assistance and critical area, with a search of scientific knowledge and hospital accreditation processes for patient safety. In Brazil, initiated only in 1980, the anesthetic recovery of the 2000s has been based on systematized assistance, permeated by patient safety actions in search of better team training. Conclusion: there is a movement of the Brazilian nursing with the assistance of the anesthetic recovery and improvement of these actions over time. Descriptors: Post-Anesthesia Nursing, Anesthesia Recovery Period, History of Nursing, Perioperative Nursing.RESUMEN Objetivo: describir los aspectos históricos de la recuperación anestésica evidenciados en las publicaciones. Método: investigación histórico-social, exploratoria y descriptiva, con base en las publicaciones y legislaciones pertinentes al ejercicio de la enfermería en Brasil, representando de esa forma el contexto histórico de la recuperación anestésica para el reconocimiento y valorización de enfermería peri-operatoria. Resultados: en esta evolución histórica, la enfermería de la recuperación anestésica construye un camino lleno de un enfoque técnico, necesidad de asistencia individualizada y área crítica, con busca de conocimiento científico y procesos de acreditación hospitalaria para seguridad del paciente. En Brasil, iniciada apenas en 1980, la recuperación anestésica de los años 2000 ha sido basada en la asistencia sistematizada, permeada por acciones de seguridad del paciente en busca de mejor capacitación del equipo. Conclusión: hay un movimiento de la enfermería brasilera en la asistencia de la recuperación anestésica, y mejoramiento de estas acciones con el curso del tiempo. Descriptores: Enfermería Pos anestésica, Periodo de Recuperación de la Anestesia, Historia de la Enfermería, Enfermería Peroperatoria.

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Junger, A., L. Quinzio, A. Michel, G. Sciuk, C. Fuchs, K. Marquardt, G. Hempelmann, and M. Benson. "Data Processing at the Anesthesia Workstation: from Data Entry to Data Presentation." Methods of Information in Medicine 39, no. 04/05 (2000): 319–24. http://dx.doi.org/10.1055/s-0038-1634450.

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Abstract:Main requirements for an Anesthesia Information Management System (AIMS) are the supply of additional information for the anesthesiologist at his workstation and complete documentation of the anesthetic procedure. With the implementation of an AIMS (NarkoData) and effective user support, the quality of documentation and the information flow at the anesthesia workstation could be increased. Today, more than 20,000 anesthesia procedures are annually recorded with the AIMS at 112 decentralized workstations. The network for data entry and the presentation and evaluation of data, statistics and results directly available at the clinical workstation was made operational.

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Ward, Blakeley F., and Mary W. Stewart. "Opioid-Free Anesthesia." Journal of PeriAnesthesia Nursing 36, no. 5 (October 2021): 597–98. http://dx.doi.org/10.1016/j.jopan.2021.06.103.

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Manias, Elizabeth. "Essentials of Nurse Anesthesia." Contemporary Nurse 7, no. 1 (March 1998): 29–30. http://dx.doi.org/10.5172/conu.1998.7.1.29.

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Garde, John F. "THE NURSE ANESTHESIA PROFESSION." Nursing Clinics of North America 31, no. 3 (September 1996): 567–80. http://dx.doi.org/10.1016/s0029-6465(22)00168-2.

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Waugaman, Wynne R., and Scot D. Foster. "New Advances in Anesthesia." Nursing Clinics of North America 26, no. 2 (June 1991): 451–61. http://dx.doi.org/10.1016/s0029-6465(22)00257-2.

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Rivellini, Denise. "LOCAL AND REGIONAL ANESTHESIA." Nursing Clinics of North America 28, no. 3 (September 1993): 547–72. http://dx.doi.org/10.1016/s0029-6465(22)02885-7.

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Nagelbout, John J., Karen L. Zaglaniczny, and Valdor L. Haglund. "Handbook of Nurse Anesthesia." Nurse Practitioner 22, no. 10 (October 1997): 137. http://dx.doi.org/10.1097/00006205-199710000-00043.

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Hu, Chunyang, Haixu Song, Le Wang, Lianjin Jin, Xuan Zhou, and Lili Sun. "Clinical efficacy of anesthesia with intensive care nursing in attenuating postoperative complications in patients with breast cancer." Journal of International Medical Research 48, no. 8 (August 2020): 030006052093085. http://dx.doi.org/10.1177/0300060520930856.

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Objective Complications frequently occur in patients with breast cancer after surgery. Anesthesia nursing plays an important role in decreasing complications for such patients. Thus, this study investigated the effects of anesthesia with intensive care nursing (AICN) on complication rates in patients with breast cancer after surgery. Methods Eighty-two patients with breast cancer were recruited in this study. Complications were compared between the anesthesia with usual nursing care (AUCN) and AICN groups. Results The results demonstrated that AICN decreased the rates of incision infection, drug extravasation, and catheter exposure, as well as pain and inflammation scores, compared with the findings in the AUCN group. AICN improved the time to orientation and decreased the incidence of nausea, anxiety, depression, and vomiting versus AUCN. In addition, AICN shortened the time to awakening after anesthesia compared with the effects of AUCN. Furthermore, AICN shortened hospital stay and increased survival rates. Notably, AICN improved health-related quality of life as measured using the EORTC QLQ-C30 questionnaire. Conclusion AICN provided more benefits and better postoperative outcomes than AUCN, suggesting its utility for minimizing complications in patients with breast cancer after surgery.

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Westphal, Christine, Akram Abdoue, Bernadette Barsch, Ann Cook, Debra Golen, Grace Greco, Jennifer Murphy, and Jennifer Olszowka. "Simulating LAST to Improve Peri-anesthesia Nursing Knowledge." Journal of PeriAnesthesia Nursing 37, no. 4 (August 2022): e2. http://dx.doi.org/10.1016/j.jopan.2022.05.005.

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Vail, James D. "Accountability of Anesthesia Nursing Through Standards of Practice." Military Medicine 150, no. 11 (November 1, 1985): 582–86. http://dx.doi.org/10.1093/milmed/150.11.582.

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Hansen, Britt Sætre, and Elin Dysvik. "Value of research-based master’s degree theses." iNSPIRA 17, no. 1 (July 5, 2022): 37–53. http://dx.doi.org/10.23865/inspira.v17.3156.

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Background: New types of expertise in advanced nursing is required to meet the rapid changes in health services and technologies. To meet these challenges, different master’s degree programs are evolving, which will provide systematic introductions to analytical thinking and research-based argumentation and will lay the foundation for evidence-based nursing. Aim: The aim of this study was to investigate topics and methods in research-based master’s degree theses in anesthesia, critical care, and operating room nursing (AIO) to explore their contribution to best practices within nursing specialization in anesthesia, intensive care, and operating theater nursing in Norway. Method: By using thematic analysis we examined 78 research-based master’s degree theses produced over 5 years, representing the entire period of a university program in anesthesia, intensive care, and operating theater nursing. Findings: The master’s theses covered different topics, ranging from topics within best practice, competence building and teamwork. A variety of methods were used to suggest improvements in the clinical field. This means that the value of the research topics chosen can be studied from different angles and help identify the complexity of the phenomena of interest. Conclusion: Master’s degree thesis represents new, updated, and valuable knowledge for educational institutions, career development, hospital management, and clinical practitioners to guide future advanced and best practice both nationally and internationally.

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Dewan, Janet A. "Nurse Anesthesia." Nurse Education in Practice 10, no. 6 (November 2010): e60. http://dx.doi.org/10.1016/j.nepr.2010.04.002.

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&NA;. "ANESTHESIA NEWS BRIEFS." American Journal of Nursing 99, no. 1 (January 1999): 18. http://dx.doi.org/10.1097/00000446-199901000-00016.

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Brown, Dava. "Local Anesthesia for Vein Cannulation." Journal of Infusion Nursing 27, no. 2 (March 2004): 85–88. http://dx.doi.org/10.1097/00129804-200403000-00004.

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De Sevo, Margot R., and Patricia Semeraro. "Urinary Catheterization During Epidural Anesthesia." Nursing for Women's Health 14, no. 1 (February 2010): 11–13. http://dx.doi.org/10.1111/j.1751-486x.2010.01502.x.

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Drown, Michelle B. "Integrative Review Utilizing Dexmedetomidine as an Anesthetic for Monitored Anesthesia Care and Regional Anesthesia." Nursing Forum 46, no. 3 (July 2011): 186–94. http://dx.doi.org/10.1111/j.1744-6198.2011.00229.x.

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Djamaludin, Djunizar, Amila Amila, and Suci Asianti. "THE EFFECTS OF WARM COMPRESS TO VOIDING REFLEXES ON POST OPERATIVE SPINAL ANESTHESIA." Malahayati International Journal of Nursing and Health Science 2, no. 1 (April 11, 2019): 1–5. http://dx.doi.org/10.33024/minh.v2i1.1033.

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Background: Spinal anesthesia commonly can lead to urinary retention because the patient cannot feel his bladder is full and unable to initiate for voiding after the surgery. This is caused by bladder and sphincter muscles are unable to respond for voiding reflexes. One of nursing intervention to prevent of urinary retention is warm compress on supra pubic area for postoperative patient undergo spinal anesthesia.Purpose : This study was to examinethe effect of warm compress to recovery of voiding reflexes ont postoperativepatient undergo spinal anesthesia at Pertamina Bintang Amin Hospital, Bandar LampungMethods : A quasiexperimental study was conducted usingintervention and control groups with simple random sampling technique was applied. There were 30 postoperative patientsundergo spinal anesthesia were recruited at Pertamina Bintang Amin Hospital Bandar Lampung.Result : The mean score of intervention group with warm compression was 6.67 hours (ranging from 6to 8). The mean score of control group withoutwarm compress was7.13 hours (ranging from 5t o 9).Conclusion: Nursing intervention by applying warm compress is necessary to recovery of voiding reflex on postoperative patient with spinal anesthesia.

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Feng, Cuiping, Lanfang Chen, and Jianqiong Wang. "Preoperative Care of Laryngoscope Facilitated Vocal Polyp Excision under General Anesthesia." Journal of Nursing 4, no. 3 (August 21, 2015): 13. http://dx.doi.org/10.18686/jn.v4i3.5.

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<strong>Objective</strong>: To study the nature of preoperative nursing care of a Laryngoscope facilitated vocal polyp excision procedure using general anesthesia. <strong>Methods</strong>: Clinical data from 238 cases of the aforementioned laryngoscope procedure from May 2012 to May 2014 in our hospital’s Otolaryngology department was collected. Psychological nursing was administered including preoperative preparation, postoperative monitoring, close observation of vital signs, post-operative nursing, diet, care, and also enhanced nursing skills such as discharge guidance. <strong>Results</strong>: 238 cases of vocal cord polyp patients were all completely cured and discharged, there was no postoperative infection and other complications. After reviewing the condition of the vocal cords, primarily if the sutures at the incision are fine, there is apparent improvement. <strong>Conclusion</strong>: The laryngoscope facilitated vocal polyp excision under general anesthesia procedure can deliver satisfying results when coupled with close patient observation and improved understanding of diseases by the preoperative nurses.

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Wilson, Paula L., and James E. Wilson. "General Anesthesia." Plastic Surgical Nursing 7, no. 1 (1987): 24–29. http://dx.doi.org/10.1097/00006527-198700710-00008.

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Springer, Rachelle. "Anesthesia Awareness." Plastic Surgical Nursing 26, no. 2 (April 2006): 96–97. http://dx.doi.org/10.1097/00006527-200604000-00012.

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Palmer, Laura. "Anesthesia 101." Plastic Surgical Nursing 33, no. 4 (2013): 164–71. http://dx.doi.org/10.1097/01.orn.0000431584.22992.aa.

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Luczun, ME. "Post-anesthesia nursing: the missing link in critical care." Critical Care Nurse 8, no. 2 (March 1, 1988): 27–29. http://dx.doi.org/10.4037/ccn1988.8.2.27.

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Allen, A. "Core Curriculum for Post Anesthesia Nursing Practice. 2nd edition." Dimensions of Critical Care Nursing 11, no. 1 (January 1992): 63. http://dx.doi.org/10.1097/00003465-199201000-00016.

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Watson, Donna S. "Safe nursing practices involving the patient receiving local anesthesia." AORN Journal 53, no. 4 (April 1991): 1055–59. http://dx.doi.org/10.1016/s0001-2092(07)69574-x.

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Rankin, Marlene, Carrie Carretta, and Anna Jaroszynski. "Nursing Care of Posttraumatic Stress Disorder After Anesthesia Awareness." Plastic Surgical Nursing 28, no. 1 (January 2008): 35–40. http://dx.doi.org/10.1097/01.psn.0000313946.90152.e9.

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Yasuda, Natsuko, Hatsuko Ito, Hatsumi Mori, Mineyo Ushiro, Mutsumi Miura, Yukiko Odaka, Yumi Ishimaru, Kakuko Hashimoto, and Machiko Miyazaki. "Nursing elderly hemodialysis patients following surgery under general anesthesia." Journal of Japanese Society for Dialysis Therapy 24, no. 8 (1991): 1167–70. http://dx.doi.org/10.4009/jsdt1985.24.1167.

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