Journal articles: 'Preoperative care'

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&NA;. "PREOPERATIVE CARE." American Journal of Nursing 99, no. 2 (February 1999): 18. http://dx.doi.org/10.1097/00000446-199902000-00011.

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Nakamura, Hiroyuki. "Preoperative Pulmonary Care." Nihon Kikan Shokudoka Gakkai Kaiho 62, no. 5 (2011): 463–69. http://dx.doi.org/10.2468/jbes.62.463.

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Cramer, Carol, and Virginia R. Renz. "Preoperative Care Unit." AORN Journal 45, no. 2 (February 1987): 464–72. http://dx.doi.org/10.1016/s0001-2092(07)68359-8.

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Peate, Ian. "Principles of surgical care: preoperative care." British Journal of Healthcare Assistants 9, no. 8 (August 2, 2015): 380–85. http://dx.doi.org/10.12968/bjha.2015.9.8.380.

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Hegarty, Aoife, and Nirav Shah. "Preoperative and operative care." Medicine 46, no. 12 (December 2018): 747–49. http://dx.doi.org/10.1016/j.mpmed.2018.09.012.

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VARON, ALBERT J., JUDITH A. HUDSON-CIVETTA, JOSEPH M. CIVETTA, and MIHAE YU. "Preoperative intensive care unit consultations." Critical Care Medicine 21, no. 2 (February 1993): 334. http://dx.doi.org/10.1097/00003246-199302000-00015.

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Smullen, Sean M., and Devinder S. Mangat. "PREOPERATIVE AND POSTOPERATIVE PATIENT CARE." Facial Plastic Surgery Clinics of North America 2, no. 4 (November 1994): 417–23. http://dx.doi.org/10.1016/s1064-7406(23)00585-0.

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Aktaş, Nurhan, and Zehra Baykara. "Determination of Quality of Life and Self-Care Agency in Patients Who Underwent Colorectal Cancer Surgery: A Prospective Descriptive Study." Wound Management & Prevention 67, no. 1 (January 10, 2021): 18–26. http://dx.doi.org/10.25270/wmp.2021.1.1826.

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BACKGROUND: Knowledge about the relationship between quality of life and self-care among patients with colorectal cancer in Turkey is limited. PURPOSE: This prospective, descriptive study evaluated the quality of life and self-care agency of patients who underwent surgery for colorectal cancer. METHODS: Patients were recruited to participate preoperatively from the general surgery clinics in 2 hospitals in Turkey. Sociodemographic variables were collected preoperatively, and the Quality of Life Scale for Cancer Patients (EORTC QLQ-C30) Turkish Version 3.0, the Quality of Life Scale for Colorectal Cancer Patients (EORTC QLQ-CR29), and the Self-Care Agency Scale were completed preoperatively and at 1, 3, and 6 months postoperatively. RESULTS: Thirty-seven (37) patients (average age 59.49 years [±10.84]) who met the inclusion criteria participated in the study. The majority were male (22 patients; 60%), and 25 (67%) did not have a stoma postoperatively. Compared with preoperative scores, QLQ-C30 general well-being, functional status, physical functions, and role performance scores decreased in the first month after surgery and increased in the third and sixth months (58.3 [preoperative] vs 75.0 [month 3] vs 83.3 [month 6]; P = .000). The preoperative QLQ-CR29 excretory system pleasure scores were higher than the postoperative third- and sixth-month scores (1.7 [preoperative] vs 1.0 [month 3] vs 1.0 [month 6]; P = .001). The Self-Care Agency scores at 6 months were higher than the postoperative first month (109.62 ± 11.62 vs 115.19 ± 14.22; P = .006). A positive correlation was found between Self-Care Agency scores and functional status scores of the QLQ-C30 scale at 3 and 6 months postoperatively (P = .000). CONCLUSION: Quality of life and Self-Care Agency scores decreased immediately after surgery but increased in the following 6 months. A positive correlation was found between quality of life and self-care agency.

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Huda, Anwar Ul, Asim Arif, and Zohaib Asim. "Incidence of preoperative anxiety and associated features in children undergoing general anesthesia for a surgery in Middle East population." Anaesthesia, Pain & Intensive Care 27, no. 5 (July 10, 2023): 575–78. http://dx.doi.org/10.35975/apic.v27i5.2314.

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Background: Children usually experience anxiety before undergoing general anesthesia. We did this prospective cross-sectional study to find the incidence of preoperative anxiety in children undergoing surgery in a tertiary care hospital. Methodology: This study was conducted at Security Forces Hospital, Riyadh, Kingdom of Saudi Arabia. We included children aged 2-12 y, who were planned to undergo general anesthesia for surgery. Preoperatively, children’s anxiety level was assessed using mYPAS (Modified Yale Preoperative Anxiety Scale) scale. We report the incidence of preoperative anxiety as numbers and percentages. We also report the features of children with preoperative anxiety. Results: A total of 96 children were included in the study. The median anxiety score of children was 26.60 (23.3-41.66). The incidence of preoperative anxiety in pediatric patients was 42.7% (41 cases). The median age of children having preoperative anxiety was lower 55 (44-69.5) months vs 67 (35-90) months in children without anxiety. Sixty-three percent of children with preoperative anxiety underwent ENT and dental surgeries. Conclusion: We found an incidence of 42.7% of preoperative anxiety in children undergoing surgery at our hospital. Key words; Preoperative Anxiety; Anxiety Score; General Anesthesia; PACU Citation: Huda AU, Arif A, Asim Z. Incidence of preoperative anxiety and associated features in children undergoing general anesthesia for a surgery in Middle East population. Anaesth. pain intensive care 2023;27(5):575−578; DOI: 10.35975/apic.v27i5.2314 Received: August 05, 2023; Reviewed: August 21, 2023; Accepted: August 26, 2023

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Blitt, Casey D. "Preoperative electrocardiogram controversy." Journal of Clinical Monitoring 9, no. 2 (April 1993): 101. http://dx.doi.org/10.1007/bf01616922.

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Zhang, Qiliang, Ning Xu, Shuting Huang, Qiang Chen, and Hua Cao. "Effect of the Use of WeChat to Disseminate Preoperative Health Education to Parents of Children with Restrictive Ventricular Septal Defects: A Prospective Randomized Controlled Study." Heart Surgery Forum 23, no. 6 (December 2, 2020): E897—E901. http://dx.doi.org/10.1532/hsf.3323.

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Background: This study explored the clinical effect of implementing WeChat-based preoperative health education for parents of children with restrictive ventricular septal defect. Methods: A prospective randomized controlled study was conducted in a provincial hospital on the southeast coast of China. Participants were randomly divided into an intervention (WeChat) group (n = 35) and a control group (leaflet) group (n = 35). The study explored the parents’ knowledge of preoperative care, the follow-up rate, and complications of children with restrictive ventricular septal defect. Results: The score of preoperative care knowledge of the WeChat group (66.9 ± 3.5) was significantly higher than that of the leaflet group (47.3 ± 6.3) (P = .006). Compared with the score of care knowledge at the first visit, the score of the WeChat group at the preoperation was significantly higher (P < .05), whereas the increase in the score of the leaflet group was not significant. The rate of lost follow-up in the WeChat group (0%) was significantly lower than in the leaflet group (16.7%) (P = .02). The complications in the leaflet group were significantly higher than in the WeChat group. Conclusions: Using WeChat to provide preoperative health education to parents of children with restrictive ventricular septal defect can effectively enhance the parents’ knowledge of preoperative care and reduce the occurrence of complications and loss to follow-up.

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Minchom, Alan. "Preoperative assessment." Anaesthesia & Intensive Care Medicine 7, no. 12 (December 2006): 437–41. http://dx.doi.org/10.1053/j.mpaic.2006.09.005.

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Maltby, J. R. "Preoperative fasting." Current Anaesthesia & Critical Care 7, no. 6 (December 1996): 276–80. http://dx.doi.org/10.1016/s0953-7112(96)80047-0.

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Spencer, Ruth, and Andrew K. McIndoe. "Preoperative Assessment." Anaesthesia & Intensive Care Medicine 4, no. 10 (October 2003): 319–23. http://dx.doi.org/10.1383/anes.4.10.319.27319.

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Older, P., and R. Smith. "Experience with the Preoperative Invasive Measurement of Haemodynamic, Respiratory and Renal Function in 100 Elderly Patients Scheduled for Major Abdominal Surgery." Anaesthesia and Intensive Care 16, no. 4 (November 1988): 389–95. http://dx.doi.org/10.1177/0310057x8801600402.

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The extent of physiological disturbance in a preoperative population of 100 elderly patients scheduled for elective major surgery was measured. Haemodynamic, respiratory and renal function were evaluated preoperatively in the intensive care unit. Of these patients 13% had serious problems requiring either postponement of the operation (7%) or its cancellation (6%). Cardiac index was 2.2 l/min/m2 or less in 11% of patients; creatinine clearance 50 ml/min or less in 19% of patients; mean blood pressure was equal to or exceeded 120 mmHg in 15% of patients and intrapulmonary shunt equalled or exceeded 15% in 10% of patients. The mean duration of stay in the intensive care unit was four days, including the preoperative day. The logistics of preoperative admission were implemented without undue difficulty.

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Challapalli, Srikanth Reddy, Venkata Prakash Gandikota, Theja Peddavenkatagiri, and Harsha Vardhan Reddy Gerigi. "Opioid Use and Incidence of Surgical Site Infection after Repair of Ventral and Incisional Hernia - A Prospective Clinical Study in a Tertiary Care Hospital in Tirupati." Journal of Evidence Based Medicine and Healthcare 8, no. 22 (May 31, 2021): 1841–45. http://dx.doi.org/10.18410/jebmh/2021/347.

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BACKGROUND Preoperative opioid use is one of the predisposing factors for complications after most of the surgical procedures. This study intends to evaluate the effect of preoperative opiates on the outcomes following repair of ventral hernia. METHODS We conducted a prospective study of patients who underwent consecutive ventral hernia repair for over one year with institutional review board approval. Data were obtained regarding the usage of opioids during the preoperative period, intraoperative period, and postoperative period. Follow-up of the cases was done during the postoperative period. Data were obtained regarding the postoperative complications, duration of hospital stay, and the analyzed results. RESULTS A striking thirty percent of the total sixty patients have satisfied the criteria for the usage of opioids preoperatively. Preoperative history and operative details were found to be almost similar between the two categories of patients (no preoperative opioid use versus preoperative opioid use). The median hospital stay duration trended towards increased patients with opioid usage versus non-opioid users (P = 0.06). The bowel function's return to the normal was delayed in opioid users compared with non-opioid users (P = 0.018). The risk of superficial surgical site infection was increased among patients who used opioids preoperatively than the patients without preoperative opioid usage (55.5 % vs. 9.5 %; P < 0.001) and remained the same after multivariable logistic regression. CONCLUSIONS Among patients who underwent repair of ventral hernia, those with preoperative opioid usage experienced an increased risk of superficial surgical site infection than patients without preoperative opioid usage. KEYWORDS Opioid, Ventral Hernia Repair, Surgical Site Infection

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Gupta, Mayank. "Preoperative palliative care: A conceptual framework." Indian Journal of Palliative Care 22, no. 4 (2016): 511. http://dx.doi.org/10.4103/0973-1075.191861.

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Edwards, Paul, Simon Mears, and C. Barnes. "Preoperative Care of the TKA Patient." Journal of Knee Surgery 31, no. 07 (February 23, 2018): 618–24. http://dx.doi.org/10.1055/s-0038-1629905.

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AbstractTotal knee arthroplasty continues to increase in popularity and remains the most common joint replacement surgery. The success of total knee replacement surgery is attributed to improved outcomes, a better patient experience, and lower cost. Rapid recovery total knee replacement protocols have led to these advances by decreasing length of hospital stay, minimizing readmissions, and reducing the cost of surgery. Rapid recovery total knee replacement pathway efforts should focus on preoperative education, optimization of modifiable risk factors, and identification of patients that may not be suitable for this pathway.

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Hurley, Ciarán, and Janet McAleavy. "Preoperative Assessment and Intraoperative Care Planning." Journal of Perioperative Practice 16, no. 4 (April 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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Croissant, Kate, and Mahmood I. Shafi. "Preoperative and postoperative care in gynaecology." Obstetrics, Gynaecology & Reproductive Medicine 19, no. 3 (March 2009): 68–74. http://dx.doi.org/10.1016/j.ogrm.2008.11.007.

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Stone, Michael D., and Peter N. Benotti. "Liver Resection: Preoperative and Postoperative Care." Surgical Clinics of North America 69, no. 2 (April 1989): 383–92. http://dx.doi.org/10.1016/s0039-6109(16)44793-6.

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Collison, Daniel W. "Preoperative and Postoperative Dermatologic Surgical Care." Archives of Dermatology 132, no. 12 (December 1, 1996): 1531. http://dx.doi.org/10.1001/archderm.1996.03890360125035.

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Mangano, D. T. "Preoperative Cardiac Assessment." Dimensions Of Critical Care Nursing 9, no. 6 (November 1990): 372. http://dx.doi.org/10.1097/00003465-199011000-00017.

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Baron, Rebecca M. "Book Review: Preoperative Assessment." Journal of Intensive Care Medicine 17, no. 2 (March 2002): 96. http://dx.doi.org/10.1177/088506660201700207.

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Lee, Yul Ha, and Hye-Ja Park. "Preoperative Anxiety and Its Postoperative Associated Factors in Patients Receiving Post Anesthetic Recovery Care at Surgical Intensive Care Unit." Journal of Health Informatics and Statistics 48, no. 3 (August 31, 2023): 267–75. http://dx.doi.org/10.21032/jhis.2023.48.3.267.

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Objectives: This study determined the postoperative associated factors with preoperative anxiety in patients receiving post anesthetic recovery care at surgical intensive care unit. Methods: In this cross-sectional correlational study, 84 postoperative patients were admitted to a surgical intensive care unit for post anesthetic recovery care. Participants completed questionnaires on anxiety, pain, stress, and sleep disturbance on the preoperative day and on the morning of postoperative day 1. Data were analyzed with χ 2 -test, unpaired t-test, Pearson correlation analysis and logistic regression. Results: Forty patients (47.6%) had a high preoperative anxiety score of ≥ 18. Higher preoperative anxiety was associated with greater postoperative anxiety (r = 0.24, p = 0.026), higher postoperative stress (r = 0.24, p = 0.026), and poorer postoperative sleep (r = 0.39, p < 0.001). High preoperative anxiety was associated with postoperative physical restraint (B = 1.72, OR: 5.59, 95% CI: 1.19-21.32). High preoperative anxiety was associated with postoperative sleep disturbance (B = 0.29, OR: 1.34, 95% CI: 1.08-1.65). Conclusions: High preoperative anxiety is associated with poorer sleep during the first postoperative night among surgical intensive care unit patients.

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Özkan, Mervegul, and Sacide Yıldızelı Topçu. "The Effect of Preoperative Education Regarding Intraoperative Care on a Patient's Level of Fear of Surgery: A Randomized Controlled Study." AORN Journal 119, no. 5 (April 25, 2024): 332–39. http://dx.doi.org/10.1002/aorn.14129.

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ABSTRACTThis randomized controlled study aimed to investigate the effect that preoperative education provided by the perioperative nurse about the OR environment and intraoperative care has on surgical fear in patients who come to the OR for surgical intervention. The study involved 92 patients undergoing elective abdominal surgery who were randomly assigned to the intervention or routine care group. Preoperatively, patients in the intervention group received education via a form that described the OR environment, the surgical process, and intraoperative care. The patients' surgical fear levels were assessed in the patients’ rooms, in the clinic before education, and on arrival to the OR after education. The results showed that preoperative education about the OR environment and intraoperative processes significantly reduced patients’ surgical fears.

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Peters, Ann, Amanda M. Sadecky, Daniel G. Winger, Richard S. Guido, Ted T. M. Lee, Suketu M. Mansuria, and Nicole M. Donnellan. "Characterization and Preoperative Risk Analysis of Leiomyosarcomas at a High-Volume Tertiary Care Center." International Journal of Gynecologic Cancer 27, no. 6 (July 2017): 1183–90. http://dx.doi.org/10.1097/igc.0000000000000940.

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IntroductionUterine morcellation in minimally invasive surgery has recently come under scrutiny because of inadvertent dissemination of malignant tissue, including leiomyosarcomas commonly mistaken for fibroids. Identification of preoperative risk factors is crucial to ensure that oncologic care is delivered when suspicion for malignancy is high, while offering minimally invasive hysterectomies to the remaining patients.ObjectivesThe aim of this study was to characterize risk factors for uterine leiomyosarcomas by reviewing preoperative, intraoperative, and postoperative data with an emphasis on the presence of concurrent fibroids.MethodsA retrospective case-control study of women undergoing hysterectomy with pathologic diagnosis of uterine leiomyosarcoma at a tertiary care center between January 2005 and April 2014.ResultsThirty-one women were identified with leiomyosarcoma and matched to 124 controls. Cases with leiomyosarcoma were more likely to have undergone menopause and to present with larger uteri (19- vs 9-week sized), with the most common presenting complaint being a pelvic mass (35.5% vs 8.9%). Controls were ten times more likely to have undergone a tubal ligation (30.6% vs 3.2%). Endometrial sampling detected malignancy preoperatively in only 50% of cases. Leiomyosarcomas were more commonly present when pelvic masses were identified in addition to fibroids on preoperative imaging. Most leiomyosarcoma cases (77.4%) were performed by oncologists via an abdominal approach (83.9%), with only 2 of 31 leiomyosarcomas being morcellated. Comparative analysis of preoperative imaging and postoperative pathology showed that in patients with leiomyosarcoma, fibroids were misdiagnosed 58.1% of the time, and leiomyosarcomas arose directly from fibroids in only 6.5% of cases.ConclusionsLeiomyosarcoma risk factors include older age/postmenopausal status, enlarged uteri of greater than 10 weeks, and lack of previous tubal ligation. Preoperative testing failed to definitively identify leiomyosarcomas, although the presence of synchronous pelvic masses in fibroid uteri should raise clinical suspicion. Given the difficulty of preoperative identification, future efforts should focus on the development of safer minimally invasive techniques for uterine morcellation.

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Chan, S. H., Vincent C. So, and Michael G. Irwin. "Preoperative cardiac optimization." Anaesthesia & Intensive Care Medicine 21, no. 10 (October 2020): 493–97. http://dx.doi.org/10.1016/j.mpaic.2020.07.008.

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Schäfers, H. J., T. O. F. Wagner, S. Demertzis, M. Hamm, Th Wahlers, J. Cremer, and A. Haverich. "Preoperative Corticosteroids." Chest 102, no. 5 (November 1992): 1522–25. http://dx.doi.org/10.1378/chest.102.5.1522.

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AR, Bansal, Ahluwahlia PS, Bansal Joy, Kamboj Ankit, and Kamalhans Harsha. "Preoperative predictors of morbidity in patients with perforation peritonitis: Can early identification prevent mortality?" Journal of Surgery and Surgical Research 10, no. 1 (January 6, 2023): 001–5. http://dx.doi.org/10.17352/2455-2968.000159.

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Introduction: Perforation peritonitis is one of the most frequently encountered surgical emergencies in tropical countries like India and mostly affects young men in their prime of life. In the majority of the cases, presentation to the hospital is late with generalized peritonitis and varying degrees of septicemia. It is therefore necessary to recognize patients at risk preoperatively and prepare for an aggressive management strategy. The present study was thus planned to assess the clinical factors that could predict morbidity and mortality preoperatively in people with perforated peritonitis. Materials and methods: 100 adult patients above 14 years of age with perforated peritonitis who underwent emergency laparotomy were evaluated. Data on demographics, comorbidities, vital signs, deranged biochemical parameters, delay in presentation to the hospital, and personal medical history were collected and analyzed for preoperative predictors. Results: Postoperative morbidity and mortality were the key results. The findings revealed that a number of preoperative predictors like advanced age, delay in presentation to the tertiary care center, medical co-morbidities an elevated white blood cell count, and a protracted preoperative hospital stay were strongly linked with greater morbidity and mortality. Among the pre-existing comorbidities, COPD accounted for most of the deaths after surgery. Conclusion: Early detection of preoperative predictors can assist clinicians in risk stratification by enhancing preoperative care and help in a well-directed therapy for patients who are more likely to experience postoperative difficulties and thus lower morbidity and death. A proper referral mechanism and early transportation along with adequate health education particularly for rural populations can reduce the morbidity and mortality in such patients.

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Hrabova, Diana, and Bohdana Rezková. "Preoperative preparation and postoperative care in ophthalmology." Hygiena 64, no. 2 (June 13, 2019): 88. http://dx.doi.org/10.21101/hygiena.b0040.

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Johnstone, Jacqueline. "How to provide preoperative care to patients." Nursing Standard 35, no. 12 (November 30, 2020): 72–76. http://dx.doi.org/10.7748/ns.2020.e11657.

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King, Claire. "Preoperative nursing care of the rabbit patient." Veterinary Nursing Journal 23, no. 12 (December 2008): 27–29. http://dx.doi.org/10.1080/17415349.2008.11013754.

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Stoffel, John T., Kristin Chrouser, Jeffery S. Montgomery, Anne M. Suskind, Angela Smith, Christopher Tucci, and Alex J. Vanni. "Optimizing Outcomes in Urological Surgery: Preoperative Care." Urology Practice 7, no. 3 (May 2020): 205–11. http://dx.doi.org/10.1097/upj.0000000000000139.

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Vu, Joceline V., David C. Cron, Jay S. Lee, Vidhya Gunaseelan, Pooja Lagisetty, Matthew Wixson, Michael J. Englesbe, Chad M. Brummett, and Jennifer F. Waljee. "Classifying Preoperative Opioid Use for Surgical Care." Annals of Surgery 271, no. 6 (June 2020): 1080–86. http://dx.doi.org/10.1097/sla.0000000000003109.

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Chow, Vinca W., David L. Hepner, and Angela M. Bader. "Electronic Care Coordination From the Preoperative Clinic." Anesthesia & Analgesia 123, no. 6 (December 2016): 1458–62. http://dx.doi.org/10.1213/ane.0000000000001555.

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Sheldon, Tony. "Dutch inspectors slam standards of preoperative care." BMJ 334, no. 7592 (March 8, 2007): 496.3–496. http://dx.doi.org/10.1136/bmj.39143.633171.db.

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Kent, Samuel, Andrew Hannah, Alistair Regan, Greg Logan, Alistair Henry, Rebecca Exley, Sankar Ananth, Rory Morrison, Christopher McDonald, and Jim McCaul. "Improving preoperative care of orthographic surgery patients." British Journal of Oral and Maxillofacial Surgery 58, no. 10 (December 2020): e208. http://dx.doi.org/10.1016/j.bjoms.2020.10.218.

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Nellett, Michelle, Mary P. Gregory, and Cheryl A. Lefaiver. "Pilot Study Evaluates Nutrition for Patients Receiving Mechanical Circulatory Support in the Intensive Care Unit." AACN Advanced Critical Care 23, no. 3 (July 1, 2012): 258–69. http://dx.doi.org/10.4037/nci.0b013e31824c993a.

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Establishing a nutrition protocol with an accompanying algorithm allows a multidisciplinary team to make decisions to maintain or improve nutrition-related outcomes during the intensive care unit (ICU) stay. This descriptive pilot study included subjects (N = 11) recruited from a convenient sample of patients admitted for surgical implantation of a mechanical circulatory support device. Nutritional and strength measures were compared across 3 time intervals: preoperatively, postoperative day 3, and within 48 hours of transfer from ICU. The mean age of the sample was 60 ± 8 years. Overall, subjects maintained preoperative nutritional status demonstrated by a nonsignificant change in the nutritional and strength measures from the preoperative period compared to transfer from ICU. The nutrition protocol with algorithm provided a step-by-step approach to ensure a consistent nutritional plan of care. It also standardized nutritional care while ensuring safe practice.

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Raol, Nikhila, Elizabeth Lilley, Zara Cooper, Jayme Dowdall, and Megan A. Morris. "Preoperative Counseling in Salvage Total Laryngectomy: Content Analysis of Electronic Medical Records." Otolaryngology–Head and Neck Surgery 157, no. 4 (August 22, 2017): 641–47. http://dx.doi.org/10.1177/0194599817726769.

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Objective To study preoperative counseling in patients undergoing salvage total laryngectomy (STL). Study Design Case series with chart review. Setting Tertiary care academic hospital. Subjects and Methods We reviewed charts of patients ≥18 years undergoing STL between 2005 and 2015. Fifty-eight patients were identified. Notes written within 2 months prior to surgery by head and neck surgical oncologists, radiation oncologists, medical oncologists, speech-language pathologists, social workers, and nurse practitioners were extracted and coded into 4 categories. Coded content was then analyzed using a simple tally within content areas. Results Nonphysicians documented patient values and priorities, exclusive of treatment desires, more frequently. These topics included apprehension about family obligations, fear about communication, questions regarding quality of life, and anxiety regarding job continuation. Physician notes documented priorities regarding preferences for surgical treatment. No patients were seen by palliative care preoperatively, and only 14% (n = 8) patients had documentation of an end-of-life discussion. Conclusions Preoperative counseling for STL patients that included nonphysicians had a higher frequency of discussion of patients’ priorities. This suggests including these types of providers may lead to more patient-centered care. A prospective study evaluating patient and physician perceptions of preoperative counseling can better identify where discrepancies exists and help conceptualize a framework for preoperative counseling in STL patients and other patients undergoing high-risk surgery.

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Wall, C., T. Glyn, D. Rowbotham, M. Haines, I. Bissett, T. Eglinton, and R. Gearry. "P769 Randomised feasibility study of preoperative medical nutrition therapy in adults undergoing surgery for Crohn’s disease." Journal of Crohn's and Colitis 17, Supplement_1 (January 30, 2023): i899. http://dx.doi.org/10.1093/ecco-jcc/jjac190.0899.

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Abstract Background Preoperatively patients with Crohn’s disease are at high risk of malnutrition. Patients requiring surgery to manage stricturing disease are often advised to follow a low residue/low fibre diet to reduce risk of bowel obstruction. This diet is usually nutritionally inadequate and may negatively affect nutritional status. Research suggests that preoperative exclusive enteral nutrition (EEN) improves nutritional status, reduces intestinal inflammation and consequently improves surgical outcomes. Recently the Crohn’s disease exclusion diet has been shown to reduce intestinal inflammation in adults but its use preoperatively has not been reported. This research aimed to determine whether it is feasible to recruit and retain patients with Crohn’s disease in a single-blinded, multicentre, randomised controlled trial of three preoperative nutritional therapies. Methods Patients undergoing elective surgery to manage Crohn’s disease at three New Zealand tertiary care hospitals (Christchurch, Auckland and Waikato hospitals), aged >18 years old, with body mass index (BMI) > 18.5 kg/m2 and without recent significant weight loss were eligible to participate. Patients were randomised to six weeks of preoperative EEN, partial enteral nutrition with Phase-1 Crohn’s Disease Exclusion Diet (CDED) or standard care. Nutritional and radiological assessment at baseline and preoperatively was completed and surgical outcomes recorded. Descriptive statistical analysis was undertaken. Health and Disability Ethics Committee approval was given (20/NTB/134). Results Over 18 months (September 2020 to March 2022), 48 patients were screened and 17 were randomised. Patient characteristics were: median age 37.9 (range, 28-68) years, 9 (53%) female, 10 (59%) on biologic medication, median BMI 25.7 (range, 19.7-38.6) kg/m2 and 2 (12%) had low fat-free mass index. Medical nutrition therapy was completed by 13/17 (76%) patients (EEN n=4, CDED n=4 and standard care n=5) and four withdrew. BMI and simplified magnetic resonance index of activity (MaRIA) score changed by a median of -0.3 (range, -1.8 to 2.1) kg/m2 and 0.5 (range, -3 to 2) points respectively. At day 30, 10 patients had no surgical complications. Three patients had Clavien Dindo Grade 2 complications; one (standard care group) experienced fever treated with antibiotics, one (standard care group) had postoperative ileus requiring total parenteral nutrition and one (CDED group) required a blood transfusion postoperatively and antibiotics for a wound infection. Conclusion Patients who need elective Crohn’s disease surgery tolerate preoperative EEN or CDED. Use of preoperative nutrition therapies are feasible and the impact on surgical outcomes should be assessed in a larger study.

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Brown, A. G., A. R. Visram, R. D. M. Jones, M. G. Irwin, and J. Bacon-Shone. "Preoperative and Postoperative Oxygen Saturation in the Elderly following Spinal or General Anaesthesia—An Audit of Current Practice." Anaesthesia and Intensive Care 22, no. 2 (April 1994): 150–54. http://dx.doi.org/10.1177/0310057x9402200205.

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We have compared the incidence of preoperative and postoperative oxygen desaturation in 20 elderly patients undergoing dynamic hip screw insertion for fractured neck of femur, allocated randomly to two groups to receive subarachnoid anaesthesia (SA, n = 10) or a general anaesthetic (GA, n = 10). Oximetry data were recorded during the preoperative night and the first 48 hours after surgery using Satmaster.™ Data associated with zero amplitude signal were automatically invalidated by the software and decreases in SpO2 which were preceded by contemporaneous changes in signal amplitude which conformed to a previously described template were assumed to be artefactual and were discarded from final data analysis. Data demonstrated a wide interpatient variability. However, those patients who desaturated preoperatively continued to do so in the postoperative period. The differences between the preoperative and postoperative oximetry profiles were examined for each patient and demonstrated a significantly longer time spent with SpO2 <90% in the GA group compared with the SA group, in all the recorded time periods, except on the day of surgery. The SA group showed an improvement in oxygen saturation postoperatively when compared to the preoperative night, spending less time with an SpO2 <85%. We conclude that the subarachnoid anaesthetic technique was associated with a lower incidence of postoperative oximetry desaturation when compared with general anaesthetic for these elderly patients undergoing repair of fractured neck of femur.

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Costello, T. G., H. Crowe, and A. J. Costello. "Laser Prostatectomy versus Transurethral Resection of the Prostate for Benign Prostatic Hypertrophy: Comparative Changes in Haemoglobin and Serum Sodium." Anaesthesia and Intensive Care 25, no. 5 (October 1997): 493–96. http://dx.doi.org/10.1177/0310057x9702500507.

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A prospective study was undertaken to examine differences in haemoglobin concentration and serum electrolytes in two patient groups undergoing surgical treatment for benign prostatic obstruction. Group one underwent conventional transurethral resection of the prostate (TURP), and group two were treated by laser ablation of the prostate (LAP). Twenty-six patients were enrolled in LAP group, 25 in the TURP group. Both patient groups had the procedure performed under epidural anaesthesia. Serial measurements of haemoglobin and sodium were performed at three time intervals: immediately preoperatively, in the recovery room and 24 hours postoperatively. A fall in serum sodium levels between the mean preoperative reading (140 mmol/l) and 24 hours post surgery (138 mmol/l) was the only statistically significant alteration sustained in the laser patients (P<0.0001). A fall in haemoglobin from preoperative measurement to recovery room measurement of 0.71 g/l was statistically significant (P<0.0001), but did not persist to the 24 hour postoperative time period. The TURP group demonstrated statistically significant falls in both sodium and haemoglobin levels at both postsurgery measurements. Mean serum sodium levels fell from 141 mmol/l preoperatively to 138 mmol/l (P<0.0001) in the recovery room and 137 mmol/l (P<0.0001) at 24 hours. Preoperative haemoglobin fell from 14.8 g/l to 13.6 g/l (P<0.0001) in recovery and 13.7 g/l (P<0.0001) at 24 hours.

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Hennessy, Patricia A. "Preoperative Nursing Planning in Pediatric Tracheotomy." Otolaryngology–Head and Neck Surgery 93, no. 6 (December 1985): 777–78. http://dx.doi.org/10.1177/019459988509300615.

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Tracheotomy may be necessary in the treatment of severe, prolonged illness or airway obstruction. The preoperative nursing care plan is developed to meet the physical needs of the child as well as provide essential information and emotional support to the child and family. Comprehensive attention to all aspects of care needs in the preoperative period assists in the provision of optimum nursing care during the hospital stay and after discharge

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Vlajković-Ivanović, Ana, Jelena Pjevalica-Dragić, and Dušica Simić. "Preoperative risk assessment in pediatric anesthesia." Medicinska istrazivanja 57, no. 1 (2024): 41–47. http://dx.doi.org/10.5937/medi57-43390.

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In general pediatric surgical population, the incidence of perioperative 30-day mortality is low. A child's physical status at the time of elective surgery and the presence of comorbidities can notably impact the perioperative risk. In order to provide quality care, preoperative evaluation should be undertaken in a timely and thorough manner. In preoperative period, it is highly important to be able to identify the patients who are at a higher risk, with the premise that early identification of these patients will allow for additional care to be provided, thereby minimizing possible complications. The main objectives of adequate preoperative assessment are to evaluate patients' readiness for the procedure, optimize patients' health status before surgery, reduce surgical morbidity, and help patients regain their usual functions postoperatively. Routine prescription of additional tests in children should be replaced by selective and rational prescriptions, based on the patients' history and performed clinical evaluation. Surgical and anesthetic complications can have adverse effects on patients' health, and they have also been proven to be associated with increased inpatient and postoperative costs. Each member of the surgical team plays a vital role in the safe care of pediatric patients. Well known risk factors for critical events in the perioperative period in pediatric population are as follows: ASA physical status, age, emergency surgery, and the existence of an underlying disease. This review highlights potential risks encountered in children and directs preoperative assessment towards selecting essential tests based on identified individual risk factors.

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Jankovic, Radmilo, Angelina Bogicevic, Biljana Stosic, Anica Pavlovic, Anita Petrovic, Dejan Markovic, and Cedomir Vucetic. "Preoperative preparation of geriatric patients." Acta chirurgica Iugoslavica 58, no. 2 (2011): 169–75. http://dx.doi.org/10.2298/aci1102169j.

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There is a continuous increase in the proportion of elderly patients undergoing surgical procedures. This review will concentrate on selected topics related to elderly care that represent current unresolved and relevant issues for the care of the elderly surgical patient including: aging related organ dysfunction, perioperative risk assessment of geriatrics patient, preoperative optimization and pharmacological support of elderly patient. Additionally, age as a clear risk factor for postoperative cognitive dysfunction is also discussed.

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Patel, Roma, Shilpee Sinha, Rachel Gruber, Barbara Nation, Kathleen Lane, and Na Bo. "Setting Trends in the Preoperative Care Setting: Advance Care Planning (SA510A)." Journal of Pain and Symptom Management 57, no. 2 (February 2019): 445–46. http://dx.doi.org/10.1016/j.jpainsymman.2018.12.190.

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Fox, Daniel P., and Julina Ongkasuwan. "Safety and Utility of Direct Laryngoscopy and Bronchoscopy in Patients Hospitalized with Croup." Ear, Nose & Throat Journal 97, no. 8 (August 2018): E25—E30. http://dx.doi.org/10.1177/014556131809700805.

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Acute croup is a common admitting diagnosis for pediatric patients. If a patient is not responding to medical management for presumed croup, the otolaryngology team is occasionally consulted for direct laryngoscopy and bronchoscopy (DLB) to rule out tracheitis or another airway pathology. We conducted a study to determine if inpatient DLB in acute croup is safe and efficacious and to correlate preoperative vital signs with intraoperative findings. We reviewed the charts of 521 patients with an admitting diagnosis of acute tracheitis, acute laryngotracheitis, or croup. Of this group, 18 patients—11 boys and 7 girls, aged 1 month to 3.3 years (mean: 1.3 yr)—had undergone inpatient DLB. Comorbidities, complications, and level of care were also analyzed. Five patients (28%) had gastrointestinal reflux disease (GERD), and 4 had previously undergone intubation (22%). Eleven patients (61%) had concurrent airway pathology, 7 of whom (39%) required operative intervention. Preoperative mean body temperature and the increase in mean temperature were significantly higher in tracheitis patients than in the non-tracheitis patients. Preoperative change in respiratory rate was elevated when another airway pathology was present (p = 0.047). Only patients who were in the intensive care unit (ICU) preoperatively were intubated in the operating room, and only 1 patient required a postoperative escalation in the level of care. Our study found that performing inpatient DLB in patients hospitalized with croup is reasonably safe and provides a sufficient yield for identifying tracheitis or other airway pathology in selected populations. Preoperative vital signs can be suggestive of tracheitis or additional unexpected airway pathology. Recurrent croup, a history of GERD or previous intubation, and preoperative admission to the ICU increase the yield of DLB.

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Salman Shazad, Shahbaz Hussain, Tahira Younas, Yasir Bashir Butt, Hamza Ali Bukhari, Sharib Khalid, Ghulam Haider Ali, and Eitzaz Ud Din. "Anaesthetic challenges in the management of renal transplant recipients - An institutional review." Professional Medical Journal 30, no. 03 (March 1, 2023): 364–70. http://dx.doi.org/10.29309/tpmj/2023.30.03.6428.

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Objective: To provide an overview of our institutional experience with anaesthetic management of renal transplant data in terms of demographics, preoperative status, anaesthesia management, and postoperative care. Study Design: Descriptive study. Setting: Pakistan Kidney and Liver Institute and Research Center, Lahore. Period: January 2022 to June 2022. Material & Methods: This descriptive study included 203 cases of renal transplant. We reviewed the medical records of these patients for demographics, preoperative anaesthetic assessment, intraoperative anaesthesia records, and postoperative care unit notes. Data was analyzed using SPSS Version 25. Results: The mean age of the patients was 35.75 + 10.1 years, and most of the patients had co-morbidities. The preoperative echocardiographic findings were significant in 52.7% of the patients, and 87.2% were on dialysis preoperatively. General anaesthesia was used in 99.5% of cases. Mean volume of intravenous fluid was 5.8 L, and 9.35% required ionotropic support, 9.9% received transfusion intraoperatively while 3.9% required postoperative mechanical ventilation. Conclusions: Renal transplant recipients have significant co-morbidities and require a meticulous approach for successful perioperative anaesthetic management.

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NAÇO, Majlinda, Haxhire GANI, Nertila KODRA, Etmont ÇELIKU, Alma LLUKAÇAJ, and Eden NAÇO. "Preoperative Evaluation, Anesthesia and Outcome of a Super Morbidly Obese Patient." Albanian Journal of Trauma and Emergency Surgery 4, no. 2 (July 20, 2020): 733–37. http://dx.doi.org/10.32391/ajtes.v4i2.148.

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Background; Nowadays anesthesia and outcome of morbidly obese patients became not only challenges but and an obligation in abdominal surgery. Sometimes morbidly obese patients postponed from all the kinds of surgery till it is life-threatening. The ward of anesthetists is obligate for a very careful preoperative evaluation, anesthesia, and outcome of morbidity obese patients. These include the preoperative evaluation of obesity, particularly on cardiac, respiratory, and metabolic systems; airway management; perioperative management (i.e., hemodynamic, respiratory, and hyperglycemic) and postoperative care. Case description: A 62 years old female with BMI=63.7 kg/m² with severe hypertension treatment came to a surgery ward for the plastic abdomen. After a careful preoperative preparation for the respiratory system and prophylaxis for thrombosis home, we started preoperative care 72 hours before surgery done in our hospital. We used general anesthesia for operation, the surgery lasts 190 minutes, and the patient was extubated according to weaning criteria only 16 hours after surgery. The patient stayed 2 days in intensive care and left a safe hospital on her ten days of recovery. Discussion: Super obese surgical patients represent numerous challenges to the anesthetist. Conclusion: A better understanding of the pathophysiology and complications that accompany obesity may improve their care and outcome.

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Journal articles on the topic 'Preoperative care'

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