Literatura académica sobre el tema "Postoperative Suffering"
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Artículos de revistas sobre el tema "Postoperative Suffering"
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Melnichenko, M. G. y V. V. Antonyuk. "Experience of treatment of children, suffering postoperative intraabdominal infiltrates". Klinicheskaia khirurgiia 85, n.º 7 (26 de julio de 2018): 67–70. http://dx.doi.org/10.26779/2522-1396.2018.07.67.
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Objective. Raising of the treatment efficacy for postoperative intraabdominal infiltrates (PII) in children, using the elaborated program of complex treatment.
Маterials and methods. Experience of treatment of 150 children, suffering PII, was accumulated. Comparative analysis of efficacy for the elaborated program of complex treatment was conducted.
Results. There was established, that the elaborated program of the PII complex stationary treatment guarantees good result in 83.0% of children. Application of intramedia potentiated antibioticotherapy together with endorectal anti-inflammatory therapy in children, suffering PII, caused the shortening of terms for the main clinical signs elimination by 5 - 8 days, аnd for the stationary stay of the patients - by 6 - 8 days.
Conclusion. Introduction of the elaborated program of complex stationary treatment have lowered the abscess formation rate for PII in children in 4.4 times, аnd application of primary laparoscopy - in 1.3 – 1.7 times.
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Katkasova, Larisa y Svetlana Kropotova. "Reduction of number of postoperative complications depends on quality of dressing material and wound treatment". Medsestra (Nurse), n.º 4 (1 de abril de 2020): 61–63. http://dx.doi.org/10.33920/med-05-2004-10.
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Operated patients suffering from diabetes are at risk of developing postoperative complications. Modern technologies of postoperative wound treatment and modern dressings allow to avoid complications and speed up the process of postoperative wound healing.
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Eschweiler, GW, R. Rosin, P. Thier y H. Giedke. "Postoperative psychosis in homocystinuria". European Psychiatry 12, n.º 2 (1997): 98–101. http://dx.doi.org/10.1016/s0924-9338(97)89648-4.
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SummaryYoung homocystinuria patients suffering from lens dislocation frequently have to undergo eye surgery. We describe a 16-year-old girl with mild mental retardation who became psychotic-delirant immediately after the last of three lentectomia operations performed under general thiopental anaesthesia. Because methionine, homocysteine, its oxidation product homocysteate and cysteine are potent glutamate agonists, the disturbance of the sulphur containing amino acid (SCAA) metabolism in homocystinuria patients may alter the function of cerebral glutamatergic transmission. The chronic and acute neurological and psychiatric symptoms of homocystinuria patients offer a clue to studies of the neurotoxic but also antipsychotic potency of glutamate agonists like the SCAAs in humans.
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Erman, Tahsin, Metin Tuna, A. İskender Göçer, Faruk İdan, Erol Akgül y Suzan Zorludemir. "Postoperative radicular neuroma". Neurosurgical Focus 11, n.º 5 (noviembre de 2001): 1–3. http://dx.doi.org/10.3171/foc.2001.11.5.9.
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Lumbar discectomy is the most common surgical procedure performed in neurosurgery clinics. Such a large number of procedures underscore not only the prevalence of conditions such as intervertebral disc herniation, but also the strong belief of surgeons that the operation does provide benefits to patients suffering from sciatica. In spite of this belief, sciatic pain may continue after the surgery. The recurrence of sciatic and/or back pain after primary discectomy is called the “failed back surgery syndrome.” The rate of the complications involved in standard lumbar discectomy ranges from 5.4 to 14%. One of the complications of the lumbar disc surgery is nerve root injury. The complication rate of this injury ranges from 0.7 to 2.2%. Postoperative radicular neuroma must be considered in differential diagnosis for the patient who has failed back surgery syndrome. In this study the authors evaluate a patient who had undergone surgery for lumbar disc herniation and suffered intractable pain. A traumatic radicular neuroma is demonstrated and the pertinent literature is presented.
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Liesnyi, V. V. y A. S. Liesna. "Peculiarities of complicated course of postoperative period in a woman-patient, suffering an acute cholecystitis". Klinicheskaia khirurgiia 86, n.º 10 (21 de octubre de 2019): 71–74. http://dx.doi.org/10.26779/2522-1396.2019.10.71.
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Hanssonl, P., A. Ekblom, U. Lindblom, P. Marchettini y M. Thomsson. "Cutaneous sensory modalities tested in patients suffering from postoperative oro-facial pain". Pain 30 (1987): S267. http://dx.doi.org/10.1016/0304-3959(87)91594-6.
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Jadidi, Khosrow, Seyed Aliasghar Mosavi, Farhad Nejat y Aliagha Alishiri. "Complications of Intrastromal Corneal Ring Implantation (Keraring 355°) using a Femtosecond Laser for Channel Creation". International Journal of Keratoconus and Ectatic Corneal Diseases 3, n.º 2 (2014): 53–56. http://dx.doi.org/10.5005/jp-journals-10025-1079.
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ABSTRACT Purpose To report complications after the implantation of Keraring 355° intrastromal corneal ring (ICR; Mediphacos, Belo Horizonte, Brazil) in keratoconic eyes using a Ziemer LDV femto- second laser (Ziemer AG, Switzerland) for channel creation. Materials and methods Five eyes suffering from keratoconus underwent Keraring 355° insertion using Ziemer LDV for corneal pocket creation. Intraoperative and postoperative complications were recorded. Results While intraoperatively there were no complication, postoperatively all cases showed severe side effects. Conclusion In this small case series, intracorneal ring (Keraring 355°) implantation using a femtosecond laser for channel creation was related to a number of significant postoperative problems in all cases. The most common complication was corneal melting (postoperatively). How to cite this article Jadidi K, Mosavi SA, Nejat F, Alishiri A. Complications of Intrastromal Corneal Ring Implantation (Kera- ring 355°) using a Femtosecond Laser for Channel Creation. Int J Kerat Ect Cor Dis 2014;3(2):53-56.
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Pulyaeva, I. S., V. A. Prasol y Yu V. Ivanova. "Prophylaxis of complications in postoperative period in patients, suffering stenosis of carotid arteries". Klinicheskaia khirurgiia 87, n.º 1-2 (26 de mayo de 2020): 11–14. http://dx.doi.org/10.26779/2522-1396.2020.1-2.11.
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Objective. To analyze the surgical treatment results in patients, suffering carotid arteries stenosis, using endarterectomy in combination with conservative therapy.
Materials and methods. Results of treatment were analyzed in 58 patients, suffering hemodynamically significant stenosis of carotid arteries and/or presence of embologenic pluck, in whom from 2017 to 2019 yrs in V. T. Zaytsev Institute of General and Urgent Surgery NAMS of Ukraine, Kharkov intraoperative supportive conservative therapy, taking into account the risk for development of the cerebral ischemia and the reperfusion syndrome, was conducted.
There were 52 (89.7%) men and 6 (10.3%) women. Middle age of the patients operated on have constituted (65 ± 15) yrs.
Results. Basing on the literature data analyzed as well as on investigation of the thrombocytes aggregation in patients in perioperative period the algorithm of supportive conservative therapy was elaborated: injection of 5000 IU heparin 5 min before the internal carotid artery clamping under the ICT control; injection of Citicoline 1000 mg 5 min before the internal carotid artery clamping to the patients with neurological deficiency in accordance to the neurological test data and with application of a temporary by-pass. In all the patients in postoperative period the complications were absent. Control of the carotid arteries passability and the ischemia zone state on the 14th day was conducted, the carotid arteries stenosis was not revealed. Nonsignificant complications, such as the stressed hematoma, demanding postoperative wound revision and hemostasis performance, were observed in 4 patients. In 2 patients postoperative period was complicated by the hypoglossal nerve paresis because of its squeezing by hematoma.
Conclusion. Citicoline injection before the carotid artery clamping in the carotid endarterectomy with a temporary by-pass permits to lower the risk for development of neurological complications, and while development of postoperative reperfusion syndrome –to reduce its signs.
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Opanasenko, M. S., O. V. Tereshkovych, M. Yu Shamray, B. M. Konik, L. I. Levanda, M. I. Kalenichenko, S. M. Shalahai y O. K. Obremska. "Surgical treatment of pulmonary tuberculosis in children". Klinicheskaia khirurgiia 86, n.º 10 (21 de octubre de 2019): 18–23. http://dx.doi.org/10.26779/2522-1396.2019.10.18.
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Objective. To estimate the results of surgical treatment in children, suffering pulmonary tuberculosis.
Materials and methods. The results of surgical treatment of 83 children, suffering pulmonary tuberculosis in Jan. 2008 - June 2019 yrs are presented. Immediate and late results of performance of various operative interventions, rate of tuberculosis recurrence and postoperative morbidity are presented.
Results. Efficacy of operative treatment (arrest of bacterioleak, improvement of clinical state, closure of the destruction cavity, positive roentgenological dynamics) in terms of observation up to10 yrs was observed in 81 (97.6%) patients. Postoperative complications were developed in 11 (13.3%) patients, they have healed conservatively. Tuberculosis recurrence in postoperative period have occurred in (2.4%) patients.
Conclusion. It is possible to enhance the efficacy of treatment in children, suffering pulmonary tuberculosis, using various operative procedures. While selecting the method for surgical treatment of pulmonary tuberculosis in children, the advantage must be given to anatomic resection. Lobectomy constitutes the optimal variant of the operation. During performance of resection in children, in patients with multiresistant tuberculosis or tuberculosis with extended medicinal resistance, for prevention of pulmonary overstretching it is mandatory to apply the methods for the hemithorax volume correction (pneumoperitoneum, phrenicotripsy or one of thoracoplasty procedures).
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CIOROIU, S. G. "POSTOPERATIVE RECOVERY OF SPYROID TIBIA FRACTURE". Series IX Sciences of Human Kinetics 13(62), n.º 2 (2 de diciembre de 2020): 181–86. http://dx.doi.org/10.31926/but.shk.2020.13.62.2.23.
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This paper is a topical issue among people diagnosed with spiral fracture third diaphyseal tibia, because following the survey conducted by the College of Physiokinetotherapists in Romania over 50% of athletes licensed to sports clubs are suffering from pathologies in the lower limbs, 20% of these at the tibia. In this paper are found some methods and ways of early and methodical application of kintetotherapy means and processes through which to restore as much as possible the functionality or loss of the patient diagnosed with spiral fracture middle third diaphyseal tibia. This paper aims to demonstrate that the proposed physiotherapy model helps to improve the functional capacity and quality of life in people with spiral fracture average third diaphyseal tibia.
Tesis sobre el tema "Postoperative Suffering"
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Gustafsson, Tomas y Benjamin Erkstam. "Patienters upplevelse av postoperativ smärtbehandling : En litteraturstudie". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-398046.
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Bakgrund: Smärta är en subjektiv känsla där varje individ lär sig betydelsen av ordet genom egna erfarenheter. Smärta är något nästan alla upplever efter ett kirurgiskt ingrepp och där otillräcklig smärtlindring i den akuta fasen kan leda till svåra komplikationer vilket skapar lidande för patienten samt stora samhällsekonomiska kostnader. Syfte: Att beskriva patienters upplevelse av postoperativ smärtbehandling. Metod: Litteraturstudie med deskriptiv design av 11 kvalitativa originalartiklar från databaserna PubMed, CINAHL och PsycINFO vars innehåll analyserades i fem steg. Resultat: Patienter var överlag tillfredsställda trots smärta. Det fanns delade åsikter om nyttan av NRS (numerisk skala). Patienter hade en rad föreställningar om läkemedel som ledde dem till att undvika analgetika. Information ansågs vara huvudsakligen hjälpsamt, framför allt skriftlig, dock upplevde patienter att informationen var bristfällig. Attityd, tillit och kommunikation spelade en viktig roll för relationen mellan personal och patient. Patienter som genomgått dagkirurgi och behandlade sin smärta ensamma i hemmet med mycket begränsad kontakt med vårdpersonal, upplevde svårigheter att ta beslut och följa sin smärtbehandlingsplan. Patienter uppskattade att bli inkluderade och delaktiga i sin vård, även om det kunde upplevas som en börda, och tog många egna initiativ och egna strategier under sin behandling, ofta för att slippa använda analgetika. Tidigare erfarenheter var också något som ofta hjälpte patienter i deras smärtbehandling. Slutsats: Patienter var ofta nöjda med sin smärtbehandling trots att de fortfarande upplevde smärta, viktigast för att uppnå detta var en känsla av trygghet. Viktiga faktorer för detta var utförlig skriftlig och upprepad information om smärta, smärtbehandling och analgetika samt ett gott, professionellt, inkluderande och individanpassat bemötande från vårdpersonalen. Brister inom dessa områden ledde till oro och rädsla för det okända, vilket försvårade smärtupplevelsen. Patienter upplevde sällan fullgod smärtlindring.Background: Pain is a subjective feeling where each individual learns the meaning of the word through their own experiences. Pain is something almost everyone experiences after a surgical procedure and where insufficient pain relief in the acute phase can lead to severe complications, which creates suffering for the patient and large socio-economic costs. Aim: To describe patients' experience of postoperative pain management. Method: Literature review with descriptive design of 11 qualitative original articles from the databases PubMed, CINAHL and PsycINFO whose contents were analyzed in five steps. Result: Patients were generally satisfied despite pain. There were different opinions about the benefits of the NRS (numeric rating scale). Patients had a number of conceptions about drugs that led them to avoid analgesics. Information was considered to be mainly helpful, especially written, however patients felt that the information was deficient. Attitude, trust and communication played an important role in the relationship between staff and patient. Patients who underwent day surgery and treated their pain alone in the home with very limited contact with health care professionals experienced difficulties in making decisions and following their pain management plan. Patients appreciated being included and involved in their care, although it could be perceived as a burden, and took many own initiatives and strategies during their treatment, often to avoid using analgesics. Previous experience was also something that often helped patients in their pain management. Conclusion: Patients were often satisfied with their pain management even though they were still experiencing pain, most important to achieve this was a peace of mind. Important factors for this were detailed written and repeated information about pain, pain treatment and analgesics as well as a good, professional, inclusive and individualized response from the care staff. Deficiencies in these areas led to worrying and fear of the unknown, which made the pain experience more difficult. Patients rarely experienced adequate pain relief.
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Pettersson, Nils y Matilda Häggström. "Anestesisjuksköterskans åtgärder inför den postoperativa vården : En journalgranskningsstudie med fokus på smärta, illamående och vårdtid hos patienter som genomgått Gastric Bypass-operationer". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-324892.
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Bakgrund: Nästan hälften av alla vuxna svenskar är överviktiga eller lider av fetma vilket tillsammans med dess följdsjukdomar kostar samhället flera miljarder kronor per år. Trots att behandlande överviktsoperationer (främst gastric bypass [GBP]) blir allt vanligare i Sverige, är patientens hälsotillstånd intra-, och postoperativt relativt outforskat vad gäller smärta, postoperativt illamående och kräkning [PONV], vårdtid samt det ökande lidandet detta medför. Syfte och Metod: Syftet är att beskriva mängden analgetika och antiemetika som ges till patienter som genomgår GBP-operationer, från premedicinering till utskrivning på den postoperativa vårdavdelningen. Vidare undersöks om anestesisjuksköterskan positivt kan påverka den postoperativa vården med avseende på smärtlindring, PONV och vårdtid då detta kopplas till lidande. En kvantitativ deskriptiv retrospektiv journalgranskningsstudie gällande totalt 68 patienter genomfördes. Resultat: Gavs lokalanestetika i operationssåret under operation minskade både behovet av analgetika postoperativt (p<0,05) och den postoperativa vårdtiden (p<0,05). Om antiemetika gavs intraoperativt minskade användningen av antiemetika postoperativt (p<0,001). Ju större dos antiemetika/kg/min som gavs intraoperativt desto kortare tid på den postoperativa vårdavdelningen (p<0,001). Detta gällde oavsett om patienten fått lokalanestetika (p<0,01) eller inte (p<0,05). Slutsats: Anestesisjuksköterskan har stora möjligheter att på flera plan positivt påverka tiden direkt efter operation. Intraoperativ administrering av lokalanestetika och antiemetika har avgörande roller för den fortsatta vården hos patienter som genomgår GBP-operationer, både vad gäller smärta, PONV, vårdtid och det lidande som detta kan medföra. Antiemetika doseras till synes enligt rutin och inte i förhållande till vikt, men ger viktberoende effekter. Mer forskning inom området efterfrågas.Objectives: Almost 50 % of Swedish adults are overweight or obese, which costs the society billions annually. Although surgical treatments of obesity (primarily gastric bypass [GBP]) are increasing in Sweden, the patient's perioperative health status are relatively unexplored in terms of pain, postoperative nausea and vomiting [PONV], length of postoperative observation ward [POW] stay and the increasing suffering this entails. The authors aim to describe the amount of perioperative analgesics and antiemetics that GBP patients receive, and investigate how the nurse anesthetist can affect the postoperative care. Method: A quantitative descriptive retrospective study with a total of 68 patients was conducted. Result: The need for postoperative analgesics (p<.05) and the length of stay in the POW (p<.05) were both reduced whenever local anesthetics were given during surgery. If antiemetics were given intraoperatively, the use of antiemetics postoperatively was reduced; (p<.001). A greater intraoperative dose antiemetic/kg/minute reduced the length of stay in the POW (p<.001) regardless whether the patients received local anesthetics (p<.01) or not (p<.05). Conclusion: The nurse anesthetist can positively impact the immediate time after surgery. Intraoperative administration of antiemetics and local anesthetics have crucial roles for the continued care of the GBP patient in terms of suffering connected to pain, PONV and length of stay in the POW. Antiemetics are seemingly dosed based on a routine and not on the patient's weight. More research in this area are requested.
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Simonsson, Katarina y Karin Bergman. "Patientens upplevelse av postoperativ smärta". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-352676.
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Bakgrund: Postoperativ smärta uppkommer efter operation. En obehandlad akut smärta kan utvecklas till långvarig smärta och detta är den vanligaste orsaken till att patienter söker läkarvård. Sjuksköterskans ansvar är att lindra, bedöma och skatta smärta hos patienter. Ett ömsesidigt förtroende kan underlätta arbetet, emellertid blir enbart hälften av patienterna på en avdelning delaktiga i sin smärtbehandling. Patientens egna uppfattningar, tidigare erfarenheter och beskrivning av smärta bör tas på allvar. Studiens teoretiska referensram är Joyce Travelbees teori där huvudkomponenten innefattar förståelse för vad som händer i interaktionen mellan patienten och sjuksköterskan. Vårdlidande kan uppstå om patienten förlorar kontroll, vilket är vanligt förekommande inom vården. Smärta är ett exempel på en situation när patienten tappar kontroll över situationen. Syfte: Syftet var att beskriva patienters upplevelse av postoperativ smärta. Metod: Litteraturstudie av kvalitativa artiklar genomförd i databaserna Pubmed, CINAHL, PsycINFO. Totalt inkluderades 10 stycken vetenskapliga artiklar. Resultat: Generellt upplevde patienter postoperativ smärta fysiskt. Kroppsliga förnimmelser var kopplade till smärtans karaktär, intensitet och varaktighet. Patienterna upplevde att smärtan begränsade vardagliga livet genom svårigheter att utföra aktivitet och sämre sömn. Patientens psykiska upplevelse präglades av rädsla och oro. Patienter upplevde att vårdpersonalens bemötande hade en inverkan på förtroendet. Tidigare erfarenhet och kunskap av smärta påverkade hur patienter hanterade smärta. Den farmakologiska och icke- farmakologiska smärtlindringen upplevdes positivt och negativt. Slutsats:Patienter upplever smärtans karaktär, varaktighet, intensitet och lokalisation individuellt. Förtroendet för vårdpersonal, deras bemötande och attityd har en betydelsefull inverkan på patienternas postoperativa smärtupplevelse. Tidigare erfarenheter av smärtlindring och relationen till vårdpersonal påverkar patienters inställning gentemot analgetika. Nyckelord: lidande, postoperativ smärta, smärtbedömning, smärtlindring, upplevelse.Background: Postoperative pain emerge after surgery. Untreated acute pain can develop into chronic pain. It’s the most common cause for patients to seek medical treatment. It’s the nurse's responsibility to ease and evaluate pain among patients. Mutual trust can help make these responsibilities easier, though only half of the patient in a caring unit gets to be involved in their pain-treatment. Patients opinions, earlier experiences and descriptions of pain must be taken seriously. The theoretical reference frame of this study is Joyce Travelbee’s theory, where the main component includes the understanding of the interaction between patients and nurses. Suffering in healthcare can develop if the patient loses control, which is common in health care. Pain is an example of a situation when a patient loses control over of the situation. Aim: To describe patients experiences of postoperative pain. Method: A literature study of 10 qualitative articles, found in Pubmed, CINAHL and PsycINFO. Results: Patients generally experienced their postoperative pain physically. The experience related to the pains character, intensity and durability. The pain was often perceived to restrict everyday-life by bringing difficulties performing exercises and resulted in deficient sleep. The physical experience where tinged by fear and anxiety. The healthcare professional’s treatment towards patients had an impact on the relationships trust-status. Earlier experiences and knowledge about pain affected how patients handled their pain. Pharmacological and nonpharmacological pain treatment were experienced as both positive and negative. Conclusion: Patients experiences the character of the pain, as well as the intensity and durability, individually varying. Trust towards healthcare staff, their treatment and attitude, had an impact on the postoperative pain experience. Earlier experiences of pharmacological treatments and the relationship with staff impacted patients attitude towards analgesics. Keywords: Experience, painassessment, pain relief, postoperative pain, suffering.
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Tiberg, Jenny y Karin Tieleman. "Postoperativ shivering : En kvantitativ studie om dess orsaker". Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-16684.
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Postoperativ shivering (PAS) definieras som en serie ofrivilliga muskelrörelser som ökar den metabola värmeproduktionen i kroppen. Förekomsten av postoperativ shivering är ett problem inom den perioperativa vården. Det finns flera orsaker till shivering. Termoregulativa och icke termoregulativa. PAS förekommer i ca 5-65% av alla anestesier, men frekvensen har under åren minskat. Det är tidigare känt att anestesi sätter termoregulationen ur spel. Konsekvenserna kan leda till vårdlidande för patienten och högre kostnader för samhället. Syftet med studien är att undersöka orsaken till shivering. Arbetet utgår från en kvantitativ metod. I samarbete med SÄS utarbetades ett datainsamlingsformulär. Studien som genomfördes på tre sjukhus i västra delen av Sverige inkluderade 350 patienter >18 år. Materialet analyserades i SPSS, version 19. Resultatet visade att ålder, kön, operationstid (knivtid) och vissa typer av operationsingrepp (öron- ögon- hals- käk- näs- och endoskopisk kirurgi), hade signifikans för uppkomsten av PAS. Övriga variabler som undersöktes (anestesimetod, temperatur och övriga undersökta operationsingrepp) hade ingen signifikans. Resultatet talar delvis emot tidigare forskning, som visar att anestesimetod har betydelse för uppkomsten av PAS. Studien överensstämmer med tidigare forskning gällande signifikans för kön, ålder, operationstid och temperatur. Genom identifiering av olika faktorer, som kan leda till postoperativ shivering, kan vi, som anestesisjuksköterskor, förebygga fenomenet och ge patienten en trygg och säker vård samt minska vårdlidande.Program: Specialistsjuksköterskeutbildning med inriktning mot anestesisjukvård
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Sjöling, Mats. "Experiences of abandonment and anonymity among arthroplastic surgery patients in the perioperative period : some issues concerning communication, pain and suffering". Umeå : Kirurgisk och perioperativ vetenskap, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-509.
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Burmérius, Isak y Linda Karlsson. "Förekomst av postoperativt illamående och kräkningar : En jämförande retrospektiv studie". Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-76182.
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Bakgrund: Postoperativt illamående och kräkningar (PONV) är en vanlig komplikation i samband med anestesi och drabbar cirka 30% av alla patienter. Kvinnor som genomgår gynekologiska laparoskopiska operationer är en särskilt utsatt grupp. Många individer som drabbas upplever ett onödigt lidande. Anestesisjuksköterskan har ett centralt ansvar i att arbeta preventivt och på så sätt lindra samt förebygga komplikationer. Genom att studera och jämföra olika enheter kan problemet med PONV uppmärksammas och eventuellt reduceras. Syfte: Syftet med studien är att undersöka skillnader i förekomst av postoperativt illamående och kräkningar hos kvinnor som genomgår laparoskopiska gynekologiska steriliseringar på två olika operationsenheter i södra Sverige. Metod: Kvantitativ retrospektiv jämförande studie med journalgranskning av 95 patienter som genomgått gynekologisk laparoskopisk sterilisering på ett länssjukhus i södra Sverige. Förekomsten av PONV och skillnader samt korrelation mellan enheterna har jämförts avseende profylaktiska interventioner i förhållande till riskfaktorer. Resultat: Utfallet av PONV blev 13% kontra 8% på respektive enhet. Ingen statistisk signifikant skillnad påvisades mellan enheterna. Korrelationen mellan antal riskfaktorer och antal profylaktiska interventioner visade på en svag icke signifikant korrelation på bägge enheter. Slutsats: Endast en liten del av de kvinnor som genomgår laparoskopiska steriliseringar drabbas av PONV. Bättre dokumentation skulle underlätta kartläggningen av olika faktorer som bidrar till PONV. Individernas riskfaktorer beaktas inte och patientperspektivet är inte i fokus. Gemensamma rutiner skulle kunna leda till bättre förutsättningar för god vård och minskat lidande hos fler individer. Förslag på framtida forskning är en prospektiv studie där utfallet av PONV studeras över längre tid.Background: Postoperative nausea and vomiting (PONV) is a common complication associated with anesthesia and affects an average 30% of all patients. Women who go through gynecological laparoscopic surgery are a particularly vulnerable group. Many individuals experience an unnecessary suffering due to PONV. The nurse anesthetist has a central responsibility in working preventively, thus alleviating and reducing complications. By studying and comparing different units, the problem can be noted and possibly reduced. Aim: The aim of this study is to examine differences in postoperative nausea and vomiting in women undergoing gynecological laparoscopic sterilization at two different operating units in southern Sweden. Method: Quantitative retrospective comparative study with journal review of 95 patients undergoing gynecological laparoscopic sterilization at a county hospital in southern Sweden. The outcome of PONV with differences and correlation between the units has been compared with regard to prophylactic interventions in relation to risk factors. Results: The outcome of PONV was 13% versus 8% on the respective unit. No statistically significant difference was detected between the units. The correlation between the number of risk factors and the number of prophylactic interventions showed a weak, non-significant correlation on both units. Conclusion: Only a small proportion of women undergoing laparoscopic sterilization suffer from PONV. Better documentation would favor the mapping of various factors contributing to PONV. Risk factors are not considered for each individual and therefore the patient perspective is not in focus. Common routines could lead to better conditions for good care in more individuals, thereby reducing suffering. A proposal for future research is a prospective study where the outcome of PONV is studied over a longer period of time.
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Svahn, Rebecka y Martina Johansson. "Patienters upplevelser av postoperativ smärta- En litteraturöversikt". Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-10864.
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Bakgrund: Smärtan är subjektiv och det innebär att det är en individuell upplevelse. Den kan upplevas olika beroende på vilka tidigare erfarenheter patienterna har. Ingen annan än patienterna själva kan beskriva den upplevda smärtan. Det är viktigt att patienternas upplevelse av smärta uppmärksammas för att sjuksköterskor ska kunna bemöta deras behov på bästa sätt och därmed minska lidande. Syfte: Syftet var att belysa patienternas upplevelser av postoperativ smärta. Metod: Studien är en litteraturöversikt som är baserad på både kvalitativa och kvantitativa artiklar. Resultat: Resultatet redovisas i fyra olika teman: Att lida av smärta, Betydelse av information och rädsla för läkemedelsberoende, Att vara osäker och inte vilja vara till besvär, Osäkerhet inför framtiden. Smärta är en individuell upplevelse och den postoperativa smärtan kan innebära ett lidande för patienten. De upplever inte alltid att sjuksköterskorna respekterar deras uttryck för smärta och känner sig bortglömda då de saknar att få ta del av information kring framtiden. Slutsats: Det är viktigt för patienterna att få vara involverade i sin vård, smärtlindring och att få tydlig information om vad som berör den postoperativa vården. De behöver stöttning av anhöriga men framförallt av sjuksköterskorna för att kunna lindra både psykiskt och fysiskt lidande.Background: Pain is subjective and it means that it is an individual experience. It may feel different depending on the previous experience of the patient. No one other than the patient himself can describe the perceived pain. It is important that patients' experience of pain observed for nurses to be able to respond to their needs in the best way and thus reduce suffering. Purpose: The aim is to highlight patients' experience of postoperative pain. Method: The study is a literature review which is based on both qualitative and quantitative articles. Results: The results are reported in four different themes: To suffer from pain, Importance of information and fear of drug dependence, being worried and do not want to be a bother, to feel insecure in front of the future. Pain is an individual experience and postoperative pain may cause suffering for the patient. They do not always experience that nurses respect their expressions of pain and therefore feel forgotten because of their lack of access to information about the future. Conclusion: It is important for patients to be involved in their care, to receive pain relief and to get clear information about what affects the postoperative care. They need support from relatives but especially from all the nurses to decrease both mental and physical suffering.
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Klovhall, Johan y Susanne Tegeskog. "Patientsäker hantering av sterila instrument i ett uppdukningsrum : En experimentell studie". Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-74735.
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Bakgrund: Vid operationer är patienten utsatt för risk att drabbas av en postoperativ infektion som kan leda till ohälsa och ett ökat lidande för patienten. Operationssjuksköterskan som arbetar förebyggande mot smittspridning behöver ha kunskap om sterila instrument och hur länge de kan vara uppdukade. Detta för att motverka postoperativa infektioner. Idag finns inga nationella riktlinjer för hur länge en övertäckt uppdukning kan stå i uppdukningsrum i väntan på användning. Syfte: Syftet med studien är att undersöka hur tiden påverkar bakteriekontaminationen på ett uppduktat och övertäckt instrumentbord i ett uppdukningsrum. Metod: Studien utgick från en kvantitativ ansats där experiment utfördes med hjälp av agarplattor under två, fyra och sex timmars intervall. Totalt användes 79 agarplattor under 6 olika experiment. Resultat: Resultatet visar att efter sex timmar är ett övertäckt instrument bord utan kontamination på agarplattorna. Emellertid finns det andra faktorer som kan påverka en uppdukning som kan leda till en infektion hos patienten och orsaka ohälsa och lidande. Slutsats: I operationssjuksköterskans ansvar ingår det att ha goda kunskaper kring hantering av sterila instrument samt aseptik eftersom detta kan vara avgörande för smittspridning som kan orsaka patienten ett onödigt vårdlidande. Resultatet kan ge en vägledning för evidensbaserad hantering av sterila instrument och hur länge ett övertäckt instrumentbord kan stå i ett uppdukningsrum, men studien är liten och det behövs mer forskning i ämnet.Background: At surgery the patient is exposed to develop a surgical site infection. This can cause the patient illness and suffering. The theatre nurse is working to prevent these infections and needs knowledge about how long sterile instruments can be unpacked, covered with a sterile cloth without getting contaminated with bacteria causing surgical site infections. Today there are no national guidelines for how long a covered instrument table can stand in a set-up room before operation. Aim: The aim of the study is to examine how time affects bacterial contamination of a covered instrument table up in a set-up room. Method: The study has a quantitative approach were the experiments where conducted on agar in two, four or six hour. A total of 79 agar plates were used in 6 different experiments. Results: The result shows that after six hours there is no contamination on the agar plates on covered instrument table. However, there are other factors that may affect a covered instrument table and can lead to an infection and cause the patient illness and suffering. Conclusion: The theatre nurse must have knowledge about how to handle with sterile instruments and aseptic who can be crucial for surgical site infection that may cause the patient an unnecessary suffering from care. The result can provide guidelines and evidence for how long a covered instrument table can stand in a set-up room, however the study is small and more research is needed in the subject.
Libros sobre el tema "Postoperative Suffering"
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Stolker, Robert Jan y Felix van Lier. Choice and interpretation of preoperative investigations. Editado por Jonathan G. Hardman. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0041.
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Preoperative risk assessment is one of the most important steps in perioperative management. In the last decades, considerable progress has been achieved. However, as more high-risk procedures are performed in more aged patients, suffering more morbidity, this may lead to an increased risk of adverse outcomes. The goal of preoperative assessment is to identify patients at extreme risk and discuss whether they should be operated on, or undergo an alternative procedure with a lower risk profile, or if conservative treatment should be continued. Furthermore, it gives the opportunity to optimize patients prior to surgery, adapt intraoperative anaesthetic management and monitoring, and select patients for postoperative treatment at an intensive care unit or post-anaesthesia care unit. The cornerstone of preoperative assessment is the estimation of functional capacity. Accurate anamnesis and physical examination are crucial. Several procedures have been used to optimize the preoperative risk stratification. In this chapter, the value of these additional preoperative investigations is reviewed. These investigations are to be performed only in patients with considerable co-morbidity undergoing high-risk surgery. As cardiovascular adverse events are a major determinant of postoperative outcome, the chapter focuses on the management of the two most important cardiac risk factors, that is, myocardial ischaemia and impaired left ventricular function.
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Gill, Steven J. y Michael H. Nathanson. Central nervous system pathologies and anaesthesia. Editado por Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0081.
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Anaesthesia induces changes in many organ systems within the body, though clearly none more so than the central nervous system. The physiology of the normal central nervous system is complex and the addition of chronic pathology and polypharmacy creates a significant challenge for the anaesthetist. This chapter demonstrates a common approach for the anaesthetist and specific considerations for a wide range of neurological conditions. Detailed preoperative assessment is essential to gain understanding of the current symptomatology and neurological deficit, including at times restrictions on movement and position. Some conditions may pose challenges relating to communication, capacity, and consent. As part of the consent process, patients may worry that an anaesthetic may aggravate or worsen their neurological disease. There is little evidence to support this understandable concern; however, the risks and benefits must be considered on an individual patient basis. The conduct of anaesthesia may involve a preference for general or regional anaesthesia and requires careful consideration of the pharmacological and physiological impact on the patient and their disease. Interactions between regular medications and anaesthetic drugs are common. Chronically denervated muscle may induce hyperkalaemia after administration of succinylcholine. Other patients may have an altered response to non-depolarizing agents, such as those suffering from myasthenia gravis. The most common neurological condition encountered is epilepsy. This requires consideration of the patient’s antiepileptic drugs, often relating to hepatic enzyme induction or less commonly inhibition and competition for protein binding, and the effect of the anaesthetic technique and drugs on the patient’s seizure risk. Postoperative care may need to take place in a high dependency unit, especially in those with limited preoperative reserve or markers of frailty, and where the gastrointestinal tract has been compromised, alternative routes of drug delivery need to be considered. Overall, patients with chronic neurological conditions require careful assessment and preparation, a considered technique with attention to detail, and often higher levels of care during their immediate postoperative period.
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Martinez-Hurtado, Eugenio Daniel y María Luisa Mariscal Flores, eds. An Update on Airway Management. BENTHAM SCIENCE PUBLISHERS, 2020. http://dx.doi.org/10.2174/97898114323851200301.
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In recent years, there have been many advances in the safe management of the patient's airway, a cornerstone of anesthetic practice. An Update on Airway Management brings forth information about new approaches in airway management in many clinical settings. This volume analyzes and explains new preoperative diagnostic methods, algorithms, intubation devices, extubation procedures, novelties in postoperative management in resuscitation and intensive care units, while providing a simple, accessible and applicable reading experience that helps medical practitioners in daily practice. The comprehensive updates presented in this volume make this a useful reference for anesthesiologists, surgeons and EMTs at all levels. Key topics reviewed in this reference include: New airway devices, clinical management techniques, pharmacology updates (ASA guidelines, DAS algorithms, Vortex approach, etc.), Induced and awake approaches in different settings Updates on diagnostic accuracy of perioperative radiology and ultrasonography Airway management in different settings (nonoperating room locations and emergency rooms) Airway management in specific patient groups (for example, patients suffering from morbid obesity, obstetric patients and critical patients) Algorithms and traditional surgical techniques that include emergency cricothyrotomy and tracheostomy in ‘Cannot Intubate, Cannot Ventilate’ scenarios. Learning techniques to manage airways correctly, focusing on the combination of knowledge, technical abilities, decision making, communication skills and leadership Special topics such as difficult airway management registry, organization, documentation, dissemination of critical information, big data and databases
Capítulos de libros sobre el tema "Postoperative Suffering"
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McAnally, Heath B. y Beth Darnall. "The Primacy of Motivation in Preoperative Optimization". En Preoperative Optimization of the Chronic Pain Patient, 39–76. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190920142.003.0003.
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Surgical patients with chronic pain frequently neglect basic health behaviors (e.g., maintenance of appropriate diet, sleep hygiene, exercise patterns) while engaging in harmful ones (e.g., tobacco use, alcohol excess, chronic opioid consumption) all of which have been shown to confer poor postoperative outcomes. Effective preoperative optimization of patients suffering with chronic pain requires at least a basic understanding of the complex and heterogeneous motivation behind deliberative (and subconscious) behaviors, and the application of interventions supporting self-determined elimination of toxic cognitive-behavioral patterns and their replacement with healthy ones. This chapter begins with an overview of motivational interviewing and select positive literature reviews addressing the utility of the method in modifying behaviors pertinent to this program. A survey of the development of our understanding of core common elements of human motivation is presented, followed by a biopsychosocial-spiritual framework for considering interpersonal variance; the chapter concludes with a brief consideration of dynamic intrapersonal variables affecting motivation within the individual.