Journal of Perioperative Practice

Journal Article

An audit of postoperative haemodynamic stability after intraoperative labetalol administration in non-cardiac surgery patients

Cairns, Benjamin B; McNeil, Megan V; Milne, Andrew D

2024 Journal of Perioperative Practice

doi:10.1177/17504589231223011 pmid:38343016

Anaesthesiologists commonly use intravenous labetalol to adjust patient haemodynamics during surgical procedures. Cases of profound hypotension after continuous labetalol infusions have been reported; however, there is limited evidence regarding the safety of intraoperative labetalol boluses....

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Journal Article

The impact of ketamine on delayed neurocognitive recovery in elderly patients undergoing spinal anaesthesia for orthopaedic procedures, a pilot study

Abbas, Mostafa Samy; Abo-Zeid, Mohamed Gamal; Askar, Fatma Gad-Elrab; Askar, Omnia Ahmed

2024 Journal of Perioperative Practice

doi:10.1177/17504589231221642 pmid:38343339

Objective:Delayed neurocognitive recovery is an objectively measurable decline in the cognitive status at varying intervals after surgery under both general and spinal anaesthesia. In this study, we used the Short Portable Mental Status Questionnaire to evaluate the protective effect of ketamine...

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Journal Article

Evaluation of comorbidity scoring systems in patients undergoing knee arthroplasty

Green, Alexander; Old, Jonathan; Al-Dadah, Oday

2024 Journal of Perioperative Practice

doi:10.1177/17504589241234186 pmid:38595039

Background:Ageing populations are increasing the demand for knee arthroplasty. Concurrently, the prevalence of medical comorbidities are rising too. The Self-Administered Comorbidity Questionnaire was developed to provide a patient’s assessment of their own comorbidities whereas the American...

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Journal Article

Safe usage of Mini ‘C’-arm in operating room environment: Implications for clinical practice

Naidu, Jatin; Botchu, Rajesh; Iyengar, Karthikeyan P

2024 Journal of Perioperative Practice

doi:10.1177/17504589241228138 pmid:38462719

Background:Mini ‘C’-arm machine is an advanced medical imaging device used primarily for intraoperative imaging during surgical, orthopaedic and emergency care procedures. Since the technology is based on ionising radiation, safe usage of Mini ‘C’-arm machine is mandatory to protect patients and...

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Journal Article

Anaesthetic concerns of a child with symptomatic vitamin D deficiency rickets with secondary hyperparathyroidism: A case report

Bandyopadhyay, Soumily; Jain, Nisha; Bandyopadhyay, Anjishnujit

2024 Journal of Perioperative Practice

doi:10.1177/17504589241242229 pmid:38606917

Rickets is a paediatric bone disorder characterised by defective mineralisation of bony matrix due to abnormalities in calcium and phosphate metabolism. Despite being a common disease globally, literature on the anaesthetic concerns in rickets are scant. Herein, we describe the management of a...

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Journal Article

Positive end-expiratory pressure and the incidence of postoperative pulmonary complications in patients undergoing general anaesthesia

Lilaj, Krenar; Shpata, Vjollca; Bollano, Enton; Kuçi, Saimir

2024 Journal of Perioperative Practice

doi:10.1177/17504589241234191 pmid:38595040

General anaesthesia causes atelectasis, which can lead to impaired respiratory function. Positive end-expiratory pressure is a mechanical manoeuvre that increases functional residual capacity and prevents the collapse of the airways, thereby reducing atelectasis.Aim of the study:To evaluate the...

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Journal Article

‘I’ve just got to take that risk and have faith . . .’: The challenge of gaining and maintaining trust in patients undergoing knee surgery with a regional anaesthetic

Ewart, Luke

2024 Journal of Perioperative Practice

doi:10.1177/17504589241238847 pmid:38605479

Traditionally, the focus of the operating theatre has been on conducting safe, efficient surgery with unconscious patients. However, the care of awake patients is now a prominent feature of modern perioperative practise as the volume of surgery performed under regional anaesthesia increases. The...

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Journal Article

Presurgical depressive symptom and anaesthetic requirements in patients undergoing surgery for malignant and non-malignant conditions: A prospective observational cohort study

Narayanan, Viswanath; Lata, Suman; Jha, Ajay Kumar; Bharadwaj, Balaji

2024 Journal of Perioperative Practice

doi:10.1177/17504589231224558 pmid:38343354

The incidence and magnitude of depression are rarely assessed during preanaesthetic evaluation. The shared physiological mechanisms of depression and anaesthetic drugs are likely to alter the pharmacodynamics of propofol. Therefore, the study aimed to evaluate the burden of presurgical depression...

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Journal Article

Analysis of predictors of fever after aortic valve replacement: Diabetic patients are less likely to develop fever after aortic valve replacement, a single-centre retrospective study

Ishibashi, Hiroshi; Enomoto, Yoshiharu; Takaoka, Shohei; Aoki, Kazuhiro; Nagai, Hiroki;

2024 Journal of Perioperative Practice

doi:10.1177/17504589241232503 pmid:38590001

Background:Postoperative temperature dysregulation affects the length of hospital stay and prognosis. This study evaluated the factors that influence the occurrence of fever in patients after aortic valve replacement surgery.Methods:Eighty-seven consecutive patients who underwent aortic valve...

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Journal Article

Prevention of accidental awareness under general anaesthesia: A regional service evaluation

Preston, Katie L; Jackson, Alexander IR; ,

2024 Journal of Perioperative Practice

doi:10.1177/17504589241228201 pmid:38589993

The United Kingdom’s Fifth National Audit Project investigated the incidence and causes of accidental awareness during general anaesthesia. Subsequently, guidelines produced by the Association of Anaesthetists of Great Britain and Ireland provide key recommendations to minimise awareness. These...

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