Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Feb 2014
Randomized Controlled TrialControlled breathing with or without peppermint aromatherapy for postoperative nausea and/or vomiting symptom relief: a randomized controlled trial.
With little scientific evidence to support use of aromatherapy for postoperative nausea and/or vomiting (PONV) symptoms, this study evaluated controlled breathing with peppermint aromatherapy (AR) and controlled breathing alone (CB) for PONV relief. ⋯ CB can be initiated without delay as an alternative to prescribed antiemetics. Data also support use of peppermint AR in conjunction with CB for PONV relief.
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J. Perianesth. Nurs. · Dec 2012
Randomized Controlled Trial Comparative StudyBacteriostatic normal saline compared with buffered 1% lidocaine when injected intradermally as a local anesthetic to reduce pain during intravenous catheter insertion.
Pain associated with intravenous (IV) catheter insertion commonly causes fear and anxiety in presurgical patients. To reduce pain, a common procedure is intradermal injection of a local anesthesia. The aim of this study was to determine whether there is a significant difference in a patient's pain level after intradermal injection and IV catheter insertion when comparing intradermally injected bacteriostatic normal saline with 0.9% benzyl alcohol (a preservative added with an anesthetic component) with buffered 1% lidocaine to numb the IV line site. ⋯ Females reported higher IV pain scores than males only in the buffered 1% lidocaine group (P=.001). No statistically significant differences were found between the two anesthetics with intradermal and IV pain scores for IV placement side, site, IV within 30 days, needle gauge, previous IV experience or problems, vein visibility, or study nurse. This study determined that buffered 1% lidocaine was more effective than bacteriostatic normal saline in reducing pain during IV catheter insertion.
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J. Perianesth. Nurs. · Aug 2012
Randomized Controlled TrialRisk factors of patients with and without postoperative nausea (PON).
This purpose of this analysis was to study risk factors of postoperative nausea (PON) and their strength. Data were obtained during the screening phase of a controlled clinical trial of aromatherapy for PON. In a sample of 1151 postsurgical subjects, 301 (26.2%) reported PON. ⋯ Administration of preventive antiemetic medication also increased with the number of significant risk factors (P<.0001). Among 301 subjects reporting nausea, 49 (16.28%) received preventive medication. Despite prevention efforts, PON remains a substantial side effect for many surgical patients.
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J. Perianesth. Nurs. · Jun 2012
Randomized Controlled TrialPerioperative music or headsets to decrease anxiety.
The ambient noise of monitors, other patients, and staff in the postanesthesia care unit/operating room may elevate levels of anxiety. The purpose of our study was to determine the effect of music versus noise-blocking headphones on the level of anxiety in women undergoing gynecologic same-day surgery. Institutional Review Board approval was obtained. ⋯ All groups experienced a drop in anxiety from pre- to postoperative status, but the usual care group had the least improvement (P<.05). The music group experienced the lowest postoperative anxiety scores; the headphone group had a greater change overall. Music is a relatively inexpensive intervention, easy to administer, and noninvasive.
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J. Perianesth. Nurs. · Feb 2012
Randomized Controlled Trial Comparative StudyPreventing inadvertent hypothermia: comparing two protocols for preoperative forced-air warming.
Preoperative forced-air warming is one way of preventing inadvertent perioperative hypothermia. There is scant evidence, however, on the best warming method or the acceptability of these methods to patients. This pilot study compared two warming protocols: one that commenced at maximum temperature and was titrated down as requested (A) and one that commenced at near body temperature and was titrated up as tolerated (B). ⋯ There was no difference in thermal comfort scores, participant temperature, or sweating between the two protocols. When asked, participants preferred protocol A to B (70% to 30%). Starting at higher device settings appears the more favorable of the two approaches.