Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Aug 2009
Randomized Controlled TrialParental presence on emergence: effect on postanesthesia agitation and parent satisfaction.
This prospective, randomized study compared the incidence and duration of postanesthetic agitation in children whose parents were present or absent during emergence from anesthesia. Findings demonstrated that there was no difference in agitation between groups; however, more parents who were present believed they were present at "the right time," in contrast to those reunited later, who more often said they arrived "too late." Furthermore, these parents were comfortable in the setting and reported a high degree of helpfulness in comforting their child. Findings from this study suggest that although parental presence at emergence did not decrease agitation in young children, there was significant psychosocial benefit to the parents. Perioperative and perianesthesia nurses should consider these potential benefits when planning reunion of parents with their children after surgery.
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J. Perianesth. Nurs. · Aug 2006
Randomized Controlled Trial Comparative StudyComparison of bacteriostatic normal saline and lidocaine used as intradermal anesthesia for the placement of intravenous lines.
Pain with intravenous (IV) insertion is a common fear for preoperative patients. As perianesthesia nurses, we take the necessary measures to minimize the discomfort and anxiety of our patients. Several research studies have found the use of bacteriostatic normal saline (BNS) to produce a less painful, yet equally effective, safer, and less expensive alternative method for intradermal anesthesia. ⋯ Patients were asked to quantify their pain/discomfort level after the intradermal injection and IV insertion using a modified visual analog scale. Significant findings (P = < .05) indicated that BNS was less painful on injection, and both BNS and lidocaine were effective as local anesthetics for IV insertion. This study helped perianesthesia nurses and patients in determining which method of IV insertion is more effective and reasonably acceptable to ensure patient comfort, satisfaction, and positive outcomes.
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J. Perianesth. Nurs. · Jun 2005
Randomized Controlled Trial Clinical TrialEffect of postoperative supplemental oxygen on nausea and vomiting after cesarean birth.
Postoperative nausea and vomiting (PONV) has a significant impact on patients and health care providers. Some nonpharmacologic methods may have an effect on PONV. Administration of supplemental oxygen (80%) during and for 2 hours after surgery has been shown to reduce the incidence of PONV from 44% to 22%. ⋯ The incidence of PONV during the first 6 postoperative hours was 28.3% in the experimental group and 24.5% in the control group ( P = .659). There was no statistically significant difference between the 2 groups. In this study, postoperative supplemental oxygen 8 L/min did not prevent PONV in patients undergoing cesarean birth.
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J. Perianesth. Nurs. · Feb 2004
Randomized Controlled Trial Comparative Study Clinical TrialAromatherapy with peppermint, isopropyl alcohol, or placebo is equally effective in relieving postoperative nausea.
To determine whether aromatherapy can reduce postoperative nausea, the investigators studied 33 ambulatory surgery patients who complained of nausea in the PACU. After indicating the severity of nausea on a 100-mm visual analogue scale (VAS), subjects received randomized aromatherapy with isopropyl alcohol, oil of peppermint, or saline (placebo). The vapors were inhaled deeply through the nose from scented gauze pads held directly beneath the patients' nostrils and exhaled slowly through the mouth. ⋯ Overall satisfaction with postoperative nausea management was 86.9 +/- 4.1 mm and was independent of the treatment group. Aromatherapy effectively reduced the perceived severity of postoperative nausea. The fact that a saline "placebo" was as effective as alcohol or peppermint suggests that the beneficial effect may be related more to controlled breathing patterns than to the actual aroma inhaled.
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J. Perianesth. Nurs. · Aug 2003
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of two nursing interventions on the postoperative outcomes of gynecologic laparoscopic patients.
Anecdotal reports support research findings in documenting the high incidence of negative postoperative outcomes after gynecologic (GYN) laparoscopic surgery. Three outcome measures, postoperative pain, postoperative nausea and vomiting (PONV), and length of stay, have received considerable attention. Two nursing interventions frequently suggested for their positive effects are guided imagery and music therapy. ⋯ Results indicated that patients in both the guided imagery and music groups had significantly less pain on PACU discharge to home than the patients in the control group. These findings suggest that both guided imagery and music are effective strategies in improving pain, a difference that becomes apparent when the patient is ready to be discharged. It is possible that these interventions act as distractions in reducing the report of negative postoperative outcomes.