Clinical Issues—October 2021

Published on Oct 1, 2021in AORN Journal0.676
· DOI :10.1002/AORN.13519
Parental presence protocols Key words: anxiety reduction, parental presence, pediatric patients, induction, emergence. Music in the OR Key words: music intervention, headphones, patient anxiety, music selection, personal music delivery device. Transfusion regulations Key words: blood transfusion, documentation requirements, blood product administration, plasma. Clinical blood product transfusions Key words: adverse transfusion reaction, patient assessment, patient blood management, incompatibility, blood products.
#1Chih Chung Hsu (Taipei Veterans General Hospital)H-Index: 2
#2Su-Ru Chen (TMU: Taipei Medical University)H-Index: 14
Last. Pi Chu Lin (TMU: Taipei Medical University)H-Index: 11
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The purpose of this study was to investigate the effects that listening and not listening to music had on pain relief, heart rate variability (HRV), and knee range of motion in total knee replacement (TKR) patients who underwent continuous passive motion (CPM) rehabilitation. We adopted a single-group quasi-experimental design. A sample of 49 TKR patients listened to music for 25 min during one session of CPM and no music during another session of CPM the same day for a total of 2 days. Results ...
#1WooYoung InH-Index: 1
#2Young Man KimH-Index: 11
Last. Wyun Kon ParkH-Index: 12
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Purpose The purpose of this study was to examine the effects of parental presence on the incidence of emergence delirium (ED) of children in the postanesthesia care unit (PACU). Design A quasi-experimental pretest and post-test study with nonequivalent and nonsynchronized control groups. Methods About 93 children aged 3 to 6 years undergoing general anesthesia for tonsillectomy were divided into two groups: parental presence and absence. ED was recorded using the Pediatric Anesthesia Emergence D...
#1Jenny Hole (QMUL: Queen Mary University of London)H-Index: 1
#2Martin S. HirschH-Index: 91
Last. Catherine Meads (Brunel University London)H-Index: 32
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Summary Background Music is a non-invasive, safe, and inexpensive intervention that can be delivered easily and successfully. We did a systematic review and meta-analysis to assess whether music improves recovery after surgical procedures. Methods We included randomised controlled trials (RCTs) of adult patients undergoing surgical procedures, excluding those involving the central nervous system or head and neck, published in any language. We included RCTs in which any form of music initiated be...
#1Masoumeh Forooghy (BMSU: Baqiyatallah University of Medical Sciences)H-Index: 1
#2Elaheh Mottahedian Tabrizi (BMSU: Baqiyatallah University of Medical Sciences)H-Index: 3
Last. Bahram Pishgoo (BMSU: Baqiyatallah University of Medical Sciences)H-Index: 8
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Background: A cardiac catheterization laboratory can be a frightening environment and music can be a supportive source of environmental sound that stimulates and maintains relaxation. However, the results of studies are conflicting in this regard. Objectives: The aim of this study was to investigate the effect of music therapy on patients’ anxiety and hemodynamic parameters during percutaneous transluminal coronary angioplasty. Patients and Methods: This was a randomized controlled trial, conduc...
#1Fiona MartindaleH-Index: 1
Last. Jane M. AndrewsH-Index: 56
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There is a controversy on whether listening to music before or during colonoscopy reduces anxiety and pain and improves satisfaction and compliance with the procedure. This study aimed to establish whether specifically designed music significantly affects anxiety, pain, and experience associated with colonoscopy. In this semirandomized controlled study, 34 patients undergoing a colonoscopy were provided with either muted headphones (n = 17) or headphones playing the investigator-selected music (...
#1Esra Cagiran (Ege University)H-Index: 4
#2Demet Sergin (Ege University)H-Index: 3
Last. Isik Alper (Ege University)H-Index: 9
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ObjectiveTo investigate the effects of sociodemographic factors and maternal anxiety levels on behaviour in children undergoing surgery.MethodsThis study included children aged 3–12 years who were scheduled for surgery, and their respective mothers. Each mother completed a questionnaire concerning sociodemographic and economic characteristics. Maternal anxiety was assessed using the State-Trait Anxiety Inventory (STAI) form Tx-1, following transfer of the child to the operating room. An anaesthe...
#1D ThomasH-Index: 1
#2M. Y. K. WeeH-Index: 2
Last. L ShewryH-Index: 1
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Hospitals must have a major haemorrhage protocol in place and this should include clinical, laboratory and logistic responses. Immediate control of obvious bleeding is of paramount importance (pressure, tourniquet, haemostatic dressings). The major haemorrhage protocol must be mobilised immediately when a massive haemorrhage situation is declared. A fibrinogen 1.5 times normal represents established haemostatic failure and is predictive of microvascular bleeding. Early infusion of fresh frozen p...
#1Constance Burke (UM: University of Michigan)H-Index: 18
#2Terri Voepel-LewisH-Index: 52
Last. Shobha Malviya (UM: University of Michigan)H-Index: 50
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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 report...
#1Conny S M Chan (CUHK: The Chinese University of Hong Kong)H-Index: 1
#2Alex Molassiotis (University of Nottingham)H-Index: 73
Background: In Hong Kong, some hospitals have established the practice of Parental Presence Induction (PPI) and visitation in Postanaesthesia Care Units (PACU) for children receiving surgery. The literature indicates that parents reported extreme anxiety and discomfort after being present at induction of anaesthesia and suggests that it would seem appropriate to devise a programme of education to reduce anxiety for parents. Methods: A quasi-experimental pretest and post-test design was employed....
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