Analysis of the Application Effect of Detail Nursing in Operating Room on Laparoscopic Operation for Elderly Patients

2021 ◽  
Keyword(s):  
Elderly Patients ◽  
Operating Room ◽  
Laparoscopic Operation

scholarly journals Listening Music in Reducing Anxiety for Regional Anesthesia Cases

2021 ◽  
Author(s):  
Mohd Rahmat Bin Abd Hamid ◽  
Marzida Binti Mansor ◽  
Mohd Fitry Bin Zainalabdin
Keyword(s):  
Elderly Patients ◽  
Music Therapy ◽  
Operating Room ◽  
Trait Anxiety ◽  
Regional Anaesthesia ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Control Group ◽  
State Trait Anxiety Inventory ◽  
Hospital Anxiety

In this study, the effects of music therapy on anxiety for patients undergoing regional anaesthesia in an operating room was succinctly investigated. This investigation was largely based on the adapted Hospital Anxiety and Depression Score (HADS) and Spielberger State-Trait Anxiety Inventory (STAI-S), of patients undergoing regional anaesthesia in an operating room. A randomized control trial was performed on 90 patients due for surgery. The selected patients for regional anaesthesia were allocated to either the music therapy group who listened to music using headphones for the entire surgery or the no-treatment control group. Based on the findings, it has been conclusively demonstrated that music can decrease the patient's anxiety level. According to the socio-demographic evaluation, elderly patients have the highest stress hormones levels when compared to young patients. Although elderly patients are more likely to choose religious songs to help them relax, cortisol analysis revealed an increase in cortisol levels among the elderly compared with younger patients. As a result, music is especially important to be delivered to elderly patients. Nonetheless, there is no restriction against administering music to elderly patients because evidence from the Hospital Anxiety and Depression Score (HADS) and State-Trait Anxiety Inventory (STAI-S) has shown that music helps to shift their attention away from pain and complications and makes them feel tranquil. Similarly, the HADS and modified Spielberger STAI (STAI-S) analyses demonstrate a substantial outcome for both groups, with respondents responding positively. The study found that listening to music during regional anaesthesia might help people feel less worried.

scholarly journals Risk Factors for Postinduction Hypotension among Elderly Patients Undergoing Elective Non-Cardiac Surgery under General Anesthesia

2021 ◽  
Author(s):  
Karuna Sutthibenjakul ◽  
Sunisa Chatmongkolchart
Keyword(s):  
Risk Factors ◽  
Elderly Patients ◽  
Operating Room ◽  
Significant Risk ◽  
University Hospital ◽  
P Value ◽  
Induction Periods ◽  
Post Induction ◽  
Significant Difference ◽  
Inhalation Agent

Objective: We aimed to determine risk factors for hypotension occurring after induction among elderly patients (aged 65 years and older). We hypothesized that the dosage of intravenous anesthesia drugs as well as the type of inhalation agent have an effect on hypotension during post-induction periods. We aimed to test this hypothesis to determine risk factors for hypotension after induction among elderly patients who underwent non-cardiac surgery.Material and Methods: This retrospective cohort study analyzed data from 580 patients between December 2017 and July 2018 at a tertiary university hospital in the south of Thailand. Hypotension is defined as a more than 30.0% decrease in mean arterial pressure from baseline after induction and within 20 minutes of the use of a vasopressor agent to treat hypotension. The intraoperative parameters were blood pressure and heart rate immediately after arrival at the operating room, immediately after intubation, and 5, 10, 15, and 20 minutes after intubation.Results: The median age was 72.5 (68, 78) years. The association of post-induction hypotension was raised with a diuretic drug as preoperative medication (p-value=0.025), and the degree of hypertension immediately after arrival at the operating room (p-value<0.001). Increasing fentanyl dosage during induction was associated with hypotension (p-value<0.010). There was no statistically significant difference in the increase of the propofol dosage.Conclusion: The degree of hypertension immediately after arrival at the operating room coupled with higher fentanyl dosage were significant risk factors for postinduction hypotension in elderly patients.

scholarly journals Perioperative Drug Therapy in Elderly Patients

2009 ◽  
Vol 110 (5) ◽  
pp. 1176-1181 ◽  
Author(s):  
Richard Rivera ◽  
Joseph F. Antognini ◽  
Bruno Riou
Keyword(s):  
Public Health ◽  
Drug Therapy ◽  
Elderly Patients ◽  
Operating Room ◽  
Surgical Procedures ◽  
Perioperative Period ◽  
Modern Medicine ◽  
Clinical Meaning

Advances in modern medicine and public health have resulted in increased longevity, which in turn has resulted in more elderly patients (arbitrarily defined as aged 65 yr or older) coming to the operating room for a variety of surgical procedures. Even in the absence of comorbidities, these patients, as compared with their younger cohorts, respond differently to various perioperative physiologic trespasses and pharmacologic interventions. In this clinical commentary, we focus on the altered pharmacologic responses elderly patients have during the perioperative period. In many instances, elderly patients are more sensitive to drugs, and for the purposes of this clinical commentary, we use the word sensitivity in its general clinical meaning, i.e., an enhanced response for a given dose of drug that might have a pharmacokinetic or pharmacodynamic explanation.

scholarly journals Telerobotic-assisted laparoscopic operation performed at a remote site: initial experience

2004 ◽  
Vol 19 (3) ◽  
pp. 308-313
Author(s):  
Cássio Andreoni ◽  
Mardhen Araújo ◽  
Nelson Gattás ◽  
Valdemar Ortiz ◽  
Luiz Francisco Poli de Figueiredo ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Operating Room ◽  
Present Report ◽  
Three Dimensional ◽  
The Other ◽  
Operating Table ◽  
Robotic Arms ◽  
Laparoscopic Operation ◽  
Laparoscopic Instruments ◽  
Laparoscopic Cystectomy

Robotic surgery is an option to laparoscopy that may offer some benefits including the possibility of performing surgery when the surgeon is geographically away from the patient and faster tireless repetitive movements with greater precision. At present, robot-assisted surgery has been done routinely in several institutions around the world, however, to the best of our knowledge, it is the first time such procedure is performed in our academic environment and herein is reported the first telerobotic-assisted laparoscopic cystectomy performed in a domestic pig at our institution using the Zeus®robotic system (Computer Motion, EUA). The procedure was performed using two different operating rooms geographically apart from each other. The assistant was in an operating room that was set with the operating table and the pig as well as with the Zeus® robotic arms. In the other operating room, the surgeon was seated in the control console with a three-dimensional imaging five meters away from the operating table connected with electric cables. The assistant surgeon established the pneumoperitoneum and five trocars were placed in a fan configuration. The surgeon started performing the surgery using three out of the five ports taking control of the laparoscope (voice control) and manual control of laparoscopic instruments connected to the robotic arms using the joysticks. The other two ports were used by the assistant for traction and clips placement that was also necessary for exchanging the many laparoscopic instruments connected to the robot. The laparoscopic total cystectomy was successfully performed in 25 minutes with no complications. The truly benefits as well as the cost-effectiveness of the robotic surgery in our environment is yet to be determined after experience acquisition with telerobotic before start performing such procedures routinely in humans. The present report shows the technical feasibility of telerobotic surgery in a developing country.

Biomedical applications: Pitfalls in the practice

1994 ◽  
Vol 52 ◽  
pp. 378-379
Author(s):  
J. D. Shelburne ◽  
Peter Ingram ◽  
Victor L. Roggli ◽  
Ann LeFurgey
Keyword(s):  
Operating Room ◽  
Liquid Nitrogen ◽  
Lung Tissue ◽  
Biomedical Applications ◽  
Microprobe Analysis ◽  
Tissue Sample ◽  
Cellular Level ◽  
Tissue Samples ◽  
Asbestos Fibers

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.

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