Journal of PeriAnesthesia Nursing RSS feed: Current Issue. The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.http://www.jopan.org/?rss=yesElsevier Inc.en © 2010 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved. Journal of PeriAnesthesia Nursing1089-9472251February 2010 © 2010 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.jopan.org/article/PIIS1089947210000055/abstract?rss=yesTHIS EDITORIAL PRESENTS the sixth in a continuing series of editorials examining the challenges and goals established by the National Priorities Partnership (NPP), which is charged with developing a vision for world-class, affordable health care. The NPP has established six priority areas which they believe, if addressed, will significantly improve health care on the national level. The fourth of these priorities is focused on care coordination within and across all health care organizations, settings, and levels of care.National Priorities Partnership: Care CoordinationVallire D. Hooper10.1016/j.jopan.2010.01.004Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Editorial Opinion12http://www.jopan.org/article/PIIS1089947209004055/abstract?rss=yesTo the Editors: I read with interest the article “Unintentional Hypothermia: Implications for Perianesthesia Nurses.”Unintentional Hypothermia: Implications for Perianesthesia NursesMartin Feckie10.1016/j.jopan.2009.10.012Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Letters to the Editors33http://www.jopan.org/article/PIIS1089947210000031/abstract?rss=yesThank you for sharing your perspective and information regarding hypothermia in Australia. Your suggestions and assertions are well-taken. Education and awareness by all members of the PeriAnesthesia team remain pivotal to lowering the incidence of postoperative hypothermia in surgical patients. Currently, recording patient temperatures before, during, and after surgery offer data that guide nursing interventions to optimize body temperature.Author's Response: Dear Mr. FeckieShari M. Burns10.1016/j.jopan.2010.01.002Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Letters to the Editors34http://www.jopan.org/article/PIIS1089947210000067/abstract?rss=yesTHE NONOPIOID ANALGESIC group is comprised of acetaminophen and the nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs are appropriate as first-line analgesics for postoperative pain of mild to moderate intensity. Numerous studies have shown that they also produce dose-sparing effects and provide effective pain relief for a wide variety of major surgical procedures as part of a multimodal pain management regimen that combines drugs with different underlying mechanisms of action. Guidelines recommend the use of multimodal analgesia as a means of reducing postoperative opioid doses and preventing clinically significant opioid-induced adverse effects. However, the current availability of only two IV nonopioid analgesic formulations in the United States (ketorolac and ibuprofen; IV indomethacin is used for closure of patent ductus arteriosus) is a barrier to meeting this objective. Furthermore, postoperative nausea and vomiting and NPO status limit the usefulness of the oral route of administration in many patients. These factors have led researchers and clinicians to focus attention on the use of the rectal route for nonopioid analgesic administration in the perioperative setting. Although analgesic drugs rarely are administered rectally in adults in the perioperative setting in the United States, this route of analgesic administration has a long history of safety in children undergoing surgery and is an attractive alternative when oral or parenteral nonopioid analgesics are not an option.Perioperative Rectal Administration of Nonopioid AnalgesicsChris Pasero10.1016/j.jopan.2010.01.005Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Article Commentary56http://www.jopan.org/article/PIIS1089947209004651/abstract?rss=yesThe preoperative administration of nonsteroidal anti-inflammatory drugs (NSAIDs) has been shown to have a positive impact on postoperative pain, but there is little research regarding the use of rectal NSAIDs given before surgery. The purpose of this study was to evaluate the effects of rectally administered indomethacin on postoperative pain in patients undergoing open cholecystectomy. A randomized controlled design was used to compare rectally administered indomethacin with placebo. Pain intensity, total opioid dose, and postoperative time to first request for analgesic were evaluated. The indomethacin group experienced significantly less postoperative pain and required less total opioid dose compared with the placebo group. Preoperative rectal administration of indomethacin reduces postoperative pain in open cholecystectomy when compared with placebo.Effect of Preoperative Rectal Indomethacin on Postoperative Pain Reduction After Open CholecystectomyMostafa Mehrabi Bahar, Ali Jangjoo, Ehsan Soltani, Masoomeh Armand, Samira Mozaffari10.1016/j.jopan.2009.11.002Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Original Articles710http://www.jopan.org/article/PIIS1089947209004729/abstract?rss=yesMild postoperative hypothermia remains a frequent complication among surgical patients during the immediate postoperative period. Current literature describes a variety of rewarming methods directed toward the treatment of this problem. In 1998, ASPAN developed a Clinical Guideline for the Prevention of Unplanned Perioperative Hypothermia. Eleven studies comparing different methods of postoperative rewarming have been published since the release of that guideline. This article introduces a systematic review of these studies to identify the most effective methods of rewarming surgical patients postoperatively.Postoperative Rewarming: Are There Alternatives to Warm Hospital BlanketsEugene Pikus, Vallire D. Hooper10.1016/j.jopan.2009.12.004Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Original Articles1123http://www.jopan.org/article/PIIS108994720900464X/abstract?rss=yesPatients' feedback about their perianesthesia experience at an acute care 609-bed teaching hospital in Washington, DC, indicated that pain management was an area in need of improvement. A nonexperimental descriptive study related to pain management was conducted in the perianesthesia areas to assess the knowledge and attitudes of health care providers. McCaffrey and Ferrell's 38-item self-report questionnaire was given to anesthesia providers, preoperative nurses, Phase I nurses, and Phase II nurses (N=138). Seventy-two participants responded, yielding a 52% response rate. Results showed a statistically significant difference between the scores of the anesthesia care providers and the preoperative area nurses and between the Phase I nurses and the preoperative nurses. No statistically significant differences were found between the anesthesia providers, and Phase I and Phase II nurses, indicating that at this hospital, nurses who provide postoperative care have similar knowledge and attitudes regarding pain as the anesthesia providers.“I Feel Your Pain”: A Research Study Addressing Perianesthesia Health Care Providers' Knowledge and Attitudes Toward PainJulie Burns, Kerstin T. Magee, Hayley Cooley, Anne Hensler, JoAnne Montana, Daria Shumaker, Jane Snyder, Artisha R. Polk10.1016/j.jopan.2009.11.001Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Original Articles2428http://www.jopan.org/article/PIIS1089947209004663/abstract?rss=yesPostoperative vision loss not associated with ophthalmic surgery is a topic that has emerged in recent literature. Although presentation of this complication is rare, perianesthesia nurses should update their knowledge base to include knowledge of these devastating events. A review of common ocular events associated with postoperative vision loss, and the symptoms, assessment, management, and treatment of these events are indicated. The aim of this article is to explore the process of postoperative vision loss and present useful strategies to nurses for optimization of perianesthesia care.Vision Loss as a Complication of Nonophthalmologic Surgery: Implications for Care for the Perianesthesia NurseRachel L. Dickemper, Andrew T. Griffin10.1016/j.jopan.2009.11.003Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Continuing Education2935http://www.jopan.org/article/PIIS1089947209004705/abstract?rss=yesTWO BASIC PRINCIPLES of providing effective pain management are preventing pain and maintaining a pain rating that allows the patient to accomplish functional or quality-of-life goals with relative ease. These may require that the mainstay analgesic be administered on a scheduled around-the-clock (ATC) basis, rather than “as needed” (PRN) to maintain stable analgesic blood levels. ATC dosing regimens are designed to control baseline pain, defined as the pain the patient reports as being the average pain intensity experienced for 12hours or more during a 24-hour period. In other words, ATC dosing should be used when pain itself is ATC (continuous) or present for 12 or more hours each day. Many types of persistent (chronic) cancer and noncancer pain are continuous, and most postoperative pain is continuous for at least the first 24hours after surgery.Around-the-Clock (ATC) Dosing of AnalgesicsChris Pasero10.1016/j.jopan.2009.12.003Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Pain Care3639http://www.jopan.org/article/PIIS1089947209004687/abstract?rss=yesOVER THE YEARS, perianesthesia nursing has evolved from the care of postoperative surgical patients to the care of a wide variation of nonsurgical patients who have received anesthetic agents during procedures performed in other specialized departments such as endoscopy, interventional radiology, cardiac catherization laboratory, radiation therapy, and nuclear medicine, etc. In addition, once-simple outpatient procedures have evolved into more complex, advanced, and complicated procedures requiring a higher level of nursing care across the perianesthesia continuum.The Systematic Review Process: An OverviewPamela E. Windle10.1016/j.jopan.2009.12.001Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Research4042http://www.jopan.org/article/PIIS1089947209004699/abstract?rss=yesHEALTH CARE REFORM: Is this a relevant topic for nurses in perianesthesia care? In a recent conversation with that audience, health care reform was the number one issue on their minds. In fact, it provided the substance for many of the discussions at work. Seemingly, the subject is inescapable.Research News: Health Care ReformMary W. Stewart10.1016/j.jopan.2009.12.002Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Research News4345http://www.jopan.org/article/PIIS1089947209004675/abstract?rss=yesTHE PURPOSE of the current series “Writing for Publication” is several-fold. First, it is an opportunity to inform the readership about the publication process; understanding the process removes some of the mystery and preconceived ideas surrounding it. Second, the series will provide informative articles related to writing for publication. The third and ultimate purpose is to encourage the readership to write for publication. Continued growth of nursing scholarship is dependent on you. It is a vital component of the profession and you can play a role in the continued evolution of nursing.An Interview With the EditorsDaniel D. Moos10.1016/j.jopan.2009.11.004Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8Writing for Publication4649http://www.jopan.org/article/PIIS1089947210000043/abstract?rss=yesAs I think back over the past year, it is unfortunate that the negative aspects of the year are what first come to mind. I think of the financial crisis of the past year, the wars that continue to press and lives that are impacted by those wars, greed and avarice of some in the financial world, a celebrity fall from grace, and more attempted terrorism. Even with the positive strides we have made, such as progress toward health care reform, I think about voices raised in anger with shouting, rage, and no real conversation. But then I consider the positive aspects of the year: human ingenuity that can move us past financial woes, thoughtful discussions about the numbers of service men and women involved in Iraq and other countries, the new face of the presidency, an airplane landing intact and safe in a river, and the movement toward some type of health care reform even amid the angry mobs.Thoughts for the New YearJan Odom-Forren10.1016/j.jopan.2010.01.003Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8The Back Page5960http://www.jopan.org/article/PIIS1089947210000092/abstract?rss=yesMasthead10.1016/S1089-9472(10)00009-2Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8FrontmatterA1A1http://www.jopan.org/article/PIIS1089947210000109/abstract?rss=yesEditorial Board10.1016/S1089-9472(10)00010-9Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8FrontmatterA2A2http://www.jopan.org/article/PIIS1089947210000110/abstract?rss=yesTable of Contents10.1016/S1089-9472(10)00011-0Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8FrontmatterA3A4http://www.jopan.org/article/PIIS1089947210000122/abstract?rss=yesInformation for Contributors10.1016/S1089-9472(10)00012-2Journal of PeriAnesthesia Nursing 25, 1 (2010)2010-02-01Journal of PeriAnesthesia Nursing2010-02-01251S1089-9472(10)X0002-8FrontmatterA6A6