Post-Operative Shampoo Effects in Neurosurgical Patients: A Pilot Experimental Study

Palese, Alvisa; Moreale, Renzo; Noacco, Massimo; Pistrino, Flavia; Mastrolia, Irene; Sartor, Assunta; Scarparo, Claudio; Škrap, Miran

doi:10.1089/sur.2014.028

Cited by 12 publications

(18 citation statements)

References 29 publications

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“…Five studies (6% of included studies) focused on SSI prevention as the primary outcome, using a variety of interventions: postoperative shampooing; 66 preoperative 2% chlorhexidine gluconate skin preparation cloths; 42 silver impregnated versus standard dry sterile dressings (cardiac surgery): 26 hair shaving techniques; 61 different antiseptic methods. 88 …”

Section: Resultsmentioning

confidence: 99%

“…34,35,42,56,61,76,85,96 Almost half of the included studies assessed outcomes at multiple phases of the perioperative pathway (n = 34, 40%), whilst 24 studies (28%) assessed postoperative outcomes extending beyond the immediate PACU phase. 26,27,34,35,39,40,41,43,45,48,51,55,61,62,64,66,69,73,89,90,92,99,102,109 Five studies (6%) assessed outcomes only during the preoperative phase, 57,58,71,103,106 whilst only four studies assessed outcomes at a single phase of intraoperative care (n=4, 6%), 33,46,56,59,74 and seven studies assessed outcomes during PACU care only (n=7, 8%). 24,44,47,68,82,100,…”

Section: Phases Of Carementioning

confidence: 99%

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<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

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Purpose: Nurses provide care at each phase of the complex, perioperative pathway and are well placed to identify areas of care requiring investigation in randomized controlled trials. Yet, currently, the scope of nurse-led randomized controlled trials conducted within the perioperative setting are unknown. This scoping review aims to identify areas of perioperative care in which nurse-led randomized controlled trials have been conducted, to identify issues impacting upon the quality of these trials and identify gaps for future investigation. Methods: This scoping review was conducted in reference to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Searches were conducted in PubMed, Embase, Cumulative Index for Nursing and Allied Health Literature and the Cochrane Central Register of Controlled Trials, with a date range of 2014-19. Sources of unpublished literature included Open Grey, and ProQuest Dissertation and Theses, Clinical Trials.gov and the Australian and New Zealand Clinical Trials Registry. After title and abstract checking, full-text retrieval and data extraction, studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklists for randomized controlled trials. Data were synthesized according to the main objectives. Key information was tabulated. Results: From the 86 included studies, key areas where nurses have led randomized controlled trials include patient or caregiver anxiety; postoperative pain relief; surgical site infection prevention: patient and caregiver knowledge; perioperative hypothermia prevention; postoperative nausea and vomiting; in addition to other diverse outcomes. Issues impacting upon quality (including poorly reported randomization), and gaps for future investigation (including a focus on vulnerable populations), are evident. Conclusion: Nurse-led randomized controlled trials in the perioperative setting have focused on key areas of perioperative care. Yet, opportunities exist for nurses to lead experimental research in other perioperative priority areas and within different populations that have been neglected, such as in the population of older adults undergoing surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Phases Of Carementioning

confidence: 99%

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

Munday¹,

Higgins²,

Mathew³

et al. 2020

JMDH

View full text Add to dashboard Cite

show abstract

“…This rate was reported between 1–9% after cranial surgery (Sebastian , Palese et al . ). Type of surgery, use of implant, duration of surgery and presence of cerebrospinal fluid fistula may affect the rate of SSI after surgery (Sneh‐Arbib et al .…”

Section: Introductionmentioning

confidence: 97%

“…It is widely accepted that hair shaving is an important factor affecting body image, which is one of the basic components of personality (Doğan , Palese et al . ). Hair is an important part of human physical appearance and plays an important role in the workings of social status and communication (Ratanalert & Srıplung ).…”

Section: Introductionmentioning

confidence: 97%

The effects of different types of hair shaving on the body image and surgical site infection in elective cranial surgery

Köse

Taştan

Kutlay

et al. 2016

Journal of Clinical Nursing

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“…Early hair washing improved personal hygiene and helped minimize the time needed to return to normal life. Palese et al [27] reported that shampoo offered 72 h after surgery did not increase the SSI rate, but did increase patient comfort.…”

Section: Benefits Of Early Shampooingmentioning

confidence: 99%

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

Yeom

Kim

et al. 2017

Pediatr Neurosurg

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Background: Cranial surgical site infection is a significant cause of morbidity and mortality in hospitals. Preoperative hair shaving for cranial neurosurgical procedures is performed traditionally in an attempt to protect patients against complications from infections at cranial surgical sites. However, preoperative shaving of surgical incision sites using traditional surgical blades without properly washing the head after surgery can cause infections at surgical sites. Therefore, a rapid protocol in which the scalp remains unshaven and absorbable sutures are used for scalp closure with early postoperative shampooing is examined in this study. Methods: A retrospective comparative study was conducted from January 2008 to December 2012. A total of 2,641 patients who underwent unshaven cranial surgery with absorbable sutures for scalp closure were enrolled in this study. Data of 1,882 patients who underwent surgery with the traditional protocol from January 2005 to December 2007 were also analyzed for comparison. Results: Of 2,641 patients who underwent cranial surgery with the rapid protocol, all but 2 (0.07%) patients experienced satisfactory wound healing. Of 1,882 patients who underwent cranial surgery with the traditional protocol, 3 patients (0.15%) had infections. Each infection occurred at the superficial incisional surgical site. Conclusion: Unshaven cranial surgery using absorbable sutures for scalp closure with early postoperative shampooing is safe and effective in the cranial neurosurgery setting. This protocol has a positive psychological effect. It can help patients accept neurosurgical procedures and improve their self-image after the operation.

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Post-Operative Shampoo Effects in Neurosurgical Patients: A Pilot Experimental Study

Cited by 12 publications

References 29 publications

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

The effects of different types of hair shaving on the body image and surgical site infection in elective cranial surgery

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

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