Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team

Rocca, Giorgio Della; Vetrugno, Luigi; Coccia, Cecilia; Pierconti, Federico; Badagliacca, Roberto; Vizza, Carmine Dario; Papale, Maria; Melis, Enrico; Facciolo, Francesco

doi:10.1053/j.jvca.2015.11.018

Cited by 38 publications

(18 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, doctor satisfaction in the care bundle group was higher than control group, which was consistent with previous researches. 15 , 50 , 51 They believed that it was very important to strengthen the training of nurses’ comprehensive quality, such as theoretical knowledge, operation technology, risk awareness and emergency ability.…”

Section: Discussionmentioning

confidence: 99%

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection

Li¹,

Zhou²,

Luo³

et al. 2021

IJGM

View full text Add to dashboard Cite

Background To investigate the effect of the care bundle in the nursing care of the type A aortic dissection (TAAD). Methods A total of 161 patients with TAAD were included in the study. They were divided into control group (n=79) and care bundle group (n=82). The patients in the control group received routine nursing, while the patients in the care bundle group received routine nursing and care bundle. IL-2, IL-6 and IL-10 levels in the three periods of T0 (before anesthesia), T1 (before anesthesia to 6 h after surgery) and T2 (6–24 h after surgery), intraoperative blood loss, postoperative recovery, ICU stay time, intraoperative pressure ulcer rate, postoperative delirium rate, bloodstream infection rate and doctor satisfaction. Results The postoperative T and pH levels in two groups were all in the normal range. The levels of IL-2, IL-6 and IL-10 in the care bundle group at different periods were also significantly different. The levels of IL-2 and IL-10 showed an increased trend, while that of IL-6 showed a downward trend. The intraoperative blood loss, postoperative recovery and ICU stay time, intraoperative pressure sore rate, postoperative delirium rate, and bloodstream infection rate were lower, whereas doctor satisfaction was all significantly higher in care bundle group. Conclusion Care bundle increased the safety of the operation, and it was beneficial to the postoperative rehabilitation for TAAD patients. Relevance to Clinical Practice Patients with TAAD who underwent operation need higher quality care during the entire operation. Cluster nursing is the kind of the nursing model that can better meet the requirements of the intraoperative nursing quality. The intervention methods in this study include 5 core nursing measures. These measures are implemented together in a synergistic manner to effectively improve the quality of nursing care in operating room and the health outcomes of patients with TAAD. Care bundle is worthy of clinical application.

show abstract

Section: Discussionmentioning

confidence: 99%

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection

Li¹,

Zhou²,

Luo³

et al. 2021

IJGM

View full text Add to dashboard Cite

show abstract

“…However, other team members could be the leaders. Recent articles have addressed the role of anaesthesiologists, who are ideally positioned to bring expertise as perioperative physicians because of their understanding and ability to assess, evaluate, and prepare patients with a multitude of complex comorbidities for their procedure and their ability to manage these complex comorbidities intraoperatively and postoperatively [35,36]. The lit-erature shows that interprofessional education can define roles and responsibilities among interprofessional teams [37].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Interprofessional Collaboration in Perioperative Setting from the Qualitative Perspectives of Physicians and Nurses

Sillero-Sillero

Buil

2021

IJERPH

View full text Add to dashboard Cite

Communication failures were a leading cause of sentinel events in the operation room due to frequently the communication breakdown occurs between physicians and nurses. This study explored the perspectives of surgical teams (nurses, physicians, and anaesthesiologists) on interprofessional collaboration and improvement strategies. A surgical team comprising eight perioperative nurses, four surgeons, and four anaesthesiologists from a university-affiliated hospital participated in this qualitative and phenomenological research from December 2018 to April 2019. Data were collected in in-depth interviews and were used in a thematic analysis according to Colaizzi to extract themes and categorised codes with the ATLAS.ti software. The result is presented in three generic categories: Barrier-like disruptive behaviours and lack of coordination of care; consequences by safety threats to the patient; overcoming barriers by shared decision making among professionals, flattened hierarchies, and teamwork/communication training. The conclusion is that different teams’ perspectives can facilitate genuine reflection, discussion, and implementation of targeted interventions to improve operating room interprofessional collaboration and overcome barriers and their consequences. Currently, there is a need to change towards interprofessional collaboration for optimal patient outcomes and to ensure all professionals’ expectations are met.

show abstract

“…21,22 Therefore, it has been suggested that patients undergoing cancer surgery should be evaluated and treated by a multidisciplinary team dedicated to assess modifiable risks and propose a coordinated plan of measures (ie, anemia treatment) tailored to reduce postoperative complications and accelerate recovery. 23 In the following sections, we will discuss how anesthetics may or may not interfere with the process involved in the metastatic process and metastatic cancer progression.…”

Section: Perioperative Metastasis Formationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Anesthesia Options and the Recurrence of Cancer: What We Know so Far?</p>

Cata¹,

Guerra²,

Soto³

et al. 2020

LRA

View full text Add to dashboard Cite

Surgery is a critical period in the survival of patients with cancer. While resective surgery of primary tumors has shown to prolong the life of these patients, it can also promote mechanisms associated with metastatic progression. During surgery, patients require general and sometimes local anesthetics that also modulate mechanisms that can favor or reduce metastasis. In this narrative review, we summarized the evidence about the impact of local, regional and general anesthesia on metastatic mechanisms and the survival of patients. The available evidence suggests that cancer recurrence is not significantly impacted by neither regional anesthesia nor volatile or total intravenous anesthesia.

show abstract

Preoperative Evaluation of Patients Undergoing Lung Resection Surgery: Defining the Role of the Anesthesiologist on a Multidisciplinary Team

Cited by 38 publications

References 83 publications

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection

Enhancing Interprofessional Collaboration in Perioperative Setting from the Qualitative Perspectives of Physicians and Nurses

<p>Anesthesia Options and the Recurrence of Cancer: What We Know so Far?</p>

Contact Info

Product

Resources

About