Anesthesiology
fatemeh Vafi Sani; Seyyed Alireza Mohammad Doust; mohammad hosein zadeh hesari; Roghayeh Zardosht
Volume 30, Issue 2 , July and August 2023, , Pages 208-221
Abstract
Introduction: The curriculum of Operating Room Master of Science in Iran is novel, so it requires constant evaluation as well as quality assurance and promotion. The present study aimed to comparing the curricula of Master of Science in Operating Room in Iran and Master of Perioperative Nursing in selected ...
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Introduction: The curriculum of Operating Room Master of Science in Iran is novel, so it requires constant evaluation as well as quality assurance and promotion. The present study aimed to comparing the curricula of Master of Science in Operating Room in Iran and Master of Perioperative Nursing in selected Australian universities.Materials and Methods: Necessary data was collected through an extensive search in Websites of universities of Melbourne, Adelaide and Latrobe and correspondence with them, English and Persian databases between 2000 -2020. The four-step model of George Beredy was used to assessment the curriculum.Results: The most important characteristics of the Australian postgraduate Curricula were lack of entrance exams, full-time and part-time education, at least two years of nursing work experience in operating rooms as a licensed practical nurse. The number of courses was more with flexibility in choosing courses. While in Iran Taking the Iranian University Entrance Exam, non-consideration of operating room work experience, and not entering the orientation or specialization in the graduate encyclopedia, Full-time education were features of the senior operating room curriculum.Conclusion: Comparing Iranian and Australian educational systems revealed a significant difference in programs and Curricula offered in both countries. In order to eliminate the shortcomings and promote the field in Iran, it is recommended to the planning officials, to pay attention to the clinical work experience, to use the capacity of the selective-specialized unit and the dissertation in order to become specialized, different research methods and to offer some special courses in virtual form.
Anesthesiology
Ebrahim Nasiri; Leila Sadati; rana abjar; Hooshang Akbari
Volume 29, Issue 5 , November and December 2022, , Pages 718-729
Abstract
Introduction: Due to the work in emergency situations, having high work technique and large volume of work, the operating room is known as a stressful part. Which can cause problems for the personnel working in it. The aim of this study was to investigate the effect of deep breathing on anxiety, fatigue ...
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Introduction: Due to the work in emergency situations, having high work technique and large volume of work, the operating room is known as a stressful part. Which can cause problems for the personnel working in it. The aim of this study was to investigate the effect of deep breathing on anxiety, fatigue and sleep quality of operating room personnel.
Materials and Methods: This clinical trial was performed by pre-test-post-test method in 2020 on operating room technologists and anesthesia technicians. Thirty-five people who met the inclusion criteria were randomly selected and performed deep breathing exercises for four weeks. Multidimensional fatigue intensity, Pittsburgh Sleep Quality and Beck Anxiety Questionnaires were completed and compared before, two weeks and four weeks after the intervention.
Results: The mean anxiety score changed from 19.65 ± 9.57 to 14.2 ± 6.34 after two weeks and 10.68 ± 5.67 after four weeks. The mean fatigue scores changed from 64.37 ± 10.07 to 56.79 ± 8.72 and then 52.75 ± 8.76 Which is quite significant in both time effects (P <0.001). The average sleep quality score changed from 9.89 ± 3.41 to 8.92 ± 2.7 and then 7.71 ± 2.7. There was no significant difference in the previous time - 2 weeks later (P = 0.57). However, at 2-4 weeks later, There was significant difference (P = 0.04).
Conclusion: Due to the positive effects of deep breathing on operating room personnel, the use of this non-pharmacological and uncomplicated method is recommended to maintain the mental and physical health of personnel and increase safety and quality of work.
Anesthesiology
Roghayeh Zardosht; Hossein Karimi Moonaghi
Volume 28, Issue 2 , May and June 2021, , Pages 156-163
Abstract
Introduction: Clinical education is known as a central part of professional training which combines knowledge, skill, attitudes, values and professional philosophies. Clinical instructor aims to develop clinical experience and strengthen educational system. In operation room, clinical instructor roles ...
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Introduction: Clinical education is known as a central part of professional training which combines knowledge, skill, attitudes, values and professional philosophies. Clinical instructor aims to develop clinical experience and strengthen educational system. In operation room, clinical instructor roles are more different and sophisticated in comparison to other clinical department because of an interactive, dynamic and challenging atmosphere as well as teamwork, specific physical space, and less instructor control over student practice. To determine the characteristics of clinical instructor in operating room, the current study was conducted. Materials and Methods: This was a qualitative content analysis study conducted from 2015 to 2017. Participants were stakeholders of clinical education in operating room from medical universities of Khorasan Razavi. To collect data, sampling based on purpose was performed by semi-structure interview. Of note, obtained data from participants was analyzed by MAXQDA 2007 software with continuous comparative method. Results: From data analysis, it was reported three themes including effective instructor with 12, neutral instructor with 7, and ineffective instructor with 11 categories as well as a general theme named as a nuclear role instructor. Conclusion: The most important roles of clinical instructor are finding a right place, students' acceptance into the surgical team, providing learning opportunities in order to gain technical skills and clinical competence. Therefore, to develop quality in clinical education, it is strongly recommended that clinical instructor have some vital characteristics in operating room including clinical experience, continuous active presence, communication skills, authority, acceptance and popularity.
Anesthesiology
mohsen eshraghi; moien zolmafakher; enayatollah noori; Mohammad Mahdi Shater; shahram arsang
Volume 27, Issue 6 , January and February 2021, , Pages 648-653
Abstract
Introduction: Malignant pleural effusion is usually secondary to a number of malignancies. The goal of the treatment of malignant pleural effusion is decrease the symptoms of the patient with the least invasive tool and the most cost-effective method. The purpose of this study was to compare the effectiveness ...
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Introduction: Malignant pleural effusion is usually secondary to a number of malignancies. The goal of the treatment of malignant pleural effusion is decrease the symptoms of the patient with the least invasive tool and the most cost-effective method. The purpose of this study was to compare the effectiveness of talc and iodine in the treatment of malignant pleural effusion. Materials and Methods: This Retrospective cohort study was conducted on patients with malignant pleural effusion, who were treated with Talc and Povidone iodine at Shahid Beheshti Hospital in Qom and had completed a course of treatment. Demographic data and efficacy criteria for malignant pleural effusion including dyspnea, chest pain, fever, and recurrence frequency after chemotherapy were evaluated and data were analyzed by SPSS.21 software. Results: In this study we have 87 subjects from which 48 (55.2%) were treated with Povidone iodine and 39 (44.8%) were treated with talc. There was no significant difference between the two treatment groups in terms of sex, age and type of disease in this study (p <0.05). These cases were the same in the two groups. The findings showed that the frequency of relapse, fever, chest pain and dyspnea was significantly lower in the group treated with povidone (p <0.05). In addition, subjects with betadine treated had higher lung Expansion compared to subjects Were treated with talcum (p <0.05). Conclusion: Chemical pleurodesis with povidone-iodine can be used as an alternative sclerosing affordable, accessible, safe, tolerable and effective mainly for Talc be considered.
Anesthesiology
ahmad kachoie; sedigheh hoseini; Azam Biderafsh; iman kamalian; saeed madani; enayatollah noori
Volume 27, Issue 5 , November and December 2020, , Pages 692-697
Abstract
Introduction: The accuracy of the diagnosis of acute appendicitis has been agreed at 85%. Based on this and considering that appendectomy is one of the most common surgeries in Shahid Beheshti Educational and Medical Center in Qom, we decided to compare the accuracy of acute appendicitis diagnosis with ...
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Introduction: The accuracy of the diagnosis of acute appendicitis has been agreed at 85%. Based on this and considering that appendectomy is one of the most common surgeries in Shahid Beheshti Educational and Medical Center in Qom, we decided to compare the accuracy of acute appendicitis diagnosis with the agreed standard in patients undergoing appendectomy in this center.
Materials and Methods: This was a retrospective cross-sectional study. It was performed in Shahid Beheshti Hospital in Qom in 2015-2016. Sampling was done by simple random method. Information including sex and age as well as patient pathology diagnosis and complications such as gangrene and appendix perforation were entered into the checklist and analyzed by SPSS software.
Results: In the present study, 250 people were studied, 167 (66.8%) were male and 83 (33.2%) were female. The mean age of patients with acute appendicitis was 23 years and those with other diagnoses had a mean age of 21 years. Also, 167 (66.8%) of them were male and only 83 (33.2%) were female. In this study, out of 250 patients who underwent appendectomy with a diagnosis of acute appendicitis, 194 (77.6%) had a diagnosis of acute appendicitis in pathology and 56 (22.4%) had another diagnosis. The diagnosis of acute appendicitis was 45.5% in women and 44.6% in men, which did not differ much.
Conclusion: Considering these findings and the lower accuracy of appendicitis diagnosis than the agreed standard, it can be concluded that a number of appendectomy procedures, especially appendectomy in women, were unnecessary. It is necessary to examine more carefully before the operation. Received
Anesthesiology
bahare mousavi; soheila mozhde; Ahmadreza Yazdannik
Volume 27, Issue 2 , July and August 2020, , Pages 287-293
Abstract
Introduction:One of the important units in hospital where there is a lot of hazard, is the operating room. One of the most important groups that is exposure to these hazards are operation room nurses. Given that there are few studies on the abundance and causes of hazards for operating room nurses, The ...
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Introduction:One of the important units in hospital where there is a lot of hazard, is the operating room. One of the most important groups that is exposure to these hazards are operation room nurses. Given that there are few studies on the abundance and causes of hazards for operating room nurses, The presents study was conducted with the aim of determining the occupational hazards evaluation of the operating room and the causes of the it.Material and method: In this descriptive cross-sectional study, the data gathering tool was a researcher-made questionnaire in which besides a variety of hazards, the causes of the hazards were also questioned. Samples were selected in an accessible manner.Result:Of the 70 operating room nurses, 45 completed the questionnaires. Data were analyzed by SPSS software. Among the operational hazards of the operating room, chemical hazards were the most endangered by the average exposure of 26.09 times. Ergonomic hazards with an average number of exposure times of 10.38 and accidental hazards with an average number of exposures of 10.44 are second and third respectively .ConclusionOperating room nurses exposure to different hazards. Some of the causes of these hazards can be resolved with simple planning and low cost. Elimination of these causes can have a great impact on reducing risks, reducing costs and improving the quality of the operating room.Key words: Occupational hazards, operating room nurses, operating room
Anesthesiology
Mahdi Mirhamidi; Atefeh Asadi; Mahbobeh Nematshahi; Mohammad nematshahi; Manijeh Yousefi; Davood Sourosh; Ali Tajabadi; Adeleh Abdolalizadeh; hossein fahimi
Volume 27, Issue 2 , July and August 2020, , Pages 295-302
Abstract
Abstract:Thiopental Sodium is a commonly used drug in anesthesia, but it is not ideal because barbiturate is prohibited in acute and allergic porphyria, and is not recommended in asthmatic and hypovolemic patients. Propofol is the newest drug in anesthesia due to its rapid onset, short duration of action, ...
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Abstract:Thiopental Sodium is a commonly used drug in anesthesia, but it is not ideal because barbiturate is prohibited in acute and allergic porphyria, and is not recommended in asthmatic and hypovolemic patients. Propofol is the newest drug in anesthesia due to its rapid onset, short duration of action, anti-nausea and a feeling comfort after use, its consumption is increasing. It is also safe in porphyry and asthma. This study compares the use of sodium antiproliferative drug propofol to reduce the need for opiate.Analysis Method:This study was conducted on 173 patients admitted to Sabzevar Hospital. Patients were randomly divided into two study and control groups. Anesthesia induction was performed in the study group with propofol 2. 2 kg / mg and with thiopental sodium 5 kg / mg, in both groups, blood pressure and heart beats were measured before and after induction and minutes 1, 5 and 11 after intubation. Within 1-2-3-4 hours after operation with a pain control chart, the intensity of the pain was checked and the data were recorded.Findings:In the propofol group at the 4th hour, 44 individuals feel mild pain, and 9 had moderate, but severe pain was not reported(P=0/44). In the thiopental group at the fourth hour, 53 patients feel mild pain, 11 had moderate and 5 had severe pain.(P=0/44)Conclusion:Propofol increases the threshold of postoperative pain, so it can be a good alternative to thiopental. Keyword: Thiopental, Propofol, Opiate
Anesthesiology
Alireza Talai; Alireza Moslem; Arash Hamzahee; Mojtaba Kianmehr; Abbasali Abbasnezhad
Volume 27, Issue 1 , May and June 2020, , Pages 1-8
Abstract
Background: Intravenous regional anesthesia is a technique developed by the use of tourniquet and intravenous injection of anesthetic drug in the distal areas of the surgical region of the limbs. The aim of this study was to compare the onset of anesthesia induced by two methods of lidocaine use in regional ...
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Background: Intravenous regional anesthesia is a technique developed by the use of tourniquet and intravenous injection of anesthetic drug in the distal areas of the surgical region of the limbs. The aim of this study was to compare the onset of anesthesia induced by two methods of lidocaine use in regional intravenous anesthesia of the upper extremity.Materials and Methods: This single-blind clinical trial study was performed on 40 patients who referred to Bohlool hospital in Gonabad for forearm surgery. Samples were randomly divided into two receiving 40 ml lidocaine 0.5% and 20 ml lidocaine 1%. The research tool was a Researcher-made checklist and a Visual Analoge Scale (VAS). Fisher's exact test, independent and pair t-test were used for data analysis at a significance level of less than 0.05.Results: The results showed that the interval between the injection of anesthesia until the start of complete anesthesia was significantly shorter in the 20 ml lidocaine 1% recipient group compared to the 40 ml lidocaine 0.5% recipient group (p0.05).Conclusion: Regional intravenous anesthesia is induced by 20 ml lidocaine 1% faster than 40 ml lidocaine 0.5%.Keywords: Lidocaine, Intravenous, Regional anesthesia, Upper extremity
Anesthesiology
Moosa Javdani; Rasoul Rahimi; Abolfazl Barzegar Bafrouei
Volume 26, Issue 2 , July and August 2019, , Pages 263-271
Abstract
AbstractBackground: Ketamine is a dissociative anesthetic that because of its minimal effects on respiratory and cardiovascular systems, frequently used in both human and veterinary medicine. But in recent years, it was recognized as a problematic drug of abuse and became increasing popular in many parts ...
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AbstractBackground: Ketamine is a dissociative anesthetic that because of its minimal effects on respiratory and cardiovascular systems, frequently used in both human and veterinary medicine. But in recent years, it was recognized as a problematic drug of abuse and became increasing popular in many parts of the world. According to the United Nations Office on Drugs and Crime report, use of ketamine in East Asia, Australia, North America and Europe was increasing, also in parts of South East Asia because of less International Drug Control and availability of ketamine use of its dramatically increased. Recent studies showed that abuse and long-term use of ketamine cause changes in mood, and physical condition such as damage in the urinary tract, nervous tissue and liver failure among consumers.Materials and Methods: The review article is written by the keywords “ketamine, anesthesia, abuse”. articles that published in 1978- 2016 were selected.Results: In this study, ketamine introduced initially; then use, abuse, damage caused by arbitrary use and legality of ketamine in some countries discussed and finally methods for the determination of ketamine were mentioned.