bluuebunny/crossref_metadata_2025_split huggingface dataset:
Why Can't My Procedures Start On Time?
Authors: Lebowitz Philip 
Published: August 2006

ABSTRACTDespite OR practice improvements, approximately 50% of second or subsequent surgical procedures will not start on time because of procedure duration overruns caused by preceding procedures. Operating room scheduling that uses reliable historical data about specific surgeon and procedure combinations and computerized scheduling systems can minimize overruns. Statistical variability in procedure durations, however, implies that one‐half of the procedures will run longer than the calculated mean, resulting in wait times for time‐scheduled surgeons and their patients. Managers must understand the tradeoffs between the competing goals of surgical throughput and decreasing patient wait times in their efforts to optimize the OR schedule. AORN J 77 (March 2003) 594‐597.
RN to BSN—Advice On Returning to School
Authors: Leonard Teresa 
Published: August 2006

ABSTRACTRegistered nurses who return to school to pursue a bachelor's degree face many challenges, including scheduling, family, and financial concerns. Despite these issues, RNs with an associate's degree or diploma are among the fastest growing groups of bachelor of science in nursing (BSN) students. Nurses return to school for personal satisfaction, to fulfill requirements for certification or graduate school, and to advance their careers and improve practice. A group of students enrolled in an RN to BSN program were surveyed to determine their perceptions of the difficulties and rewards of returning to school. This article shares their insights and advice for other RNs wishing to pursue a BSN. AORN J 77 (March 2003) 598‐608.
Sjögren's Syndrome—Implications for Perioperative Practice
Authors: Petruzzi Lynn M. , Vivino Frederick B. 
Published: August 2006

ABSTRACTSjögren's syndrome (SS) is a chronic autoimmune rheumatic disorder in which lymphocytes invade the exocrine glands, leading to destruction of the glandular tissue. Systemic inflammation also may occur and involve multiple organs. Ninety percent of patients with SS are female, Caucasian, and middle‐aged. The characteristic symptoms of xerostomia and xerophthalmia often are trivialized, and the disorder is significantly underdiagnosed. Early diagnosis and management can prevent devastating oral and ocular complications and internal organ damage. Treatment modalities are aimed at providing comfort and preventing complications and progression of the disease. In the perioperative practice setting, nurses play an important role in the health care team involved in providing surgical care to patients with SS. AORN J 77 (March 2003) 612–624.
Endovascular Repair of Abdominal Aortic Aneurysms
Authors: Hall Susan W. 
Published: August 2006

ABSTRACTAbdominal aortic aneurysms increasingly are being repaired with an endovascular procedure, which is less invasive compared to traditional approaches. Decreased hospitalization is one of several advantages of the endovascular approach; however, there also are significant disadvantages that the patient should consider carefully. Complications of the endovascular approach are the same as with open procedures, and there is added potential for endoleaks (ie, leakage of the graft). The patient must be involved in an imaging surveillance program for life to continually assess the graft's durability. Endovascular repair of abdominal aortic aneurysms is a rapidly developing technology. Research is ongoing and emphasizes smaller deployment devices and stronger graft materials. AORN J 77 (March 2003) 631‐642.
Deep Brain Stimulation for Advanced Parkinson's Disease
Authors: Byrd Debra L. , Marks William J. , Starr Philip A. 
Published: August 2006

ABSTRACTDeep brain stimulation (DBS) is a new and promising technique for the treatment of movement disorders. Medically intractable Parkinson's disease (PD) is one of the most common indications for DBS. There are three possible subcortical targets for PD, depending on the symptomatology (ie, the motor subdivision of the thalamus, the globus pallidus internus, the subthalamic nucleus [STN]). Thalamic stimulation has been well established as a safe and effective treatment for essential tremor and the tremor associated with PD. Globus pallidus internus and STN DBS are being investigated for the treatment of all the cardinal signs of PD. This article describes the pathophysiology of PD, the surgical treatment history of PD, surgical techniques used for DBS implants, and the role the perioperative nurse has in the care of the patients undergoing these procedures. AORN J 72 (Sept 2000) 387–408.
Chronic Regional Pain Syndrome, Type 1: Part I
Authors: Dunn Debra G. 
Published: August 2006

ABSTRACTChronic regional pain syndrome refers to a class of disorders thought to involve common neuropathic and clinical features. These disorders usually are caused by injury, and they manifest in pain and sensory changes that are disproportionate in intensity, distribution, and duration to the underlying pathology. The result of these injuries is significant impairment of motor function over time. This article is divided into two parts. Part I discusses background information such as pain, pathophysiology, diagnosis, clinical stages, and the most common treatment modality, sympathetic nerve blocks. Part II, discusses alternate treatment modalities, such as sympathectomy, physical therapy, stimulators, trigger point injections, acupuncture, tourniquet effects, placebo effects, and amputation. AORN J 72 (Sept 2000) 421–449.
The Art of Fitting into Our Lives
Authors: Halford Scottt G. 
Published: August 2006

ABSTRACTWhen there is a long‐standing disparity between our reality and goals, internal friction grows unchecked. The incongruency of being out of step with ourselves creates major stress. Achieving congruency in our lives leads to personal and professional success. The process of achieving congruency brings us closer to our life goals, and it necessarily entails self‐examination and insight. We must examine our likes, dislikes, strengths, weaknesses, and desires and set realistic and specific goals. By aligning our words and actions to match our goals, we are more likely to achieve those goals and begin fitting into the lives we want to lead. AORN J 72 (Sept 2000) 484–492.
A Successful Practice Model for the OR
Authors: Ide Partricia , Fleming Constance 
Published: August 2006

ABSTRACTA practice model that combines shared governance and patient care teamwork to achieve optimal surgical patient care provided the framework for a successful Joint Commission on Accreditation of Healthcare Organizations visit at the Brigham and Women's Hospital, Boston, a university‐affiliated teaching hospital. This article describes ways to implement this practice model. Clinical practice, quality improvement, and development councils are explained, as well as membership criteria for the councils and how they function. The need for more sharing of such quality improvement data from other hospitals is needed to establish national standards for measuring nursing performance. AORN J 70 (Nov 1999) 805‐813.
Surviving OR Construction Projects from Conception to Completion
Authors: Hughes Michael J. 
Published: August 2006

ABSTRACTSuppose an OR needs a new floor, new sterilizers, a new ventilation system, overhead lights, or a floor‐to‐ceiling renovation. How can an OR manager or director manage a project of this magnitude and continue to provide safe, effective, and efficient patient care? This article explains how, with proper planning, construction projects can be managed safely, effectively, and efficiently for patients, staff members, physicians, and contractors. AORN J 70 (Nov 1999) 822–830.
Standardized Language—Making Nursing Practice Count
Authors: Beyea Suzanne C. 
Published: August 2006

ABSTRACTLanguage in nursing has never communicated the same clinical problems in a clear, precise, or consistent manner. Clinical information systems require standardized terms and definitions to help clinicians with electronic documentation. The future of nursing depends on systematic efforts to label and define nursing contributions to health care. Standardized nursing languages provide a structure to manage nursing data in a computerized patient record. Learning about and working with standardized nursing languages will ensure that nursing contributions are an integral component of any medical record. This article defines standardized language, explores standardized languages in nursing, and outlines the various nursing languages for clinical practice that have been recognized by the American Nurses Association. AORN J 70 (Nov 1999) 831‐838.
Biochemical Markers in Myocardial Injury
Authors: Gavaghan Mary 
Published: August 2006

ABSTRACTBiochemical markers are substances that are detected in body fluids or tissues that may signify a disease or other abnormality. Biochemical markers have been used to help in the diagnosis of acute myocardial infarction since the 1950s. The major problem with these markers is that they lack specificity for cardiac muscle as they are also elevated in many disease states and after minor muscle damage. AORN J 70 (Nov 1999) 840‐854.
Preventing Perioperative Adverse Drug Reactions
Authors: Pribisko Alaine L. 
Published: August 2006

ABSTRACTThe purpose of this article is to help nurses prevent adverse drug reactions (ADRs) in the perioperative, endoscopic, and special procedure areas. Up to 30% of hospitalized patients experience an ADR. Taking comprehensive medication histories, maintaining constant vigilance, and recognizing inherently dangerous patient/medication combinations are essential in preventing ADRs. The mechanisms of medication toxicity and identifying potentially preventable adverse reactions are discussed. Practical nursing guidelines and tips that patients can use to prevent ADRs from occurring are delineated. Not every ADR can be prevented, but informed nurses can implement measures to reduce their occurrence. AORN J 77 (Jan 2003) 106‐117.
Medication Errors in the OR—A Secondary Analysis of Medmarx
Authors: Beyea Suzanne C. , Hicks Rodney W. , Becker Shawn C. 
Published: August 2006

ABSTRACTAlthough medication errors can result in serious patient complications or even death, a paucity of Information regarding medication errors that occur in the OR exists. AORN and the US Pharmacopeia (USP) collaboratively conducted a secondary analysis of reports of medication errors that occurred in the OR. These reports were submitted to the USP via the Medmarx program. The findings will give perioperative clinicians further insight into the types and causes of medication errors that occur in the OR and will help them develop potential prevention strategies. AORN J 77 (Jan 2003) 122‐134.
Neurosurgical Considerations in Posttraumatic Syringomyelia
Authors: Hilton Edith L. , Henderson Lesley J. 
Published: August 2006

ABSTRACTSyringomyelia is a progressive degenerative disorder that results in numerous life‐altering symptoms. People with this disorder frequently are misdiagnosed and most likely will experience intractable pain for many years. Surgical procedures may offer some relief from symptoms through spinal decompression or cerebrospinal fluid shunting; however, these procedures often are unsuccessful in altering the course or progression of the disease process. Information on the implications of the disease offers insight that is helpful for nurses providing care to these patients. This article presents relevant clinical information and discusses surgical procedures, as well as a patient's perspective on living with this relatively unknown disorder. AORN J 77 (Jan 2003) 136‐150.
Using Aviation Safety Measures to Enhance Patient Outcomes
Authors: Rivers Russell M. , Swain Diane , Nixon William R. 
Published: August 2006

ABSTRACTRecent media reports have put a spotlight on the increasing number of medical errors occurring in US health care institutions. In contrast to health care's increasing error rate, the aviation industry is experiencing a decreasing error rate. Could the safety techniques used in the aviation industry be applied to health care? This article explores that question. The dynamics of the surgical suite are not unlike those of the cockpit of an airplane; therefore, perioperative services was selected to pilot test the aviation model of safety training. AORN J 77 (Jan 2003) 158‐162.
Carotid Artery Stenosis and Endarterectomy
Authors: Cundy JoAnn Basso 
Published: August 2006

ABSTRACTThis article reviews the disease process of carotid artery stenosis, its symptomatology, and prognosis for progression to ischemic stroke. Indications for both medical and surgical treatment are reviewed as is criteria for surgical categorization as specified by the American Heart Association guidelines for carotid endarterectomy. Although diagnostic testing, medical treatment and alternative therapy options of angloplasty, stenting and thrombolysis are presented, a thorough overview of the surgicai procedure of carotid endarterectomy is the major focus of discussion, as it remains the “gold standard” of treatment for severe carotid artery stenosis. AORN J 75 (Feb 2002) 310‐324.
Experiences of Australian Army Theatre Nurses
Authors: Biedermann Narelle 
Published: August 2006

ABSTRACTAs battles have raged throughout the centuries, nurses have cared for ill and wounded soldiers. One nursing role during war is theatre (ie, OR) nursing. This article describes the role of Australian Army theatre nurses during the Vietnam War. It is based on Information collected in a study of the experiences of Australian Army nurses who worked in operating theatres in Vietnam between 1967 and 1971. As nurses today focus on the future to find new ways to meet the demands of nursing ahead, it is important to reflect on the past, as they can learn from history and from other nurses' experiences. AORN J 75 (Feb 2002) 335–346.
Advocacy in Perioperative Nursing Practice
Authors: Schroeter Kathryn 
Published: August 2006

ABSTRACTAdvocacy describes the act of pleading for, supporting, and active espousal. It implies taking action to achieve a goal on behalf of oneself or another. In nursing, the patient's wishes often serve as the impetus for advocacy. Perioperative nurses function as advocates and accept responsibility to safeguard the rights of surgical patients. This article describes historical aspects of and conceptual problems in nursing advocacy, and it presents case studies that demonstrate advocacy by the perioperative nurse. AORN J 71 (June 2000) 1207–1222.
Preoperative Hair Removal—a Systematic Literature Review
Authors: Kjønniksen I. , Andersen B.M. , Søndenaa V.G. , Segadal L. 
Published: August 2006

ABSTRACTThis article describes a systematic literature review on whether, how, and when to perform preoperative hair removal. By searching electronic databases and reference lists of relevant articles, team members identified 20 clinical studies that deal with preoperative hair removal. No strong evidence was found to advocate against preoperative hair removal. Furthermore, there was strong evidence to recommend that when hair removal is considered necessary, shaving should not be performed. Instead a depilatory or electric clipping, preferably immediately before surgery, should be used. AORN J 75 (May 2002) 928‐940.
Ethics in Perioperative Practice—Patient Advocacy
Authors: Schroeter Kathryn 
Published: August 2006

ABSTRACTThough often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this second of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the third provision statement, which addresses nurses' position as patient advocates. AORN J 75 (May 2002) 941–949.
Outpatient Laparoscopic Nissen Fundoplication
Authors: Todd Steven , Corsnitz Deborah , Ray Subir , Nassar Jay 
Published: August 2006

ABSTRACTGastroesophageal reflux disease affects more than 40% of Americans, causing heartburn and reflux of gastric contents into the esophagus when bending or lying down. Lifestyle modification, such as weight loss and a diet rich in protein and low in fat and glucose, should increase the patient's resting lower esophageal sphincter pressure. Avoiding exacerbating substances, such as mint, chocolate, alcohol, and tobacco, also may reduce symptoms. Medications may be prescribed to reduce persistent symptoms, although no medication currently available cures the disease process. Patients who need antireflux medication regularly for four to six weeks or more may be candidates for laparoscopic Nissen fundoplication. Patients who do not want to take antireflux medication for the rest of their lives, cannot afford the medication for an extended period of time, or suffer significant side effects from the medication also are candidates. This article describes performing Nissen fundoplication laparoscopically on an outpatient basis. The average length of hospital stay has been decreased to two to three hours when performed laparoscopically on an outpatient basis from 10 days for the open procedure and two to three days when performed laparoscopically on an inpatient basis. The incidence of recurrent heartburn is less than 2% when the procedure is performed laparoscopically and does not appear to be clinically significant. AORN J 75 (May 2002) 956‐979.
Thermal Capsulorrhaphy for Acute or Chronic Shoulder Instability
Authors: Clark Gregory J. , Erickson Kelley K. , Mikutis Jeffrey 
Published: August 2006

ABSTRACTDuring the past two decades, arthroscopic procedures have been replacing traditional, more invasive orthopedic surgical procedures. As technology becomes more advanced, the opportunity to provide a greater number of minimally invasive surgical interventions continues to improve. Thermal modification of joint capsule and ligamentus tissues, a recent introduction to medical science, has been investigated extensively during the past six years. Arthroscopic thermal capsulorrhaphy is one such procedure, and it is performed on individuals with a history of joint instability. These patients now can be treated surgically without large incisions and significant shoulder joint trauma. The thermal unit in both monopolar and bipolar models has similar properties to those of the basic electrosurgical unit. Relatively low‐temperature heat is directed to the supportive structures of the shoulder joint causing the tissues to expand. This tightens a previously stretched and attenuated shoulder capsule. AORN J 74 (Dec 2001) 809‐817.
The Nuss Procedure for Pectus Excavatum Correction
Authors: Swoveland Barbara , Medvick Clare , Kirsh Marilyn , Thompson G. Kevin , Nuss Donald 
Published: August 2006

ABSTRACTPectus excavatum is an anterior chest wall deformity that now can be corrected with a minimally invasive technique known as the Nuss procedure. Patient criteria and assessment for this new surgical procedure are defined clearly in advance to ensure the need for surgical intervention. A multidisciplinary team approach has been established at Children's Hospital of The King's Daughters, Norfolk, Va. Team members work cooperatively throughout the perioperative cycle, addressing not only the surgical procedure but also pain management and postoperative recovery. This dedicated team approach helps ensure a successful outcome for the patient. AORN J 74 (Dec 2001) 828‐841.
Perioperative Nurse Training in Cardiothoracic Surgical Robotics
Authors: Connor Michael A. , Reinbolt Jeffrey A. , Handley Patrisa J. 
Published: August 2006

ABSTRACTThe exponential growth of OR technology during the past 10 years has placed increased demands on perioperative nurses. Proficiency is required not only in patient care but also in the understanding, operating, and troubleshooting of video systems, computers, and cutting edge medical devices. The formation of a surgical team dedicated to robotically assisted cardiac surgery requires careful selection, education, and hands‐on practice. This article details the six‐week training process undertaken at Sarasota Memorial Hospital, Sarasota, Fla, which enabled staff members to deliver excellent patient care with a high degree of confidence in themselves and the robotic technology. AORN J 74 (Dec 2001) 851‐857.
Is It Time for Brushless Scrubbing with an Alcohol‐based Agent?
Authors: Gruendemann Barbara J. , Bjerke Nancy B. 
Published: August 2006

ABSTRACTThe practice of surgical scrubbing in perioperative settings is changing rapidly. This article presents information about eliminating the traditional scrub brush technique and using an alcohol formulation for surgical hand scrubs. Also covered are antimicrobial agents, relevant US Food and Drug Administration classifications, skin and fingernail care, and implementation of changes. The article challenges surgical team members to evaluate a new and different approach to surgical hand scrubbing. AORN J 74 (Dec 2001) 859‐873.
The Lived Perioperative Experience of Ambulatory Surgery Patients
Authors: Costa Mary Jane 
Published: August 2006

ABSTRACTUnderstanding patients' perspectives is central to providing appropriate nursing care. The purpose of this study was to explore ambulatory surgery patients' perceptions and views of the perioperative experience. A phenomenological study was conducted that included 16 patients who underwent abdominal surgical procedures in the ambulatory surgery center of a large teaching hospital in the northeastern United States. Intensive semistructured interviews were used to collect data. Patients were interviewed one week after surgery. Data analysis was aimed at gaining understanding of the lived experience of ambulatory surgery patients. Themes identified included fear, knowing, and presence. Results indicate that patients in this study were not prepared adequately for the perioperative experience, suffered needlessly due to inadequate pain management, and did not achieve discharge readiness. AORN J 74 (Dec 2001) 874‐881.
Anterior Cruciate Ligament Reconstruction
Authors: Bach Bernard R. , Boonos Cynthia L. 
Published: August 2006

ABSTRACTThe anterior cruciate ligament (ACL) is the most commonly reconstructed knee ligament. It is estimated that more than 100,000 new ACL injuries occur annually. This article discusses preoperative education, perioperative nursing care, surgical technique, and postoperative management of patients undergoing ACL reconstruction procedures. AORN J 74 (Aug 2001) 152–164.
The Meaning of Being a Perioperative Nurse
Authors: Sigurđsson Hrafn Óli 
Published: August 2006

ABSTRACTThe purpose of this study is to describe the meaning of being a perioperative nurse within the contexts of the sociopolitical, economic, and cultural forces that influence perioperative nursing practice. A theory of communicative action provided the framework for this philosophical inquiry. The researcher conducted one‐time, in‐depth interviews with six expert perioperative nurses selected from three practice settings in the northeastern United States. These interviews resulted in the text that the researcher analyzed based on the principles of critical hermeneutics, and four constitutive patterns were identified. The meaning of being a perioperative nurse for these nurses was identified as a struggle to make sense of their existence in the OR.AORN J74 (Aug 2001) 202–217.
Surgical Management of Vesicoureteral Reflux
Authors: Ellsworth Pamela I. , Cendron Marc , McCullough Maureen F. 
Published: August 2006

ABSTRACTVesicoureteral reflux (VUR) is a urologic condition in which there is a retrograde flow of urine from the bladder through the ureter back up to the upper urinary tract. The condition may be classified as primary or secondary and is more often identified in Caucasian females. The primary goal in the management of VUR is the prevention of pyelonephritis and subsequent renal scarring. AORN J 71 (March 2000) 498–513.