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The Archives of Bone and Joint Surgery، جلد ۹، شماره ۱، صفحات ۱۱۰-۱۱۵
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عنوان انگلیسی The Clinical Impact of Ambient Operating Room Temperature and Other Perioperative Factors on Patient Comfort during Wide-awake Hand Surgery Using Local Anesthesia
چکیده انگلیسی مقاله Background: The prevalence of wide-awake hand surgery using local anesthesia has increased substantially. The fullinfluence of perioperative factors, namely operating room temperature, on patient comfort during these procedures ispresently underreported.Methods: One hundred and fifty-eight patients undergoing wide-awake hand surgery using local anesthesia wereprospectively enrolled. Surveys with visual analog scale (VAS) were administered after surgery to assess overallpatient comfort (OPC) and patient comfort with temperature (TPC). Operating room temperature at the initiation of theprocedure, surgery type, duration of surgery, tourniquet use and local anesthetic use were all recorded and their impacton patient comfort analyzed. The VAS used ranged from 1 (least comfortable) to 5 (most comfortable).Results: Across all patients, the mean OPC was 4.7 (Range: 2 – 5, SD=0.6) and the mean TPC score was 4.7 (Range2 – 5, SD=0.6). There were weakly negative correlations between room temperature and VAS score for OPC (rs =-0.2,P=.038) and TPC (rs=-0.2, P=.051). The mean OPC score was lower with tourniquet use [4.6 (SD=0.7) versus 4.9(SD=0.4), P=.002].Conclusion: Patient comfort during surgery using local anesthesia is not substantially affected by operating roomtemperature. Tourniquet use negatively impacts patient-reported comfort. Continued studies into the optimization ofpatient comfort during wide-awake hand surgery are warranted.Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Hand surgery, Operating room, Patient comfort, Temperature
نویسندگان مقاله | Tyler W Henry
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA


| Jonas L. Matzon
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA


| Richard McEntee
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA


| Michael Rivlin
Rothman Orthopaedic Institute


| Pedro K. Beredjiklian
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA


| Kevin Lutsky
Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_16536.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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