Short Report - [2021]Volume 7, Issue 2
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Introduction
Nursing in the operating room is a specialised area in which nurses provide high-quality care to patients prior to, during, and after surgery. The expertise and skills required by an operating room nurse are the same as those required by other registered nurses, but these skills are much more useful during surgical procedures. Patients scheduled for surgery are cared for by operating room nurses, also known as perioperative nurses and surgical nurses. An operating nurse frequently serves as a point of contact for the patient, his or her family, and the medical staff. The ability to interact efficiently with all members of the team is the most significant characteristic. Patient safety is always first, and a good OR team has faith in one another to speak up if a problem arises. It doesn't matter who notices a problem; safety comes first, so every member of the team should feel comfortable speaking up. The team nurse serves as the director and is responsible for all aspects of the operation to ensure the best possible result during any operation, an operating room nurse must be extremely coordinated when it comes to charting and highly skilled in coordinating supplies and acts [1].
The delivery and perception of treatment in health care is influenced by the workplace culture. The operating room can be a stressful work environment, and nurses can experience job stress or job satisfaction depending on their skill level. Nurse Managers must learn to recognize the various manifestations of organizational culture. Operating room nurses continue to face controversy for the necessity of having a nurse in the operating room. People inside and outside the nursing profession has questioned whether operating room nursing is a technical rather than a nursing endeavor due to the theatre's technological orientation and the ways in which nurses in the theatre have shaped and reshaped their practice in response to technological change [2].
Duties and Responsibilities
• Provide the patient with efficient and reliable perioperative nursing treatment.
• Keep surgical facilities up to date and compliant with competency requirements.
• Complete all physician orders, prescribe medications, and offer timely treatments and examinations to patients.
• Establish and carry out a nursing care plan for the designated patient.
• To ensure the safety of the operating personnel and the patient, perform proper use, treatment, and handling of surgical equipment.
• Maintain up-to-date and in-depth sterile techniques skills.
• To meet patient care needs, maintain constant communication with the operating team and other medical personnel.
• Assist in the ordering, storage, and maintenance of surgical supplies and equipment. • Prepare the operating room with sterile surgical instruments, linens, and materials that will be required during the operation.
• Keep the operating room clean and orderly.
• Prepare patients for surgery by washing and disinfecting body areas.
• Maintain up-to-date and reliable medical records and recovery charts [3].
REFERENCES
1. Moira KM. 5 skills that make a good operating room nurse.
2. Bull R, FitzGerald M. Nursing in a technological environment: Nursing care in the operating room. Int J Nurs Pract. 2006; 12[1]:3-7.
3. //www.greatsampleresume.com/job-responsibilities/nursing/ operating-room-nurse
Author Info
Citation: Gursoy B [2021] Nursing Intervention in Operating Room. J Perioper Crit Intensive Care Nurs 7: 169. doi:10.35248/2471- 9870.21.7.169
Received: 04-Feb-2021 Accepted: 18-Feb-2021 Published: 25-Feb-2021 , DOI: 10.35248/2471-9870.21.7.169
Copyright: © 2021 Gursoy B. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
References
1 Sigurdsson, Hrafn Oli. The meaning of being a perioperative nurse. In: AORN J. 2001; 74[2]:202-17. [ Links ]
2 Nightingale F. Nursing Notes: what it is, and what it is not. New York: Appleton and Company; 1860. [ Links ]
3 Archundia García A. Historia de la cirugía. En: Cirugía 1. Educación quirúrgica, 5th Ed. México: McGraw Hill; [internet] 2014. [ Links ]
4 González AA, Zamora HM, Contreras CJI, Ibacache FM. Cirugía ambulatoria: ¿Qué hacer en el período posoperatorio? Desde el término de la cirugía hasta el control domiciliario. Rev. Chil. Cir. 2018; 70[5]:474-9. [ Links ]
5 Becker AM, Lane-Fall M. Transitions of Care in the Perioperative Period. Curr. Anesthesiol. Rep. 2017; 7:421-6. [ Links ]
6 Brown Will SE. Perioperative Nursing Care in Obstetrics and Gynecology. AORN J. 2019; 110[2]:130-3. [ Links ]
7 Joint Commission International. Estándares de acreditación para hospitales de Joint Commission International. 5ed Oakbrook Terrace, Illinois: Joint Commission; 2014. [ Links ]
8 Etherington C, Wu M, Cheng-Boivin O, Larrigan S, Boet S. Interprofessional communication in the operating room: a narrative review to advance research and practice. Can. J. Anesth. 2019; 66:1251-60. [ Links ]
9 Chard R, Makary MA. Transfer-of-Care Communication: Nursing Best Practices. AORN J. 2015; 102[4]:330-9. [ Links ]
10 AORN. Guidelines for Perioperative Practice. Denver: AORN; 2015: 583-8. [ Links ]
11 Morte K, Marenco C, Lammers D, Bingham J, Sohn V, Eckert M. Utilization of mobile application improves perioperative education and patient satisfaction in general surgery patients. Am. J. Surg. 2021; 221[4]:788-92. [ Links ]
12 Gutierres LS, Santos JLG, Peiter CC, Menegon FHA, Sebold LF, Erdmann AL. Good practices for patient safety in the operating room: nurses’ recommendations. Rev. Bras. Enferm. 2018; 71[Suppl 6]:2775-82. [ Links ]
13 Escarramán Martínez D. Manual de valoración preoperatoria para residentes [internet]. México; 2021 [Cited 7 Mar 2022] Available from: Available from: //siemprevirtual.com/pdffree/Manual%20de%20Valoracio%CC%81n%20preoperatoria_compressed.pdf [ Links ]
14 Rothrock JC. Alexander`s care of the patient in surgery. 13th ed. St Louis Missouri; 2007. [ Links ]
15 Bedaso A, Ayalew, M. Preoperative anxiety among adult patients undergoing elective surgery: a prospective survey at a general hospital in Ethiopia. Patient Saf. Surg. 2019; 13:18. [ Links ]
16 Aguilera Castro F. Anestesiología y medicina perioperatoria. Bogotá: Celsus; 2010. [ Links ]
17 Rincón Valenzuela D, Escobar B, Torres M, Buitrago G, Gaitán Duarte H, Gómez Buitrago LM, et al. Preparación de paciente para el acto quirúrgico y traslado al quirófano. Bogotá: SCARE; 2014. [ Links ]
18 López Segura M. Manejo preoperatorio del paciente con Enfermedad Renal Crónica [Internet]. Anestesiar. 2021 [cited 20 Jan 2022]. Available from: Available from: //anestesiar.org/2021/manejo-preoperatorio-del-paciente-con-enfermedad-renal-cronica/ [ Links ]
19 Egholm JWM, Pedersen B, Møller A, Adami J, Juhl CB, Tønnesen H. Perioperative alcohol cessation intervention for postoperative complications. Cochrane Database Syst. Rev. 2018; 11[11]:CD008343. [ Links ]
20 Ubaldini J. Consenso de enfermedad tromboembólica, consenso argentino SAC. Rev. Argent. Cardiol. 2009; 77[5]:411-28. [ Links ]
21 Salgueiro C, Wikinski JA. Asociación de anestesia, analgesia y reanimación de Buenos Aires. Guía para la evaluación prequirúrgica. Cirugías programadas en pacientes adultos [Internet]; 2003 [cited 18 Nov 2022] Available from: Available from: //www.anestesia.org.ar/search/articulos_completos/1/1/671/c.php [ Links ]
22 Colombia. Ministerio de la Protección Social. Garantizar la funcionalidad de los procedimientos de consentimiento informado [Internet]; 2009 [cited 10 Nov 2021]. Available from: Available from: //www.minsalud.gov.co/sites/rid/1/Garantizar%20la%20funcionalidad%20de%20los%20procedimientos%20de%20consentimiento%20informado.pdf [ Links ]
23 Álvarez CA, Guevara CE, Valderrama SL, Sefair CF, Cortes JA, Jiménez M F, et al. Recomendaciones prácticas para la antisepsia de la piel del paciente antes de cirugía. Infectio 2017; 21[3]:182-91 [ Links ]
24 Medina Garzón M, Castaño Plata María C, Moreno Herrera Cristhian C. Preparación de la piel para la prevención de la Infección del Sitio Operatorio: Revisión de Alcance. Rev. Cuid 2021; 12[2]:e1054. [ Links ]
25 Centro para el control y prevención de enfermedades, CDC. Guía para la prevención de infecciones en entornos de atención médica ambulatoria: expectativas mínimas para la atención segura [Internet]. 2016 [cited 9 Feb 2022]. Available from: Available from: //www.cdc.gov/infectioncontrol/pdf/outpatient/guide-spanish-508.pdf [ Links ]
26 Vasconez Correa MS, Reyes Rueda EY, García Maldonado JA. Manejo de sitio quirúrgico como riesgo de infección de heridas en pacientes hospitalizados. Pol. Con. 2019; 4[10]:162-96. [ Links ]
27 Capote Guerrero G, Labrada Tapia DA, Sosa García D, Gorgoso Vázquez A. Ayuno preoperatorio. Multimed. 2020; 24[5]:1221-32. [ Links ]
28 Abad-Torrent A. Actualización 2017. Guías prácticas para el ayuno preoperatorio. ¿Alguna novedad? Anestesiar 2018; 10[5]:3. [ Links ]
29 Arredondo Ortiz MA, Hernández Amador JF, Villanueva Sáenz E. Preparación del colon en la cirugía colorrectal electiva. Acta Méd. Grupo Ángeles 2019; 17[1]:33-7. [ Links ]
30 Monteiro da Costa AK, Pereira Campos MC, Santos JDM, Machado Raylane da Silva, Nogueira LT, Andrade Santos EMR. Efecto de la intervención educativa en el postoperatorio de personas con ostomias intestinales de eliminación: revisión sistemática. Enferm.Glob. 2020; 19[57]:648-90. [ Links ]
31 Quintero A, Yasnó D A, Riveros OL, Castillo J, Borráez BA. Ansiedad en el paciente prequirúrgico: un problema que nos afecta a todos. Rev. Colomb. Cir. 2019;32[2]:115-20. [ Links ]
32 Salazar Maya AM. Conviviendo con la ambivalencia en las interacciones de cuidado [Dissertation]. Bogotá: Universidad Nacional de Colombia; 2008. [ Links ]
33 Hernández RC, Gómez-Urquiza LJ, Pradas-Hernández L, Roman VK, Suleiman-Martos N, Albendín-García L, et al. Effectiveness of nursing interventions for preoperative anxiety in adults: A systematic review with meta-analysis. J. Adv. Nurs. 2021; 77[8]:3274-85. [ Links ]
34 Remes O, Brayne C, Linde DVR, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav. 2016; 6[7]:e00497. [ Links ]
35 Jaruzel CB, Gregoski MJ. Instruments to measure preoperative acute situational anxiety: An integrative review. AANA Journal 2017; 85[1]:31-5. [ Links ]
36 Labrague JL, McEnroe-Petitte MD. Influence of music on preoperative anxiety and physiologic parameters in women undergoing gynecologic surgery. Clin. Nurs. Res. 2016; 25[2]:157-73. [ Links ]
37 Hernández Mayhua IH, Velásquez Rondón S. Effects of Spiritual Care on Situational Anxiety of Surgical Patients. Rev. Cub. Enferm. 2021;37[1]: e3914. [ Links ]
38 Urchaga JD, Morán Astorga C, Fínez-Silva MJ. La religiosidad como fortaleza humana. Int. J. Dev. Euc Psychol. 2019; 1[1]:309-16. [ Links ]
39 Fonseca M. Importancia de los aspectos espirituales y religiosos en la atención de pacientes quirúrgicos. Rev. Cir. 2016; 68[3]:258-64. [ Links ]
40 Willis DG, Leone-Sheehan DM. Spiritual Knowing: Another Pattern of Knowing in the Discipline. Adv. Nurs. Sci. 2019; 42[1]:58-68. [ Links ]
41 Bermejo J C. Salir de la noche. Por una enfermería humanizada. Madrid: Sal Térrea; 1999. [ Links ]
42 Porras-Caballero FC, Rosales Sánchez KP, Medellín Navarro DV, Sánchez Jáuregui DF. Aplicación de técnicas de relajación en pacientes preoperatorios, hospitalizados y sus cuidadores. Dilemas Contemp. Educ. Política Valores. 2020; 8[spe5]: 00015. [ Links ]
43 Gonçalves MA, Cerejo MN. Construção e validação de uma Escala de Avaliação de Informação Pré-Operatória. Referência 2020; 5[4]:e20067. [ Links ]
44 Torralba Madrid MJ, López Martínez D. Cuestiones éticas y legales en la práctica de la enfermería de salud mental. Rev. Rol Enferm. 1999; 22[5]:362-63. [ Links ]
45 Morales-Castillejos Lizbeth, Gracia-Verónica Yara, Landeros-Olvera Erick. Relación de la inteligencia emocional con el cuidado otorgado por enfermeras/os. Rev. Cuid. 2020; 11[3]:e989. [ Links ]
46 Roy MC, Stevens M, de León-Rosales SP. International society for infection disease. Guía para el control de infecciones asociadas a la atención en salud en el quirófano [Internet]. 2018. [cited 19 Mar 2022]. Available from: Available from: //isid.org/guia/prevencion/quirofano/ [ Links ]
47 Göras C, Olin K, Unbeck M, Pukk-Härenstam K, Ehrenberg A, Tessma MK, Nilsson U, Ekstedt M. Tasks, multitasking and interruptions among the surgical team in an operating room: A prospective observational study. BMJ Open. 2019; 9[5]: e026410. [ Links ]
48 Ingvarsdottir E, Halldorsdottir S. Enhancing patient safety in the operating theatre: From the perspective of experienced operating theatre nurses. Scand. J. Caring Sci. 2018; 32[2]:951-60. [ Links ]
49 National Association for Surgical Care. Competence description - advanced level - Specialist nurse in surgical medicine [Internet]; 2021 [cited 20 Feb 2022]. Available from: Available from: //www.rfop.se/media/32blh0zu/komp-operationsskoeterska-ny-2021-foer-korr.pdf [Swedish]. [ Links ]
50 Ekman I, Norberg A. Person-centred care. In: Flexband S.Advanced Nursing Core competencies in nursing [Internet]. Poland: Dimograf [Poland]; 2021 [cited 5 May 2022]. P.49-72. Available from: Available from: //www.adlibris.com/se/bok/omvardnad-pa-avancerad-niva-karnkompetenser-inom-sjukskoterskans-specialistomrade-9789144136240 [Swedish] [ Links ]
51 Hudson BF, Ogden J, Whiteley MS. A thematic analysis of experiences of varicose veins and minimally invasive surgery under local anaesthesia. J. Clin. Nurs. 2015; 24[11-12]:1502-12. [ Links ]
52 Kim B-H, Kang H-Y, Choi E-Y. Effects of handholding and providing information on anxiety in patients undergoing percutaneous vertebroplasty. J. Clin. Nurs . 2015; 24[23-24]:3459-68. [ Links ]
53 Pulkkinen M, Junttila K, Lindwall L. The perioperative dialogue - A model of caring for the patient undergoing a hip or a knee replacement surgery under spinal anesthesia. Scand. J. Caring Sci . 2016; 30[1]:145-53. [ Links ]
54 Yilmaz E, Togaç KH, Çetinkaya A, Togaç S. A qualitative study of the operating room experience of patients who underwent surgery under spinal anesthesia: “It was like an adventure”. Nurs. Health Sci. 2020; 22[3]:648-57. [ Links ]
55 Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res2018, 23[1]:41. [ Links ]
56 Haynes AC, Lywood A, Crowe EM, Fielding JL, Rossiter JM, Kent C. A calming hug: Design and validation of a tactile aid to ease anxiety. PLoS ONE. 2022; 17[3]:e0259838. [ Links ]
57 Sepúlveda-Plata MC, García-Corzo G, Gamboa-Delgado EM. Effectiveness of nursing intervention to control. Rev. Fac. Med. 2018; 66[2]:195-200. [ Links ]
58 Wiwatwongwana D, Vichitvejpaisal P, Thaikruea L, Klaphajone J, Tantong A, Wiwatwongwana, A. The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: A randomized controlled trial. Eye. 2016; 30[11]:1407-14. [ Links ]
59 Wu P-Y, Huang M-L, Lee W-P, Wang C, Shih W-M. Effects of music listening on anxiety and physiological responses in patients undergoing awake craniotomy. Complement. Ther. Med. 2017; 32:56-60. [ Links ]
60 Cuming RG. Concepts basic to perioperative nursing. Rothrock JC, McEwen DR, editors. Alexander´s care of the patient in surgery. 16th Ed. Elsevier Science Health Science; 2018.p:1-14. [ Links ]
61 Campbell DB. Anesthesia. Rothrock IJ, McEwen DR, Editors. Alexander´s care of the patient in surgery . 16th Ed. Elsevier Science Health Science ; 2018. P.390-496. [ Links ]
62 Escobar Orozco A, Castiblanco Montañez A, Ávila Ruiz LP, Beltrán Martínez EA, Escobar Bustos JA. Cuidados de enfermería en la inserción y manejo de catéter arterial. Rev. Paraninfo Dig. 2018; XII[28]:e192. [ Links ]
63 Bodenham A. Acceso vascular. Rev. Med. Clíni. Las Condes. 2017;28[5]: 713-26. [ Links ]
64 Chaparro J, Oñate M. Prevención de lesiones por presión en pacientes sometidos a cirugía traumatológica prolongada, un desafío para enfermería. Rev. Med. Clíni. Las Condes . 2021; 32[5]:617-23. [ Links ]
65 Burlingame BL. Guideline Implementation: Positioning the Patient AORN J. 2017; 106[3]:227-37. [ Links ]
66 Spruce L. Back to Basics: Preventing Perioperative Pressure Injuries AORN J. 2017; 105[1]:92-9. [ Links ]
67 Kimsey DB. A Change in Focus: Shifting from Treatment to Prevention of Perioperative Pressure Injuries. AORN J. 2019; 110[4]:379-93. [ Links ]
68 Buso FD, Ferreira MB, Felix MM, Galvão CM, Barichello E, Barbosa MH. Pressure injury related to surgical positioning and associated factors. Acta Paul. Enferm. 2021; 34:eAPE00642. [ Links ]
69 Chen HL, Shen WQ, Liu P, Liu K. Length of surgery and pressure ulcers risk in cardiovascular surgical patients: a dose-response meta- analysis. Int. Wound J. 2017; 14[5]:864-9. [ Links ]
70 Oliveira KF, Pires OS, De-Mattia AL, Barichello E, Galvão CM, Araújo CA, et al. Influence of support surfaces on the distribution of body interface pressure in surgical positioning. Rev. Latino-Am. Enfermagem. 2018; 26:e3083. [ Links ]
71 Carvalho RLR, Campos CC, Franco LMC, Rocha AM, Ercole FF. Incidence and risk factors for surgical site infection in general surgeries. Rev. Latino-Am. Enfermagem. 2017; 25:e2848. [ Links ]
72 Hernández Cantú E, Esparza Dávila SP, Reyes Silva AKS. Eficacia de un modelo de prevención de infección de sitio quirúrgico en un hospital de segundo nivel de atención. Index Enferm. 2020; 29[1-2]:9-12. [ Links ]
73 Angeleri CL, Blugerman G, Biondi H, Carbone E, Chattas A, Colombini A, et.al. La Sociedad Argentina de Infectología SADI. Guía de profilaxis antibiótica quirúrgica [Internet]. Actualización 2017 [cited 29 Nov 2021] Available from: Available from: //clinicainfectologica2hnc.webs.fcm.unc.edu.ar/files/2018/03/GU%C3%8DA-DE-PROFILAXIS-ANTIBI%C3%93TICA-QUIR%C3%9ARGICA-SADI-2017.pdf [ Links ]
74 La Sociedad Argentina de Infectología SADI. Guía de profilaxis antibiótica quirúrgica. Actualización 2017 [Internet]. 2017 [cited 29 Nov 2021]. Available from: Available from: //clinicainfectologica2hnc.webs.fcm.unc.edu.ar/files/2018/03/GU%C3%8DA-DE-PROFILAXIS-ANTIBI%C3%93TICA-QUIR%C3%9ARGICA-SADI-2017.pdf [ Links ]
75 Organización Mundial de la Salud. Guía de la OMS sobre Higiene de Manos en la Atención de la Salud: Resumen [Internet]. 2009 [cited 5 Nov 2021]. Available from: Available from: //cmas.siu.buap.mx/portal_pprd/work/sites/hup/resources/LocalContent/247/2/guia_lavado_de_manos.pdf [ Links ]
76 Phillips N, Hornacky A, Kohn's B. Operating Room Technique. 14th Ed. St Louis Missouri: Elsevier; 2022. [ Links ]
77 Yi J, Zhan L, Lei Y, Xu S, Si Y, Li S, et al. Establishment and validation of a prediction equation to estimate risk of intraoperative hypothermia in patients receiving general anesthesia. Scient. Rep. 2017; 7:13927. [ Links ]
78 Emmert A, Gries G, Wand S, Buentzel J, Br¨auer A, Quintel M, et al. Association between perioperative hypothermia and patient outcomes after thoracic surgery. Medicine. 2018; 97: e0528. [ Links ]
79 Giuliano KK, Hendricks J. Inadvertent Perioperative Hypothermia: Current Nursing Knowledge. AORN J. 2017; 105[5]:453-63. [ Links ]
80 Ribeiro E, Navarro NT, Armede VCB, Rodrigues HS, Valle JP, Duran ECM. Unintentional hypothermia frequency in the perioperative period of elective surgeries. Rev. SOBECC. 2016; 21:68-74. [ Links ]
81 Sagiroglu G, Ozturk GA, Baysal A, Turan FN. Inadvertent Perioperative Hypothermia and Important Risk Factors during Major Abdominal Surgeries. J. Coll. Physicians Surg. Pak. 2020; 30[2]:123-8. [ Links ]
82 Scholten R, Leijtens B, Kremers K, Snoeck M, Koëter S. The incidence of mild hypothermia after total knee or hip arthroplasty: A study of 2600 patients. J. Orthop. 2018; 15[2]:408-11. [ Links ]
83 Vural F, Çelik B, Deveci Z, Yasak K. Investigation of inadvertent hypothermia incidence and risk factors. Turk. J. Surg. 2018; 34[4]:300-5. [ Links ]
84 Chacón AR. Hipotermia perioperatoria. Rev. Chil. de Anest. 2021; 50[1]:56-78. [ Links ]
85 Mason SE, Kinross JM, Hendricks J, Arulampalam TH. Postoperative hypothermia and surgical site infection following peritoneal insufflation with warm, humidified carbon dioxide during laparoscopic colorectal surgery: A cohort study with cost effectiveness analysis. Surg. Endosc. 2017; 31:1923-9. [ Links ]
86 Choi JW, Kim DK, Kim JK, Lee EJ, Kim JY. A retrospective analysis on the relationship between intraoperative hypothermia and postoperative ileus after laparoscopic colorectal surgery. PloS One. 2018; 13:e0190711. [ Links ]
87 Kander T, Sch€ott U. Effect of hypothermia on hemostasis and bleeding risk: A narrative review. J. Int. Med. Res. 2019; 47:3559-68. [ Links ]
88 Akers JL, Dupnick AC, Hillman EL, Bauer AG, Kinker LM, Hagedorn Wonder A. Inadvertent Perioperative Hypothermia Risks and Postoperative Complications: A Retrospective Study. AORN J. 2019; 109[6]:741-7. [ Links ]
89 Madrid E, Urrútia G, Roqué i Figuls M, Pardo-Hernandez H, Campos JM, Paniagua P, et al. Active body surface warming systems for preventing complications caused by inadvertent perioperative hypothermia in adults. Cochrane Database Syst. Rev. 2016; 21 4[4]:CD009016. [ Links ]
90 Martins LP, Oliveira Junior NJ, Riege F, Arregino DS. The nursery against the complications of hypothermia in the immediate post-operative. Rev. Enferm. UFPI. 2019; 8[1]:68-73. [ Links ]
91 Collins S, Budds M, Raines C, Hooper V. Risk Factors for Perioperative Hypothermia: A Literature Review. J. Perianesth. Nurs. 2019; 34[2]:338-46. [ Links ]
92 Fuganti CCT, Martinez EZ, Galvão CM. Effect of preheating on the maintenance of body temperature in surgical patients: a randomized clinical trial. Rev. Latino-Am . Enferm. 2018; 26: e3057. [ Links ]
93 Bayter-Marín JE, Rubio J, Valedón A, Macías AA. Hypothermia in elective surgery: The hidden enemy. Rev. Colomb. Anestesiol. 2017; 45:48-53. [ Links ]
94 Peixoto CA, Guimarães Ferreira MB, Marques dos Santos Felix M, Bueno de Moraes Pereira C, Vitor C Cândido J, Ferreira Resende Rocha V. Factors contributing to intraoperative hypothermia in patients undergoing elective surgery. Perioper. Care Oper. Room Manag. 2021; 22:1-6. [ Links ]
95 Zaman SS, Rahmani F, Majedi MA, Roshani D, Valiee S. A Clinical Trial of the Effect of Warm Intravenous Fluids on Core Temperature and Shivering in Patients Undergoing Abdominal Surgery. J. Perianesth. Nurs . 2018; 33[5]:616-25. [ Links ]
96 Davidson M, Litchfield K. Patient recovery and the post-anaesthesia care unit [PACU]. Anaesth. Intensive. Care. 2019; 19[9]:457-60. [ Links ]
97 Pezzim IM, Firmino APO, Carvalho R, Romero WG, Wandekoken KD, Fiorin BH, Lopes AB. Anxiety contributes to increasing the degree of dependence on nursing care in the immediate postoperative period of bariatric surgery. REME - Rev. Min. Enferm. 2020; 24:e-1321. [ Links ]
98 Cook T, Woodall N, Frerk C, 4th National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br. J. Anaesth. 2011; 106[5]:617-31. [ Links ]
99 Miskovic A, Lumb AB. Postoperative pulmonary complications. Br. J. Anaesth . 2017; 118:317e34. [ Links ]
100 Elsaid RM, Namrouti AS, Samara AM. Sadaqa W, Zyoud SH. Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine. BMC Surg. 2021; 21:177. [ Links ]
101 Pierotti I, Larios Fracarolli1 IF, Fahl Fonseca L, Aroni P. Evaluation of the intensity and discomfort of perioperative thirst. Esc. Anna Nery. 2018; 22[3]:e20170375. [ Links ]
102 González Pabón N, Rivera Álvarez LN. Eficacia de la música en la reducción del dolor posoperatorio de cirugía cardiaca. Av. Enferm. 2020; 38[3]:358-6. [ Links ]
103 Pereira Portella Guerreiro M, Duarte Siqueira F, Cristiane Matte Dezordi C Kirchner RM, de Lima Dalmolin G, Fernandes Stumm EM. Estresse percebido em familiares de pacientes em sala de espera de um centro cirúrgico. Enferm. Foco. 2019; 10[4]:22-7. [ Links ]
104 Oltra Rodríguez E, Fernández García B, Cabiedes Mira-gaya L, Riestra Rodríguez R, González Aller C, Osorio Álvarez S. Calidad percibida por usuarios de cirugía menor según nivel asistencial y profesionales que la realizan. Rev. Esp. Salud Pública. 2018;92: e201804015 [ Links ]