ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, Preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Background: For an individual a surgery may involve strains and risks. Many patients experience a loss of its own identity and often an inability to control the situation while going through a surgical operation. Fear of pain or to not wake up from the anesthetic or that the surgery will fail are worrying factors that some people experiences. Purpose: The purpose was to describe patients? perceptions of Preoperative information in connection to elective surgeries.

ABSTRACTIntroduction: Preoperative hand disinfection aims to prevent surgical site infections. After the preparing hand wash, drying is performed using an aseptic technique. It?s important to dry hands thoroughly in order to achieve the full effect of the alcohol based hand disinfection. Due to the lack of a evidence-based guideline on this procedure, the hand drying techniques differ among operating theatre nurses, depending on which technique seen as the most appropriate.

ABSTRACTIntroduction: Scientists have over the last centuries realized that presurgical reduction of bacterial skin flora decreases the surgical site infections. Sponges, showers and washing with Chlorhexidine is today a standard procedure. Purpose: The purpose of the study was to describe the patient?s experience of the information given to them about the Preoperative showers with hibiscrub. Method: Semi-structured interviews were used to collect the data, and content analysis was used to analys the data.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the Preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.

Bakgrund: Patienter som ska genomgå elektiva operationer kan uppleva preoperativ oro och ångest. Preoperativ oro kan grundas i bristande information, tanken på att mista kontrollen samt vistelse i okänd miljö. Det vilar ett stort ansvar på sjuksköterskan då hon ska möjliggöra optimal delaktighet i vård och behandling för patienten samt uppmärksamma patienter som inte själva uttrycker ett omvårdnadsbehov. Syfte: Att sammanställa kunskap om vilka omvårdnadsåtgärder som kan minska patienters preoperativa oro vid elektiva operationer. Metod: Litteraturstudie, baserad på två kvalitativa och åtta kvantitativa artiklar.

Syftet med denna litteratur studie var att undersöka om den preoperativa patient- informationen hade någon effekt på patientens oro, samt om den preoperativa informationen och oron hade någon inverkan på patientens postoperativa smärta. Metoden som användes var en litteraturstudie. Resultatet var baserat på tio vetenskapliga artiklar av kvantitativ design. Litteratur sökningen gjordes i databaserna PubMed, CINAHL och Cochrane Library Resultatet visade att patienter som fick sjukhusets rutininformation i kombination med specifik preoperativ information hade en statistisk signifikant lägre grad av oro under sjukhusvistelsen. Studien visade även att patienter som fick specifik preoperativ information hade signifikant lägre grad av postoperativ smärta..

The aim of this study was to investigate for how long patients fast before thoracic surgery, plastic surgery and ear, nose and throat surgery, at the University hospital of  Uppsala, and what knowledge patients have about fasting and how they get affected by it. 30 patients were interviewed, 10 patients at each ward, according to a questionnaire. Data processing was performed with SPSS. There was no difference in fasting time for solids between the wards but the mean fasting time was 14 hours. In the thoracic ward patients fasted from liquids considerably longer than in the other wards.

ABSTRACT Introduction: One of the great difficulties that the nurse anesthetist encounter in their profession is to assess and estimate sleep depth versus signs of pain in the anesthetized patient. Based on a pre-operative appointment and the perioperative monitoring, an assessment of the patient is made. The experience that the nurse anesthetist has can make it easier to understand what subtile signs of the patient depends on. Purpose: With this in mind, the purpose of the pilot study was to try to find out if there are specific signs of pain during anesthesia and if the professional experience played a role. As a subsidiary aim the authors examined whether there were factors in the patient that the nurse anesthetist takes into account in the identification of pain during anesthesia.

Postoperative site infections are the second most common health care associated infection in Sweden. Surgical procedures can lead to postoperative site infection causing great suffer for the patient and an extended care time with an increased cost as a result. In preparation for surgery, it is important that the skin is well prepared with antiseptics to decrease the risk of postoperative site infection. The purpose with this study was to shed light upon the skin preparation before surgery and its significance to postoperative site infection. Ten scientific articles have been scrutinized and compiled and two themes have been identified ? the Preoperative and the intraoperative skin preparation.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that Preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

Andréasson, M, Preoperativa förutsättningar och postoperativ smärta efter hysterektomi. Examensarbete i omvårdnad 15 högskolepoäng, avancerad nivå (105-120 hp). Malmö högskola: Hälsa och samhälle, Utbildningsområde omvårdnad, 2008. Syftet med studien var att undersöka hur 50 patienter bedömer den preoperativa fasen inför en planerad hysterektomi och att beskriva eventuella samband mellan dessa aspekter och upplevd postoperativ smärta. I studien användes ett frågeformulär med strukturerade frågor och ordinalskalor samt VAS verbala smärtskala för att värdera den pre- och postoperativa omvårdnaden. Studien visar att 18 (36 %) patienter hade postoperativt ingen till måttlig smärta och 32 (64 %) patienter hade medelsvår till outhärdlig smärta. Trots detta tyckte 36 (72 %) patienter att den postoperativa smärtlindringen var tillräcklig medan 13 (26 %) tyckte den var otillräcklig.

Bakgrund: Tidigare forskning visade att ett kirurgiskt ingrepp är en stressfylld upplevelse både fysiskt och psykiskt eftersom kroppens integritet hotas. Preoperativ oro var ett vanligt problem vid elektiv kirurgi. Omvårdnad var ett stöd till medicinsk behandling t.ex. genom information som minskar patientens oro och ängslan samt ökar patientens tolerans för smärta. Syftet: Var att beskriva vad patienterna är oroliga för inför elektiv kirurgi samt ge kunskap i vad sjuksköterskan omvårdnadsmässigt kan göra för att minska oron inför elektiv kirurgi.

The purpose of the present study was to explore if blood lactate levels are increased in bitches with pyometra, and if the lactate measurement could be used as a prognostic indicator and to determine outcome. The present study included 16 bitches with pyometra that were admitted to the University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, Sweden. For comparison, a control group consisting of 14 healthy staffowned bitches was also evaluated. In all bitches, a physical examination was performed and blood samples for analysis of haematological and biochemical parameters were obtained. In all bitches with pyometra, surgical ovariohysterectomy was performed and a uterine sample for bacteriological culture and identification was collected.