Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis

Background: Most nurses, especially operating room personnel, seems to be more likely to be affected by mood disorders than other social strata. The present study attempted to systematically review the prevalence of depression and its main determinants among operating room personnel in Iran. Methods: The method of this systematic review is documenting in a published protocol in the International Prospective Register of Systematic Reviews (PROSPERO) and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. After this massive search, titles and abstracts of retrieved documents have screened and all irrelevant articles excluded. Two reviewers screened the documents and selected all relevant studies and assessed included articles separately. Results: Totally, 12 citations found in the initial literature search where four citations excluded, as they did not meet the inclusion criteria. The final number of studies available for analysis was 12 including a total of 373 operating room personnel (86 men and 287 women, mean the age of 27.71 years ranged from 20 to 36 years). The pooled prevalence of depression among operating room personnel was estimated to be 45.3%. In this regard, 27.0% of personnel suffered from severe depression. A significant heterogeneity found in the overall analysis of the overall prevalence of depression and its severe pattern. Conclusion: A notable number of operating room personnel in Iran suffer from depression even in its severe condition emphasizing the importance of the managerial approach to minimize its adverse effects on their performance as well as to improve their quality of life

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The global prevalence of musculoskeletal disorders among operating room personnel: A systematic review and meta-analysis

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2020.03.019 ◽

2020 ◽

Vol 8 (4) ◽

pp. 1053-1061 ◽

Cited By ~ 1

Author(s):

Reza Tavakkol ◽

Esmaeil Kavi ◽

Soheil Hassanipour ◽

Hadiseh Rabiei ◽

Mahdi Malakoutikhah

Keyword(s):

Systematic Review ◽

Operating Room ◽

Musculoskeletal Disorders ◽

Meta Analysis ◽

Operating Room Personnel ◽

Global Prevalence

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Faculty Opinions recommendation of Comparison of videolaryngoscopy and direct laryngoscopy for tracheal intubation in obstetrics: a mixed-methods systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.739362466.793589854 ◽

2021 ◽

Author(s):

Emily E Sharpe

Keyword(s):

Systematic Review ◽

Mixed Methods ◽

Tracheal Intubation ◽

Direct Laryngoscopy ◽

Meta Analysis

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Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs

BMJ Quality & Safety ◽

10.1136/bmjqs-2020-012474 ◽

2021 ◽

pp. bmjqs-2020-012474

Author(s):

Joanna Abraham ◽

Alicia Meng ◽

Sanjna Tripathy ◽

Michael S Avidan ◽

Thomas Kannampallil

Keyword(s):

Systematic Review ◽

Intensive Care Unit ◽

Intensive Care ◽

Operating Room ◽

Meta Analysis ◽

Intervention Group ◽

Future Research ◽

Original Research ◽

Cochrane Central Register ◽

The Impact

ObjectiveTo conduct a systematic review and meta-analysis to ascertain the impact of operating room (OR) to intensive care unit (ICU) handoff interventions on process-based and clinical outcomes.MethodWe included all English language, prospective evaluation studies of OR to ICU handoff interventions published as original research articles in peer-reviewed journals. The search was conducted on 11 November 2019 on MEDLINE, CINAHL, EMBASE, Scopus and the Cochrane Central Register of Controlled Trials databases, with no prespecified criteria for the type of comparison or outcome. A meta-analysis of similar outcomes was conducted using a random effects model. Quality was assessed using a modified Downs and Black (D&B) checklist.Results32 studies were included for review. 31 studies were conducted at a single site and 28 studies used an observational study design with a control. Most studies (n=28) evaluated bundled interventions which comprised information transfer/communication checklists and protocols. Meta-analysis showed that the handoff intervention group had statistically significant improvements in time to analgesia dosing (mean difference (MD)=−42.51 min, 95% CI −60.39 to −24.64), fewer information omissions (MD=−2.22, 95% CI −3.68 to –0.77), fewer technical errors (MD=−2.38, 95% CI −4.10 to –0.66) and greater information sharing scores (MD=30.03%, 95% CI 19.67% to 40.40%). Only 15 of the 32 studies scored above 9 points on the modified D&B checklist, indicating a lack of high-quality studies.DiscussionBundled interventions were commonly used to support OR to ICU handoff standardisation. Although the meta-analysis showed significant improvements for a number of clinical and process outcomes, the statistical and clinical heterogeneity must be accounted for when interpreting these findings. Implications for OR to ICU handoff practice and future research are discussed.

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Mitral Regurgitation Grading in the Operating Room: A Systematic Review and Meta-analysis Comparing Preoperative and Intraoperative Assessments During Cardiac Surgery

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2017.02.046 ◽

2017 ◽

Vol 31 (5) ◽

pp. 1681-1691 ◽

Cited By ~ 13

Author(s):

Filippo Sanfilippo ◽

Christopher Johnson ◽

Diego Bellavia ◽

Marco Morsolini ◽

Giuseppe Romano ◽

...

Keyword(s):

Systematic Review ◽

Cardiac Surgery ◽

Mitral Regurgitation ◽

Operating Room ◽

Meta Analysis

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Melatonin for non-operating room sedation in paediatric population: a systematic review and meta-analysis

Archives of Disease in Childhood ◽

10.1136/archdischild-2020-320592 ◽

2021 ◽

pp. archdischild-2020-320592

Author(s):

Javed Ahmed ◽

Waseemoddin Patel ◽

Abdul Kareem Pullattayil ◽

Abdul Razak

Keyword(s):

Systematic Review ◽

Operating Room ◽

Meta Analysis ◽

Paediatric Population ◽

Fixed Effect Model ◽

Cochrane Library ◽

Effect Model ◽

Magnetic Resonance Imaging Mri ◽

Electroencephalogram Eeg ◽

Evoked Response Audiometry

ContextThe literature on melatonin as a sedative agent in children is limited.ObjectiveTo conduct a systematic review of studies assessing the efficacy and safety of melatonin for non-operating room sedation in children.MethodsMedline, Embase, Cochrane Library and Cumulative Index to Nursing and Allied Health were searched until 9 April 2020 for studies using melatonin and reporting one of the prespecified outcomes of this review. Two authors independently assessed the eligibility, risk of bias and extracted the data. Studies with a similar study design, comparator and procedure were pooled using the fixed-effect model.Results25 studies (clinical trials=3, observational studies=9, descriptive studies=13) were included. Melatonin was used for electroencephalogram (EEG) (n=12), brainstem evoked response audiometry (n=8) and magnetic resonance imaging (MRI) (n=5). No significant differences were noted on meta-analysis of EEG studies comparing melatonin with sleep deprivation (SD) (relative risk (RR) 1.06 (95% CI 0.99 to 1.12)), melatonin with chloral hydrate (RR 0.97 (95% CI 0.89 to 1.05)) and melatonin alone with melatonin and SD combined (RR 1.03 (95% CI 0.97 to 1.10)) for successful procedure completion. However, significantly higher sedation failure was noted in melatonin alone compared with melatonin and SD combined (RR 1.55 (95% CI 1.02 to 2.33)) for EEG. Additionally, meta-analysis showed lower sleep latency for melatonin compared with SD (mean difference −10.21 (95% CI −11.53 to −8.89) for EEG. No major adverse events were reported with melatonin.ConclusionAlthough several studies were identified, and no serious safety concerns were noted, the evidence was not of high quality to establish melatonin’s efficacy for non-operating room sedation in children.

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