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170 records returned

Disuse of stethoscope earmolds.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19911640 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Jirgl RR Tags: AANA J Source Type: journals

Anesthetic management of an obstetric patient with Charcot-Marie-Tooth disease: a case study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Additional documentation of regional anesthesia in patients with Charcot-Marie-Tooth disease (CMT) is needed to guide practitioners and patients in exploring appropriate options for anesthesia and analgesia management. This case report describes the successful use of a combined spinal-epidural technique for labor progressing to cesarean delivery in a patient with CMT. Previous similar case reports were reviewed and an extensive literature search was conducted to organize the limited body of research regarding use of regional anesthesia in patients with CMT. Opinions regarding regional anesthesia in patients with neurom...
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Brock M, Guinn C, Jones M Tags: AANA J Source Type: journals

Rescue ventilation: resolving a "cannot mask ventilate, cannot intubate" situation during exchange of a Combitube for a definitive airway.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Our anesthesia care team was called to care for a patient who was admitted to the emergency department with the esophageal-tracheal double-lumen airway device (Combitube, Tyco Healthcare, Nellcor, Pleasanton, California) in place, which needed to be exchanged for a definitive airway because the patient required an extended period of mechanical ventilation. Several techniques were attempted to exchange the esophageal-tracheal Combitube (ETC) without success. First, we attempted direct laryngoscopy with the ETC in place after deflation of the No. 1 proximal cuff and sweeping the ETC to the left. We were prepared to use b...
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Rich JM, Mason AM, Tillmann HA, Foreman M Tags: AANA J Source Type: journals

Attitudes toward physician-nurse collaboration in anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study provided no support for the supposition that gender contributes to the differences in attitude toward collaboration between physicians and nurses. PMID: 19911643 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Taylor CL Tags: AANA J Source Type: journals

Extended-release epidural morphine vs continuous peripheral nerve block for management of postoperative pain after orthopedic knee surgery: a retrospective study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to compare the efficacy and safety of extended-release epidural morphine (EREM) and perineural infusion (PNI) to control pain after total knee arthroplasty. A convenience sample of 200 patients was obtained using a retrospective chart review of patients who underwent a total knee arthroplasty. Institutional review board approval was obtained, and 100 charts of patients who received EREM and 100 patient charts for PNI were reviewed. The main end points were pain scores up to 48 hours postoperatively, and the ancillary end points were supplemental opioid requirements and adverse effects. Dat...
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Schmidt NR, Donofrio JA, England DA, McDonald LB, Motyka CL, Mileto LA Tags: AANA J Source Type: journals

Intraosseous infusion of blood products and epinephrine in an adult patient in hemorrhagic shock.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 79-year-old woman presented in the postanesthesia care unit with hematemesis following replacement of a jejunostomy tube. Her medical history included recurrent stage IIIC ovarian cancer. The patient rapidly decompensated despite blood products administered through the patient's implanted medication port. The anesthesia service was consulted for resuscitative support. Examination revealed an alert, hypotensive elderly female in hemorrhagic shock. While peripheral intravenous (IV) access was sought, her condition further deteriorated. Attempts at peripheral access were determined futile and central venous access would...
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Burgert JM Tags: AANA J Source Type: journals

Myocardial infarction and subsequent death in a patient undergoing robotic prostatectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 52-year-old patient, ASA physical status IV, undergoing a radical prostatectomy for cancer with a robotic system had a cardiac arrest 3 hours into the case. All attempts to resuscitate were unsuccessful, and several hours later he was pronounced dead. Underlying patient comorbidity and procedural issues contributed to the patient's death. The patient had a history of coronary artery disease that required the placement of drug-eluting stents 2 years before this surgical procedure. The preoperative cardiac evaluation and pharmacological management of patients with drug-eluting coronary stents are reviewed. There are a ...
Source: AANA Journal - October 1, 2009 Category: Anesthesiology Authors: Thompson J Tags: AANA J Source Type: journals

Safe practices for propofol infusion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19731841 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Fanelle J Tags: AANA J Source Type: journals

Peer assistance reaches its 25th year.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This column traces the history of the efforts of the American Association of Nurse Anesthetists to provide assistance to members struggling with addiction. The work of the Ad Hoc Committee on Chemical Dependency, the Peer Assistance Advisors, Anesthetists in Recovery, the Council on Public Interest in Anesthesia, and the Wellness Program are examined. PMID: 19731842 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Quinlan D Tags: AANA J Source Type: journals

Fire in the operating room during open heart surgery: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A patient had a fire in his chest cavity during dissection of the left internal mammary artery before coronary artery bypass graft. The electrosurgical unit indirectly ignited gauze, resulting in a fire. It was determined that oxygen was being entrained into the surgical field through open pulmonary blebs. This case identifies the need for continued fire training and prevention strategies, persistent vigilance, and quick intervention to prevent injury whenever electrosurgical units are used in an oxygen-enriched environment. PMID: 19731843 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Moskowitz M Tags: AANA J Source Type: journals

Radiation safety in fluoroscopy for neuraxial injections.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Certified Registered Nurse Anesthetists (CRNAs) perform epidural steroid injections for chronic back and extremity pain. Placing epidural needles using fluoroscopy and confirming the needle placement by epidurogram has been suggested as a means to increase the efficacy of epidural injections while decreasing complications. Because of the risk of radiation injury to patients and staff when using fluoroscopy, the purpose of this article is to review the concepts of fluoroscopy and radiation safety for CRNAs. Following a literature search using keywords such as fluoroscopy, radiation injury, and radiation safety, relevant...
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Fink GE Tags: AANA J Source Type: journals

Frontal lobe oxygenation is maintained during hypotension following propofol-fentanyl anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Near-infrared spectroscopy (NIRS) assesses cerebral oxygen saturation (Sco2) as a balance between cerebral oxygen delivery and consumption. In 71 patients, we evaluated whether marked reduction in mean arterial pressure (MAP) during propofol-fentanyl anesthesia induction affects frontal lobe Sco2. The NIRS-determined arm muscle oxygenation (Smo2), heart rate (HR), and cardiac output (CO) were monitored, endtidal carbon dioxide tension was controlled at 3.5 to 4.5 kPa, and central blood volume was maintained. Before anesthesia, the median (range) MAP, HR, and CO were 93 mm Hg (61-126 mm Hg), 76 beats/min (50-96 beats/mi...
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Nissen P, van Lieshout JJ, Nielsen HB, Secher NH Tags: AANA J Source Type: journals

Hemodynamic measurement in the operating room: a review of conventional measures to identify hypovolemia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews commonly used intraoperative monitoring techniques and discusses their potential limitations as they relate to hypovolemia and hemorrhagic shock. PMID: 19731846 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: D'Angelo MR, Dutton RP Tags: AANA J Source Type: journals

Effects of anesthetics and analgesics on natural killer cell activity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the effects of various anesthetics and analgesics on NK cell activity and suggests techniques to attenuate the suppressive effects of these compounds. PMID: 19731847 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Welden B, Gates G, Mallari R, Garrett N Tags: AANA J Source Type: journals

Comparison of inhalation of isopropyl alcohol vs promethazine in the treatment of postoperative nausea and vomiting (PONV) in patients identified as at high risk for developing PONV.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Frequently, patients identified as high risk for postoperative nausea and vomiting (PONV) are treated prophylactically with intravenous (IV) ondansetron and postoperatively with IV promethazine. The purpose of this study was to determine if using an aromatic therapy of 70% isopropyl alcohol (IPA) would be more effective than promethazine in resolution of breakthrough PONV symptoms in groups of high-risk patients administered prophylactic ondansetron. All subjects enrolled were identified as high risk for PONV, administered general anesthesia and a prophylactic antiemetic of 4 mg of IV ondansetron, and randomized to rec...
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Pellegrini J, DeLoge J, Bennett J, Kelly J Tags: AANA J Source Type: journals

New drug, fospropofol disodium: a propofol prodrug.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The use of propofol presents chemical and clinical concerns, including pain on injection, allergy risks, possible bacteria growth, and hyperlipidemia. These concerns have encouraged the search for alternative propofol formulations. Elimination of the soybean oil and lecithin carrier agents is difficult because the highly lipophilic diisopropyl phenol molecule does not dissolve in water. Propofol in aqueous solution would be a preferable alternative to lipid-based emulsions. One formulation of propofol is fospropofol disodium (Lusedra, Eisai Corporation of North America, Woodcliff Lake, New Jersey), previously known as ...
Source: AANA Journal - July 31, 2009 Category: Anesthesiology Authors: Welliver M, Rugari SM Tags: AANA J Source Type: journals

Should I continue or discontinue that medication?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19645165 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Schwartz A Tags: AANA J Source Type: journals

Betty Lank: a kind and gentle anesthetist devoted to children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Many noted clinicians and educators led the development of nurse anesthesia as a profession during the first half of the 20th century. Betty E. Lank, CRNA, a nurse anesthetist at Children's Hospital Boston, Massachusetts, for 34 years, devoted her professional life to the delivery and advancement of pediatric anesthesia. She is credited with many contributions including the first use of cyclopropane for infant anesthesia, developing pediatric-sized anesthesia masks and ventilation bags, and instituting standards for specialized postanesthesia recovery areas. Lank recorded her anesthesia experiences in various nursing p...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Galvin S, Dewan J, Rockoff MA Tags: AANA J Source Type: journals

A report on the CCNA 2007 professional practice analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this column is to present the results of the 2007 Professional Practice Analysis (PPA) of the field of nurse anesthesia, conducted by the Council on Certification of Nurse Anesthetists. The PPA used survey and rating scale methodologies to collect data regarding the relative emphasis of various aspects of the nurse anesthesia knowledge domain and competencies. A total of 3,805 survey responses were analyzed using the Rasch rating scale model, which aggregates and transforms ordinal (rating scale) responses into linear measures of relative importance and frequency. Summaries of respondent demographics and...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Muckle TJ, Apatov NM, Plaus K Tags: AANA J Source Type: journals

Nurse anesthesia program requirements for esophageal/precordial stethoscope earpieces: a survey.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Student nurse anesthetists are often required to purchase an auscultatory earpiece device for use in the clinical setting. Although the device is required, students have observed that many anesthesia providers in the clinical setting no longer use this piece of equipment. The purpose of this project was to determine the number of anesthesia programs that required mandatory purchase of the auscultatory earpiece by student nurse anesthetists. A brief survey was developed to collect data from the directors of all 105 accredited nurse anesthesia programs in the United States. The survey was completed by 63 (60%) of the pro...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Smith J, Wakim JH, Hill L Tags: AANA J Source Type: journals

Spinal anesthesia in preterm infant undergoing herniorrhaphy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Inguinal hernias are the most common diagnosis requiring surgical repair in children of all ages. Anesthetic management of premature infants is often difficult due to their comorbidities and propensity for apnea and bradycardia. General anesthesia has been shown to be associated with an increased incidence of postoperative adverse events. The purpose of this review is to determine the benefits and risks of spinal anesthesia in preterm infants undergoing herniorrhaphy. The use of spinal anesthesia in this population has been shown to decrease the incidence of postoperative adverse events. PMID: 19645169 [PubMed - in...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Libby A Tags: AANA J Source Type: journals

Anesthetic management of acute subcutaneous emphysema and pneumothorax following a nuss procedure: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The minimally invasive Nuss procedure has become the standard of care for surgical correction of pectus excavatum. Pectus excavatum is the most common congenital deformity of the chest wall. Historically, surgical correction was limited to the Ravitch procedure, an invasive procedure associated with significant drawbacks, where abnormal cartilage was removed and the sternum elevated and stabilized. Patients typically experienced a prolonged recovery period, from 6 to 9 months and significant postoperative pain. The Nuss procedure, invented in 1998, is much less invasive and has a success rate of 90% compared with the R...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Conti ME Tags: AANA J Source Type: journals

Will the addition of a sciatic nerve block to a femoral nerve block provide better pain control following anterior cruciate ligament repair surgery?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Two common forms of postoperative analgesia used in patients following an anterior cruciate ligament repair (ACLR) are the femoral nerve block (FNB) and the combined femoral-sciatic nerve block (FSB). The purpose of this study was to determine if the addition of the sciatic nerve block to the FNB is truly beneficial in ACLR patients requesting regional anesthesia for postoperative pain control. All subjects scheduled for an ACLR, requesting general anesthesia and preoperative placement of a peripheral nerve block (PNB), were randomized to receive an FNB or an FSB. Analgesic requirements, pain scores, and overall postop...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Jansen TK, Miller BE, Arretche N, Pellegrini JE Tags: AANA J Source Type: journals

An update on sugammadex sodium.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sugammadex sodium is the generic drug name for the novel modified gamma cyclodextrin that terminates neuromuscular blockade induced by aminosteroidal neuromuscular blocking agents. Published phase II and phase III clinical data support preclinical and clinical phase I study findings of fast, safe, and efficacious reversal of all levels of neuromuscular blockade induced by rocuronium and vecuronium. Low levels of neuromuscular blockade induced by pancuronium have also been successfully reversed by sugammadex. This agent does not reverse the bis-isoquinoline neuromuscular blocking agents. Special patient populations, inc...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Welliver M, Cheek D Tags: AANA J Source Type: journals

Semmelweis revisited: hand hygiene and nosocomial disease transmission in the anesthesia workstation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hospital-acquired infections occur at an alarmingly high frequency, possibly affecting as many as 1 in 10 patients, resulting in a staggering morbidity and an annual mortality of many tens of thousands of patients. Appropriate hand hygiene is highly effective and represents the simplest approach that we have to preventing nosocomial infections. The Agency for Healthcare Research and Quality has targeted hand-washing compliance as a top research agenda item for patient safety. Recent research has identified inadequate hand washing and contaminated anesthesia workstation issues as likely contributors to nosocomial infect...
Source: AANA Journal - May 31, 2009 Category: Anesthesiology Authors: Biddle C Tags: AANA J Source Type: journals

Medical-legal quandary of healthcare in capital punishment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19388501 [PubMed - indexed for MEDLINE] (Source: AANA Journal)
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Koch E Tags: AANA J Source Type: journals

Doctoral education: which degree to pursue?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19388502 [PubMed - indexed for MEDLINE] (Source: AANA Journal)
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Hawkins R, Nezat G Tags: AANA J Source Type: journals

Bilateral transversus abdominis plane nerve blocks for analgesia following cesarean delivery: report of 2 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
These 2 case reports describe the use of transversus abdominis plane (TAP) nerve blocks for analgesia following emergency cesarean delivery. Bilateral single shot TAP blocks provided prolonged and extremely effective analgesia. Patients displayed early oral intake, early ambulation, and low pain scores. No postoperative narcotics were used by either patient throughout their hospital stay. A technique for TAP blocks is described with discussion of risks and suggested uses. PMID: 19388503 [PubMed - indexed for MEDLINE] (Source: AANA Journal)
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Scharine JD Tags: AANA J Source Type: journals

Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alpha2-adrenergic agonists have been shown to reduce the incidence of perioperative myocardial morbidity and mortality. The purpose of this review article is to summarize the current data pertaining to alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. The MEDLINE and Cochrane databases were searched for randomized trials from 1980 to 2006 that assessed perioperative alpha2-agonists and myocardial ischemia, myocardial infarction, and mortality. All recently published studies were reviewed and the data summarized. The currently published randomized controlled trials indi...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Chalikonda SA Tags: AANA J Source Type: journals

Preoperative fluid bolus and reduction of postoperative nausea and vomiting in patients undergoing laparoscopic gynecologic surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We conducted a randomized clinical trial of patients undergoing laparoscopic gynecologic surgery to determine the effect of a calculated preoperative fluid bolus on postoperative nausea and vomiting (PONV). For the study, 46 women were randomly assigned to an experimental group, group 1, or a control group, group 2. Group 1 received up to 1,000 mL of replacement fluid preoperatively, using the 4-2-1 formula. Group 2 received the anesthesia provider's routine replacement fluids. Neither group received antiemetics preoperatively or intraoperatively. All patients were assessed for PONV by nurses blinded to patient group a...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Lambert KG, Wakim JH, Lambert NE Tags: AANA J Source Type: journals

Anesthetic considerations for the patient with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hereditary hemorrhagic telangiectasia (HHT), Osler-Weber-Rendu Syndrome, is an uncommon disease but may be present in many people who remain undiagnosed. It is an autosomal dominant disorder characterized by multiple arteriovenous malformations (AVMs) and telangiectases that affect multiple organ systems. Hereditary hemorrhagic telangiectasia patients have a propensity for bleeding, especially from the oropharynx, nasopharynx and gastrointestinal tract, as well as from rupture of AVMs of other organ systems. Anesthetic care of patients with HHT involves very specific interventions with regard to control of bleeding, ma...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Peiffer KM Tags: AANA J Source Type: journals

New estimates for CRNA vacancies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A national survey to estimate vacancy rates of Certified Registered Nurse Anesthetists (CRNAs) in hospitals and ambulatory surgical centers was conducted in 2007. Poisson regression methods were used to improve the precision of the estimates. A significant increase in the estimated vacancy rate was reported for hospitals relative to an earlier study from 2002, although it is important to note that there were some methodological differences between the 2 surveys explaining part of the increase. Results from this study found the vacancy rate was higher in rural hospitals than in nonrural hospitals, and it was lower in am...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Merwin E, Stern S, Jordan LM, Bucci M Tags: AANA J Source Type: journals

Effect of timing of fluid bolus on reduction of spinal-induced hypotension in patients undergoing elective cesarean delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Spinal-induced hypotension remains the most common complication associated with spinal anesthesia for cesarean delivery. Recent evidence indicates that a 20-mL/kg bolus via pressurized infusion system administered at the time of subarachnoid block (SAB) (coload) may provide better prophylaxis than the traditional administration of a 20-mL/kg crystalloid infusion (preload) approximately 20 minutes before SAB; however, this method raises some concerns. We hypothesized that administering half of the fluid bolus (10 mL/kg) before and half immediately following injection of the SAB would provide benefit. Variables included ...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Williamson W, Burks D, Pipkin J, Burkard JF, Osborne LA, Pellegrini JE Tags: AANA J Source Type: journals

Update for nurse anesthetists--Part 1--The cerebral oximeter: what is the efficacy?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients having surgical procedures are at risk for anoxia that may cause cognitive impairment. Continuous monitoring of cerebral oxygenation and perfusion with an instrument such as a cerebral oximeter is desirable. The data it provides give insight into the cause of the cerebral insults along with the cerebral response to specific interventions, all of which could help prevent damage to the brain. This critical review of the literature on the efficacy, mechanics, and usefulness of the cerebral oximeter will be helpful to anesthesia providers in evaluating the controversy surrounding its use. A comprehensive understan...
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Bruns AR, Norwood BR, Bosworth GA, Hill L Tags: AANA J Source Type: journals

New way to set up propofol infusion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19391247 [PubMed - indexed for MEDLINE] (Source: AANA Journal)
Source: AANA Journal - March 31, 2009 Category: Anesthesiology Authors: Huang J, German T Tags: AANA J Source Type: journals

Reader questions AANA Journal cover.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19263822 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Jirgl RR Tags: AANA J Source Type: journals

Alice Magaw (Kessel): her life in and out of the operating room.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alice Magaw (Kessel) was a pioneer in nursing research and the practice of nurse anesthesia through the publication of her clinical findings. This historical review will consolidate and preserve existing information and document new findings pertaining to this outstanding anesthetist. Primary historical sources, newspapers, legal documents, and other forms of information will be utilized, as well as correspondence with individuals who had some relative association with Magaw. PMID: 19263823 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Nelson JE, Wilstead SF Tags: AANA J Source Type: journals

Accreditation requirements for practice doctorates in 14 healthcare professions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19263824 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Phelps MR, Gerbasi F Tags: AANA J Source Type: journals

Anesthetic management of a pregnant patient with an automatic implantable cardioverter-defibrillator: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is little data currently available for the obstetric anesthetist to use as a reference for the anesthetic management of laboring women with automatic implantable cardioverter-defibrillators (AICDs). This case report involves a parturient with an AICD and a history of serious cardiac events. The information contained in this case report may be used by anesthesia providers in the obstetric suite confronted with this unique subset of patients that require in-depth anesthetic management. The parturient presented to our labor suite in active labor. The choice of anesthetics used to provide her with analgesia for labor...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Yost S, McDonald B, Vallejo M Tags: AANA J Source Type: journals

Investigation of the anxiolytic effects of luteolin, a lemon balm flavonoid in the male Sprague-Dawley rat.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this study was to investigate the anxiolytic effects of luteolin and its potential interaction with the gamma-aminobutyric acid (GABAA) receptor in male Sprague-Dawley rats. Lemon balm has traditionally been used as an herbal remedy in the treatment of many medical conditions, including anxiety. Luteolin is a major component of the essential oil lemon balm. We divided 55 rats into 5 groups: (1) control (negative control), (2) luteolin, (3) midazolam (positive control), (4) flumazenil and luteolin, and (5) midazolam and luteolin. The behavioral component of anxiety was examined by using the elevated plus-...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Raines T, Jones P, Moe N, Duncan R, McCall S, Ceremuga TE Tags: AANA J Source Type: journals

Acute hypotension in a patient undergoing posttraumatic cervical spine fusion with somatosensory and motor-evoked potential monitoring while under total intravenous anesthesia: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hypotension should be vigilantly prevented in patients with spinal cord injury. Recent advances in neurological, intraoperative monitoring techniques have allowed Certified Registered Nurse Anesthetists to assess the effects of spinal cord ischemia and compression as they occur. This case report describes a young, healthy man who sustained a cervical spine fracture and was scheduled for anterior spinal fusion with somatosensory and motor-evoked potential (MEP) monitoring while under total intravenous anesthesia. This patient experienced a brief period of intraoperative hypotension with evidence of abnormal MEPs. A wake...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Cann DF Tags: AANA J Source Type: journals

Perceived deprivation in active duty military nurse anesthetists.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There is a shortage of military Certified Registered Nurse Anesthetists (CRNAs). Relative deprivation is a perception of unfairness due to discrepancies between what one has and what one could or should have that is dependent on feelings (subjective data) and facts (objective data). Feelings of relative deprivation could contribute to the military CRNA shortage. The purposes of this study were to measure relative deprivation in active-duty military CRNAs and explore variables that correlate with relative deprivation. The descriptive, correlational study was conducted using a self-administered survey sent to 435 active-...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Pearson JA, Fallacaro MD, Pellegrini JE Tags: AANA J Source Type: journals

Factors at admission associated with 4 months outcome in elderly patients with hip fracture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of this descriptive cohort study was to describe patients with hip fracture on the basis of ASA physical status and to identify preoperative risk factors associated with postoperative outcome up to 4 months after surgery. Data were collected prospectively through the Swedish National Hip Fracture and Anesthetic registers and retrospectively from medical and nursing records. The 428 patients (aged > or = 65 years) with hip fracture were consecutively included. Multiple logistic regression analyses were used to identify factors predicting each of 4 outcomes. Risk factors for a poorer 4-month survival after...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Björkelund KB, Hommel A, Thorngren KG, Lundberg D, Larsson S Tags: AANA J Source Type: journals

Should I continue or discontinue that medication?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients are admitted for surgery while taking a wide array of medications, and nurse anesthetists must evaluate their effectiveness and compatibility with anesthesia. Anesthetists must be familiar with the basic pharmacology of each drug and the potential adverse effects and possible drug interactions that may occur when anesthetic drugs are administered. If a medication requires discontinuation, we must ensure that the patient's disease remains controlled throughout the perioperative period. It is estimated that up to 50% of patients admitted for surgery will be taking some of type of medication preoperatively. The m...
Source: AANA Journal - February 1, 2009 Category: Anesthesiology Authors: Nagelhout J, Elisha S, Waters E Tags: AANA J Source Type: journals

Severe bradycardia after propofol induction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19090307 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Huang J, Wilson S Tags: AANA J Source Type: journals

The medical-legal quandary of healthcare in capital punishment: an ethical dilemma for the anesthesia provider.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The case of Brase v Rees was presented before the US Supreme Court to consider the constitutionality of death by lethal injection as practiced in the state of Kentucky. The 3-drug combination of sodium thiopental, pancuronium bromide, and potassium chloride is a key aspect in question. Capital punishment conflicts with medical and nursing code of ethics preventing providers who are skilled at difficult intravenous (IV) access, assessment of appropriate sedation, and involvement without fear of disciplinary action. Therefore, untrained or undertrained personnel from the prison have been delegated these duties. Cases in ...
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Johnson KW Tags: AANA J Source Type: journals

Cultural competency training in nurse anesthesia education.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19090309 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Wright SM Tags: AANA J Source Type: journals

Comparison of 2 laryngeal tracheal anesthesia techniques in reducing emergence phenomena.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endotracheal intubation (ETT) can cause emergence phenomena (EP) including coughing, sore throat, and dysphonia. Two methods used to prevent EP are the administration of local anesthetics directly onto airway structures using a specialized laryngotracheal instillation of topical anesthesia (LITA) tube (Sheridan Catheter Corporation, Argyle, New York) or the placement of a local anesthetic into the ETT cuff. The purpose of this study was to determine which method was better at preventing ERl In this prospective, randomized, comparative analysis, a sample of 160 ASA class I through III patients were randomly assigned to ...
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Crerar C, Weldon E, Salazar J, Gann K, Kelly JA, Pellegrini JE Tags: AANA J Source Type: journals

Anesthesia in a child with pyruvate dehydrogenase deficiency: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case in a pediatric patient with pyruvate dehydrogenase deficiency who presented for a left foot tendon transfer with an Achilles tendon lengthening secondary to left ankle equinus. The pathophysiology of pyruvate dehydrogenase deficiency is discussed as well as anesthetic management in patients with pyruvate dehydrogenase deficiency. PMID: 19090311 [PubMed - in process] (Source: AANA Journal)
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Gilmore DA, Mayhew J Tags: AANA J Source Type: journals

Anesthesia for cesarean delivery in an achondroplastic dwarf: a case report.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There are more than 100 different types of dwarfism. Achondroplasia is the most common form of this rare condition. The incidence of achondroplasia in the United States is about 15 per 1 million births. Although inherited as an autosomal dominant condition, 80% of cases result from spontaneous mutation. Underdevelopment and premature ossification of bones result in characteristic craniofacial and spinal abnormalities. Limited neck extension, foramen magnum stenosis, a large tongue, large mandible, and atlanto-axial instability can lead to increased difficulty of airway management. Severe kyphosis, scoliosis, spinal ste...
Source: AANA Journal - December 1, 2008 Category: Anesthesiology Authors: Huang J, Babins N Tags: AANA J Source Type: journals