journal
https://read.qxmd.com/read/38758722/widening-the-definition-of-research-let-s-be-inclusive
#1
LETTER
Charles A Griffis
No abstract text is available yet for this article.
June 2024: AANA Journal
https://read.qxmd.com/read/38758721/nonoperating-room-anesthesia-workspaces
#2
LETTER
David Neyens, Candace Jaruzel
No abstract text is available yet for this article.
June 2024: AANA Journal
https://read.qxmd.com/read/38758720/supporting-crna-clinical-practice-a-review-of-new-and-updated-professional-practice-documents
#3
REVIEW
Maya Caballero, Emily Butera, Derek Schmack, Ewa Greenier, Brett Morgan
The American Association of Nurse Anesthesiology (AANA) Practice Committee, in collaboration with AANA Professional Practice staff, advisory panels, and subject matter experts, annually applies a standardized evidence-based process to review, evaluate, and revise clinical resource documents found in the Professional Practice Manual for the CRNA (Certified Registered Nurse Anesthetist) and on the AANA website. This article highlights several revised and newly developed documents, which include topics such as diversity, equity, and inclusion, anesthesia and analgesia for obstetric patients, and safe injection guidelines...
June 2024: AANA Journal
https://read.qxmd.com/read/38758719/the-utility-of-bis%C3%A2-monitoring-in-anesthesia-for-elderly-patients
#4
REVIEW
Rhea Temmermand, Zohn Centimole, Brett Morgan, Ewa Greenier
Aging leads to anatomic and physiologic changes in the brain, making it more sensitive to the depressant effects of anesthetic medications and increasing the risk of postoperative neurocognitive complications such as postoperative delirium and postoperative cognitive dysfunction. This article explores the implications of anesthesia on elderly patients' brain health, emphasizing the heightened risk of postoperative neurocognitive disorders, and describes the BIS™ Monitoring System as a neuromonitoring tool for anesthesia professionals to assess the depth of anesthesia...
June 2024: AANA Journal
https://read.qxmd.com/read/38758717/the-application-of-radiofrequency-ablation-in-acute-and-chronic-pain-management
#5
REVIEW
Emily Biel, Anne Pivarunas, Taylor Prentice, Nina Rowe, Sarah Jingying Zhang
Radiofrequency ablation (RFA), also known as rhizotomy, is one of the frequently used modalities in interventional pain management. This nonsurgical procedure delivers radiofrequency waves to the targeted nerves to interrupt transmission of nociceptive signals from the peripheral tissues to the central nervous system, thereby reducing pain perception. Recent studies have demonstrated the efficacy of RFA treatment as an effective interventional pain management technique to treat a variety of acute and chronic pain conditions including facial pain, headaches, postmastectomy, musculoskeletal, and major joint pain (knee, hip, shoulder, sacroiliac), and cancer pain...
June 2024: AANA Journal
https://read.qxmd.com/read/38758716/chest-radiograph-interpretation-online-teaching-resources-for-non-radiologists
#6
REVIEW
Lisa Hood, Hope Seelinger, Sharon M Burns, Paul N Austin
Chest radiographs provide vital information to clinicians. Medical professionals need to be proficient in interpreting chest radiographs to care for patients. This review examines online methods for teaching chest radiograph interpretation to non-radiologists. An online database search of PubMed and the Cochrane Databases of Systematic Reviews revealed 25 potential evidence sources. After using the similar articles tool on PubMed, eight evidence sources met the inclusion criteria. Three sources supported the use of online learning to increase students' confidence regarding chest radiograph interpretation...
June 2024: AANA Journal
https://read.qxmd.com/read/38758715/intrathecal-dexamethasone-and-dexmedetomidine-as-adjuncts-to-bupivacaine-in-elective-cesarean-section-a-case-series
#7
JOURNAL ARTICLE
Thomas Baribeault, Juan Quintana, Eric Hearn, Richard Wilson
The purpose of this study was to investigate whether the combination of intrathecal dexamethasone and dexmedetomidine in combination with bupivacaine in spinal anesthesia is effective for reducing nausea, vomiting, shivering, and pain. A retrospective review of records was used to examine the outcomes of patients undergoing cesarean delivery under spinal anesthesia with dexamethasone, dexmedetomidine, and bupivacaine. The records of 11 consecutive patients who underwent cesarean delivery under spinal anesthesia with intrathecal dexamethasone and dexmedetomidine in combination with bupivacaine were evaluated...
June 2024: AANA Journal
https://read.qxmd.com/read/38758714/comparison-of-i-gel%C3%A2-and-lma%C3%A2-supreme%C3%A2-for-facilitating-fiberoptic-endotracheal-intubation-a-prospective-randomized-trial
#8
RANDOMIZED CONTROLLED TRIAL
Ryan J Lefevre, Christina A Jelly, Cynthia Schmelz, Jeremy Bennett, Yaping Shi, Matthew Shotwell, Jeffrey Ford, Antonio Hernandez
Supraglottic airway (SGA) is an alternative to endotracheal intubation, however endotracheal intubation is often essential. One method to convert from an SGA to an endotracheal tube (ETT) is utilizing the SGA as a conduit for fiberoptic-guided advancement of an Aintree catheter (airway exchange catheter), and exchange of the SGA for an ETT. In this prospective randomized study, we compared two SGA devices in facilitating this exchange. Subjects were randomized to receive either the i-gel® or LMA® Supreme™ SGA...
June 2024: AANA Journal
https://read.qxmd.com/read/38758713/airway-complications-in-a-patient-with-ehlers-danlos-syndrome-a-case-report
#9
JOURNAL ARTICLE
Vera Meeusen, Ante Lemic
A female patient, known to have hypermobile Ehlers-Danlos syndrome (hEDS), underwent several elective gastroscopies under sedation in different hospitals. Except for a single incident of mild laryngospasm during emergence, all procedures were uneventful. On that occasion, following the procedure in the postanesthesia care unit, the patient suffered severe airway obstruction, and standard airway rescue techniques exacerbated adequate ventilation. After the removal of all stimuli and maintaining only an indirect oxygen supply via a mask in front of her face, her airway improved, and the patient fully recovered after 17 minutes...
June 2024: AANA Journal
https://read.qxmd.com/read/38758712/assessing-the-nurse-anesthesiologists-self-perceived-preparedness-to-the-care-for-individuals-with-intellectual-and-development-disability-a-cross-sectional-survey
#10
JOURNAL ARTICLE
Virginia Londahl Ramsey, Tito D Tubog, Tammy Sadighi, Traci Mays
Approximately 6.5 million people in the U.S. are affected by an intellectual or developmental disability (IDD). However, their healthcare needs often remain unmet due to the inadequate education and training of healthcare professionals. Given that various procedures may require anesthesia in as many as 40% of individuals with IDD, Certified Registered Nurse Anesthetist Programs need to incorporate IDD training into their curriculum. A cross-sectional survey using a 12-item questionnaire was conducted to assess IDD training...
June 2024: AANA Journal
https://read.qxmd.com/read/38758711/living-with-the-aftermath-the-second-victim-experience-among-certified-registered-nurse-anesthetists
#11
JOURNAL ARTICLE
Julie A Kruse, Paiton Podojil-Kostecki, Britney Smith
The second victim experience is defined as a healthcare professional who is traumatized by adverse events that have occurred to the patient, the first victim. This traumatization can cause a range of symptoms such as guilt, anxiety, disturbed sleep, and decreased job satisfaction. The purposes of this study were to understand certified registered nurse anesthetists' (CRNAs') second victim distress, perceived support, and the impact of the second victim experience on absenteeism and turnover intention. A survey was administered to CRNAs from the Michigan Association of Nurse Anesthetists, with a total of 172 responses suitable for analysis...
June 2024: AANA Journal
https://read.qxmd.com/read/38758710/advanced-airway-management-skill-decay-a-review-of-the-literature
#12
REVIEW
Russ Branch, Katie Cole
Anesthesia providers must be experts in advanced airway management techniques such as laryngeal mask airway and endotracheal tube insertion. However, practicing anesthesia providers may work in clinical settings where advanced airway management techniques are rarely required. Infrequent advanced airway skill performance in these clinical settings can lead to skill decay, which is the gradual loss of acquired skills through infrequent practice or extended periods of skill nonuse. This literature review synthesizes available evidence regarding advanced airway management skill decay...
June 2024: AANA Journal
https://read.qxmd.com/read/38809188/imagining-in-time-the-legacy-of-olive-berger-1898-1981
#13
JOURNAL ARTICLE
Andrew R Benson, Catherine Horvath, Marjorie Everson, Bruce Schoneboom
Olive Berger was a true nurse anesthesia pioneer for our profession. She dedicated her life to the advancement of nurse anesthesia through her leadership, advocacy, scholarly writing, clinical achievements and innovation. She blazed the trail by forming and establishing education requirements for nurse anesthesia programs, established a state nurse anesthesia organization, and led the American Association of Nurse Anesthetists as its 14th president in 1958. She was the Chief Certified Registered Nurse Anesthetist and Program Director at the Johns Hopkins Hospital and is best known for her collaboration with surgeons Dr...
April 2024: AANA Journal
https://read.qxmd.com/read/38564211/implementation-of-a-spaced-learning-program-for-educating-crnas-on-a-scalpel-bougie-cricothyrotomy-procedure-for-emergency-front-of-neck-access
#14
JOURNAL ARTICLE
Antoinette T Padula, Joy Elwell, Maria Madonick, Michael Wilhelm, Don Boyd
Certified registered nurse anesthetists (CRNAs) who are responsible for airway management, may lack adequate continuing education for emergency front of neck access (EFONA), an advanced skill necessary in situations when a patient cannot be intubated and cannot be oxygenated (CICO). The purpose of this study was to improve CRNA knowledge and confidence when performing a scalpel-bougie cricothyrotomy for EFONA in a CICO event through the implementation of a spaced learning intervention. Thirteen CRNAs at a 160-bed community hospital participated in a 3-week educational intervention...
April 2024: AANA Journal
https://read.qxmd.com/read/38564210/quantitative-neuromuscular-monitoring-permits-early-diagnosis-of-abnormal-butyrylcholinestrase-two-case-studies-demonstrating-prevention-of-awareness-from-premature-awakening
#15
JOURNAL ARTICLE
Erica M Harris, Emily M Funk, Daniel Plezia, Judson Elliott, Ryland Elliott, Jessica Szydlowski Pitman, Stuart A Grant
Administration of succinylcholine to patients with a variant in the butyrylcholinesterase (BChE) gene increases the risk of anesthesia emergence prior to recovery from neuromuscular blockade (NMB). Application of quantitative neuromuscular monitoring (NMM) can identify residual NMB. We present two patients with abnormal BChE gene variants. In the first case, quantitative monitoring was applied too late to prevent awareness, but allowed diagnosis and prevented admission to the intensive care unit. In the second case, monitoring was applied prior to NMB, which enabled early diagnosis and prevented premature awakening from anesthesia...
April 2024: AANA Journal
https://read.qxmd.com/read/38564209/challenges-for-nurse-anesthetists-reentering-practice-following-substance-use-disorder-treatment
#16
JOURNAL ARTICLE
T'Anya Carter, Nancy Wingo, Susan McMullan, Gwen Childs, Bernadette Roche, Lisa J Merlo, Karen Heaton
Substance use disorder (SUD) is a persistent, relapsing condition that is present in approximately 10% of anesthesia providers, who, compared with other healthcare providers, face a greater risk of developing an SUD by virtue of constant access to medications. The ability of certified registered nurse anesthesiologists (CRNAs) to obtain or maintain employment after treatment for SUD treatment is not well documented. The purpose of this qualitative study was to explore challenges encountered by CRNAs in recovery as they attempt to reenter practice following SUD treatment...
April 2024: AANA Journal
https://read.qxmd.com/read/38564208/improving-crnas-confidence-and-perceived-knowledge-of-endosurgical-patients-who-use-marijuana-a-quality-improvement-project
#17
JOURNAL ARTICLE
Janice Cain, Teri Lindgren, Alexandra Duke
Although some researchers have reported health-related benefits of marijuana, others have reported adverse side effects in nearly every organ system. Patterns of marijuana use are evolving, as is researchers' understanding of marijuana use for healthcare. Despite these findings and developments, nurse anesthetists are inadequately educated about marijuana's perioperative effects on endosurgical patients. As a result, many nurse anesthetists lack confidence in and knowledge of the perioperative care of endosurgical patients under the influence of marijuana...
April 2024: AANA Journal
https://read.qxmd.com/read/38564207/a-new-distal-pharyngeal-airway-device-associated-with-a-reduced-need-for-chin-lift-and-jaw-thrust-maneuvers-in-sedated-patients
#18
JOURNAL ARTICLE
Carol Daniel, Monika Feeney, Leah Gordon
Oropharyngeal airways (OPA) or nasopharyngeal airways (NPA) sometimes require chin-lift or jaw-thrust (CLJT) maneuvers to relieve airway obstruction which creates the burden of continuous hands-on care by the anesthesia provider. A new distal pharyngeal airway device (DPA) was used on 63 successive ambulatory surgery patients to assess the frequency of patients requiring manual CLJT maneuvers to prevent airway obstruction. Results were then compared with a contemporaneous group of patients who had used OPA or NPA devices for similar procedures...
April 2024: AANA Journal
https://read.qxmd.com/read/38564206/a-mixed-methods-exploration-of-competencies-and-professional-development-needs-among-chief-certified-registered-nurse-anesthetists
#19
JOURNAL ARTICLE
Austin L Cole, Virginia C Simmons, Barbara S Turner, Robert Whitehurst, Denise H Tola
This project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded to a demographics survey and participated in one-on-one interviews using a 14-question, semi-structured interview framework modified from a previous study. Interview responses were deidentified and qualitatively analyzed for common themes by two content experts and one qualitative analysis expert...
April 2024: AANA Journal
https://read.qxmd.com/read/38564205/anesthesia-medication-safety-in-relation-to-pharmacopeia-medication-use-best-practice-initiatives
#20
JOURNAL ARTICLE
David B Koontz
Improvement to anesthesia medication safety is a useful and worthwhile area of research. Anesthesia is one of the few healthcare professions to have immediate access to compounding and label high-hazard medications at the bedside. There is a need to assess the perceptions of anesthesia medication safety and this relationship with pharmacopeia's updated recommendations for anesthesia to improve medication safety and prevent adverse drug events. Certified registered nurse anesthetist (CRNA) perceptions of medication safety climate in Florida were measured utilizing a validated Likert-scale that merged the Attitudes Questionnaire themes of teamwork, climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working...
April 2024: AANA Journal
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