The Concept of Reentry in the Addicted Anesthesia ProviderJorge A. Valdes, CRNA, DNP
Substance abuse among healthcare providers is a serious issue affecting patient care and patient outcomes. Successful reentry is sometimes rare, and providers are plagued with the stigma of abuse, shame, and a high incidence of relapse. Tenets of successful reentry are discussed.
Keywords: Addiction, concept analysis, reentry, substance abuse in anesthesia.
Print version: 2014;82(2):95-100.
An Update: Use of Laryngeal Mask Airway Devices in Patients in the Prone PositionWilliam Whitacre, CRNA, DNAPLoraine Dieckmann, PhDPaul N. Austin, CRNA, PhD
Some providers advocate using laryngeal mask airways (LMAs) for procedures performed in the prone position to meet the demands of quicker operating room turnover time requirements and staffing reductions. An update to a 2010
systemic review examining the use of LMAs in patients in the prone position is provided.
Keywords: Adult, laryngeal mask airway, LMA, prone.
Print version: 2014;82(2):101-107.
Anesthetic Management of Costello Syndrome: A Case Report
Christol Williams, CRNA, DNAP
A scarcity of literature for the anesthetic management of Costello syndrome exists. Utilizing an overview of the pertinent literature, clinical practice recommendations are suggested for the anesthetic implications of managing a pediatric patient with this rare syndrome.
Keywords: Anesthesia, Costello syndrome, faciocutaneoskeletal syndrome, rare genetic disorder.
Print version: 2014;82(2):108-113.
Keywords: Cardiac output, pulmonary gas exchange, sevoflurane.
Print version: 2014;82(2):114-120.
Keywords: Brachial plexus block, cubital tunnel release, ultrasound.
Print version: 2014;82(2):121-126.
Utility of Thromboelastography During Neuraxial Blockade in the Parturient With ThrombocytopeniaJeffrey Huang, MDNicholas McKenna, BANoah Babins, MD
No consensus exists on when it is safe to administer neuraxial blockade in a patient with a low platelet count. This study analyzes the incidence of neurologic complications, if any, related to regional anesthesia in parturients with a platelet count less than 100,000 mm-3 and especially those with less than 80,000 mm-3 and normal thromboelastography values.
Keywords: Complications, platelet count, regional anesthesia, thromboelastography.
Print version: 2014;82(2):127-130.
Evaluation of Postprocedure Cognitive Function Using 3 Distinct Standard Sedation Regimens for Endoscopic ProceduresTobie J. Watkins, CRNA, MSNRaymond L. Bonds, CRNA, MSN, DNPKedrin Hodges, CRNA, MSNBrooks B. Goettle, CRNA, MHSD. Anne Marie Dobson, MDJohn P. Maye, CRNA, PhD
This investigation evaluates postprocedure cognitive function associated with 3 distinct standard sedation regimens used for endoscopic procedures. A secondary aim was to identify complications requiring provider interventions.
Keywords: Colonoscopy, patient outcomes, physician outcomes, postoperative cognitive dysfunction, provider interventions.
Print version: 2014;82(2):133-139.
Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy: A Case ReportLCDR Shannan Rotruck, RN, BSN, USNMAJ John T. Wilson, CRNA, PhD, USACDR Jason McGuire, CRNA, PhD, USN
Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) is a complex procedure used for the treatment of various types of cancer. A knowledge of what to anticipate anesthetically guides the practitioner to achieve successful management. In this case report, a 71-year-old was treated for stage III peritoneal and ovarian cancer by cytoreductive surgery with HIPEC.
Keywords: Cytoreductive surgery, hyperthermic intraperitoneal chemotherapy, ovarian cancer, peritoneal cancer.
Print version: 2014;82(2):140-143.
AANA Journal Course: Update for Nurse Anesthetists – Part 1 – Anesthesia Case Management for Endovascular Aortic Aneurysm RepairSass Elisha, CRNA, EdDJohn Nagelhout, CRNA, PhD, FAANJeremy Heiner, CRNA, EdDMark Gabot, CRNA, MSN
With the advent of endovascular aortic repair, patients who were not considered surgical candidates for abdominal aortic aneurysmectomy because of their tenuous physical status can undergo corrective treatment. A thorough understanding
of the surgical procedure, perioperative process, and anesthetic considerations is vital.
Keywords: Endoleak, endovascular aortic repair, endovascular stent graft, EVAR.
Print version: 2014;82(2):145-152.