Table of Contents
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Print version: 2013;81(1):4.
Michael Neft, CRNA, DNP, MHA, LTC(ret), USA
Ewa Greenier, MPH, MBA
Keywords: Evidence-based process, nurse anesthesia practice, practice committee, standards of practice.
Print version: 2013;81(1):9-12.
Craig S. Atkins, CRNA, MS, APRN
Mark Welliver, CRNA, DNP, ARNP
Dawn Dalpe Welliver, CRNA, DNP, ARNP
Print version: 2013;81(1):13-14.
Keywords: China, comparative study, nurse anesthetists, scope of practice.
Print version: 2013;81(1):15-18.
Print version: 2013;81(1):18.
Print version: 2013;81(1):80.
Printed version: 2013;81(1):73-79.
Keywords: Distal clavicle repair, perineural catheter, selective C5 nerve root block, superficial cervical plexus block, ultrasound guidance.
Print version: 2013;81(1):19-22.
Lumbar epidural analgesia is frequently employed to provide pain relief for women during labor. Anesthesia providers use various methods to identify the epidural space. Some use air, some use fluid, and others use a combination of air and fluid during the loss of resistance technique. This article illustrates how providers should consider other factors when selecting loss of resistance medium.
Keywords: Air, epidural space, identification, loss of resistance.
Print version: 2013;81(1):23-28.
Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting John E. Poulos, MD, MSci, FACG, AGAF, FACP
Peter T. Kalogerinis, MMS, PA-C
Jeffrey N. Caudle, CRNA, MSN
This study evaluated procedural efficiency and patient satisfaction in patients who had received propofol, midazolam/fentanyl/propofol (MFP), or midazolam/fentanyl, as sedation for either esophagogastroduodenoscopy or colonoscopy. Patients receiving propofol felt less discomfort and need for adjustment in the sedation, and remembered less of the procedure compared with the MFP group.
Keywords: Balanced sedation, conscious sedation, endoscopy, endoscopy unit efficiency, propofol.
Print version: 2013;81(1):31-36.
Keywords: Anesthesia practice, infection control, injection safety, needle and syringe use, syringe reuse.
Print version: 2013;81(1):37-42.
The trauma room in a level I trauma center is a dynamic environment that provides little room for error. Significant variability can exist if anesthesia providers do not provide a setup that is consistent, reliable, and cost-effective. This study examines the process of creating and implementing a standardized anesthesia setup in the trauma room of a level I trauma center.
Keywords: Anesthesia, level I trauma center, prefilled syringes, standardization, Theory of Reasoned Action.
Print version: 2013;81(1):43-49.
Aortic Valve Bypass: A Case Summary and Discussion of Anesthesia Considerations Elizabeth Pelkey, CRNA, MSNA
Aortic valve replacement (AVR) is a common surgical intervention for symptomatic aortic stenosis. For many high-risk patients with severe symptomatic aortic stenosis, AVR is not an option. Aortic valve bypass (AVB) can offer surgical intervention for candidates unable to undergo AVR. This case summary reviews the anesthetic management of a patient undergoing AVB.
Keywords: Aortic stenosis, aortic valve, aortic valve bypass, apicoaortic conduit, surgery.
Print version: 2013;81(1):50-54.
Cochlear Implant in an Ambulatory Surgery Center Aimee M. Joseph, CRNA, DNAP L. Frederick Lassen, MD, FACS
Cochlear implants are especially useful for those with severe-to-profound hearing loss. The population is aging, so the demand for cochlear implantation in ambulatory surgery centers will likely increase. Ambulatory surgery centers can provide a more convenient and less expensive location for cochlear implant surgery than hospital-based operating facilities.
Keywords: Ambulatory surgery, anesthesia, cochlear implant, elderly population, hearing loss.
Print version: 2013;81(1):55-59.
von Willebrand Disease and Cardiopulmonary Bypass: A Case Report
Oxana L. Teppone-Martin, CRNA, MS
Manxu Zhao, MD, MS
Teresa E. Norris, CRNA, EdD
The anesthetic management of patients undergoing cardiac surgery on cardiopulmonary bypass can be challenging. Contact of blood with extracorporeal surfaces results in altered coagulational integrity and increased risk of bleeding. Patients with preexisting bleeding disorders are particularly vulnerable. The authors discuss the anesthetic management of a patient with von Willebrand disease undergoing mitral valve replacement on cardiopulmonary bypass.
Keywords: Antihemophilic factor/von Willebrand factor complex [human], cardiopulmonary bypass, desmopressin, von Willebrand, vWF/FVIII.
Print version: 2013;81(1):60-64.
AANA Journal Course: Update for Nurse Anesthetists – Part 6 – Anesthesia Case Management for Video-Assisted Thoracoscopic Surgery Loretta Kitabjian, CRNA, MSN Sandy Bordi, CRNA, MSN Sass Elisha, CRNA, EdD Mark Gabot, CRNA, MSN Jeremy Heiner, CRNA, MSN John Nagelhout, CRNA, PhD, FAAN Jennifer Thompson, CRNA, MSN
As the population ages, the number of patients in whom lung disease develops and who require surgical intervention will continue to rise. When compared with open thoracotomy, video-assisted thoracoscopic surgery offers patients significant advantages. Decreased invasiveness results in less blood loss, lower infection rates, and less postoperative pain.
Keywords: Double-lumen endotracheal tube, one-lung ventilation, video-assisted thoracoscopic surgery.
Print version: 2013;81(1):65-72.
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