Bilateral Tension Pneumothorax Following Equipment ImprovisationChristine Zambricki, CRNA, DNAP, FAANCarol Schmidt, CRNA, MSKaren Vos, CRNA, MS
This case report describes an unexpected event that took place as a result of using improvised equipment. In addition to highlighting the hazards of providing patient care with a non-standard device, this study also provides a powerful example of the human factors that can contribute to medical errors.
Keywords: Equipment improvisation, human factors, normalization of deviance pneumothorax, right angle connector.
Print version: 2014;82(1):20-24.
Cost of Education and Earning Potential for Non-Physician Anesthesia ProvidersPhilip MacIntyre, CRNA, MSNBradley Stevens, CRNA, MSNShawn Collins, CRNA, DNP, PhDIan Hewer, CRNA, MA, MSN
This analysis evaluated the cost of tuition for all certified registered nurse anesthetist and anesthesiologist assistant programs in the United States, as well as earning potential for both professions.
Keywords: Anesthesiologist assistant, cost of anesthesia education, debt, nurse anesthetist, salary.
Print version: 2014;82(1):25-31.
Preet Mohinder Singh, MD, DNB, MNAMS
Anjan Trikha, MD
Renu Sinha, MD
Vimi Rewari, MD
Rashmi Ramachandran, MD
Anuradha Borle, MD, DNB, MNAMS
This study compared 2 well-accepted and safe methods of pediatric inhalation induction using sevoflurane. Incremental and fixed 8% induction methods were evaluated for economic outcomes by comparing the amount of liquid sevoflurane consumed.
Keywords: Anesthesia, anesthesia cost, induction methods, pharmacoeconomics, sevoflurane.
Print version: 2014;82(1):32-37.
Utility of the Berlin Questionnaire to Screen for Obstructive Sleep Apnea Among Patients Receiving Intravenous Sedation for ColonoscopyLT Martin L. Boese, CRNA, MSN, NC, USNCPT Ryan K. Ransom, CRNA, MSN, AN, USALCDR Robert J. Roadfuss, CRNA, MSN, NC, USNLt Col L. Alan Todd, CRNA, MSN, NC, USAFCDR Jason M. McGuire, CRNA, PhD, NC, USN
The purpose of this investigation was to describe the risk of undiagnosed obstructive sleep apnea (OSA) using the Berlin Questionnaire and to identify the relationship between OSA risk and the number of provider interventions performed to relieve obstructive symptoms during sedation for colonoscopy.
Keywords: Berlin Questionnaire, colonoscopy, conscious sedation, obstructive sleep apnea, procedural sedation.
Print version: 2014;82(1):38-45.
Keywords: Dabigatran, elderly, hip fracture, “ketofol,” propofol-ketamine-lidocaine.
Print version: 2014;82(1):46-52.
Intravenous Acetaminophen and Intravenous Ketorolac for Management of Pediatric Surgical Pain: A Literature ReviewKit Baley, CRNA, MSNKara Michalov, CRNA, MSNMark A. Kossick, CRNA, DNScMason McDowell, CRNA, DNAP
This article provides a review of the literature of IV ketorolac and IV acetaminophen regarding their pharmacology, analgesic efficacy, limitations, and practical considerations, with a focus on patients 16 years of age and younger.
Keywords: Acetaminophen, anesthesia, ketorolac, multimodal analgesia, pediatric.
Print version: 2014;82(1):53-64.
Keywords: Clinical evaluation, clinical training, factor analysis, instrument validity, National Certification Examination.
Print version: 2014;82(1):65-72.
AANA Journal Course: Update for Nurse Anesthetists–Part 6–Transversus Abdominis Plane (TAP) Blocks
Scott Urigel, CRNA, MSN
Jeffrey Molter, CRNA, MSN, MBA
This article examines how TAP blocks reduce postoperative pain and opioid requirements, resulting in fewer side effects such as nausea and vomiting, respiratory depression, and sedation.
Keywords: Hydrodissection, neurofascial plane, somatic and visceral pain, transversus abdominis plane, ultrasound-guided.
Print version: 2014;82(1):73-79.