AANA's founder and first president Agatha Hodgins at Lakeside Hospital, circa 1920s. Hodgins was the director of Lakeside's school of anesthesia from 1915 until her retirement in 1933. For more information, see the "Imagining in Time" column on page 97. (Photo courtesy of the Stanley A. Ferguson Archives, University Hospitals of Cleveland.)
Anesthesia "Go Team" for trauma patients: Field based anesthesiaSedation, and even general anesthesia, is sometimes required in field settings. This article focuses on a unique CRNA-surgeon team that is able to provide definitive operative services to patients injured in the field who are unable to be rapidly transported to a trauma center or other medical facility. Basic considerations in establishing and maintaining such a system are addressed.
Keywords: Go Team, field anesthesia, prehospital, surgery, trauma.
Version: 2007;75:107-110.Authors: William O. Howie, CRNA, MS
The effect of spinal needle design, size, and penetration angle on dural puncture cerebral spinal fluid lossPostdural puncture headache (PDPH) is a debilitating side effect of spinal anesthesia, the result of dural puncture and cerebrospinal fluid (CSF) leakage with an incidence of 3% to 75% in patient populations. The purpose of this study was to evaluate the relationship between spinal needle type (pencil tipped or cutting), needle size (22 or 25 gauge), and dura penetration angle from perpendicular (90° or 30°), with the resulting CSF leak measured after dural puncture.
Thoracoabdominal aneurysm repair: A case reportAneurysms that extend from the descending thoracic aorta into the abdomen, which can also involve the visceral segments of the upper abdominal aorta, are traditionally classified as thoracoabdominal. The patient in this case report presented for elective repair of a type IV thoracoabdominal aortic aneurysm, with utilization of standard invasive hemodynamic monitoring and cerebrospinal perfusion pressure monitoring as a neuroprotective measure.
The PAXpress airway causes more pharyngeal irritation than the reusable laryngeal mask airwayIn this study, the authors sought to determine whether the PAXpress airway should replace the standard laryngeal mask airway in their practice. Records of patients who had been ventilated with a PAXpress airway or an laryngeal mask airway (LMA) were examined. The authors concluded that the PAXpress airway is more likely to cause irritation (often severe) of the airway and, therefore, should not replace the standard LMA in their practice.
Spinal anesthesia for abdominoplasty with liposuction: A case reportCurrently, little information describing the use of spinal anesthesia for abdominoplasty in the office-based setting is available. This case report demonstrates the feasibility of spinal anesthesia for office-based plastic surgical procedures including abdominoplasty with liposuction in carefully selected patients. Further studies are recommended to evaluate the safe use of spinal anesthesia in office-based anesthesia settings.