Anesthetic Management of Delayed Pressure Urticaria: A Case ReportDelayed pressure urticaria is a rare form of physical urticaria. Because of the rarity of the disease, anesthetic implications have not been addressed in the literature. This case report is presented to offer suggestions on the perioperative management of delayed pressure urticaria including: minimizing pressure occurrence, perioperative staff education, and symptomatic treatment secondary to histamine release.
Evaluation of the Anxiolytic Properties of Myristicin, a Component of Nutmeg, in the Male Sprague-Dawley Rat The purpose of this study was to investigate the anxiolytic effects of myristicin, a major compound found in nutmeg, and its potential interaction with the γ-aminobutyric acid (GABAA) receptor in male Sprague-Dawley rats. The authors’ data suggest that myristicin does not decrease anxiety by modulation of the GABAA receptor but may promote anxiogenesis. When myristicin was combined with midazolam, an antagonist-like effect similar to the flumazenil and myristicin combination was exhibited by a decrease in anxiolysis compared with the midazolam-only group.
Keywords: Anxiolysis, elevated plus-maze, myristicin, nutmeg, rat.
Version: 2011;79(2):109-114.Authors: MAJ Emily Leiter, CRNA, MSN, ANC, USA MAJ Gavin Hitchcock, CRNA, MSN, FNP, ANC, USA
MAJ Stuart Godwin, CRNA, MSN, ANC, USA MAJ Michelle Johnson, CRNA, MSN, ANC, USA
MAJ William Sedgwick, CRNA, MSN, ANC, USA
CPT Wendy Jones, CRNA, MSN, ANC, USA Suzanne McCall
Thomas E. Ceremuga, CRNA, PhD, LTC (ret), ANC, USA
Implications for Postoperative Visual Loss: Steep Trendelenburg Position and Effects on Intraocular Pressure Postoperative visual loss is a rare but catastrophic complication after nonocular surgery. A 3-year investigation of the relationship between intraocular pressure and ST procedures is reported. The findings of this research suggest a relationship between prolonged ST and reduced ocular perfusion pressure, challenging the accepted view that cerebral and ophthalmic circulatory autoregulation prevents elevated compartment pressures and reductions in perfusion.
Stress and Burnout in Nurse AnesthesiaThe authors designed this study to determine the current level of stress and its physical manifestations in Certified Registered Nurse Anesthetists and student registered nurse anesthetists. It also looked at coping mechanisms individuals commonly employ to combat the effects of stress. Based on responses and comments, recommendations can be made for future wellness interventions for the Association and for individuals.
Keywords: Burnout, stress, stressors, symptoms.
Version: 2011;79(2):122-128.Authors: Anthony Chipas, CRNA, PhD
Dennis McKenna, CRNA, MSNA
AANA Journal Course: Update for Nurse Anesthetists—Part 1— Anesthesia Case Management for Bariatric SurgeryAn increasing number of bariatric surgeries are performed every year. A thorough understanding of the pathophysiologic changes, surgical procedure, and anesthesia case management for morbidly obese patients and of the pharmacology of weight-reduction and anesthetic drugs is essential to provide high-quality anesthetic care. In this course, the authors discuss the pathophysiologic changes of obesity, pharmacology of obesity-related drugs and anesthetics, types of gastric bypass procedures, preoperative evaluation, intraoperative anesthetic management, and postoperative management.