AANA Journal Issue Details

On The Cover

Join us September 21–25, 2018 for the 85th AANA Annual Congress at the Boston Hynes Convention Center. AANA 2018 promises to bring technology to the forefront of anesthesia education. Refresh and expand your knowledge with hands-on patient simulation workshops and expert speakers. Don’t miss this excellent opportunity to network with your colleagues from across the nation at the biggest CE event in nurse anesthesia.


  • Perceived Knowledge and Attitudes of Certified Registered Nurse Anesthetists and Student Registered Nurse Anesthetists on Fire Risk Assessment During Time-out in the Operating Room Fire risk assessment remains separate from the universal protocol for surgical time-outs. A descriptive crosssectional design was used to examine perceived knowledge and attitudes. The perceived knowledge deficits on fire risk assessment may hinder the CRNAs and SRNAs from adopting a tool such as a fire risk assessment checklist that is ready for implementation at their current place of employment.
    Keywords: Anesthesia providers, fire, operating room, safety, surgical time-outs.
    Version: 2018;86(2):99-108. Authors: Kathryn Coletto, DNP, CRNA; Joseph D. Tariman, PhD, RN, ANP-BC, FAAN; Young-me Lee, PhD, RN; Karen Kapanke, DNP, CRNA.
  • Effect of Epidural Volume Extension on Quality of Combined Spinal-Epidural Anesthesia for Cesarean Delivery: A Systematic Review and Meta-Analysis This systematic review with meta-analysis was performed to evaluate the efficacy of EVE in elective cesarean delivery. Sequential EVE has been affirmed as a method to decrease intraoperative opioid requirements compared with single shot spinal or combined spinal/epidural anesthesia.
    Keywords: Cesarean section, combined spinal-epidural, epidural volume expansion.
    Version: 2018;86(2):109-118. Authors: Terri Kane, DNAP, CRNA; Tito D. Tubog, DNAP, CRNA; John Kane, MPAS, PA-C.
  • Using Evidence-Based Best Practices of Simulation, Checklists, Deliberate Practice, and Debriefing to Develop and Improve a Regional Anesthesia Training Course The purpose of this quality improvement project was to determine the effectiveness of a blended-learning regional anesthesia training curriculum on improving CRNA knowledge, skill, and attitude in regional anesthesia administration as part of a clinical credentialing pathway. Forty-nine CRNAs completed all course components.
    Keywords: Checklists, deliberate practice, epidural anesthesia, simulation, spinal anesthesia.
    Version: 2018;86(2):119-126. Authors: Laura Lee Wiggins, DNP, MSN, CRNA, Lt Col(ret), USAF, NC; Suzanne Morrison, DNP, MSN, CRNA; Calvin Lutz, MA; John O’Donnell, DrPH, MSN, CRNA.
  • Adverse Events During Cosmetic Surgery: A Thematic Analysis of Closed Claims According to the American Society of Plastic Surgeons, there were approximately 1.8 million cosmetic and reconstructive surgeries performed in the United States in 2012. Detailed descriptions of the adverse events as they relate to the major themes are provided, and suggestions are offered for actions that may mitigate future adverse events in this subset of the population.
    Keywords: Adverse outcomes, Certified Registered Nurse Anesthetists, cosmetic surgery, malpractice closed claims.
    Version: 2018;86(2):127-136. Authors: Mary Golinski, PhD, CRNA Anne Marie Hranchook, DNP, CRNA
  • Implementation of a Standardized Handoff of Anesthetized Patients More than 70% of medical errors are related to poor communication. The purpose of this evidence-based practice improvement project was to implement a standardized handoff to improve the quality and continuity of the transfer of information, perceptions of patient safety, and healthcare worker satisfaction. Twenty CRNAs were selected using purposive nonprobability snowball sampling to create a change team.
    Keywords: Anesthetized patient, perioperative safety, standardized handoff, TeamSTEPPS.
    Version: 2018;86(2):137-145. Authors: Michelle L. Canale, DNP, MSN, CRNA
  • Propofol Drug Shortage Associated With Worse Postoperative Nausea and Vomiting Outcomes Despite a Mitigation Strategy A 2012 propofol shortage provided an opportunity to study the impact of using prophylactic antiemetics and changing technique from a propofol infusion to inhaled agents in an ambulatory surgery setting. Findings suggest that despite mitigation efforts, the inability to use propofol infusion was associated with worse postoperative nausea and vomiting outcomes.
    Keywords: Drug shortages, postdischarge nausea and vomiting, postoperative nausea and vomiting, prophylactic antiemetics, risk factors for postoperative nausea and vomiting.
    Version: 2018;86(2):147-154. Authors: Mary P. Neff, MSN, CRNA; Deborah Wagner, PharmD; Brad J. Phillips, MSN, CRNA; Amy Shanks, PhD; Aleda Thompson, MS; Karen Wilkins, MD; Norah Naughton, MD, MBA; Terri Voepel-Lewis, RN, PhD.
  • AANA Journal Course-Residual Neuromuscular Blockade: Evidence-Based Recommendations to Improve Patient Outcomes This important course will examine the current limitations of qualitative neuromuscular monitoring, introduce the reader to acceleromyography, and outline the advantages of monitoring neuromuscular blockade during the perioperative period. In addition, this course will review the contemporary neuromuscular antagonists, including the newer neuromuscular antagonist sugammadex.
    Keywords: Acceleromyography, neostigmine, neuromuscular blockade monitoring, residual neuromuscular blockade, sugammadex.
    Version: 2018;86(2):157-167. Authors: Ryan Wiatrowski, BSN, RN, CCRN; Laura Martini, BSN, RN, CCRN, CSC; Brandy Flanagan, BSN, RN, CRN, CCRN; Kathryn Freeman, BSN, RN, CCRN; Naomi Sloan, BSN, RN, CCRN.