Keywords: Advanced Cardiac Life Support, cardiac arrest, epinephrine, intraosseous.
Version: 2012;80(4):S6-S10.Authors: James Burgert, CRNA, MSNA
Brian Gegel, CRNA, MSN
LTC Michael Loughren, CRNA, PhD, ANC, USA
Thomas Ceremuga, CRNA, PhD, LTC(ret), ANC, USA
Manish Desai, MD,
LTC Michael Schlicher, RN, PhD, ANC, USA,
COL Joseph O’Sullivan, CRNA, PhD, ANC, USA,
COL Paul Lewis, RN, PhD, ANC, USA,
Don Johnson, RN, PhD, Col(ret), USAFR, NC,
Anesthesia Clinical Performance Outcomes: Does Teaching Method Make a Difference?The purpose of this study was to compare traditional methods of instruction to the use of audiovisual patient safety vignettes in terms of their impact on student registered nurse anesthetists’ recall and subsequent clinical performance. These vignettes used simulated, crisis-oriented anesthetic events known to be associated with catastrophic patient outcomes. In this study, crisis-oriented, anesthesia patient safety vignettes had the potential to affect recall and clinical performance in a simulated environment.
Version: 2012;80(4):S17-S24.Authors: Howard L. Drews III, CRNA, MSN
Amy L. Castiglione, CRNA, MSN
Suzanne N. Brentin, CRNA, MSN
Catherine R. Ersig, CRNA, MSN,
Tamra K. Dukatz, CRNA, MSN,
Barbara E. Harrison, RN, PhD, APRN,
Fatema M. Omran, MD,
Solomon I. Rosenblatt, MD
Intrathecal Hydromorphone for Postoperative Analgesia After Cesarean Delivery: A Retrospective StudyDespite compelling evidence for the safety and efficacy of intrathecal hydromorphone, the use of this opioid intrathecally for the pain management of patients undergoing cesarean delivery has not been widely accepted. The purpose of this retrospective study was to compare the reported efficacy and safety of pain management in women who received intrathecal hydromorphone vs in women who received intrathecal fentanyl or a local anesthetic for their cesarean delivery.
Comparison of Fascia Iliaca Compartment Block and 3-in-1 Block in Adults Undergoing Knee Arthroscopy and Meniscal RepairPeripheral nerve blocks have become a popular method for treatment of pain after lower-extremity surgical procedures. Two peripheral nerve blocks for knee arthroscopy include the 3-in-1 block and the fascia iliaca compartment block (FICB). This was a randomized controlled trial of 60 adult patients undergoing knee arthroscopy under general anesthesia and with a 3-in-1 block or FICB using the same local anesthetic admixture. Onset of block, time to postoperative analgesic requirements, pain scores, and overall satisfaction scores were measured.
Keywords: Fascia iliaca, leg block, lower extremity, regional anesthesia.
Version: 2012;80(4):S37-S44.Authors: LT Jerrol B. Wallace, CRNA, MSN, NC, USN,
LT Joseph A. Andrade, CRNA, MSN, NC, USN,
LCDR Jasen P. Christensen, CRNA, MSN, NC, USN,
CDR Lisa A. Osborne, CRNA, PhD, NC, USN,
Joseph E. Pellegrini, CRNA, PhD, CAPT(ret), NC, USN
Training Rotations at Hospitals as a Recruitment Tool for Certified Registered Nurse AnesthetistsRecruiting newly graduating Certified Registered Nurse Anesthetists (CRNAs) is expensive. In addition, recruitment in rural areas is especially challenging. The authors of this research article analyzed the first jobs of all 95 graduates of the University of Iowa’s CRNA training program, from the initial graduating class of 1997 through the class of 2009. They also compared the location of the student’s first job to where the student lived at the time of application to the program.
Keywords: Healthcare disparities; healthcare facilities, manpower, and services; healthcare quality, access, and evaluation; health manpower; rural health services.
Version: 2012;80(4)S45-S48.Authors: Ruth E. Wachtel, PhD, MBA,
Franklin Dexter, MD, PhD
Stress: Perceptions, Manifestations, and Coping Mechanisms of Student Registered Nurse AnesthetistsStress is a response to change from the norm. Stress affects all individuals to varying degrees and can be positive, such as eustress, or negative, such as distress. The purpose of this qualitative, cross-sectional study was to investigate the stressors of the typical student registered nurse anesthetist, with the objective of identifying trends in the perceptions, manifestations, and coping mechanisms of stress.
Keywords: CD-ROM, human simulation, ultrasound-guided regional anesthesia.
Version: 2012;80(4):S56- S59.Authors: John Gasko, CRNA, DNP,
Arthur “Don” Johnson, RN, PhD, Col(ret), USAFR, NC,
John Sherner, CRNA, MSN, COL(ret), ANC, USA,
John Craig, CRNA, DNP,
Brian Gegel, CRNA, MSN,
James Burgert, CRNA, MSNA,
CPT Samuel Sama, RN, BSN, ANC, USA,
1LT Thomas Franzen, RN, BSN, ANC, USA,
Health-Promoting Collaboration in Anesthesia Nursing: A Qualitative Study of Nurse Anesthetists in NorwayThis article presents a study of different factors that may contribute positively or negatively to the work environment of nurse anesthetists in Norway. It focuses on factors that nurse anesthetists perceive as health promoting at work and indicates how a healthy work environment can be created. A qualitative method was used, which included interviews with a strategic sample of 14 nurse anesthetists working in anesthesia departments.
Keywords: Health promotion, leadership, management, nurse anesthetists, workplace.