Elizandra Pierre, CRNA, MS, performs a lumbar puncture in the maternity ward while on assignment in Aweil, South Sudan, with Doctors Without Borders. Photo taken by Nicole Campbell, RN.
Combat Anesthesia: A Case Report of a Gunshot Wound and New Trauma ProtocolsThe US Army Forward Surgical Team (FST) is a small, mobile surgical unit fielded since the 1990s, but not ubiquitously used until the current contingency operations in southwest Asia. The FST has been used in a variety of ways during the current conflict with or without augmentation by a forward support medical company, Area Support Medical Company, and Brigade Medical Company also known as C-Med. Far forward stand-alone FSTs have often been emplaced to provide a surgical capability for patients in austere operational environments.
Keywords: Forward surgical care, nurse anesthesia, trauma
Version: 2015;83(4):247-253Authors: MAJ Peter D. Strube, CRNA, MSNA, APNP, ARNP, ANC, USA
MAJ Andrew D. Perkins, CRNA, MSNA, ANC, USA
Handoffs in the Postoperative Anesthesia Care Unit: Use of a Checklist for Transfer of CareInformation loss can occur during all phases of care. The transfer of care (handoff) from the operating room to the postoperative anesthesia care unit (PACU) is an especially susceptible time. The purpose of this research was to determine if the utilization of a formulated checklist with objective measures during the handoff from the operating room to the PACU decreased information loss, the need for information clarification, and anesthesia providers’ time spent in transfer of care, with improved adequacy.
Prevention of Surgical Fires: A Certification Course for Healthcare ProvidersThis article introduces a potential certification program for the prevention of surgical fires. A pilot study was conducted with a convenience sample of 10 anesthesia providers who participated in the education module. The overall objective was to educate surgical team members and to prepare them to become certified in surgical fire prevention.
Keywords: Fire triangle, prevention, situational awareness, surgical fires
AANA Journal Course: Update for Nurse Anesthetists—Part 3—Acupuncture: History from the Yellow Emperor to Modern Anesthesia PracticeAcupuncture and acupressure are components of Oriental medicine that have been in existence for thousands of years. With a rich history rooted in Oriental medicine these practices have transcended from Asia into Western culture. In the context of anesthesia practice, acupuncture and acupressure have demonstrated clinical usefulness in the perioperative setting. Studies reveal both can successfully decrease preoperative anxiety, decrease intraoperative anesthetic requirements, assuage postoperative pain, decrease the incidence of PONV, and support chronic pain management.
Keywords: Acupressure, acupuncture, complementary and alternative medicine, Oriental medicine
Version: 2015;83(4):289-295Authors: Amanda C. Faircloth, CRNA, PhD, DNAP