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Join thousands of your CRNA peers in #Seattle on September 8-12 for the biggest educational and networking event in nurse anesthesia! Earn up to 27.25 Class A CE credits with 13.75 pharmacology credits at the 2017 AANA Annual Congress in Seattle, Washington. Register today. 

Articles

  • Airway Management in an Infant With Huge Hydrocephalus Huge hydrocephalus is defined as a head circumference larger than the length of the child. We discuss the perioperative anesthetic management of a case of huge hydrocephalus during ventriculoperitoneal shunt placement, focusing primarily on the airway management.
    Keywords: Airway management, hydrocephalus, positioning.
    Version: 2017;85(4):248-249. Authors: Nitin Manohar, MD, DNB, Dheeraj Masapu, MD, DM, B. S. Deepti, MD, PDF, Dhritiman Chakrabarti, MD, DM
  • A High-Fidelity Simulation Study of Intraoperative Latent Hazards and Their Impact on Anesthesia Care–Related Handoff Outcomes The “handoff” phase of patient care is frequently associated with the genesis of adverse events. Patient handoffs in anesthesia care remain poorly studied. By reviewing archived video of anesthesia handoffs taking place in a simulated environment, we aimed to identify latent conditions and their impact on the quality and nature of handoffs occurring during surgical anesthesia care.
    Keywords: Handoffs, outcomes, patient care, simulation.
    Version: 2017;85(4):250-255. Authors: Jason S. Lowe, PhD, CRNA, Beverly George-Gay, MSN, CCRN
  • Comparison of Flow Dynamics of Peripherally and Centrally Inserted Intravenous Catheters Using a Rapid Infusion System (ThermaCor 1200) The inability to rapidly administer warm intravenous fluids and blood products can easily threaten a patient’s safety and well-being in many clinical settings. This study examined the maximum flow rate and infusion pressure of various peripherally and centrally inserted intravenous catheters using a rapid infusion system (ThermaCor 1200 Rapid Infusion System, Smisson-Cartledge Biomedical).
    Keywords: Catheter, centrally inserted catheter, flow rates, infusion system.
    Version: 2017;85(4):256-260. Authors: Eric A. Wrenn, CRNA, Racquel Wohlers, CRNA, Mandrill Montgomery, CRNA, Heath Cobb, CRNA, Jerry Condra, CRNA, Susanna Tharpe, CRNA, Nirav Patil, MBBS, MPH
  • Certified Registered Nurse Anesthetist Working Conditions and Outcomes: A Review of the Literature Certified Registered Nurse Anesthetists (CRNAs) deliver anesthesia to more than 34 million patients per year in the United States in both inpatient and outpatient settings. Yet CRNA working conditions and workforce outcomes have not been well investigated in the literature. For a deeper understanding of both issues, a review of the literature was conducted.
    Keywords: Burnout, CRNA working conditions, conflict, incivility, workplace aggression.
    Version: 2017;85(4):261-270. Authors: Donald Boyd, PhD, MS, CRNA, Lusine Poghosyan, PhD, MPH, RN, FAAN
  • Creation of a Low-Cost Simulated Trachea for Deliberate Practice of Cricothyrotomy and Retrograde Wire Use Simulation is an accepted teaching tool that focuses on active learning and is used to solidify cognitive, motor, critical thinking, and communication skills. This method of experiential learning was introduced and integrated into the distance-based degree completion program for practicing anesthetists at the University for Development Studies (UDS), Tamale, Ghana. Because of scarce resources, a simulated trachea was created for teaching students how to perform a needle cricothyrotomy and use a retrograde wire to secure an airway.
    Keywords: Education, needle cricothyrotomy, retrograde wire, simulation, trachea.
    Version: 2017;85(4):271-276. Authors: Virginia C. Muckler, DNP, CRNA, CHSE, Sylvanus Kampo, RN, CRA, Brett Morgan, DNP, CRNA
  • Investigation of the Anxiolytic and Antidepressant Effects of Eucalyptol (1,8-Cineole), a Compound From Eucalyptus, in the Adult Male Sprague-Dawley Rat The purposes of this study were 2-fold: (1) to determine if pure eucalyptol (1,8-cineole) produces anxiolytic and/or antidepressant effects using rat models for anxiety and behavioral despair and (2) to determine the effects of eucalyptol at the benzodiazepine site on the γ-aminobutyric acid (GABA) A receptor in the rat central nervous system.
    Keywords: Anxiolysis, elevated plus-maze, eucalyptol, eucalyptus, Sprague-Dawley rat.
    Version: 2017;85(4):277-285. Authors: Tomás E. Ceremuga, PhD, CRNA, LTC(ret), ANC, USA, CPT Connor B. McClellan, RN, BSN, CCRN, ANC, USA, CPT Xavier C. Green, RN, BSN, CEN, ANC, USA, CPT Brent E. Heber, RN, BSN, CCRN, ANC, USA, CPT Marlin L. Jolly, RN, BSN, ANC, USA, CPT Todd B. Malone, RN, BSN, CCRN, ANC, USA, CPT Jayme L. Schaaf, RN, BSN, CCRN, ANC, USA, CPT Andrew P. Isaacs, RN, BSN, CFRN, ANC, USA
  • Patient Satisfaction With Anesthesia Care: What Do We Know? This evidence review aimed to conceptualize patient satisfaction with anesthesia care (PSAC), which has been linked to reimbursement, competency evaluations, and litigation; to describe factors affecting PSAC; and to develop provider recommendations to enhance PSAC. The search for systematic reviews, survey reports, qualitative studies, and consumer satisfaction reports within the last 20 years excluded pediatric and obstetric articles.
    Keywords: Anesthesia care, patient satisfaction, perioperative, psychometric testing.
    Version: 2017;85(4):286-292. Authors: Darlene Falco, DNP, CRNA, Dana N. Rutledge, PhD, RN, Sass Elisha, EdD, CRNA
  • Update on Guidelines for Perioperative Antibiotic Selection and Administration From the Surgical Care Improvement Project (SCIP) and American Society of Health-System Pharmacists Anesthesia providers commonly administer prophylactic antibiotics and are in the position to provide valuable input in the perioperative setting. This review provides a summary of the most common antibiotics used in the surgical setting—cefazolin, clindamycin, and vancomycin—and their implications to the anesthesia provider, such as proper dosing, targeting bacteria, and side effects.
    Keywords: American Society of Health-System Pharmacists, anesthesia, antibiotics, Surgical Care Improvement Project.
    Version: 2017;85(4):293-299. Authors: Alwin Heuer, BSN, Mark A. Kossick, DNSc, CRNA, Jason Riley, MSN, Ian Hewer, MSN, MA, CRNA
  • AANA Journal Course: Update for Nurse Anesthetists—Part 3—A Review of Physiology and Pharmacology Related to Acute Perioperative Pain Management Perioperative pain is a major fear for many patients undergoing simple and complex surgical procedures. Pain management continues to present challenges for the anesthesia provider. This article provides the practicing anesthesia provider with a review of pain transmission physiology and pharmacology and to present new and emerging pain management pharmacologic agents and strategies.
    Keywords: Neurotransmitters, nociception, pain, physiology.
    Version: 2017;85(4):300-308. Authors: Larry Dahlen, PhD, CRNA, Jennifer M. Oakes, DNAP, CRNA
  • Version: Authors: Charles A. Griffis, PhD, CRNA, Sarah E. Giron, PhD, CRNA, Jeffrey R. Darna, DNP, CRNA
  • ONLINE CONTENT: Education News - A CRNA Preceptor Workshop to Increase Preceptor Satisfaction, Confidence, and Comfort: A Quality Improvement Project
    Keywords: Advanced practice preceptor programs, confidence, comfort, preceptor, quality improvement, satisfaction.
    Version: Authors: Mary Scott-Herring, DNP, MS, CRNA, Sarabdeep Singh, PhD