A handheld computer device displaying an assessment of pulmonary history is held by John Michael Borza, CRNA, BS, who developed mobile technology for anesthesia providers and nurse anesthesia students to improve clinical productivity. "The software allows the end user to query data on its server for outcome studies to support anesthesia safety," says Borza. At the 2005 AANA Annual Meeting in Washington, DC, Borza presented a professional session on "Mobile Technology in Delivery of Anesthesia Care." He is the manager of nurse anesthetists at Ingham Regional Medical Center, Lansing, Michigan. (Photo taken by Robert Hopkins, CRNA, MSN, Ingham Regional Medical Center.)
Occurrence and removal of a knotted pulmonary artery catheter: A case reportIn order to monitor and provide anesthesia safely to older, obese patients with various comorbidities the nurse anesthetist must weigh the risks and benefits of all types of monitoring when these patients undergo major invasive procedures. One such option is the Swan-Ganz pulmonary artery catheter. This case report describes one potential complication, a knot, and its management by the anesthesia care team in coordination with interventional radiology.
AANA Journal Course Part 5 Update for nurse anesthetists -- Transfusion-related acute lung injuryBetween 2003 and 2005, transfusion-related acute lung injury surpassed ABO incompatibility as the number one cause of transfusion-related mortality in the United States. Prompt recognition and appropriate intervention are required to reduce the potential for mortality. This course includes 3 case reports, definitions and signs and symptoms, incidence, differential diagnosis, cause and pathophysiologic factors, treatment, and prevention.