A 10-year-old boy is ventilated via rigid bronchoscopy by Shaun Mendel, CRNA, while an emergency tracheostomy is performed. “The boy attempted to ingest a large foreign body. Two days later, he was in respiratory distress,” explained Mendel, a staff nurse anesthetist at Le Bonheur Children’s Hospital, Memphis, Tennessee. “In the operating room, we found a large plastic foreign body embedded into and almost totally occluding his airway and esophageal inlet. The boy suffered no long-term sequelae from this event.” (Photo was taken by Terry Yancey, RN.)
The Effect of Ellagic Acid on Platelet Activation as Measured by the Quantification of P-Selectin Using Flow Cytometry Ellagic acid is a major compound found in certain fruits and nuts. It has been attributed as having anti-inflammatory, free radical scavenging, and coagulation properties, as
well as effects on tumor genesis in multiple forms of cancer. The purpose of this study was to investigate the effects of ellagic acid on platelet expression via the cyclooxygenase (COX) pathway by examining its effects on platelet activation and comparing them with known COX inhibitors in male Sprague-Dawley rats.
Use of Propofol and Emergence Agitation in Children: A Literature ReviewEmergence agitation (EA) is an important issue in pediatric anesthesia and has increased in occurrence with the use of sevoflurane inhalational anesthesia. This literature review compared 3 general anesthesia techniques in children—sevoflurane inhalational general anesthetic, propofol as an adjunct to sevoflurane inhalational general anesthetic, and propofol total intravenous anesthesia—and their associated incidence of EA. The authors conclude, based on the current evidence, that the use of propofol is associated with a reduction in the incidence of EA.
Exploring Student Nurse Anesthetist Stressors and Coping Using Grounded Theory MethodologyThe purpose of this qualitative study was to examine the challenges that recent graduates of nurse anesthesia programs coped with during their anesthesia curriculum. The initial research questions for this study were: From the graduates’ perspective, what were the stressors that they encountered during their nurse anesthesia program? And how did they successfully negotiate those stressors in order to graduate from their program? The author states this phenomenon was studied using grounded theory methodology.
Keywords: Graduate student stress, grounded theory, nurse anesthesia and stress, stress and coping, student nurse anesthetist.
Version: 2010;78(6):474-482.Authors: Joy Kieffer Phillips, RN, PhD, MSN