Using ultrasound guidance, Amavi Pitts, MSN, CRNA, APRN, performs an axillary block with the assistance of a fellow Certified Registered Nurse Anesthetist at an outpatient surgery center in Delaware. The sterile field is prepped and draped and the ultrasound probe is place in a sterile Tegaderm wrap prior to application of the probe for identification of nerves and insertion of a needle. Photo by Christopher Bettin, MA.
Propofol Disposal in the Anesthesia Setting: Overcoming BarriersPropofol accounts for 41% of reported substance abuse cases among anesthesia providers. No guidelines outline appropriate propofol disposal in the healthcare setting. The lack of controlled disposal presents concerns for environmental harm, economic waste, and diversion.
Lyme Disease and Anesthesia ConsiderationsThis review seeks to examine the epidemiology, clinical presentation, diagnosis, and treatment of Lyme disease and focuses on the anesthetic implications of the infection. Lyme disease has become the fifth most common nationally notifiable disease and is the most commonly reported vector-transmitted infection in the United States.
Keywords: Carditis, Lyme disease, tick.
Version: 2017;85(6):427-430.Authors: Tammy Smit, MSNA, CRNA
A Needs Assessment for Development of the TIME Anesthesia Handoff ToolStandardized handoff is critical to providing safe and effective patient care. Limited studies assess the need for developing a handoff tool for anesthesia providers. The purpose of this descriptive study was to assess the need for a standardized anesthesia handoff tool and to identify the most essential components.
Conductive Skin Warming and Hypothermia: An Observational StudyThe purpose of this study is to describe outcomes of hypothermia after a combination of preoperative and intraoperative conductive skin warming (CSW). This retrospective observational study included 972 adult surgical patients receiving general or neuraxial anesthesia.
Keywords: Anesthesia, body temperature, hypothermia, intraoperative complication, perioperative care.
Version: 2017;85(6):461-468.Authors: Victoria M. Steelman, PhD, RN, CNOR, FAAN;
Ann G. Schaapveld, BSN, RN;
Yelena Perkhounkova, PhD;
Jennifer L. Reeve, MSN, RN;
John P. Herring, MD