A Certified Registered Nurse Anesthetist (CRNA) on assignment in Honduras reassures an older patient. Many CRNAs routinely travel abroad to assist healthcare teams providing essential procedures to those in need. In the United States, CRNAs are vigilant patient advocates at the bedside who ensure patient safety during the administration of approximately 43 million anesthetics to patients each year. In some states, CRNAs are the sole providers in nearly 100 percent of rural hospitals. (Photo by Samantha Wharff, RN.)
Happy Puppet Syndrome: A Case Report of Anesthetic ManagementThis case report details anesthesia management of a pediatric patient with happy puppet or Angelman syndrome (AS) presenting for otolaryngologic surgery. Despite the lack of adverse events in this case, clinicians must be aware of potential anesthetic complications that are unique to patients with AS and should proceed with caution.