On The Cover

Erica Padgett, CRNA, performs an inhalation induction during a mission trip to Kenya. Erica was a member of a medical team from Norton Kosair Children’s Hospital in Louisville, Kentucky volunteering with KenyaRelief.org, founded by Steve James, CRNA. “It was the most rewarding thing I’ve ever done,” said Erica.

Articles

  • Bilateral Tension Pneumothorax Following Equipment Improvisation This case report describes an unexpected event that took place as a result of using improvised equipment. In addition to highlighting the hazards of providing patient care with a non-standard device, this study also provides a powerful example of the human factors that can contribute to medical errors.
    Keywords: Equipment improvisation, human factors, normalization of deviance pneumothorax, right angle connector.
    Version: 2014;82(1):20-24. Authors: Christine Zambricki, CRNA, DNAP, FAAN, Carol Schmidt, CRNA, MS, Karen Vos, CRNA, MS
  • Cost of Education and Earning Potential for Non-Physician Anesthesia Providers This analysis evaluated the cost of tuition for all certified registered nurse anesthetist and anesthesiologist assistant programs in the United States, as well as earning potential for both professions.
    Keywords: Anesthesiologist assistant, cost of anesthesia education, debt, nurse anesthetist, salary.
    Version: 2014;82(1):25-31. Authors: Philip MacIntyre, CRNA, MSN, Bradley Stevens, CRNA, MSN, Shawn Collins, CRNA, DNP, PhD, Ian Hewer, CRNA, MA, MSN
  • Sevoflurane Induction Procedure: Cost Comparison Between Fixed 8% Versus Incremental Techniques in Pediatric Patients This study compared 2 well-accepted and safe methods of pediatric inhalation induction using sevoflurane. Incremental and fixed 8% induction methods were evaluated for economic outcomes by comparing the amount of liquid sevoflurane consumed.
    Keywords: Anesthesia, anesthesia cost, induction methods, pharmacoeconomics, sevoflurane.
    Version: 2014;82(1):32-37. Authors: Preet Mohinder Singh, MD, DNB, MNAMS, Anjan Trikha, MD, Renu Sinha, MD, Vimi Rewari, MD, Rashmi Ramachandran, MD, Anuradha Borle, MD, DNB, MNAMS
  • Utility of the Berlin Questionnaire to Screen for Obstructive Sleep Apnea Among Patients Receiving Intravenous Sedation for Colonoscopy The purpose of this investigation was to describe the risk of undiagnosed obstructive sleep apnea (OSA) using the Berlin Questionnaire and to identify the relationship between OSA risk and the number of provider interventions performed to relieve obstructive symptoms during sedation for colonoscopy.
    Keywords: Berlin Questionnaire, colonoscopy, conscious sedation, obstructive sleep apnea, procedural sedation.
    Version: 2014;82(1):38-45. Authors: LT Martin L. Boese, CRNA, MSN, NC, USN, CPT Ryan K. Ransom, CRNA, MSN, AN, USA, LCDR Robert J. Roadfuss, CRNA, MSN, NC, USN, Lt Col L. Alan Todd, CRNA, MSN, NC, USAF, CDR Jason M. McGuire, CRNA, PhD, NC, USN
  • Early Percutaneous Pinning of Hip Fracture Using Propofol-Ketamine-Lidocaine Admixture in a Geriatric Patient Receiving Dabigatran: A Case Report This case report illustrates the potential for sedation during monitored anesthesia care to progress to general anesthesia and its associated risks, as well as special considerations for anesthesia in geriatric patients.
    Keywords: Dabigatran, elderly, hip fracture, “ketofol,” propofol-ketamine-lidocaine.
    Version: 2014;82(1):46-52. Authors: Cynthia Hickel, CRNA, MSN
  • Intravenous Acetaminophen and Intravenous Ketorolac for Management of Pediatric Surgical Pain: A Literature Review This article provides a review of the literature of IV ketorolac and IV acetaminophen regarding their pharmacology, analgesic efficacy, limitations, and practical considerations, with a focus on patients 16 years of age and younger.
    Keywords: Acetaminophen, anesthesia, ketorolac, multimodal analgesia, pediatric.
    Version: 2014;82(1):53-64. Authors: Kit Baley, CRNA, MSN, Kara Michalov, CRNA, MSN, Mark A. Kossick, CRNA, DNSc, Mason McDowell, CRNA, DNAP
  • A Call for Change: Clinical Evaluation of Student Registered Nurse Anesthetists This ex post facto study evaluated a 17-item clinical instrument tool to demonstrate the need for validity of clinical evaluation tools. It also compared clinical scores with scores on the National Certification Examination.
    Keywords: Clinical evaluation, clinical training, factor analysis, instrument validity, National Certification Examination.
    Version: 2014;82(1):65-72. Authors: Shawn Collins, CRNA, DNP, PhD, Margaret Faut Callahan, CRNA, PhD, FNAP, FAAN
  • AANA Journal Course: Update for Nurse Anesthetists–Part 6–Transversus Abdominis Plane (TAP) Blocks This article examines how TAP blocks reduce postoperative pain and opioid requirements, resulting in fewer side effects such as nausea and vomiting, respiratory depression, and sedation.
    Keywords: Hydrodissection, neurofascial plane, somatic and visceral pain, transversus abdominis plane, ultrasound-guided.
    Version: 2014;82(1):73-79. Authors: Scott Urigel, CRNA, MSN, Jeffrey Molter, CRNA, MSN, MBA