Florida International University (Miami) professor Derrick Glymph, DNAP, CRNA, seated in the simulation control room, observes student Shalene Blake, BSN, during an objective structured clinical examination. Students are shown here utilizing the latest anesthesia equipment and high-fidelity simulators in one of four mock OR suites at the Nicole Wertheim College of Nursing and Health Sciences. (Photo by Jeffrey Groom, PhD, CRNA)
Nonpharmacologic Neuraxial Interventions for Prophylaxis of Postdural Puncture Headache in the Obstetric PatientPostdural puncture headache due to accidental dural puncture during epidural catheter placement is a source of morbidity for new mothers. It can interfere with maternal-newborn bonding and increase the length of hospitalization. This evidence-based article examined the question: For obstetric patients experiencing an accidental dural puncture during epidural placement, which nonpharmacologic prophylactic neuraxial interventions safely and effectively decrease the incidence of postdural puncture headache?
Anesthesia Considerations for the Patient With Cyclic Vomiting SyndromeCyclic vomiting syndrome (CVS) is characterized by intense vomiting, recurrent emergency department visits, and return to usual health status between episodes. This syndrome was first described in 1882 in a case series of pediatric patients, but there is growing understanding that CVS may occur in other age groups. This case report describes a 23-year old with a history of CVS diagnosed in adolescence presenting for revision of a tibial plateau fracture.