Sherita Edwards, RN, BSN, and Lance Grizzard, RN, BSN, at Virginia Commonwealth University, Department of Nurse Anesthesia, Richmond, Va (both seated) receive instruction on surgical cricothryotomy, an emergency airway procedure from Mimi Hotchkiss, CRNA, MSNA, assistant professor. The procedure is part of an extensive course in advanced alternative airway management that includes both actual and simulated hands-on instruction using pig larynxes.
Rural nurse anesthesia practice: A pilot studyThe purposes of this study were to pilot test the Nurse Anesthesia Rural Practice Inventory, determine whether CRNAs can provide the requested data, and provide data about characteristics of rural nurse anesthesia practice.
Use of deep hypodermic circulatory arrest following ventricular laceration: A case reportDeep hypothermic circulatory arrest (DHCA) is usually a planned approach to certain types of cardiovascular surgery. This case report is an example of DHCA used to provide cerebral protection for a patient whose right ventricle was lacerated by an oscillating saw during sternotomy. Anesthetic intervention with specific drug administration and steps taken for neuroprotection are discussed.
Keywords: Cerebral protection, deep hypothermic circulatory arrest, ventricular laceration.
Version: 2004;72:193-195.Authors: Ken Spain, CRNA, MSEd
Stunning the neural nexus: Mechanisms of general anesthesiaIn this review article, the authors define clinical anesthesia and discuss general anesthesia mechanisms, neural communication, key receptors in the central nervous system, major inhibitory and excitatory pathways, and mechanisms of anesthetic agents.
Keywords: General anesthesia, ion channels, theories of anesthetic action.
Version: 2004;72:197-205.Authors: Penelope S. Villars, CRNA, MSN, RRT
Joseph T. Kanusky, CRNA, MS
Thomas B. Dougherty, MD, PhD
Acute hypoxemia after repositioning of patient: A case reportAnesthesia is associated with lower oxygen tensions, and occasionally oxygen desaturation and hypoxemia occur. In this case report, the authors detail the occurrence of hypoxemia after induction of anesthesia and repositioning in a patient undergoing hip pinning, and they report how this case was successfully handled.
An evaluation of anesthesia patient satisfaction instrumentsIn this study, the authors sought to systematically review the instruments used to obtain anesthesia-specific patient satisfaction data and to determine the degree to which each instrument controlled for measurement error bias, such as poor survey design.
AANA Journal Course, Part 2 Update for nurse anesthetists -- Anticoagulation and spinal and epidural anesthesiaThe purpose of this AANA Journal course is to update anesthesia providers regarding the common anticoagulants used for surgical patients, the risks associated with epidural and spinal anesthesia in conjunction with anticoagulation, and recommendations for the use of epidural and spinal anesthesia in anticoagulated patients. Antiplatelet drugs, oral anticoagulants, heparin, low-molecular-weight heparin, other new anticoagulants, and herbal medications are reviewed.