CPT Joe Romero, CRNA, ANC, USA, a Certified Registered Nurse Anesthetist assigned to the 948th Forward Surgical Team (Southfield, Michigan), anesthetizes a patient in preparation for surgery at Camp Havoc, Al Asad Airbase, Iraq, May 31, 2016. Photo by SGT Kalie Jones.
Intravenous Dexamethasone for Prolonged Duration of Axillary Nerve BlockadeA 61-year-old woman presented for an open reduction and internal fixation of bilateral distal radius fractures. The patient underwent general anesthesia and received bilateral axillary nerve blocks. A single 8-mg dose of dexamethasone was given intravenously to prolong the analgesic effect of the axillary nerve blocks. This case study supports previous findings suggesting that dexamethasone, 8 mg, administered intravenously prolongs the duration of analgesia when used in conjunction with bupivacaine in a peripheral nerve block.
Literature Searching for Practice ResearchFor CRNA professionals and students who may not be able to work directly with a librarian, this article aims to provide useful strategies for thoroughly searching relevant literature in support of a high-quality DNP/DNAP project and research that a practicing CRNA may conduct.
Keywords: Capstone project, doctor of nurse anesthesia practice/doctor of nursing practice literature review, database search, nurse anesthesia doctoral education.
Version: 2017;85(3):195-204.Authors: Dana Gerberi, MLIS,
Mary Shirk Marienau, PhD, CRNA, APRN