Effects of Midazolam on Postoperative Nausea and Vomiting and Discharge Times in Outpatients Undergoing Cancer-Related SurgeryMidazolam, a short-acting benzodiazepine used for preoperative anxiolysis, may also have pharmacologic properties that could further reduce the incidence of postoperative nausea and vomiting in high-risk patients when included in a multimodal antiemetic protocol. However, concerns remain that the sedating properties of midazolam will delay discharge after short outpatient procedures. A retrospective data analysis (N = 4,057) investigated effects of midazolam on postoperative antiemetic administration and length of stay following cancer-related outpatient procedures over 15 months.
Keywords: Benzodiazepine, cancer, midazolam, outpatient, postoperative nausea and vomiting.
Version: 2019;87(3):179-183.Authors: Jennifer R. Majumdar, MSN, CRNA; Emily Vertosick, MPH; Michael Long, DNP, CRNA;
Christian Cansino, DNP, CRNA, FNP; Melissa Assel, MPH; Rebecca Twersky, MD, MPH
Burnout and the Nurse Anesthetist: An Integrative ReviewThe rapid changes in the US healthcare system have resulted in collateral damage to many healthcare providers. Many of these changes have increased demands placed on
providers, resulting in high prevalence rates of burnout throughout various healthcare specialties. The purpose of this integrated review was to examine, discuss, and synthesize the burnout construct related to CRNAs practicing in the United States.
AANA Journal Course: Update for Nurse Anesthetists—Clarifying the Confusion of Adult Emergence DeliriumResearchers studying emergence delirium in adults have not adopted a consensus on the terminology for the phenomenon, a formalized definition, a measurement
tool or standardized differential diagnosis to distinguish emergence delirium from postoperative delirium, anticholinergic or serotonergic toxicities, and other physiologic
issues that may present on emergence from anesthesia. Information from an integrative review of the literature in conjunction with a Delphi study was used to develop a standardized differential of similarly presenting phenomena to assist clinicians.