Danielle Wilson, RN, BSN, practices airway management using a GlideScope video laryngoscope (Verathon Inc) with the Human Patient Simulator or HPS (Medical Education Technologies, Inc). Wilson is a student in the Department of Nurse Anesthesia, Ida V. Moffett School of Nursing, Samford University, Birmingham, Alabama. Experiential learning prior to starting clinical experience allows students to develop technical skills, direct laryngoscopy, and use of alternative methods of airway management. (Photo taken by Caroline Summers and submitted by Terri Cahoon, CRNA, DNP.)
Effects of Immobilization Stress and Hormonal Treatment on Nociception The purpose of this study was to evaluate the effects of stress and estradiol (E2) on pain tolerance. The authors state that with the exception of stressed rats treated with the ERβ agonist, there was no hormone effect on β-endorphin levels. These studies suggest that E2’s effect on pain thresholds may be mediated via the ERα, while the interaction between chronic stress and ERβ may also enhance pain threshold.
Version: 2011;79(5):375-380. Authors: LTC Danette F. Cruthirds, CRNA, MSN, ANC, USA
Capt Amanda L. Siangco, CRNA, MSN, NC, USAF
Capt Clinton J. Hartman, CRNA, MSN, MBA, NC, USAF
Capt Danny C. Sandefur, CRNA, MSN, NC, USAF
Capt James M. Spencer Jr, CRNA, MSN, NC, USAF
Lt Col Christopher A. Dyer, CRNA, MSN, NC, USAF
D. Omar Larco, BS
T. John Wu, PhD
Anesthetic Considerations for Patients with Postpolio Syndrome: A Case Report Postpolio syndrome is a disorder related to the recurrence of neuromuscular symptoms in survivors of paralytic poliomyelitis. In this case report, the author discusses the anesthetic challenges and considerations in patients with postpolio syndrome, focusing on the importance of careful pharmacologic dosing of opioids and neuromuscular agents as well as perioperative and postoperative issues related to aspiration risks, cold intolerance, and positioning.
Advancing Recertification for Nurse Anesthetists in an Environment of Increased Accountability The purpose of this article is to present the essential concepts and current developments related to competence and continuing competence for nurse anesthetists. The National Board of Certification and Recertification for Nurse Anesthetists continues to seek input from nurse anesthetists and stakeholders in its deliberations on how to define the future requirements for continuing competence.
Keywords: Continued competency, continued professional certification, credentialing, recertification.
Version: 2011;79(5):413-418. Authors: Karen Plaus, CRNA, PhD, FAAN
Timothy J. Muckle, PhD
James P. Henderson, PhD
Use of Dexmedetomidine for Monitored Anesthesia Care for Diskography in AdolescentsProcedural sedation in children and adolescents is becoming increasingly employed to facilitate successful diagnostic imaging studies. This case series describes the authors’ clinical experience in using dexmedetomidine as the sole sedative agent to facilitate diskography in 4 adolescent patients, ranging in age from 15 to 18 years, who presented with chief complaints of back pain and degenerative diskitis.