Pam Bender, BSN, RN, the director of surgical services at Braxton County Memorial Hospital (BCMH) in Gassaway, West Virginia accompanied her son into the operating room during his induction of anesthesia for a tonsillectomy. Pam captured this picture of Mike Frame, CRNA, DMP, as he was preparing for her son’s induction of anesthesia. BCMH is a critical access hospital nestled in the mountains of rural West Virginia. CRNAs proudly serve as the sole anesthesia professionals at BCMH. (Photo taken by Pam Bender, BSN, RN.)
Anesthetic Management of a Patient With Congenital Insensitivity to Pain: A Case ReportCongenital insensitivity to pain is a rare inherited disorder, which is a part of the hereditary sensory and autonomic neuropathy (HSAN) family. It is imperative for anesthesia providers to understand which type of HSAN their patient experiences and to conduct a thorough preoperative interview because a different interpretation of sensory loss may occur in each HSAN category.
Keywords: Congenital insensitivity to pain, hereditary sensory and autonomic neuropathy, pain.
Version: 2013;81(5):376-378.Authors: Laura M. Parrott, CRNA
Anesthetic Implications of Myasthenia Gravis: A Case ReportMyasthenia gravis is an autoimmune neuromuscular disorder. The resultant respiratory and cardiovascular implications are a primary cause of mortality. The case presented demonstrates the anesthetic challenges involved, with a focus on the overall approach, pharmacologic considerations, physiological changes, and an emphasis on preoperative optimization.
A Novel Approach to Improving the Safety of Patients Undergoing Lumbar LaminectomyChecklists serve to increase safety, improve consumer satisfaction, and reduce mortality and morbidity. This research project examined the use of a checklist for nurse anesthetists who provide care for patients undergoing spinal surgery. The checklist addressed specific positioning needs as a means of decreasing mortality and morbidity.
Anesthetic Management of a Simultaneous Emergency Craniotomy and Cesarean DeliveryFetal heart tone monitoring is a frequently used tool during nonobstetric maternal surgery. The case of a parturient requiring an emergency craniotomy, during which fetal heart tone monitoring demonstrated fetal distress patterns, is presented. A simultaneous emergency craniotomy and emergency cesarean delivery proceeded with favorable outcomes.