On The Cover

Karen Nye, CRNA, from Akron, Ohio places a spinal before the atient undergoes a hydrocelectomy in Ouanaminthe, Haiti. Karen is a member of the Findlay Surgical Team from Findlay, Ohio, which provides surgical services to the Haitian people of Ouanaminthe. (Photo taken by Jeffrey Molter, CRNA.)

Articles

  • Anesthesia Information Management Systems: Imperatives for Nurse Anesthetists This article describes current issues in anesthesia information management to support the critical need for Certified Registered Nurse Anesthetists to influence functionality, adoption, and use of an anesthesia information management system. The use of informatics tools and concepts should enable CRNAs to enhance their bedside vigilance, align their practice with evidence-based clinical guidelines, and provide cost-effective care for patients and healthcare systems.
    Keywords: Clinical decision support, data integrity, informatics, nurse anesthetist, standardization.
    Version: 2014;82(5):346-351. Authors: Jessica J. Peterson, CRNA, MS, RN, Kathryn W. White, CRNA, DNP, RN, Bonnie L. Westra, RN, PhD, FAAN, FACMI, Karen A. Monsen, RN, PhD, FAAN
  • Comparison of Compliance of Glove Use Among Anesthesia Providers: A Prospective Blinded Observational Study The practice of using gloves among operating room anesthesia providers in a tertiary care center was observed over 8 months without alerting anesthesia personnel. Glove usage continues to be low. Educational programs highlighting the hazards of noncompliance and strict departmental protocols may help to eliminate these irregularities in the use of gloves.
    Keywords: Anesthesia gloves, compliance of using gloves, glove use in operating room, gloving practices.
    Version: 2014;82(5):363-367. Authors: Basavana Goudra, MD, FRCA, Preet Mohinder Singh, MD, DNB, MNAMS, Eilish Galvin, MD, FCARCSI
  • Anaphylactic Reaction With Avitene: A Pediatric Case Report Anaphylaxis is an unanticipated severe allergic reaction that can occur during a surgical procedure. This article details a case of an acute anaphylactic reaction in a 10-year-old boy presumed to be from Avitene. Education of anesthesia providers and the surgical team may enable early detection and management of anaphylactic reactions that may improve patient outcomes and save lives.
    Keywords: Anaphylaxis, Avitene, hemostasis, hemostatic agent.
    Version: 2014;82(5):368-374. Authors: Stephanie Woodruff, CRNA, MSN, Robert Early, MD, William Quoos, CRNA, MSN
  • A Pilot Study Evaluating the Perceptions of Certified Registered Nurse Anesthetists Toward Human Patient Simulation An evaluation was conducted of perceptions of practicing Certified Registered Nurse Anesthetists toward use of simulation for initial certification, continuing education, and recertification. The hypothesis was that a 1-day simulation experience would improve perceptions toward simulation use. After the simulation, a significant (P
    Keywords: Certification, human patient simulation, recertification.​
    Version: 2014;82(5):375-384 Authors: CDR Robert Hawkins, CRNA, PhD, DNP, MBA, MS, NC, USN, CPT Lee Bendickson, CRNA, MSN, AN, USA, MAJ Pretoria Benson, CRNA, MSN, AN, USA, CAPT Lisa Osborne, CRNA, PhD, NC, USN, CDR Jennifer McPherson, CRNA, DNP, MS, NC, USN, Lt Col Larry Todd, CRNA, DNP, MSN, NC, USAF, MAJ (P) Jennifer Snelson, CRNA, DNAP, MSN, AN, USA, LTC (ret) Sandra Bruner, CRNA, DNAP, MSN, MS Col Kevin Bohan, CRNA, PhD, NC, USAF
  • AANA Journal Course: Update for Nurse Anesthetists—Part 4—Anesthesia and Critical Care Ventilator Modes: Past, Present, and Future Ventilator capabilities and options for critical care and anesthesia ventilators have rapidly advanced. This literature review encompasses a brief history of mechanical ventilation and current modes available for anesthesia and critical care ventilators, including definitions of modes, definitions of descriptive labels given each mode, and techniques for optimizing and meeting ventilator needs while avoiding complications.
    Keywords: Anesthesia ventilators, intensive care unit, ventilators, ventilator mode.
    Version: 2014;82(5):387-400. Authors: Timothy J. Bristle, CRNA, MSN, Shawn Collins, CRNA, DNP, PhD, Ian Hewer, CRNA, MSN, MA, Kevin Hollifield, CRNA, MSN