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AANA Journal Course: Update for Nurse Anesthetists – Part 2 – Cystic Fibrosis: A Systems Review

246 AANA Journal ß June 2010 ß Vol. 78, No. 3 www.aana.com/aanajournalonline.aspx Cystic fibrosis (CF) is a fatal genetic disorder that affects many organ systems in the body. Historically, few patients with CF lived beyond early childhood, but with continuous improvement in treatment moda

Apoptosis: Understanding Programmed Cell Death for the CRNA

www.aana.com/aanajournalonline.aspx AANA Journal ß June 2010 ß Vol. 78, No. 3 237 Apoptosis, or programmed cell death, is a physiologic mechanism employed by most multicellular organ- isms to maintain homeostasis of body tissues. In bal- ance with the production of new cells by mitosis, ap

Effects of Arterial Blood Pressure on Rebleeding Using Celox and TraumaDEX in a Porcine Model of Lethal Femoral Injury

230 AANA Journal ß June 2010 ß Vol. 78, No. 3 www.aana.com/aanajournalonline.aspx This study was designed to identify the systolic blood pressure (SBP) and mean arterial pressure (MAP) at which rebleeding occurs when a clot is formed by a hemostatic agent, Celox or TraumaDEX, compared with

Case Report: Anesthetic Management of Acute Fatty Liver of Pregnancy in the Postpartum Period

www.aana.com/aanajournalonline.aspx AANA Journal ß June 2010 ß Vol. 78, No. 3 223 Acute fatty liver of pregnancy (AFLP) is a potentially fatal metabolic disorder that manifests during the third trimester. Early diagnosis, termination of pregnancy, and treatment of complications associated

Patient Outcomes Comparing CRNAAdministered Peripheral Nerve Blocks and General Anesthetics: A Retrospective Chart Review in a US Army Same-Day Surgery Center

www.aana.com/aanajournalonline.aspx AANA Journal ß June 2010 ß Vol. 78, No. 3 215 We compared outcomes between patients receiving general anesthesia (GA) vs regional block (RB) in a mil- itary same-day surgery unit (SDSU), where Certified Registered Nurse Anesthetists (CRNAs) delivered all

Overview of Complex Regional Pain Syndrome and Recent Management Using Spinal Cord Stimulation

208 AANA Journal ß June 2010 ß Vol. 78, No. 3 www.aana.com/aanajournalonline.aspx Complex regional pain syndrome (CRPS) is an enig- matic disease process affecting the upper and lower extremities. It consists of various combinations of sen- sory, autonomic, and motor abnormalities, the pat

Caudal Anesthesia in a Patient With Severe Pulmonary Hypertension

202 AANA Journal ß June 2010 ß Vol. 78, No. 3 www.aana.com/aanajournalonline.aspx Delivery of anesthesia to patients with severe pul- monary hypertension can be extremely challenging. The profound hemodynamic alterations of the disease can often be exacerbated by alterations in circulatory

Lumbar Epidural Catheter Placement in the Presence of Low Back Tattoos: A Review of the Safety Concerns

www.aana.com/aanajournalonline.aspx AANA Journal ß June 2010 ß Vol. 78, No. 3 197 Current fashion in body art includes low back tattoos of varying designs and colors, a trend that presents unique concerns for anesthesia providers. Does the placement of epidural catheters risk the introduct

Effects of Guided Imagery on Postoperative Outcomes in Patients Undergoing Same-Day Surgical Procedures: A Randomized, SingleBlind Study

www.aana.com/aanajournalonline.aspx AANA Journal ß June 2010 ß Vol. 78, No. 3 181 The purpose of this investigation was to evaluate the effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures. Forty-four adults scheduled for head and neck pro

AANA Journal Course: Update for Nurse Anesthetists – Part 3 – Ultrasound in Anesthesia: Applying Scientific Principles to Clinical Practice

332 AANA Journal ß August 2010 ß Vol. 78, No. 4 www.aana.com/aanajournalonline.aspx The use of ultrasound as an adjunct to invasive anes- thesia procedures is becoming commonplace. The US Agency for Health Care Quality and the United King- dom National Institute for Clinical Excellence hav

Acute Normovolemic Hemodilution in a Jehovah’s Witness Patient: A Case Report

326 AANA Journal ß August 2010 ß Vol. 78, No. 4 www.aana.com/aanajournalonline.aspx Patients who are Jehovah’s Witnesses refuse blood transfusions and blood products as a matter of faith. For surgical procedures during which substantial blood loss is possible, their refusal presents a chal

Anesthetic Management for Lobectomy in a Patient With Coccidioidomycosis: A Case Report

www.aana.com/aanajournalonline.aspx AANA Journal ß August 2010 ß Vol. 78, No. 4 321 Coccidioidomycosis is a fungal disease with a wide variety of manifestations. The systemic infection is a product of airborne spore inhalation released from the soil. This once-endemic disease is steadily i

Pseudocholinesterase Deficiency: A Comprehensive Review of Genetic, Acquired, and Drug Influences

www.aana.com/aanajournalonline.aspx AANA Journal ß August 2010 ß Vol. 78, No. 4 313 Pseu do cho lin es ter ase deficiency is an inherited or acquired condition in which the metabolism of suc- cinylcholine, mivacurium, or ester local anesthetics is potentially impaired. In this review, gene

Determining the Relationship of Acute Stress, Anxiety, and Salivary a-Amylase Level With Performance of Student Nurse Anesthetists During Human-Based Anesthesia Simulator Training

www.aana.com/aanajournalonline.aspx AANA Journal ß August 2010 ß Vol. 78, No. 4 301 Managing stress for student nurse anesthetists repre- sents a multifaceted educational concern for anesthe- sia educators. Our purpose was to determine the rela- tionship between physiologic measures of str

Inhalational Anesthesia for Organ Procurement: Potential Indications for Administering Inhalational Anesthesia in the Brain-Dead Organ Donor

www.aana.com/aanajournalonline.aspx AANA Journal ß August 2010 ß Vol. 78, No. 4 293 Organs needed for transplantation far outweigh their availability. There is minimal research regarding peri- operative care of the brain-dead organ donor during the procurement procedure. Current research a

Use of Clevidipine for Intraoperative Hypertension Caused by an Undiagnosed Pheochromocytoma: A Case Report

288 AANA Journal ß August 2010 ß Vol. 78, No. 4 www.aana.com/aanajournalonline.aspx The acute intraoperative hypertension and tachycardia caused by an undiagnosed pheochromocytoma is a rare event for the anesthesia provider. If treatment is not prompt and successful, permanent and possibly

Update for Nurse Anesthetists – Part 5 – Complex Regional Pain Syndrome: A Review of Diagnostics, Pathophysiologic Mechanisms, and Treatment Implications for Certified Registered Nurse Anesthetists

www.aana.com/aanajournalonline.aspx AANA Journal  December 2011  Vol. 79, No. 6 505 AANA Journal Course Update for Nurse Anesthetists Complex Regional Pain Syndrome: A Review of Diagnostics, Pathophysiologic Mechanisms, and Treatment Implications for Certified Registered Nurse Anesthetists Daniel

Anesthetic Management of a Patient Undergoing an Ex Utero Intrapartum Treatment (EXIT) Procedure: A Case Report

www.aana.com/aanajournalonline.aspx AANA Journal  December 2011  Vol. 79, No. 6 497 The ex utero intrapartum treatment (EXIT) proce- dure involves partial delivery of the fetus with the fetal-placental circulation maintained. This allows for management of the obstructed fetal airway via direct lar

Model for a Reproducible Curriculum Infrastructure to Provide International Nurse Anesthesia Continuing Education

www.aana.com/aanajournalonline.aspx AANA Journal  December 2011  Vol. 79, No. 6 491 There are no set standards for nurse anesthesia edu- cation in developing countries, yet one of the keys to the standards in global professional practice is com- petency assurance for individuals. Nurse anesthetist

Predictors of Situation Awareness in Student Registered Nurse Anesthetists

484 AANA Journal  December 2011  Vol. 79, No. 6 www.aana.com/aanajournalonline.aspx Situation awareness (SA) is defined as one’s percep- tion of the elements of the environment, the compre- hension of their meaning, and the projection of their status in the near future. The concept of SA is well k

Bronchial Thermoplasty: A Novel Treatment for Severe Asthma Requiring Monitored Anesthesia Care

480 AANA Journal  December 2011  Vol. 79, No. 6 www.aana.com/aanajournalonline.aspx Dexmedetomidine used in monitored anesthesia care produces a safe and effective technique well docu- mented in research. We report the successful use of dexmedetomidine for sedation during bronchial ther- moplasty,

Diabetic Cardiac Autonomic Neuropathy and Anesthetic Management: Review of the Literature

www.aana.com/aanajournalonline.aspx AANA Journal  December 2011  Vol. 79, No. 6 473 Cardiac autonomic neuropathy is a serious complica- tion among diabetic patients. It occurs in both type 1 and type 2 diabetes, and its progression results in poor prognosis and increased mortality. During its cour

Management of a Traumatic Tracheal Tear: A Case Report

468 AANA Journal  December 2011  Vol. 79, No. 6 www.aana.com/aanajournalonline.aspx This case report describes a posterior tracheal tear in a healthy 8-year-old girl. The child sustained the injury while riding her scooter, when the handlebars of the scooter dislodged after running into the curb,

AANA Journal Course: Update for Nurse Anesthetists – Part 4 – Treatment of Tracheal and Bronchial Tumors and Tracheal and Bronchial Stent Placement

www.aana.com/aanajournalonline.aspx AANA Journal ß October 2010 ß Vol. 78, No. 5 413 Tumors of and trauma to the trachea and bronchi can result in loss of integrity of the airway and death. Once treated primarily with thoracic surgery, these condi- tions are increasingly being managed with

 
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