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A Certified Registered Nurse Anesthetist’s Transition to Manager

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 447 The purpose of this exploratory qualitative study was twofold: (1) to identify common experiences or barri- ers that arise during the first year as Certified Regis- tered Nurse Anesthetists (CRNAs) move into manage- men

Complications Related to Laryngeal Mask Airway Use and a Postoperative Diagnosis of Reinke Edema: A Case Study

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 443 This case report describes a partial airway obstruction encountered with the use of a laryngeal mask airway and the inability to deliver adequate tidal volumes despite manipulation and device exchange. The patient later

Intravenous Dexamethasone as an Analgesic: A Literature Review

488 AANA Journal  December 2018  Vol. 86, No. 6 www.aana.com/aanajournalonline The management of pain in surgical patients has shifted in recent years from a technique grounded in opioid administration, to a multimodal method that uses the analgesic properties of many drugs to minimize required na

Implementation of an Education Program for an Ultrasound-Guided Liposomal Bupivacaine Transversus Abdominis Plane (TAP) Block Protocol for Open Abdominal Procedures

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 479 Anesthesia practitioners at the authors’ facility had varying education and training with placing transver- sus abdominis plane (TAP) blocks and with the use of liposomal bupivacaine limiting the utilization of this reg

Mobile Computing Devices in the Perioperative Environment: A Survey Exploring Uses and Experiences Among Certified Registered Nurse Anesthetists

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 471 The use of mobile computing devices (MCDs) such as smartphones, tablet computers, and laptops among Certified Registered Nurse Anesthetists (CRNAs) in the clinical area may provide benefits as well as pose risks. Limite

Thematic Analysis of Obstetric Anesthesia Cases From the AANA Foundation Closed Claims Database

464 AANA Journal  December 2018  Vol. 86, No. 6 www.aana.com/aanajournalonline Maternal morbidity and mortality in the United States continues to be high. Understanding parturient com- plications and causes of death is critical to determine corrective actions. Analysis of closed malpractice claims

Methylene Blue as an Adjunct to Treat Vasoplegia in Patients Undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass: A Literature Review

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 455 The term vasoplegia describes hypotension refractory to vasopressor therapy, a common finding related to cardiac surgery requiring cardiopulmonary bypass. High doses of vasoactive agents are associated with adverse effe

Understanding Bone Cement Implantation Syndrome

www.aana.com/aanajournalonline AANA Journal  December 2018  Vol. 86, No. 6 433 Bone cement implantation syndrome (BCIS) is a rare and potentially fatal perioperative complication of cemented bone surgery. Clinically, it can be as benign as transient desaturation or mild hypotension. In its more se

Syringe Size Effect on Delivered Versus Calculated Dosages of Propofol: A Bench Experiment Using the Baxter InfusOR Syringe Pump

www.aana.com/aanajournalonline.aspx AANA Journal  August 2011  Vol. 79, No. 4 287 Each year thousands of anesthetics are undertaken using the Baxter InfusOR syringe pump. Anesthesia providers use various configurations, consisting of 20-, 30-, or 60-mL syringes, when delivering propofol with this

Anesthesia Information Management Systems: Imperatives for Nurse Anesthetists

346 AANA Journal  October 2014  Vol. 82, No. 5 www.aana.com/aanajournalonline Informatics is a new science within healthcare and anesthesia that leverages computer technology to improve patient safety, the quality of care provided, and workload efficiency. In clinical anesthesia practice, appropri

Anesthetic Management of a Unique Case of Double-Outlet Right Ventricle With Glenn Shunt for Cesarean Delivery: A Case Report

408 AANA Journal  October 2018  Vol. 86, No. 5 www.aana.com/aanajournalonline Double-outlet right ventricle is a rare congenital car- diac anomaly resulting in intracardiac mixing of oxy- genated and deoxygenated blood. Surgical palliation involves staged conversion to Fontan circulation, with an

Transfer of Care in Perioperative Settings: A Descriptive Qualitative Study

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 401 Transfer of care is defined as the exchange of informa- tion and professional accountability for patient care between individuals. This article describes a qualitative content analysis (N = 19) using a closed-claims data

Effect of Norepinephrine on Intracellular Ca2+ Levels in Malignant Hyperthermia-Susceptible B Cells: Pilot Study in the Search for a New Diagnostic Test for Malignant Hyperthermia

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 383 Malignant hyperthermia (MH) crises may induce mor- bidity or death in MH-susceptible (MHS) individuals. The only sensitive method of determining susceptibil- ity is the caffeine-halothane contracture test, requiring musc

Effects of Subanesthetic Intravenous Ketamine Infusion on Corticosterone and Brain-Derived Neurotrophic Factor in the Plasma of Male Sprague-Dawley Rats

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 393 Posttrauma anesthetic agents influence neuroendo- crine responses that may affect fear memory. The effects of a subanesthetic intravenous (IV) ketamine infusion on mediators of stress and memory in rodents are unknown. T

Clinical Application of Point-of-Care Ultrasound Gastric Examination in the Management of an ASA Class 3E Patient: A Case Report

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 379 A 79-year-old ASA class 3 patient scheduled for out- patient testing secondary to prostate cancer, was found to have a previously unknown 10-cm abdominal aortic aneurysm (AAA) causing acute renal insuffi- ciency and hydr

Understanding Motivations and Barriers of CRNAs Involved in Global Health: A Qualitative Descriptive Study

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 371 Surgical care provided through short-term medical missions (STMMs) is an important component of global healthcare. Certified Registered Nurse Anesthe- tists (CRNAs) are equipped with valuable knowledge and skills to help

Improved Anesthesia Handoff After Implementation of the Written Handoff Anesthesia Tool (WHAT)

www.aana.com/aanajournalonline AANA Journal  October 2018  Vol. 86, No. 5 361 Patient safety may be at risk when details are omit- ted during anesthesia handoff. The Written Handoff Anesthesia Tool (WHAT), designed by the author, was implemented to improve the quality of anesthesia handoffs in the

Minimum Effective Dose (ED50 and ED95) of Intrathecal Hyperbaric Bupivacaine for Cesarean Delivery: A Systematic Review

348 AANA Journal  October 2018  Vol. 86, No. 5 www.aana.com/aanajournalonline Lowering the dose of the local anesthesia significantly reduces the risks of spinal anesthesia-induced hypo- tension in an elective cesarean delivery. Determination of the mean effective dose of hyperbaric bupivacaine wi

Anesthetic management of a patient with a mediastinal foregut duplication cyst: A case report

www.aana.com/members/journal/ AANA Journal/February 2005/Vol. 73, No. 1 55 augmentation surgery pending further evaluation of the mass. At the referral center, she underwent radio- logic and pathologic evaluation, including computed tomography (CT) scan and endoscopic fine-needle biopsy. Nine days a

The effect of transdermal scopolamine on the incidence and severity of postoperative nausea and vomiting in a group of high-risk patients given prophylactic intravenous ondansetron

www.aana.com/members/journal/ AANA Journal/April 2006/Vol. 74, No. 2 127 tion of PONV often involves the use of antiemetic agents that work specifically on receptors in an area of the brain called the chemoreceptor trigger zone. Stud- ies have shown that stimulation at one or more of the receptors f

The Universal Oxygen Connector

30 AANA Journal/February 2006/Vol. 74, No. 1 www.aana.com/members/journal/ developed by S. Rowbotham, MD, and Clarence Mag- ill, MD. In 1938, Clarence Crafoord, MD, constructed the “spiropulsator,” the first practical positive pres- sure respirator for use in anesthesia.1 Benefits of postoperative o

Artificial oxygen carriers: A current review

www.aana.com/aanajournal.aspx AANA Journal/June 2007/Vol. 75, No. 3 205 developed for 2 major purposes. As bridge oxygena- tors, they function as alternatives to blood transfusion in an attempt to avoid, reduce, or delay transfusion of allogeneic blood. Improvement of tissue oxygenation of organs wi

Acute Hypotension in a Patient Undergoing Posttraumatic Cervical Spine Fusion With Somatosensory and Motor-Evoked Potential Monitoring While Under Total Intravenous Anesthesia: A Case Report

38 AANA Journal February 2009 Vol. 77, No. 1 www.aana.com/aanajournal.aspx Hypotension should be vigilantly prevented in patients with spinal cord injury. Recent advances in neuro- logical, intraoperative monitoring techniques have allowed Certified Registered Nurse Anesthetists to assess the effe

AANA Journal Course: Update for Nurse Anesthetists—Part 5—Evaluation of Older Adults

www.aana.com/aanajournal.aspx AANA Journal ß December 2009 ß Vol. 77, No. 6 451 As life expectancy increases, the anesthetic manage- ment of older surgical patients has received increased attention. Current estimates suggest that approxi- mately 20% or more of the surgical procedures per-

 
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