Anesthesia E-ssential

AANA Anesthesia E-ssential, January 16, 2020
 
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Vital Signs


CRNAs, Nurses Gain Double Accolades

Certified Registered Nurse Anesthetists (CRNAs) are ranked among the U.S. Top 25 Best Jobs on the most recent U.S. News & World Report listing, and, for 18 years in a row, nursing is identified as the most honest and ethical profession on the most recent annual Gallup pollLearn more.
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Wisconsin CRNAs Achieve Collaboration with Dentists

The Wisconsin Board of Nursing rules have been amended to allow CRNAs to collaborate with dentists. Previously, the rules required that CRNAs collaborate only with physicians (MD/DO). Congratulations to the Wisconsin Association of Nurse Anesthetists for providing significant comments and testimony to further advance full-practice authority for Wisconsin CRNAs!
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Did You Know There Are Three Steps Anyone Can Learn to Help Prevent Suicide?

Just like CPR is an emergency medical intervention, QPR (Question, Persuade, and Refer) works in emergency mental health interventions for suicidal persons. Training for QPR can prepare one to help identify and interrupt a crisis and direct toward proper care, thus increasing survival. Find info on QPR training, suicide warning signs, prevention, and surviving a loss at www.aana.com/Suicide.
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National CRNA Week: Your Comfort. Your Care. We Are There.

Sunday, January 19 begins the 21st National CRNA Week, and it goes through Saturday, January 25. Be sure to download the social media graphics you can use on your Facebook, Twitter and Instagram accounts. Use the #CRNAWeek #WeAreThere hashtags so others can find what you post. Check out the public relations materials (listed under "Before National CRNA Week") that you can use. Be sure and send any photos and brief writeups of your activities during National CRNA Week to AANA Public Relations. Get ready to celebrate! Thank you for the great work you do every day. We appreciate you!
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Hot Topics


MHAUS Seeks Feedback to Develop Upcoming Anesthesia Machine Preparation Webinar

In February 2020, MHAUS will provide a webinar on options to clean anesthesia machines for MH-susceptible patients and answer specific questions attendees may have on this topic. To ensure the information given will meet attendees' needs, they are soliciting information through a short survey. Please provide feedback to help MHAUS develop a solid and insightful webinar for all.
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2019 MIPS Data Submission Window Now Open

CRNAs who were eligible to participate in the merit-based incentive payment system (MIPS) can now submit their data for the 2019 performance year. The submission window opened on January 2, 2020 and closes March 31, 2020 at 8:00 p.m. EDT.

To enter your data, sign in to the Quality Payment Program (QPP) website with your access credentials. If you need to create an account to submit MIPS data, the QPP User Guide will show you how to register a Healthcare Quality Information System (HCQIS) Access Role (HARP) account, which is required to log into the QPP website.
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Verify Initial 2020 MIPS Eligibility

CRNAs can now check their initial eligibility status for MIPS participation Merit-based Incentive Payment System (MIPS) eligibility status for 2020. Your eligibility is based on review of Medicare Part B claims and Provider Enrollment, Chain and Ownership System (PECOS) data from October 1, 2018 to September 30, 2019. It is important to check the QPP Participation Status Tool, because your eligibility status could have changed during the year. If you need more information, you can review information on the MIPS Participation website, contact the Quality Payment program at QPP@cms.hhs.gov or call 866-288-8292.
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Nomination Deadline for AANA Award for State Government Relations Advocacy is Feb. 15

State Associations: Submit your entry for the Excellence in State Government Relations Advocacy Award, to be presented at the AANA Mid-Year Assembly in April 2020. This annual award is not tied to a specific “victory” in the state legislative or regulatory arena, but is given based on the quality of the state association effort.

Examples of state association efforts include successful lobby days, legislative/regulatory efforts, or increased member participation in grassroots or other efforts. For more information and to submit your state’s application by Feb. 15, 2020, visit the AANA website.
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Do You Know an Outstanding CRNA? Nominate Your Colleague for an AANA Recognition Award!

Nomination Deadline: March 15, 2020.
Do you work with an outstanding program director, didactic instructor, or clinical instructor? Do you know someone who has spent a lifetime advancing the practice of nurse anesthesia as a practitioner, educator, clinician, or advocate? Consider nominating your colleague for one of the national AANA recognition awards.

Visit Recognition Awards for details on the:
  • Agatha Hodgins Award for Outstanding Accomplishment,
  • Helen Lamb Outstanding Educator Award,
  • Alice Magaw Outstanding Clinical Anesthesia Practitioner Award,
  • Ira P. Gunn Award for Outstanding Professional Advocacy,
  • Clinical Instructor of the Year Award,
  • Didactic Instructor of the Year Award, and
  • Program Director of the Year Award.
Nomination deadline is March 15, 2020.
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NewsMaker: CRNA Jan Setnor Appointed to AAAHC Governance Unit

Janet Setnor, MSN, CRNA, has been appointed to the 2020 Accreditation Association for Ambulatory Health Care (AAAHC) Governance Unit, Orthopaedic Expert Content Committee. The AANA recommended Jan for this position based on her distinguished record of leadership commitment at the United States Air Force Reserve (USAFR) Nurse Corps (NC), the Virginia Association of Nurse Anesthetists (VANA), and the AANA. In addition, since 2004, she has served as Chief Anesthetist/Compliance Officer at AAAHC-accredited Austin-Weston, The Center for Cosmetic Surgery. Congratulations to Jan on this important appointment!
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NewsMakers: Pennsylvania CRNAs Donate to Ronald McDonald Houses

The members of the Pennsylvania Association of Nurse Anesthetists are donating a total of $10,000 to area Ronald McDonald House Charities (RMHC). The grant supports six RMHC houses located in Danville, Hershey, Pittsburgh, Scranton, and two houses in Philadelphia. Each of those six houses will receive a $1,000 grant. The remaining $4,000 goes to the Mid-Penn Region of RMHC for a new initiative to support the local chapter's efforts to evolve the charity and its resources. Learn more.
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NewsMaker: CRNA Brock Kirian Turns Surgical Equipment Wraps into Sleeping Bags for Homeless

Brock Kirian, MSN, CRNA, inspired by a CRNA in Tampa, Fla., is making sleeping bags for the homeless from recycled surgical equipment wraps, according to the Fremont News Messenger, Fremont, Ohio.

Every day, The Bellevue Hospital, Bellevue, Ohio, sterilizes surgical trays and tools used in surgery. As soon as the trays are sterilized, they are wrapped in a plastic material to keep them sterile. Once the tray is taken out of the wraps, the material is typically discarded.

"I noticed that the hospital was throwing away an average of 20-30 wraps a day and I knew there had to be a better use for them," said Kirian. "I wanted to create something that could benefit both people and the environment." Learn more.
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AANA Meetings: Refresh Your Knowledge and Make New Connections


Come Meet Your Future

Earn Class A CE credits, build your support network, and meet AANA leaders. To view all upcoming live events, visit AANA.com/Meetings
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Assembly of Didactic and Clinical Educators: Register Today!

Join us in Braselton, Ga., at the Château Élan Winery & Resort for the premier nurse anesthesia educational program forum: the Assembly of Didactic and Clinical Educators (ADCE). Meet with leading educators in the field and help define the future of the CRNA profession!

When: February 19-22, 2020
Location: Château Élan Winery and Resort, Braselton, Ga.
Early Registration Savings: Save up to $100.00*

*Resort reservations for ADCE include FREE shuttles to/from Hartsfield-Jackson International Airport.

Wide-Range of Topics include:
  • Leadership to improve faculty/student satisfaction and academic outcomes.
  • Common legal issues faced within nurse anesthesia education.
  • Doctoral curriculum and scholarship.
  • Challenges of clinical education amid production pressure.
  • Health and wellness of faculty and students.
  • Research, and more!
More about the Château Élan - Southern charm meets luxury French splendor with 3,500 acres of grapes, spa treatments, gourmet dining, and golf.
  • Wine tours and tastings held daily.
  • Spa mansion with 14 spa suites.
  • 7 onsite restaurants.
  • 45 holes of championship golf.
Register Today!
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Gain Inspiration: State Leadership Workshop – Newport Beach, California

When: March 7-8, 2020
Location: Hyatt Regency Newport Beach

Join us in Newport Beach, Calif., for a day-and-a-half workshop that will inspire leaders to:
  • Conduct an effective crucial conversation and how to influence change for positive outcomes.
  • Describe the applied skills in emotional intelligence and how this relates to your role as a state leader.
  • Develop strategies for improving association board governance.
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Ultrasound-Guided Peripheral Nerve Block Workshop

When: March 28-29, 2020
Location: AANA National Headquarters, Park Ridge, Ill.

Earn 12 Class A CE credits and refresh your knowledge of ultrasound-guided peripheral nerve block techniques. This weekend workshop features expert lectures, hands-on instruction, and group discussions of representative clinical cases. Register now for advance registration rates.
Get Details or Register
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Mid-Year Assembly 2020: Advocate for Your Profession on Capitol Hill

When: April 18-22, 2020
Location: Renaissance Washington D.C. Downtown, Washington, D.C.

The Mid-Year Assembly is the most important nurse anesthesia advocacy meeting. Join us on Capitol Hill as we gather, rally, and impress the importance of nurse anesthesia on our legislators.

Register Today!
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Save the Date! Spinal Epidural with Obstetric Essentials Workshop

When: April 30-May 2, 2020
Location: 
Cincinnati, Ohio (University of Cincinnati College of Nursing)

Earn 23.50 Class A CE credits with 4.25 Pharmacology/Therapeutics credits with expert lectures and hands-on instruction. Topics include: normal and abnormal physiology of pregnancy, pharmacology, analgesia/anesthesia techniques, clinical applications of spinal and epidural anesthesia procedures, and introduction to the application of ultrasound using live models.
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Foundation and Research


AANA Foundation – Call for Review Committee Members; Respond by January 31, 2020

The Foundation is currently looking for CRNAs to serve on the Research and Scholarship Committees. The Research Committee reviews applications for research grants, fellowships and poster sessions. The Scholarship Committee reviews student scholarship applications. The Board of Trustees makes funding decisions based on the recommendations of these committees. If you are interested, please submit a statement of interest along with your CV to foundation@aana.com by January 31, 2020.
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AANA Foundation Award Nominations Deadline Extended to February 1, 2020

AANA Foundation awards are presented each year at Annual Congress in the areas of research, philanthropy, advocacy, and humanitarianism. We encourage you to nominate a deserving CRNA who is making a difference in these areas. Applications are available on the Foundation’s Applications & Program Information webpage and are due February 1, 2020. Nominations are carried forward for three years. Recognize a CRNA who goes above and beyond to create a better future for all.
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AANA Member Benefits


Innovation Lab Offers Free Obstetrics Hands-on Cadaver Lab and Workshop

This free course is for the healthcare professional seeking to advance a platform enhancing patients' experiences after surgery. Lectures, hands-on workshops on fresh frozen human cadavers, and live-model scanning are included.

When: Jan. 25, 2020, 8:30 a.m. - 1:30 p.m.
Where: Embassy Suites hotel, Grapevine, Texas

Objectives include:
  • Describe the opioid epidemic as it specifically relates to the women's health arena.
  • Review legislative movement toward opioid minimization.
  • Outline society guidelines addressing a multimodal approach for postsurgical care in obstetrics and gynecological procedures.
  • Analyze the scientific literature that supports opioid avoidance.
  • Build out an interactive multimodal and enhanced recovery pathway.
  • Use a cadaveric model focused on surgical techniques applicable to addressing pain management in C-section as well as vaginal, open and minimally invasive surgeries.
  • Demonstrate skill in ultrasound-guided transversus abdominis plane blocks, including live model scanning and cadaveric real-time application.
Register and learn more.
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Jobs



CRNACareers

CRNACareers.com - The New Year is Here! What Will 2020 Bring for Your Career?

Maybe you need a change of scenery or a new challenge. 2020 is here with new opportunities and goals to keep your career stimulated, and jobs for which you are uniquely qualified. Find the new you on CRNACareers.com!

  • Search and apply to locum tenens or permanent positions at industry-leading facilities.
  • Upload your resume anonymously and allow employers to contact you.
  • Set up job alerts to receive notifications on new openings.
  • Access free career resources to assist with resume and interview preparation.

Learn more today!

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Certified Registered Nurse Anesthetists: Memorial Health System, Illinois

Status: Full-Time, Hospital employed

Schedule: Convenient flexible schedule with 8-, 10- and 12-hour shift options available

Basic Functions: Our CRNAs administer general, regional, and MAC anesthesia to patients of all ages and any ASA status. The CRNAs work in a collaborative team environment with 50 CRNAs, 21 Anesthesiologists and 12 Anesthesia Techs to assist with room turnover and stocking. The CRNAs serve as Clinical Instructors for SIUE and Millikin/Decatur Nurse Anesthesia programs.

Due to our continued growth, Memorial Medical Center has multiple needs for Certified Registered Nurse Anesthetists. Positions are available full time in the Main OR, CVOR or as a split 50/50 between Main OR and CVOR.
  • Deliver more than 29,000 anesthetics annually across 23 Main ORs, 4 CVORs, 6 Ambulatory surgery ORs, and multiple off-site locations including OB, ECT, GI, IR, and Cath Lab.
  • Level 1 Trauma Center.
  • Diverse case mix.
  • Newest technology available with standardized equipment throughout the health system.
  • Robust EHR (Cerner).
  • Hospital employed; competitive salary and benefits package.
  • Reimbursement for continuing education with educational leave time.
  • Financial assistance of up to $30,000 available while pursuing anesthesia education.
  • Sign-on bonus of up to $30,000.
  • Relocation assistance available.
Learn more.
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Assistant Professor – Nurse Anesthesia Program, Midwestern University, Arizona

Join a dynamic and growing Nurse Anesthesia Program in Glendale, Arizona. The Nurse Anesthesia Program at Midwestern University provides students with a solid foundation in the basic sciences and teaches all aspects of anesthesia management. Our mission is to educate nurses through academic and clinical experience resulting in safe, professional and competent nurse anesthetists who meet the anesthesia healthcare needs of society. The candidate will be expected to teach within our entry into practice program and post-master’s DNAP program.

The position requirements include a doctoral degree and previous teaching experience is preferred. The ideal candidate should have a minimum of 3 years clinical experience, active CRNA certification, and unencumbered RN License. We offer a competitive salary with a comprehensive benefits package. A full-time applicant is preferred but FTE availability ranges from 0.5-1.0. This position is eligible for tenure track.

Your online application should include:
  • Cover letter (upload as an attachment or inserted as text).
  • CV (upload as an attachment or inserted as text).
  • Application (you will be prompted to complete the online application).
Midwestern University is an independent, non-profit, institution of higher education committed to the education of healthcare professionals. The Nurse Anesthesia Program, along with the Occupational Therapy, Physical Therapy, Speech/Language Pathology, Physician Assistant, Clinical Psychology, Podiatric Medicine, Cardiovascular Science (Perfusion), Bioethics, Health Professions Education, and Biomedical Sciences Programs comprise the College of Health Sciences. Learn more.
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CRNA: Atrium Health, North Carolina

New Graduates: $50K Student Loan Repayment (Full Time)

Experienced Providers: $30K Sign on Bonus (Full Time)

Experienced Providers: $50K Sign-On Bonus (Atrium Health Stanley) (Full Time)

Employment Type: Full Time/PRN

Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive.

Job Summary: Looking for FT and PRN This position provides professional, competent anesthesia care to a wide variety of patients from neonatal through lifespan population, requiring surgical, obstetrical and other anesthesia services. The CRNA I possesses additional training, education and/or experience in the provision of anesthesia care to patients with complex and unique anesthetic requirements. Supports and contributes to the patient-centered care philosophy that every team member is a caregiver, who cares about the needs of each patient.

Essential Functions:
  • Provides anesthesia care to patients with complicated, pre-existing disease and advanced disease states.
  • Provides care to trauma victims requiring resuscitative, diagnostic and surgical restoration, adult patients that undergo cardiothoracic procedures requiring cardiopulmonary bypass and patients who require intensive monitoring so the surgical procedure can be completed.
  • Coordinates anesthetic patient care with anesthesia teammates.
  • Participates clinically with Student Registered Nurse Anesthetists.
  • Accepts additional departmental duties as determined by management.
At Atrium Health, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.

As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Learn more.
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Nurse Anesthesia Faculty Position: Mount Marty College, South Dakota

Mount Marty College is seeking an enthusiastic CRNA to join our student-centered faculty in a resource-rich environment that includes modern classrooms and a dedicated high-fidelity simulation laboratory. Primary responsibilities will include classroom and online instruction, small group interaction in the simulation center, student advising, and serving as an advisor for scholarly student DNP projects. A commitment to ongoing clinical practice is essential.

Prerequisites: CRNA eligible for practice in South Dakota, doctoral degree and 5 years of recent experience as a clinician and/or educator. Applicant screening will begin immediately and continue until a compatible candidate is found. Learn more.
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Cardiac CRNA, Memorial Health System, Illinois

Status: Full Time, Non-Exempt

Schedule: Days, Weekend Call

Our Cardiac Certified Registered Nurse Anesthetists administers anesthesia for all cardiac and vascular procedures employing a variety of techniques to render persons insensible to pain during a variety of surgical, dental, obstetric, and diagnostic procedures. Evaluating the effectiveness of interventions and assist in identification of alternative strategies. Demonstrate knowledge of the principles of growth and development for patients of adult age through geriatrics. Assess and interpret data reflective of the patient's status and provide care relative to their age-specific needs in accordance with the department's policies, procedures, and standards of care.

They are directed by an Anesthesiologist and work in a collaborative team approach to improve quality, safety, and control costs. Serve as clinical mentor for Student Registered Nurse Anesthetists.

Due to our continued growth, Memorial Medical Center has multiple needs for Certified Registered Nurse Anesthetists. Positions are available full time in the Main OR, CVOR or as a split 50/50 between Main OR and CVOR.
  • Level 1 Trauma Center.
  • Diverse case mix.
  • Newest technology available with standardized equipment throughout the health system.
  • Robust EHR (Cerner).
  • Hospital employed; competitive salary and benefits package.
  • Reimbursement for continuing education with educational leave time.
  • Financial assistance of up to $30,000 available while pursuing anesthesia education.
  • Sign-on bonus of up to $30,000.
  • Relocation assistance available.
Learn more.
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Healthcare Headlines

Healthcare Headlines is for informational purposes, and its content should not be interpreted as endorsements, standards of care, or position statements of the American Association of Nurse Anesthetists.

Effects of Adding Oxycodone to Ropivacaine on Labor Analgesia

Because oxycodone may do a better job than other opioids of relieving visceral pain—such as that from labor contractions—researchers wondered what would happen if it was incorporated into epidurals. As part of their randomized study, 80 nulliparous parturients received labor analgesia with either ropivacaine alone or with ropivacaine plus oxycodone. The investigators found that, compared with ropivacaine only, the addition of oxycodone to the analgesia protocol shortened time to onset of analgesia, reduced patients' pain levels at two and four hours post-administration, and prolonged the duration of analgesia by a significant margin. While oxycodone did not increase the risk of adverse effects to the neonate, it was associated with greater likelihood of pruritus in the mother.

From "Effects of Adding Oxycodone to Ropivacaine on Labor Analgesia"
Clinical Journal of Pain (02/20) Vol. 36, No. 2, P. 96 Zhong, Heying Y.; Yang, Zeyong Y.; Zhang, Wangping; et al.

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Effects of Ropivacaine Concentration on Analgesia After Ultrasound-Guided Serratus Anterior Plane Block

A study out of China tested how different concentrations of ropivacaine might affect the analgesic efficacy of serratus anterior plane (SAP) block following breast surgery. Based on randomized assignment, SAP block was induced with 20 mL of 0.375%, 0.5%, or 0.75% ropivacaine in 60 women scheduled for a breast operation. Of key interest to the investigators was the area under the curve (AUC) of numerical rating scale pain intensity scores over time. Both at rest and on movement, the AUC was markedly higher in the patients who received 0.375% ropivacaine than in the two comparator groups. While the finding suggests superiority of SAP block at higher concentrations of ropivacaine, there was no meaningful difference in postoperative analgesia between 0.5% and 0.75% ropivacaine. However, because higher concentrations prolonged the duration of the block, the study authors favor 0.5% ropivacaine over 0.75% for SAP block following breast surgery.

From "Effects of Ropivacaine Concentration on Analgesia After Ultrasound-Guided Serratus Anterior Plane Block"
Journal of Pain Research (01/20) Vol. 2020, No. 13, P. 57 Huang, Lvdan; Wu, Bingjing; Chen, Zhengjie; et al.

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A Prospective, Randomized Comparison of Ultrasonographic Visualization of Proximal Intercostal Block vs Paravertebral Block

Researchers explored the use of ultrasound (US)-guided proximal intercostal block for pain relief following mastectomy. While parasagittal US-guided paravertebral block is the standard in this setting, real-time US visualization of landmarks remains problematic. The team from Brigham and Women's Hospital in Boston wondered how US image quality, performance times, and clinical outcomes might compare between the two techniques. For their small study, patients were randomly assigned to receive either preoperative paravertebral block or proximal intercostal block under US guidance. Based on before-and-after block ultrasound images and video clips of anesthesia injection, proximal intercostal block appears to offer a technical advantage over traditional paravertebral nerve block. Both expert and novice reviewers found composite visualization scores as well as pleural visualization superior with proximal intercostal nerve block. The modified approach additionally provided better bony landmark and injectate spread visualization compared with traditional paravertebral block, according to expert review. Block performance times, postoperative pain scores, needle depth, and opioid consumption, meanwhile, were not significantly different between the two.

From "A Prospective, Randomized Comparison of Ultrasonographic Visualization of Proximal Intercostal Block vs Paravertebral Block"
BMC Anesthesiology (01/09/20) Vol. 20, No. 13 Vlassakov, Kamen; Vafai, Avery; Ende, David; et al.

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Residual Blockade Tested Following Reversal with Sugammadex, Neostigmine

Colleagues at Oregon Health & Science University were interested in the scope of benefit from using sugammadex instead of neostigmine as a reversal agent for neuromuscular blockade. Specifically, they wanted to know if one agent was better than the other in reducing residual neuromuscular blockade as well as the risk of postoperative pulmonary complications that accompanies it. To investigate, they recruited 200 patients at high risk for such complications because of their age (70 years and older) and the type of elective surgery they were having (lasting three hours or longer). At surgical closure, half of the patients received 2 mg/kg of sugammadex and half received 0.07 mg/kg of neostigmine for reversal of rocuronium. The main outcome was incidence of acute respiratory insufficiency, aspiration pneumonitis, desaturation/hypoxemia, upper airway obstruction, or other post-surgical pulmonary complications. Only 10 percent of study participants who received sugammadex suffered from residual postoperative paralysis compared with 49 percent of those who received neostigmine, which dovetails with other research. The rate of postoperative pulmonary complications was not significantly different, at 33 percent and 40 percent, respectively. Sugammadex also was associated with fewer 30-day hospital readmissions, but researchers say more study is needed before they can recommend its routine use to reduce the rate of postoperative pulmonary complications.

From "Residual Blockade Tested Following Reversal with Sugammadex, Neostigmine"
Anesthesiology News (01/08/20) Vlessides, Michael

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Necessity Births Breath-Monitoring Invention at UW-Madison

Developing technology promises to help anesthesia providers accurately keep tabs on patients' airflow and alert them to the onset of oxygen deprivation. Existing equipment—including the standard finger-tip blood oxygenation monitor—can have slow response times to problems or other shortcomings, says Guelay Bilen-Rosas, an assistant professor of anesthesiology at the University of Wisconsin-Madison School of Medicine and Public Health. Along with colleagues, she came up with a prototype ultrasound device that measures airflow in real time in anesthesized patients. Their research supports the viability of the breath-monitoring instrument, which is taped to patient's neck. Tests involving cataract surgery patients proved that the device can detect how much air is moving during sedation. Moreover, Bilen-Rosas adds, earlier research involving healthy volunteers showed the new technology to be 90 percent accurate compared to the spirometry technique, which cannot be used on sedated persons. The implications of an automated, accurate machine for tracking airflow are potentially significant. While there are no nationwide statistics on deaths from sedation-related airway issues, extrapolations from a dental-surgery registry in Texas indicate that an estimated 1,000 dental patients in the United States die each year from such events.

From "Necessity Births Breath-Monitoring Invention at UW-Madison"
University of Wisconsin-Madison (01/07/20) Tenenbaum, David

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Effects of Intrathecal Bupivacaine and Bupivacaine Plus Fentanyl in Elderly Patients Undergoing Total Hip Arthroplasty

A total of 65 geriatric patients took part in a study to compare the clinical efficacy of spinal anesthesia with intrathecal bupivacaine plus fentanyl versus bupivacaine alone for total hip replacement. The research was carried out at Renmin Hospital of Wuhan University in China, where participants were randomly assigned to anesthesia with one of the two described protocols. While most outcomes—including quality of anesthesia, duration of motor block, adverse effects, and incident of postoperative indwelling catheter—were similar between the treatment arms, patients who received fentanyl needed less epinephrine to achieve hemodynamic stability. In addition, they lasted longer before requiring postoperative analgesics.

From "Effects of Intrathecal Bupivacaine and Bupivacaine Plus Fentanyl in Elderly Patients Undergoing Total Hip Arthroplasty"
Docwire News (01/01/20)

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News summaries © copyright 2020 SmithBucklin



Anesthesia E-ssential is an executive summary of noteworthy articles of interest to nurse anesthetists. It is distributed weekly to AANA members.

Anesthesia E-ssential is for informational purposes, and its contents should not be interpreted as endorsements, standards of care, or position statements of the American Association of Nurse Anesthetists.

If you are interested in advertising in Anesthesia E-ssential contact HealthCom Media at 215-489-7000.

For more information on AANA and Anesthesia E-ssential, contact:

AANA
222 S. Prospect Avenue
Park Ridge, IL 60068
Phone: (855) 526-2262 (toll-free)/(847) 692-7050
Fax: (847) 692-6968

Attn: Cathy Hodson
E–ssential Editor
chodson@aana.com
January 16, 2020