Anesthesia E-ssential

AANA Anesthesia E-ssential, March 5, 2020

Vital Signs

Coronavirus Resources Available to Support Patient Care Strategy Development

In light of the growing concern surrounding the worldwide spread of Coronavirus Disease 2019 (COVID-19), the AANA has prepared practice resources to support CRNAs as they develop strategic steps for managing patients with expected or confirmed infection. Visit to access more information. Be sure to frequent this page for updated resources from respected national and international organizations. The AANA will continue to monitor the situation and support CRNAs as we work together to safely deliver patient care and keep ourselves and the communities we serve healthy.

For questions and concerns, please contact the AANA Professional Practice Division at or 847-655-8870.
Share Facebook  LinkedIn  Twitter 

TODAY: CDC Offers Coronavirus Call for Clinicians on March 5 from 2-3 p.m. ET

The Centers for Disease Control and Prevention (CDC) is promising more information to help clinicians treat and care for patients with coronavirus, according to FierceHealthcare.

In addition to the guidance for clinicians on the CDC website, the agency will hold a call for clinicians Thursday, March 5, from 2-3 p.m. ET on what they need to know to prepare for COVID-19. Learn more.
Share Facebook  LinkedIn  Twitter 

AANA Election Slate Announced

The AANA Nominating Committee, after reviewing the nominations for elected positions for the upcoming election at its February meeting, has announced the slate of candidates for the 2020 election of the AANA Board of Directors, Nominating and Resolutions Committee members. Visit the Election Center for the complete slate of candidates and further information about the upcoming elections. (Member login required.)

The order of names was determined randomly on the ballot by the Nominating Committee. Those elected will begin their fiscal year 2021 terms of office at the conclusion of the AANA 2020 Nurse Anesthesia Annual Congress in San Diego, Calif.

Share Facebook  LinkedIn  Twitter 

Desiree Chappell to be CRNA Speaker for White House ERAS Webinar

Desiree Chappell, CRNA, will be a speaker during an April 1 webinar on Enhanced Recovery After Surgery hosted by the White House Executive Office of National Drug Control Policy and the ERAS USA Society, lecturing on the topic of the multidisciplinary team approach to Enhanced Recovery. She is the only CRNA presenting and just one of two anesthesia providers on the webinar along with Dr. Mike Scott, an anesthesiologist from the University of Pennsylvania.

The webinar will help attendees understand the federal approach to the National Drug Control Strategy in supporting safe prescribing as well as prevention and treatment for substance use disorders; understand the role of appropriate screening of surgical patients; review the best surgical pathways that optimize pain management, minimize (not eliminate) opioids, and improve surgical outcomes; and explore how interprofessional collaboratives are evolving for surgical safe prescribing practices. Attendees also will be inspired to develop innovative strategies that support surgical patients.

Space is limited, so register today!
Share Facebook  LinkedIn  Twitter 

A Historical Look at Men's Involvement in Nursing and Leadership in GAPNA

Brett Morgan, DNP, CRNA, Senior Director of Education and Practice at the AANA, is one of the authors of an article that explores the historical role of men in nursing. The article, published in the journal Geriatric Nursing, takes a look at the contributions of men in nursing—including poet Walt Whitman, who volunteered as a nurse in a Union military hospital during the Civil War—and dispels stereotypes about men who serve in what is known as a predominately female profession.

Dr. Morgan and his co-authors, Benjamin Smallheer, PhD, RN, ACNP-BC, FNP-BC, CCRN, CNE, and Robert Stern, RN, BSN, EMT-CC, also examine men’s involvement in the Gerontological Advanced Practice Nurses Association (GAPNA), particularly that of Dr. George Peraza-Smith. As treasurer of GAPNA from 2013 to 2015, Dr. Peraza-Smith was one of the first men to serve on the organization’s board. He shares insights and words of wisdom for men in nursing and those wanting to make an impact in geriatric nursing. Read the article.
Share Facebook  LinkedIn  Twitter 

Hot Topics

AANA State Leadership Workshop – Denver

When: June 6-7, 2020
Location: Kimpton Hotel Monaco

Join us in Denver, Colo., 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.
See more details and register! Online pre-registration closes Friday, May 22, 2020.
Share Facebook  LinkedIn  Twitter 

Call for Abstracts: Speak at 2021 ADCE and the ADCE portion at 2021 Annual Congress

You are invited to submit an abstract for consideration to present at the 2021 Assembly of Didactic and Clinical Educators (ADCE) and the ADCE portion at the 2021 Annual Congress. Present your idea to hundreds of CRNA faculty, clinical preceptors, program directors, and students, and help shape the future of nurse anesthesia education.

Submissions should include educational topics that will develop the effectiveness of CRNAs in their roles as program administrators, didactic educators, and clinical educators in diverse settings.

AANA will accept up to two submissions per presenter.

Submission Deadline
April 14, 2020 – Visit the abstract submissions page for more information.
Share Facebook  LinkedIn  Twitter 

Submit Your Statement: Celebrate Diversity with the AANA: #IAmMe

Now in its third year, the award-winning I Am Me Campaign celebrates diversity and inclusion within the nurse anesthesia profession. Every April—aka Celebrate Diversity Month—Certified Registered Nurse Anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs) are encouraged to share their "I Am Me" statement with colleagues. Submissions for 2020 are now being accepted through March 31.

There are more than 54,000 nurse anesthetists in the U.S., and while the same high quality, safe, anesthesia care is administered to patients every day, as individuals we bring a wealth of unique experiences. The AANA recognizes the differences in race, gender, ethnicity, language, cultural and religious beliefs, and socio-economic status that our CRNA and SRNA members bring to the nurse anesthesia profession.

Submit your #IAmMe statement here.
Share Facebook  LinkedIn  Twitter 

AANA Journal App: Simpler, Easier, More Functionality at Your Fingertips

Stay current with the latest CRNA research and industry news using the new AANA Journal mobile app! You’ll get the same great AANA Journal content, quickly and conveniently across your mobile devices.
  • Listen to Articles - All articles will include narrated audio.
  • Watch Videos - Video resources can be viewed in the app.
  • Easily Navigate - View external resources and pages online directly from the app.
AANA members – Download the App Today:
Share Facebook  LinkedIn  Twitter 

Accepting Applications for Post-Graduate Advanced Pain Management Fellowship

The Advanced Pain Management Fellowship at the Texas Christian University School of Nurse Anesthesia, in partnership with AANA, is now accepting applications. The post-graduate CRNA fellowship in advanced pain management takes a holistic and multimodal approach in individualizing treatment plans to manage pain, optimize functional ability, and reduce suffering. The program includes online courses and hands-on clinical practice. The deadline is April 1 to apply for the cohort beginning Fall 2020. Learn more.
Share Facebook  LinkedIn  Twitter 

FY2021 CRNA-PAC Committee - Application Deadline is April 30, 2020!

CRNAs and SRNAs interested in serving on the CRNA-PAC Committee beginning in the AANA 2021 fiscal year are encouraged to submit an application through the AANA online committee submission form located on the committee page

Responsibilities of Committee members include:
  • Setting the CRNA-PAC income and expenditure policy;
  • Participate in fundraising duties;
  • Reviewing open-seat and challenger candidates for federal office; and
  • Volunteering at CRNA-PAC events and national meetings.
Committee members are expected to attend two in-person meetings per year (Joint Committee Conference in September 2020 and Mid-Year Assembly in April 2021) and conference calls on an as-needed basis.

If you have any questions, please contact Catharine Harris, AANA Associate Director of Political Affairs, at or call (202) 741-9087.

The following is an FEC required legal notification for CRNA-PAC: Gifts to political action committees are not tax deductible. Contributions to CRNA-PAC are for political purposes. All contributions to CRNA-PAC are voluntary. You may refuse to contribute without reprisal. The guidelines are merely suggestions. You are free to contribute more or less than the guidelines suggest, and the association will not favor or disadvantage you by reason of the amount contributed or the decision not to contribute. Federal law requires CRNA-PAC to use its best efforts to collect and report the name, mailing address, occupation, and the name of the employer of individuals whose contributions exceed $200 in a calendar year. Each contributor must be a U.S. Citizen.

Share Facebook  LinkedIn  Twitter 

War Stories: Recording the Contributions of CRNAs In Service of Our Country

The American Association of Nurse Anesthetists (AANA) seeks to record the histories of our Certified Registered Nurse Anesthetists (CRNAs) who served in any of the United States' military operations and maneuvers of the 20th or 21st centuries (World War I, World War II, Korean War, Vietnam, The Invasion of Grenada, Gulf War, Iraq War). The AANA is interested in preserving your experiences as a matter of historical record. The AANA hopes to share these experiences with our membership, legislators, and the general public as a means of enlightening, healing, and reaching back into history so that the many accomplishments and sacrifices of CRNAs, soldiers, brothers, sisters, friends and loved ones, are not forgotten.

Submission guidelines are provided on the War Stories and Vietnam Voices pages. If you have any questions, or would like assistance in crafting your narrative, please contact Cathy Hodson, managing editor, digital publications and public relations.
Share Facebook  LinkedIn  Twitter 

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
Share Facebook  LinkedIn  Twitter 

Mid-Year Assembly 2020: Early Bird Registration Ends on March 17

When: April 18-22, 2020
Location: Renaissance Washington D.C. Downtown, Washington, D.C.
Earn up to 12.0 Class A CE Credits

Don’t miss the chance to represent your profession and let your voice be heard on Capitol Hill! CRNAs are making a positive and significant impact on U.S. healthcare, and this year will be a pivotal moment for Nurse Anesthetists as reforms to the Medicare program are being examined. Register by 3/17 to save!

Register Today!
Share Facebook  LinkedIn  Twitter 

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
Share Facebook  LinkedIn  Twitter 

Register Now for the Spinal-Epidural with Obstetric Essentials Workshop

When: April 30-May 2, 2020
AANA National Headquarters, Park Ridge, Ill.

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.

Get details or Register.
Share Facebook  LinkedIn  Twitter 

AANA 2020 Annual Congress: Registration is Open!

When: August 14-18, 2020
Location: San Diego Convention Center, San Diego, Calif.

Registration is now open for AANA 2020 Annual Congress at the San Diego Convention Center, Aug. 14-18, 2020. Join more than 2,000 CRNAs to experience four incredible days of hands-on workshops and presentations on cutting-edge, evidence-based anesthesia care. Register now for the best rate.

Get details
Register now
Sign up for updates
Share Facebook  LinkedIn  Twitter 

Strengthen Your Leadership Skills at AANA Leadership Summit 2020

When: November 13-15, 2020
Location: Fort Lauderdale, Fla.

Mark your calendar to join more than 400 CRNA leaders at all levels! Strengthen your leadershp skills, build your professional network, and enjoy the Florida sunshine.

Add to your calendar
See Leadership Summit 2019 Highlights
Share Facebook  LinkedIn  Twitter 

AANA Member Benefits

Members, Take Advantage of Free Class A and Pharmacology Credits!

Earn up to 11 Class A CE and two pharmacology credits with exclusive AANA Learn courses, including topics like enhanced recovery, respiratory compromise, and multimodal pain management. Free to AANA members and associate (student) members—just log in and add the course(s) to your cart. Get started today!
Share Facebook  LinkedIn  Twitter 


CRNACareers - What are your next steps?

Whether you’re graduating soon and researching employers, are a seasoned professional interested in advancing your career or looking to supplement your work with locum tenens options, is the place to help get you started:

  • 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!

Share Facebook  LinkedIn  Twitter 

CRNA Jobs: Locum Tenens and Permanent Placement Opportunities Across the Country

United Anesthesia – Various Locations. United Anesthesia has been a leading CRNA and Anesthesiologist Locum Tenens and Permanent Placement firm in the country for 40 years. By specializing in only anesthesia placement, we can partner with you to find the ideal situation to suit your strengths, your priorities, your dreams. Your dedicated personal coordinator is looking forward to your call! Learn more.
Share Facebook  LinkedIn  Twitter 

CRNA: Banner Health, Nebraska

Banner Health is one of the largest non-profit healthcare systems in the country with twenty-eight hospitals, six long term care centers and an array of other services, including family clinics, home care services and home medical equipment, in six Western states.

We have an excellent opportunity for a dynamic CRNA to join our highly trained team!
  • CRNA-only practice model.
  • Responsible for performing general-, regional-, and monitored-anesthesia services including Ultrasound-guided block, and OB.
  • Experience preferred.
  • One week on, one week off, one week call.
Ogallala Community Hospital (OCH) is an 18-bed critical access hospital committed to meeting the healthcare needs of western Nebraska and was one of four Banner Health facilities named HealthStrong™ Top 100 Critical Access Hospitals scoring best among critical access hospitals on the iVantage Health Analytics’ Hospital Strength Index™. The Hospital Strength Index is a comprehensive rating of critical access hospitals, and results recognize the Top 100 Critical Access Hospitals that provide a safety net to communities across rural America. Service area 15,653.

Banner Health offers a competitive salary and recruitment incentives along with an industry-leading benefits package that provides security for you and your family:
  • Comprehensive medical, dental, vision and pharmacy plans.
  • Paid time off plans.
  • Eligible for benefits coverage within 30 days.
  • Financial savings resources.
  • Career advancement and optimal work/life balance.
  • Employee Discounts.
Learn more.
Share Facebook  LinkedIn  Twitter 

CRNA: Texas Digestive Disease Consultants, Texas

Texas Digestive Disease Consultants is seeking an experienced CRNA.

Duties of this position include, but are not limited to, the following:
  • Performs all aspects of airway management.
  • Facilitate emergence and recovery from anesthesia by evaluating patient response, and selecting, ordering, and administering medications, fluids to maintain patient stability during transfer.
  • Initiate and administer post-anesthesia pharmacological or fluid support of the cardiovascular system.
  • Initiate and administer respiratory support to ensure adequate ventilation and oxygenation during post-anesthesia period.
  • Provide post-anesthesia follow-up evaluation and care.
  • Discharge patient from post-anesthesia care unit.
  • Closely supports and monitors life functions. In the case of adverse response to any drug, takes corrective action.
  • Terminates anesthesia in a timely fashion, ensuring patient safety to post-anesthetic recovery room.
  • Other duties as assigned.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Learn more.
Share Facebook  LinkedIn  Twitter 

Certified Registered Nurse Anesthetist: Anesthesia Associates of Lancaster, Pennsylvania

Anesthesia Associates of Lancaster, an independent medical practice, has openings for nurse anesthetists to join our clinical team at a surgery center in Lancaster, PA and an orthopedic specialty hospital and ambulatory surgery center in York, PA. The schedule is Monday - Friday, no call, no weekends, plus a signing bonus.

General Summary of Duties:
  • Administers anesthesia and anesthesia-related care to patients of all ages.
  • Under the medical direction of an anesthesiologist, CRNAs will perform pre-anesthetic preparation and evaluation; anesthesia induction, maintenance and emergence; and postanesthesia care.
Competitive salary and benefits, which include:
  • Signing Bonus.
  • 5 weeks of vacation.
  • 10 PTO days.
  • Business/CEC allowance.
  • Health Insurance.
  • Disability Insurance.
  • Malpractice Insurance.
  • 401k/Profit Sharing.
Learn more.
Share Facebook  LinkedIn  Twitter 

Graduate Nursing Faculty - CRNA Track: Marian University, Indiana

Marian University seeks a highly motivated, energetic, doctoral-program enrolled or doctoral-prepared Certified Registered Nurse Anesthetist (CRNA) Graduate Faculty to assist in developing and teaching assigned courses in the Nurse Anesthesia Doctor of Nursing Practice (DNP) graduate program. Additionally, this position will advise/mentor program students, serve as a primary advisor on DNP scholarly projects, and work collaboratively with the graduate nursing faculty/Marian University faculty and staff. Candidates who do not currently possess a doctoral degree but are experientially qualified and enrolled in a doctoral program with an expected degree completion within 12-18 months of application may be considered for this position.

Essential Duties and Responsibilities:
  • Designs and delivers course material based on the graduate philosophy, course description, course outcomes, and program outcomes.
  • Translates learning material to online, hybrid, and synchronized classes.
  • Evaluates student work and clinical performance based on outcome rubrics/clinical evaluations.
  • Monitors and evaluates student e-portfolios.
  • Advises/Mentors assigned program students.
  • Serves as an advisor for students DNP Scholarly Projects.
  • Engages in clinical practice to maintain professional skills and serve as a model/resource for faculty and students.
  • Participates in student recruitment, student selection, and public relations.
  • Other duties as assigned.
Requirements include:
  • Knowledge of and commitment to the mission of Marian University.
  • Doctoral degree in nursing or related field from an accredited institution strongly preferred (PhD, DNP, DNAP).
  • Candidates with experiential qualification and current enrollment in a doctoral program or current enrollment in program with expected completion within 12-18 months of application may be considered.
  • Current CRNA certification.
  • Evidence of current clinical practice.
  • Current member of AANA and current RN/APRN licensure in state of residence.
  • Eligibility for IN RN license.
  • Previous experience in higher learning education preferred.
  • Excellent communication, collaboration, and interpersonal skills.
  • Competency in MS Office products.
Learn more.
Share Facebook  LinkedIn  Twitter 

CRNA: OLHS (Ochsner LSU Health System), Louisiana

  • Flexible shifts.
  • No call.
  • No mandatory weekends/holidays.
  • Competitive salary.
  • Growing Level I Trauma Center or Ambulatory Surgery Center option.
  • Paid CEU program.
  • Minimum 18-month commitment with $15,000 sign-on bonus.
Education Required – Master’s degree from a school of nurse anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA).

Work Experience Required - None.

  • Required – License as an Advanced Practice Registered Nurse (APRN) in the state of practice.
  • Certification through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).
  • Basic Cardiac Life Support (BCLS) Certification from the American Heart Association.
Learn more.
Share Facebook  LinkedIn  Twitter 

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.

Dexamethasone Given Intravenously May Reduce Pain After TKA

Results from a randomized study demonstrate the potential pain-control benefits of intravenous dexamethasone during knee replacement surgery. Researchers compared pain scores and other outcomes in 50 participants who received adjunct dexamethasone for unilateral total knee arthroplasty with those of 50 participants who received a saline placebo. Patients in the dexamethasone group generated much lower mean pain scores than controls—both at rest and with motion—at 12, 15, 18, and 21 hours after surgery. For secondary outcomes, investigators found that I.V. dexamethasone also was associated with a lower incidence of nausea and vomiting and lower levels of mean C-reactive protein concentrations. There were no between-group differences, meanwhile, in mean morphine consumption by 48 hours, modified WOMAC osteoarthritis index scores, or range of motion of the knee. "Dexamethasone had not only an antiemetic effect, but it also had an analgesic effect to control pain after TKA for nearly a day," study lead Nattapol Tammachote, MD, said. The findings are reported in the Journal of Arthroplasty.

From "Dexamethasone Given Intravenously May Reduce Pain After TKA"
Healio (03/02/2020) Tingle, Casey

Share Facebook  LinkedIn  Twitter 

Intravenous Lidocaine to Prevent Postoperative Airway Complications in Adults

Researchers in Canada wondered if perioperative administration of intravenous lidocaine would suppress cough associated with extubation after surgery. They conducted a meta-analysis and systematic review of 16 randomized controlled trials involving a total of 1,516 participants who had an operation while under general anesthesia. The evidence revealed that, compared to placebo or no intervention, I.V. lidocaine significantly reduced post-extubation cough as well as postoperative sore throat at one hour postoperatively. The approach decreased airway complications, investigators concluded, without increasing the threat to safety.

From "Intravenous Lidocaine to Prevent Postoperative Airway Complications in Adults"
British Journal of Anaesthesia (03/20) Vol. 124, No. 3, P. 314 Yang, Stephen S.; Wang, Ning-Nan; Postonogova, Tatyana; et al.

Share Facebook  LinkedIn  Twitter 

Effects of Combined Warmed Preoperative Forced-Air and Warmed Perioperative Intravenous Fluids on Maternal Temperature During Cesarean Section

In China, researchers explored the use of preoperative forced-air warming in tandem with perioperative intravenous fluid warming as prevention against hypothermia during Cesarean section. The intervention was delivered to 69 women who opted for C-section under spinal anesthesia, while another 66 received no active warming at all. The change in core temperature from baseline to the end of surgery was significantly different between the two treatment arms, with the warming patients enjoying higher thermal comfort scores. Perioperative hyperthermia occurred in 20.6 percent of patients in the warming group, versus 51.6 percent in the control group. Forced-air and fluid warming also appeared to curtail shivering in the mother.

From "Effects of Combined Warmed Preoperative Forced-Air and Warmed Perioperative Intravenous Fluids on Maternal Temperature During Cesarean Section"
BMC Anesthesiology (02/26/20) Vol. 20, No. 48 Ni, Ting-ting; Zhou, Zhen-feng; He, Bo; et al.

Share Facebook  LinkedIn  Twitter 

High Intra-Op Opioid Use Linked to Post-op Delirium in Elderly Outpatients

Researchers at Chicago's Rush University Medical Center evaluated a new protocol for preventing delirium in older surgery outpatients. Developed in line with American Geriatric Society guidelines, the protocol specifically sought to minimize or completely avoid the use of intraoperative drugs that have been tied to this complication. In a study that is still underway, participants were randomly allocated to either the protocol or to usual care. Based on results from 146 patients who have been evaluated so far, postoperative delirium has only been documented in six—three per treatment arm. A closer look then revealed that patients who developed delirium consumed four times as many milligram morphine equivalents of intraoperative drugs as participants who did not experience delirium. All six received intraoperative opioids, compared to only about two-thirds of the study participants who did not present with delirium. Additionally, patients with ASA physical status of I or II were more likely to suffer from postoperative delirium. Although lacking statistical significance, those developing delirium were in the operating room longer, making duration of surgery a third key factor for risk assessment. Conversely, type of primary anesthesia; preoperative risk factors; and use of intraoperative agents including vasopressors, benzodiazepines, ketamine, and dexamethasone were ruled out as affecting postoperative delirium. History of depression, dementia, or postoperative delirium, female gender, and race also were not factors. "We believe that the important finding from our study is that greater opioid administration was more associated with the risk of postoperative delirium than any of the other intraoperative drugs that we tried to avoid using in this elderly population," remarked primary investigator Yabtsega Moges. MD. "Therefore, future guidelines [that] try to minimize delirium should really focus [on] finding ways to control analgesia while … minimizing exposure to intraoperative opioids."

From "High Intra-Op Opioid Use Linked to Post-op Delirium in Elderly Outpatients"
Anesthesiology News (02/25/20) Vlessides, Michael

Share Facebook  LinkedIn  Twitter 

FDA Approves Barhemsys, New Option for Postop Nausea and Vomiting

With favorable clinical trial data to back it, amisulpride injection has won FDA approval for the prevention of postoperative nausea and vomiting (PONV) in adults. The injection may be used by itself or in conjunction with another antiemetic from a different class as prophylaxis against PONV, which strikes millions of U.S. surgical patients annually. Marketed under the brand name Barhemsys, it also is the first and only antiemetic to gain an FDA nod for rescue treatment of PONV in adults who developed the complication despite other preventive care. Phase III trials demonstrated that a single dose coupled with another antiemetic better protected at-risk patients from PONV than placebo plus another antiemetic. The evidence also indicated that amisulpride was significantly more effective than placebo at treating patients who did not benefit from standard antiemetic prophylaxis. The most common adverse effects with amisulpride included pain at the infusion site, chills, hypokalemia, procedural hypotension, and abdominal distention. The effects occurred more frequently than with placebo, but by no greater than a 2% margin. The new PONV prevention and treatment intervention is expected to be available during the second half of 2020.

From "FDA Approves Barhemsys, New Option for Postop Nausea and Vomiting"
Medscape (02/27/20) Brooks, Megan

Share Facebook  LinkedIn  Twitter 

Quadratus Lumborum Block for Postoperative Analgesia After Cesarean Delivery

A systematic review and meta-analysis delved into the question of how well quadratus lumborum block (QLB), as compared with other analgesic techniques, reduces postoperative pain scores and opioid use. The team, from China, mined six medical databases through August 2019, ultimately turning up a dozen trials that matched their qualifying criteria. Specifically, they selected QLB studies involving women who underwent Cesarean delivery under spinal anesthesia. Based on outcomes in the 904 patients who participated in the trials, the review authors determined that opioid consumption was much lower with QLB versus placebo or no block during the first 24 hours after C-section. The technique also was associated with lower pain scores at rest and during movement at 12 hours postoperatively. Not only is QLB superior to systemic opioids in reducing postoperative opioid demand and pain control after C-section, the researchers conclude, it also provides effective analgesia when intrathecal morphine has not been administered.

From "Quadratus Lumborum Block for Postoperative Analgesia After Cesarean Delivery"
International Journal of Obstetric Anesthesia (Winter 2020) Xu, M.; Tang, Y.; Wang, J.

Share Facebook  LinkedIn  Twitter 

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:

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
March 5, 2020