AANA journalPub Date : 2026-10-01DOI: 10.70278/AANAJ/.0000001120
Denise Stuit, Susan McMullan
{"title":"FROM OPERATING ROOM TO OFFICE: A QUALITATIVE STUDY ON THE CRNA TRANSITION TO ACADEMIA.","authors":"Denise Stuit, Susan McMullan","doi":"10.70278/AANAJ/.0000001120","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001120","url":null,"abstract":"","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Low-Dose Intravenous Dexmedetomidine for Postspinal Shivering During Cesarean Delivery: A Randomized Double-Blind Trial Showing Comparable Efficacy With Fewer Adverse Effects at the Lower Dose.","authors":"Vinay Kejdiwal, Jesica D'Souza, Shweta Sinha, Suvajit Podder, Deepali Shetty, Eeshwar Murali Vaideeshwaran","doi":"10.70278/AANAJ/.0000001098","DOIUrl":"10.70278/AANAJ/.0000001098","url":null,"abstract":"<p><p>Shivering after spinal anesthesia for cesarean delivery is common and may increase metabolic demand, impair monitoring, and reduce maternal comfort. Dexmedetomidine is effective for control of shivering, but the optimal intravenous treatment dose remains uncertain. This prospective randomized double-blind trial compared dexmedetomidine 0.2 µg/kg and 0.5 µg/kg for treatment of established shivering after cord clamping. Parturients with grade 3 or 4 shivering received one of the two study doses intravenously over 10 minutes. The primary outcome was time to shivering attenuation to grade 1 or less. Secondary outcomes included vasopressor requirement, nausea, hypotension, bradycardia, respiratory depression, sedation, and perioperative temperature change. Fifty-nine participants were included in the analysis. Median time to shivering attenuation was shorter with 0.5 µg/kg than with 0.2 µg/kg, but the difference was not statistically significant. Shivering resolved within approximately 10 minutes in both groups. The 0.5 µg/kg dose was associated with greater vasopressor use and more nausea, whereas no significant bradycardia, respiratory depression, or excessive sedation occurred in either group. Both regimens were effective, however, 0.2 µg/kg offered similar clinical benefit with fewer adverse effects and may represent the more practical treatment dose in obstetric anesthesia.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"359-367"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AANA journalPub Date : 2026-10-01DOI: 10.70278/AANAJ/.0000001113
Edwin N Aroke
{"title":"The Editor's Desk: Clinical Excellence Is Not Enough-The Leadership Gap in Nurse Anesthesiology.","authors":"Edwin N Aroke","doi":"10.70278/AANAJ/.0000001113","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001113","url":null,"abstract":"","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"327-328"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AANA journalPub Date : 2026-10-01DOI: 10.70278/AANAJ/.0000001133
Maddie Leimbach
{"title":"PREOPERATIVE MANAGEMENT OF RENIN ANGIOTENSIN SYSTEM INHIBITORS AND THE INCIDENCE OF POSTOPERATIVE MYOCARDIAL INJURY.","authors":"Maddie Leimbach","doi":"10.70278/AANAJ/.0000001133","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001133","url":null,"abstract":"","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AANA journalPub Date : 2026-10-01DOI: 10.70278/AANAJ/.0000001122
Melissa Rogers, Yan Liu, Jacquelyn Bentley, Megan Clancy, Sarah Given, Liana Zucco
{"title":"ELIMINATING INTRAVENOUS FLUID DURING COLONOSCOPIES RESULTS IN STATISTICALLY BUT NOT CLINICALLY SIGNIFICANT HYPOTENSION.","authors":"Melissa Rogers, Yan Liu, Jacquelyn Bentley, Megan Clancy, Sarah Given, Liana Zucco","doi":"10.70278/AANAJ/.0000001122","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001122","url":null,"abstract":"","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}