AANA journal最新文献_第10页

Spinal Anesthesia with 2-Chloroprocaine and Dexmedetomidine for Cesarean Section: A Case Report. 2-氯普鲁卡因和右美托咪定脊柱麻醉用于剖宫产术1例报告。

AANA journal Pub Date : 2023-06-01

Thomas Baribeault, Sydney Suss

引用次数: 0

Improving Small-Volume Antibiotic Administration for Surgical Prophylaxis: A Quality Improvement Project. 改进外科预防小剂量抗生素的使用:一个质量改进项目。

AANA journal Pub Date : 2023-06-01

Benjamin L Thomas, Brian Torres, Mary Curtis, Ling Chen

{"title":"Improving Small-Volume Antibiotic Administration for Surgical Prophylaxis: A Quality Improvement Project.","authors":"Benjamin L Thomas, Brian Torres, Mary Curtis, Ling Chen","doi":"","DOIUrl":"","url":null,"abstract":"No clear policy on administration methods for small-volume intravenous antibiotic bags (≤ 100 mL) for surgical prophylaxis lead to wide variation in anesthesia provider practice at a large academic medical center. Administration via secondary tubing is the recommended practice to minimize significant medication losses from dead volumes. An observation of current practice and measurements of dead volumes was followed by an educational intervention on best practices for administration of small-volume antibiotics. Three postintervention cycles were conducted to evaluate change in practice and reductions in dead volumes over a 6-week period. Mean dead volume losses were evaluated using one-way ANOVA. Statistically significant (P = .0012) decreases in dead volume losses were observed postintervention, from 8.48 mL (SD 6.80) to 0.93 mL (SD 1.46). The most common pre- and postintervention tubing sets used were primary tubing (pre) and secondary tubing (post). Mean dead volume losses for these respective tubing sets were 13.45 mL (SD 4.74) and 0.79 mL (SD 1.40) (P < .0001). Preintervention administration methods resulted in incomplete antibiotic administration. Overall, there was a significant reduction in dead volumes of antibiotic by changing practice to secondary tubing. With strong provider acceptance and sustained reduction in medication wastage, this intervention has shown to be a beneficial new practice moving forward.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"218-225"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885248","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}

引用次数: 0

High O₂ a Go To: Effects of Hyperoxia. 高氧:高氧的影响。

AANA journal Pub Date : 2023-06-01

Amanda Gatti, Brenda Wands

引用次数: 0

Letter: Think Twice Before Off-Label Succinylcholine Use in Pediatric Patients. 信：儿科患者标示外使用琥珀酰胆碱前请三思。

AANA journal Pub Date : 2023-06-01

Michael Loughren

引用次数: 0

Letter: Do You Know the Carbon Footprint of Anesthesia? 信：您知道麻醉的碳足迹吗？

AANA journal Pub Date : 2023-06-01

Nicole Hektner, Nicole A Gonzaga Gomez, Greta Mitzova-Vladinov

引用次数: 0

The Rise of Quantitative Neuromuscular Monitoring. 定量神经肌肉监测的兴起。

AANA journal Pub Date : 2023-06-01

Blakeley F Ward

引用次数: 0

Perception of the Scholarly Work Project by DNP/DNAP Graduates: A Preliminary Survey. DNP/DNAP毕业生对学术工作项目的看法:初步调查。

AANA journal Pub Date : 2023-06-01

Sharon M Burns, Morgan Morrow

{"title":"Perception of the Scholarly Work Project by DNP/DNAP Graduates: A Preliminary Survey.","authors":"Sharon M Burns, Morgan Morrow","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this descriptive pilot survey was to understand the experiences of students completing scholarly work projects for practice doctorate programs. With this work, we hoped to fill the literature gap and to inform curriculum. A descriptive survey was used to answer the question: How do graduates of entry level and completion degree Doctor of Nursing Practice (DNP) and Doctor of Nurse Anesthesia Practice (DNAP) programs perceive the scholarly work requirements? The Chi-square test of independence was used to compare whether there was a statistically significant association between the responses to the survey question and the demographic variable. Only 46 DNP/DNAP graduates (4%) completed the survey. The survey results indicated that students in completion programs believed that their scholarly work empowered them to conduct future scholarly work as compared with the entry-topractice cohorts. Variables addressing each aspect of scholarly work project were described by the participants. This preliminary work provides a glimpse into the experience of scholarly work projects for the practice doctorate. To provide greater depth and understanding of this important aspect of doctoral education, a larger sampling of graduates is needed. A collaborative study might be beneficial.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"172-179"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9901384","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}

引用次数: 0

Understanding Pain in Alzheimer's Disease in Anesthesia. 了解阿尔茨海默病麻醉中的疼痛。

AANA journal Pub Date : 2023-06-01

Cindi Dabney, Todd Monroe, Ronald Cowan, Michael Carter

引用次数: 0

Bupivacaine Dosing for Cesarean Delivery in Parturients of Short Stature: A Retrospective Case-Control Study. 布比卡因用于矮小产妇剖宫产:一项回顾性病例对照研究。

AANA journal Pub Date : 2023-06-01

Elizabeth M S Lange, Paloma Toledo, Jillian Stariha, Josephine LiMandri, Derek Morley, Heather C Nixon

{"title":"Bupivacaine Dosing for Cesarean Delivery in Parturients of Short Stature: A Retrospective Case-Control Study.","authors":"Elizabeth M S Lange, Paloma Toledo, Jillian Stariha, Josephine LiMandri, Derek Morley, Heather C Nixon","doi":"","DOIUrl":"","url":null,"abstract":"The ED50 and ED95 of spinal bupivacaine for cesarean delivery has been well described in the literature; however, parturients with extremes of stature have been excluded. Parturients of short stature are a height of ≤ 148 cm. This retrospective, case-control study evaluated anesthetic outcomes for parturients of short stature and controls who underwent cesarean delivery over a 10-year period. Women were matched for anesthetic type and body mass index. Data extracted included patient demographics and obstetric and anesthetic information. The primary outcome was dose of intrathecal bupivacaine. Categorical data were compared using a chi-squared test, continuous data were compared using a t-test or Mann-Whitney U test. Data for 26 women of short stature and 52 controls were evaluated. The mean dose of bupivacaine used for spinal anesthesia in parturients of short stature was 9.8 ± 1.0 mg (P <.0001). The mean intrathecal bupivacaine dose used in combined spinal epidural anesthesia was 10.5 mg (interquartile range, 9-10.9) in parturients of short stature (P = .002). All but one patient of short stature achieved an adequate surgical level; there were no instances of high spinal blockade. Adequate surgical anesthesia was achieved with reduced dosing of spinal bupivacaine in parturients of short stature without an increase in adverse outcomes.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"206-210"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885247","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}

引用次数: 0

Use of Single-Dose Dexamethasone in Patients With Diabetes Undergoing Surgery: A Systematic Review and Meta-Analysis. 单剂量地塞米松在糖尿病手术患者中的应用:系统回顾和荟萃分析

AANA journal Pub Date : 2023-06-01

Joshua C Sanders, Patrick K Russell, Tito D Tubog

{"title":"Use of Single-Dose Dexamethasone in Patients With Diabetes Undergoing Surgery: A Systematic Review and Meta-Analysis.","authors":"Joshua C Sanders, Patrick K Russell, Tito D Tubog","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this review was to examine the effect of single-dose dexamethasone on perioperative blood glucose in diabetic patients. We used PubMed, Cochrane Library, MEDLINE, CINAHL, Google Scholar, and grey literature for our search. Only randomized controlled trials were included. Risk ratio (RR) and mean difference (MD) were used to estimate outcomes with suitable effect models. Quality of evidence was assessed using the Risk of Bias and GRADE systems. We analyzed seven trials involving 1,321 patients. Diabetic patients treated with single-dose dexamethasone had statistically significant changes in blood glucose levels from baseline by 33.61 mg/dL (MD, 33.61; 95% CI, 17.59 to 49.63; P < .0001). Dexamethasone increased blood glucose levels 1-4 hours (MD, 29.02; 95% CI, 7.09 to 50.94; P = .010), 8-24 hours (MD, 30.81; 95% CI, 9.21 to 52.41; P = .005) after administration and increased risks of hyperglycemia. However, there was no difference in surgical site infection (SSI) (RR, 0.81; 95% CI, 0.59 to 1.11; P = .19). Effect size imprecision, substantial heterogeneity, and publication bias was the study's limitations. We found that single-dose dexamethasone increased glucose concentration 24 hours after surgery with little to no effect on SSI. Extrapolation of these findings to clinical settings must take into consideration the review's limitations.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 3","pages":"185-193"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9901387","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}

引用次数: 0