AANA journal最新文献_第10页

Release of the Workplace Civility White Paper. 发布《工作场所文明礼仪白皮书》。

AANA journal Pub Date : 2023-04-01

Alyssa Rojo, Brett Morgan

引用次数: 0

Efficacy and Safety of Buprenorphine in a Single-Shot Peripheral Nerve Block: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 丁丙诺啡在单次周围神经阻滞中的疗效和安全性:随机对照试验的系统评价和荟萃分析。

AANA journal Pub Date : 2023-04-01

April Cook, Tito D Tubog, William Johnson, Hallie Evans

{"title":"Efficacy and Safety of Buprenorphine in a Single-Shot Peripheral Nerve Block: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"April Cook, Tito D Tubog, William Johnson, Hallie Evans","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to evaluate the safety and efficacy of buprenorphine compared with placebo in prolonging the duration of analgesia in single-injection peripheral nerve block. The systematic review and meta-analysis were conducted following the PRISMA statement and Review Manager was used for meta-analysis. Outcomes were calculated using the mean difference (MD) with 95% confidence interval (CI) for continuous data. For dichotomous outcomes, effect sizes were estimated by calculating pooled risk ratio (RR) with 95% CI. Statistical heterogeneity was estimated by the I2 statistic. Compared with placebo, buprenorphine prolonged the duration of analgesia by an average of 8 hours (MD, 8.01; 95% CI, 6.79 to 9.24; P < .00001). The cumulative pain scores within 24 hours (MD, -0.8; 95% CI, -1.21 to -0.40; P < .0001) and the 24-hour opioid consumption (MD, -5.56; 95% CI, -10.60 to -0.52; P = .03) after surgery was lower with buprenorphine group. Conversely, buprenorphine increased the incidence of postoperative nausea and vomiting (PONV) (RR, 1.67; 95% CI, 1.16 to 2.39; P = .006). Buprenorphine is effective in prolonging analgesia, decreasing pain scores and opioid consumption, however, it increases the risk of PONV.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 2","pages":"93-105"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169046","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

Educating the Georgian Community on the Value and Benefits of Advanced Practice Nursing. 教育格鲁吉亚社区的价值和先进的护理实践的好处。

AANA journal Pub Date : 2023-04-01

Jennifer Ruth Orkin, Jill Layman, Jeanie Skibiski

{"title":"Educating the Georgian Community on the Value and Benefits of Advanced Practice Nursing.","authors":"Jennifer Ruth Orkin, Jill Layman, Jeanie Skibiski","doi":"","DOIUrl":"","url":null,"abstract":"Advanced practice nurses are not currently recognized in Georgia, the country intersecting Eastern Europe and Western Asia. With a critical nursing shortage and the brain-drain of graduate nurses in Georgia seeking higher pay and more respect in other countries, it is an opportune time to examine the potential for advancing nursing practice through education and professional mentorship. The aim of the study was two-fold. The first goal was to educate the local community about the profession of advanced practice nurse anesthesia and the benefits of advanced practice nursing in Georgia through a certified registered nurse anesthetist-led education session designed for a cohort of undergraduate biochemistry students. Second, a qualitative analysis identified the current state of nursing practice and directed the next steps toward nursing advancement, regulation, professionalism, access to quality care, and globally acceptable standards of practice. An education session held at San Diego State University Tbilisi, although not statistically significant, was successful in improving public knowledge. Qualitatively, the study established extreme enthusiasm for developing a nurse anesthesia program, licensure, regulation, standards of care, continuing education, and quality. In a country eager to advance, certified registered nurse anesthetists have the distinct opportunity of supporting Georgia's movement toward westernized healthcare.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 2","pages":"119-124"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9175702","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

Prototype of Indigenous Low-Cost Cuff Pressure Gauge 来信

AANA journal Pub Date : 2023-04-01

Kamath Sriganesh, Ganne S Umamaheswara Rao

引用次数: 0

A Clinical Trial of a Novel Electroencephalography Device as a Predictor of Postoperative Delirium. 一种新型脑电图仪预测术后谵妄的临床试验。

AANA journal Pub Date : 2023-04-01

L Harold Barnwell

{"title":"A Clinical Trial of a Novel Electroencephalography Device as a Predictor of Postoperative Delirium.","authors":"L Harold Barnwell","doi":"","DOIUrl":"","url":null,"abstract":"Postoperative delirium is a public health and research priority. The International Perioperative Neurotoxicity Working Group recommends baseline cognitive function be assessed for older patients prior to surgery and anesthesia. Perioperative cognitive screening tools trialed in anesthesia are not routinely incorporated into clinical practice related to validity, reliability, or practicality concerns. The ideal perioperative cognitive screening tool would be rapid; easily administrable; valid; reliable; automatically scored; void of language, cultural, and education bias; and cost-efficient. No such tool currently exists. We explored baseline and postoperative neurocognitive characteristics that may help to establish predictive and trend metrics for perioperative neurocognitive assessment in older surgical patients using a novel, Food and Drug Administration-cleared point-of-care electroencephalography device (WAViMed™, Boulder, CO). To our knowledge, our study is the first to assess the device as a perioperative neurocognitive assessment tool. Although an association between P300 auditory-evoked potentials and Montreal Cognitive Assessment scores was not identified, further investigation is warranted given the magnitude of impact that such a device might have on patient outcomes and healthcare costs.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 2","pages":"125-129"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9208792","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

Called to Lead: A Qualitative Examination of the Experiences and Contributions of Certified Registered Nurse Anesthetists During the COVID-19 Pandemic Response in the United States. 呼吁领导:对美国COVID-19大流行应对期间注册麻醉师的经验和贡献的定性检查。

AANA journal Pub Date : 2023-04-01

Mitchell Kraus, Emma Montague, Susan Krawczyk, Shannon D Simonovich

引用次数: 0

Increased Scholarly Movement on Embedded Racial Inaccuracies of Peripheral Pulse Oximeters. 关于外周脉搏血氧计种族不准确性的学术活动增多。

AANA journal Pub Date : 2023-04-01

Jacqueline Sergon

引用次数: 0

Revision to Analgesia and Anesthesia for the Obstetric Patient. 修订《产科病人的镇痛和麻醉》。

AANA journal Pub Date : 2023-04-01

Alyssa Rojo, Ewa Greenier

引用次数: 0

A Cognitive Template for Management of Perioperative Adverse Events. 围手术期不良事件管理的认知模板。

AANA journal Pub Date : 2023-04-01

Barry Swerdlow, Lisa Osborne-Smith

引用次数: 0

Improved Technical Skill and Procedure Time With Central Venous Catheter Simulation. 中心静脉导管模拟提高了技术技能和手术时间。

AANA journal Pub Date : 2023-02-01

Daniel Rivera, Emelia D G Hutto, Ettore Crimi, Virginia C Simmons

{"title":"Improved Technical Skill and Procedure Time With Central Venous Catheter Simulation.","authors":"Daniel Rivera, Emelia D G Hutto, Ettore Crimi, Virginia C Simmons","doi":"","DOIUrl":"","url":null,"abstract":"Simulation manikins provide anesthetists a training modality to practice ultrasound-guided central venous catheter (CVC) insertion safely without the risk of patient harm. The goals of this quality improvement (QI) project were to increase technical skills and reduce procedure time among anesthesia providers during CVC placement by implementing an ultrasoundguided, simulated CVC insertion workshop. A primary benefit of simulation-based education is the provision of a safe learning environment-one in which learners and providers may practice and increase skillsets. This QI project utilized a pretest-posttest design for which anesthesia providers completed a CVC insertion educational session and three formally evaluated simulated CVC placements: preworkshop, immediate postworkshop, and 3 months postworkshop. CVC insertion skills were evaluated by two experienced raters who established interrater reliability using a validated checklist and recorded procedure time in minutes. When comparing preworkshop median checklist score (33.74/52 [65%]), significant improvement was found in the immediate postworkshop (46.32/52 [89%]) and 3-month follow-up (44.26/52 [85%]). Time for CVC insertion significantly improved immediately postworkshop (15.7 minutes) and 3-month follow-up (15.9 minutes) when compared with preworkshop (21.5 minutes). An ultrasound-guided CVC simulation workshop can appreciably advance anesthesia providers' technical skills and decrease procedure time when performing insertion of a simulated internal jugular CVC.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"91 1","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10602801","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