AANA journal最新文献_第2页

Anesthesia Clinical Practice Guidelines for Ehlers-Danlos Syndrome: A Modified Delphi Survey. ehers - danlos综合征的麻醉临床实践指南：改进的德尔菲调查。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001099

Danielle Amaral, Kathryn Patrick, Griffin Redeker, Catherine Horvath, Brett Morgan, Carrie Bowman Dalley

{"title":"Anesthesia Clinical Practice Guidelines for Ehlers-Danlos Syndrome: A Modified Delphi Survey.","authors":"Danielle Amaral, Kathryn Patrick, Griffin Redeker, Catherine Horvath, Brett Morgan, Carrie Bowman Dalley","doi":"10.70278/AANAJ/.0000001099","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001099","url":null,"abstract":"Ehlers-Danlos syndrome (EDS) is a family of inherited connective tissue disorders distinguished by joint hyperextensibility, skin hyperelasticity, and increased tissue friability. No standardized anesthesia guidelines currently exist for this population, despite facing increased perioperative risks. To address this gap in literature, a three-round modified Delphi survey was conducted with 15 experts in anesthesia and EDS. Seven preliminary guidelines, developed from a comprehensive literature review, were evaluated and refined across three rounds. Consensus was achieved for all seven guidelines by the third round. Key recommendations include comprehensive airway assessment for all EDS subtypes; bleeding risk evaluation and consideration of desmopressin in classical, classical-like, kyphoscoliotic, and vascular EDS; multimodal analgesia and regional anesthesia strategies for hypermobile EDS; perioperative planning that incorporates common comorbidities; and cautious use of regional or neuraxial anesthesia in vascular EDS, requiring individual risk-benefit analysis due to hematoma risk. This study establishes the first consensus-based clinical practice guidelines for the anesthetic care of patients with EDS. While limited by sample size and gaps in existing evidence, these recommendations provide a framework to enhance patient safety by guiding clinical decision-making and encouraging future research in the perioperative management of EDS.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"351-358"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190530","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

ANESTHETIC IMPLICATIONS OF THE DSP GENE MUTATION IN THE DELAWARE AMISH. 特拉华阿米什人DSP基因突变的麻醉意义。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001124

Mary Troyer, Jessica Hessel

引用次数: 0

THE BATTLE BUDDY SYSTEM: ENHANCING PEER-TO-PEER SUPPORT THROUGHOUT NURSE ANESTHESIA TRAINING. 战斗伙伴系统：在护士麻醉培训中加强点对点支持。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001125

Charles Park, Alexa Rubino, Maribeth L Massie

引用次数: 0

Before the Checklist: How Early Nurse Anesthetists Made Patient Readiness a Clinical Art. 在检查表之前：早期护士麻醉师如何使病人准备就绪成为临床艺术。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001105

Allison S Jones

引用次数: 0

Barriers and Opportunities in Anesthesia Care for Patients With Intellectual and Developmental Disabilities: A Qualitative Study. 智力和发育障碍患者麻醉护理的障碍和机会：一项定性研究。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001100

Virginia Londahl Ramsey, Tammy Sadighi, Andi Clemons, Christina Defour Mandalis

{"title":"Barriers and Opportunities in Anesthesia Care for Patients With Intellectual and Developmental Disabilities: A Qualitative Study.","authors":"Virginia Londahl Ramsey, Tammy Sadighi, Andi Clemons, Christina Defour Mandalis","doi":"10.70278/AANAJ/.0000001100","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001100","url":null,"abstract":"Health disparities among individuals with intellectual and developmental disabilities (IDD) remain a significant public health concern requiring complex, interdisciplinary care tailored to communication, behavioral, and individualized needs. Despite frequent exposure to surgical and procedural interventions, nurse anesthesiology programs provide limited formal education to prepare clinicians for this population. Most importantly, the role of nurse anesthesiologists across the perioperative continuum remains underrepresented in discussions of IDD-focused care. This qualitative phenomenological study explored perceived curricular needs related to IDD within nurse anesthesiology education to inform targeted instructional strategies. Four major themes emerged: 1) communication and patient-centered care, 2) barriers to care delivery, 3) educational gaps and training needs, and 4) strategies for improving care and professional development. Participants consistently identified significant gaps in structured training and professional development related to improving care delivery. Many described relying heavily on experiential, self-directed, or trial and error learning approaches because of the absence of formalized education and mentorship opportunities. Limited access to continuing professional development, evidence-based training resources, and organizational support further contributed to variability in confidence and preparedness. These findings highlight important areas for growth, particularly the need for standardized training programs, ongoing educational support, and accessible professional development initiatives to strengthen competency, confidence, and quality of care.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"371-378"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190499","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

An Examination of Imposter Phenomenon, Anxiety, and Depression Among Certified Registered Nurse Anesthetists and Resident Registered Nurse Anesthetists. 注册麻醉师与住院注册麻醉师冒名顶替现象、焦虑、抑郁的调查。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001084

Eva K Vanoer, Cyniah N McClurkin, Philip A Yates, Karen A Gomez, Shannon D Simonovich

{"title":"An Examination of Imposter Phenomenon, Anxiety, and Depression Among Certified Registered Nurse Anesthetists and Resident Registered Nurse Anesthetists.","authors":"Eva K Vanoer, Cyniah N McClurkin, Philip A Yates, Karen A Gomez, Shannon D Simonovich","doi":"10.70278/AANAJ/.0000001084","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001084","url":null,"abstract":"Imposter Phenomenon (IP), generalized anxiety disorder (GAD), depression, and related mental health conditions may have detrimental effects on the personal and professional well-being of certified registered nurse anesthetists (CRNAs) and subsequent patient health outcomes. However, this concept has not been examined in nurse anesthetists to date. Therefore, the purpose of this study was to describe and examine the relationship between IP, GAD, depression, and general health among CRNAs and resident registered nurse anesthetists (RRNAs) in the US utilizing survey methodology. The study sample size included 860 completed survey responses. The results demonstrated that both CRNAs (38.8%) and RRNAs (91.8%) report moderate to intense IP symptoms. Results also show high rates of anxiety among CRNAs (48.5%) and RRNAs (72.3%) surveyed. Depression was statistically significantly higher in RRNAs at 28.7% compared with 13% among CRNAs (P < .05). A negative linear relationship was noted between IP, anxiety, and depression over time with age and experience (P < 0.05). A two-way ANOVA model found a significant negative relationship between imposter phenomenon and perceived health (P < .05). These findings demonstrate a persistent correlation between IP, anxiety and depression, and general health among CRNAs and RRNAs. Future efforts should include interventions to reduce IP in the nurse anesthesia workforce.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"339-350"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190512","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

AANA Journal Course-Trauma-Informed Care Considerations for Anesthesia Providers. AANA杂志课程-麻醉提供者的创伤知情护理注意事项。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001103

Thomas Diller, Daylon Freeman, Sandi Hogg, Daniel Linebaugh, Ryen Rae, Charles Miller

{"title":"AANA Journal Course-Trauma-Informed Care Considerations for Anesthesia Providers.","authors":"Thomas Diller, Daylon Freeman, Sandi Hogg, Daniel Linebaugh, Ryen Rae, Charles Miller","doi":"10.70278/AANAJ/.0000001103","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001103","url":null,"abstract":"Posttraumatic stress disorder (PTSD) is a prevalent, underrecognized condition among adults undergoing surgical procedures requiring anesthesia that poses significant risks throughout the perioperative period. Elements inherent to anesthesia care (e.g., loss of control, anesthetic induction, and emergence) may trigger trauma re-experiencing, resulting in heightened anxiety, dissociation, altered pain perception, and an increased incidence of emergence delirium. Despite evidence linking PTSD to adverse perioperative outcomes, current anesthesia protocols lack standardized screening measures and trauma-informed management strategies. Anesthesia providers often receive limited formal education on identifying or adapting anesthetic plans to address trauma-related vulnerabilities, contributing to inconsistent care delivery, increased postoperative complications, prolonged recovery, and adverse patient experiences. To address this gap, a review of the literature between 2014 and 2024 was conducted to examine perioperative anesthesia considerations for adults with PTSD and to identify evidence-based pharmacologic and trauma-informed interventions. The education gap stresses the need for systematic integration of trauma-informed care principles alongside evidence-based pharmacologic strategies within anesthesia practice. Addressing PTSD through targeted screening, provider education, and individualized anesthetic planning has the potential to enhance patient safety, improve perioperative outcomes, and promote a more compassionate, patient-centered approach to anesthesia care for trauma-exposed individuals.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"381-388"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190520","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

VIRTUAL REALITY SIMULATION TO IMPROVE EARLY PROCEDURAL COMPETENCY IN NURSE ANESTHESIA EDUCATION. 虚拟现实模拟提高护士麻醉教育早期操作能力。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001130

Katie Cole, Kelly Winter, Valencia King, Russ Branch, Jennice Gist, Ciara Farward, Kelly L Wiltse Nicely

引用次数: 0

EDUCATING ANESTHESIA PROVIDERS ON GASTRIC ULTRASOUND TO REDUCE PERIOPERATIVE ASPIRATION RISK. 对麻醉人员进行胃超声教育，降低围手术期误吸风险。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001123

Christopher M Lay, Nicole A Gonzaga Gomez

引用次数: 0

Danger, Duty, Resilience: A Phenomenological Study of Nurse Anesthetists' Lived Experiences During the Rwanda Marburg Outbreak. 危险、责任、恢复力：卢旺达马尔堡疫情期间麻醉师护士生活经历的现象学研究。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001094

Assumpta Yamuragiye, Kelly A Gallant, Christine Minani Ufashingabire, Philomene Uwimana, Janet A Dewan

{"title":"Danger, Duty, Resilience: A Phenomenological Study of Nurse Anesthetists' Lived Experiences During the Rwanda Marburg Outbreak.","authors":"Assumpta Yamuragiye, Kelly A Gallant, Christine Minani Ufashingabire, Philomene Uwimana, Janet A Dewan","doi":"10.70278/AANAJ/.0000001094","DOIUrl":"https://doi.org/10.70278/AANAJ/.0000001094","url":null,"abstract":"Marburg virus disease, a hemorrhagic fever without approved vaccine or cure, emerged in Rwanda in late 2024. During the outbreak, nurse anesthetists provided critical care to severely ill patients, including infected colleagues. Healthcare workers comprised most confirmed cases, with anesthetists and nurses among the earliest fatalities. The voices of nurse anesthetists reveal the essence of the phenomenon. This study used the methods of inductive phenomonology to discover the essential meaning of the lived experiences of nurse anesthetists working in Kigali referral hospitals during the outbreak. Semistructured interviews conducted in English and Kinyarwanda were theme analyzed using qualitative software and secondary content analysis. All participants were experienced, practicing nurse anesthetists, of whom three tested positive for the virus after caring for Marburg patients. Five major themes emerged to encompass the essence of the phenomenon: endured trauma, duty amid danger, chaos to coordination, stigma and isolation, and transformation through crisis. Participants endured the profound trauma of panic, danger, grief, despair, and social rejection alongside professional commitment, resilience, and a renewed vision for their role in health crises.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 5","pages":"329-338"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190563","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