AANA journal最新文献_第3页

OHIO CRNA WORKFORCE EVALUATION: CRITICAL UNDERSTANDING FOR FUTURE PLANNING. 俄亥俄州crna劳动力评估：对未来规划的批判性理解。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001131

Elizabeth Root, Joseph Carroll, Beth Clayton, Mandi Cafasso

引用次数: 0

EVALUATING THE EFFECTIVENESS OF THE NONINVASIVE FINGER CUFF IN PREVENTING INTRAOPERATIVE HYPOTENSION AMONG ADULT SURGICAL PATIENTS. 评价无创指套预防成人手术患者术中低血压的效果。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001128

Darby Courtad, Meredith Miller, Morghan Steelreath, Morgan Swaim, Olivia Vice, Kesha Thurston, Amy Yerdon

引用次数: 0

ACTIVE SHOOTER EDUCATION FOR THE PERIOPERATIVE ENVIRONMENT. 围手术期环境的主动射手教育。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001126

Kaycie Harmon, Rebecca Brand, Thomas Minges, Meghan McDonald, Dana Sticca

引用次数: 0

OBJECTIVE MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURES IMPROVES PATIENT OUTCOMES: EXPERT-REVIEWED PRACTICE CONSIDERATIONS. 客观测量气管内管袖口压力改善患者的结果：专家审查的实践考虑。

AANA journal Pub Date : 2026-10-01 DOI: 10.70278/AANAJ/.0000001132

Janice Tso, Janet Dewan, Kisha Thompson

引用次数: 0

Substance Misuse and Drug Diversion in Anesthesiology: Impact of a National Educational Intervention for Nurse Anesthesia Residents and Support People. 麻醉学中的物质滥用和药物转移：国家教育干预对麻醉住院护士和支持人员的影响。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.0000001092

Maria van Pelt, Rachel Epstein, Daniel King, Connie L Lorette, Darleen M Lessard, Claudia Garcia, Rigo Garcia

{"title":"Substance Misuse and Drug Diversion in Anesthesiology: Impact of a National Educational Intervention for Nurse Anesthesia Residents and Support People.","authors":"Maria van Pelt, Rachel Epstein, Daniel King, Connie L Lorette, Darleen M Lessard, Claudia Garcia, Rigo Garcia","doi":"10.70278/AANAJ/.0000001092","DOIUrl":"10.70278/AANAJ/.0000001092","url":null,"abstract":"Substance misuse and drug diversion among anesthesiology professionals may begin during training and span decades of practice. Because treatment for substance use disorder (SUD) is often delayed, early recognition and structured education are essential. This national quality improvement study evaluated the effect on knowledge, perceptions, and the likelihood of reporting suspected substance misuse. A descriptive, comparative pre-post survey was conducted with resident registered nurse anesthetists and support people recruited from 32 randomly selected U.S. nurse anesthesia programs. The intervention was a dual-perspective presentation that integrated clinical content and lived experience. Pre-post perceptions, knowledge, and reporting intentions were analyzed among matched respondents using the Wilcoxon signed-rank test (SAS 9.4; P < .05). Of 1,397 attendees, 868 completed the presurvey and 678 the postsurvey (78.1% retention); 425 were matched for analysis. Significant postintervention improvements were observed in perceptions of SUD as a disease (P = .003), knowledge of safety measures (P < .001), confidence in recognizing symptoms (P < .001), and the likelihood of reporting suspected misuse (P < .001). This national educational intervention was associated with immediate improvements in awareness and reporting intentions, offering a reproducible model for anesthesia education and early prevention.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 4","pages":"267-274"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576611","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

General Anesthetic Management for Laparoscopic Appendectomy in a Patient With Myotonia Congenita: A Case Report. 先天性肌强直患者腹腔镜阑尾切除术的全麻处理1例报告。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.000001091

Ashley George

引用次数: 0

Beyond the Nociceptor--Addressing Social Determinants of Pain in Anesthesia Care. 超越伤害感受器——解决麻醉护理中疼痛的社会决定因素。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.0000001096

Edwin N Aroke, Kesha Thurston

{"title":"Beyond the Nociceptor--Addressing Social Determinants of Pain in Anesthesia Care.","authors":"Edwin N Aroke, Kesha Thurston","doi":"10.70278/AANAJ/.0000001096","DOIUrl":"10.70278/AANAJ/.0000001096","url":null,"abstract":"Despite advances in regional anesthesia and multimodal analgesia, pain disparities in perioperative and chronic pain populations persist, particularly among marginalized groups who experience higher postoperative pain and poorer recovery. Social determinants of pain (SDOP) link social adversity to nociceptive processing through biological pathways. Chronic stress and allostatic load induce epigenetic changes that accelerate aging and affect pain biology. Most clinicians lack understanding of how to apply this knowledge in daily practice. This review examines links between SDOP, allostatic load, and pain vulnerability, with implications for perioperative pain management. Racialized minorities and socioeconomic disadvantages predict greater stress and worse pain outcomes. Allostatic load, reflecting cumulative physiological wear from chronic stress, is associated with greater pain severity, epigenetic modification of genes in pathways that regulate stress and aging, leading to accelerated biological aging and pain vulnerability. For instance, individuals with chronic low back pain show accelerated biological aging compared to healthy controls, and the pace of biological aging mediates the relationship between chronic pain stigma and pain outcomes. Understanding these biological pathways enables CRNAs to adopt evidence-based strategies, including routine social screening, equitable access to regional techniques, and targeted care for high-risk groups. More studies are needed to inform equity-centered pain management.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 4","pages":"301-312"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576608","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

Can Nasopharyngeal Suction Under Anesthesia Reduce the Incidence of Respiratory Adverse Events After Supraglottic Airway Removal in Children? A Randomized Controlled Trial. 麻醉下鼻咽吸能降低儿童声门上气道拔除后呼吸不良事件的发生率吗？随机对照试验。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.0000001090

Namitha Mariam Lal, Priyankar Kumar Datta, Renu Sinha, Arshad Ayub, Abhishek Nagarajappa, Ajisha Aravindan

{"title":"Can Nasopharyngeal Suction Under Anesthesia Reduce the Incidence of Respiratory Adverse Events After Supraglottic Airway Removal in Children? A Randomized Controlled Trial.","authors":"Namitha Mariam Lal, Priyankar Kumar Datta, Renu Sinha, Arshad Ayub, Abhishek Nagarajappa, Ajisha Aravindan","doi":"10.70278/AANAJ/.0000001090","DOIUrl":"10.70278/AANAJ/.0000001090","url":null,"abstract":"This study aimed to determine whether nasopharyngeal suction reduces the incidence of perioperative respiratory adverse events (PRAE) after supraglottic airway (SGA) removal in children. Four hundred children (ages 1-6 years) undergoing general anesthesia using SGA, were randomized into two groups: combined nasopharyngeal and oral suction (Group N), and oral suction alone (Group O). Suction was performed under anesthesia prior to SGA removal. Patients were observed for coughing, breath-holding, airway obstruction, laryngospasm, bronchospasm, and desaturation--the incidence of any one or more of which was considered positive for PRAE. Subgroup analysis of patients with active or recent upper respiratory tract infection (URTI) was decided a priori. The incidence of PRAE was 21.8%, with no significant difference between Group N (21.2%) and Group O (22.3%). In children with active or recent URTI, the incidence of PRAE was significantly lower in group N (21.7%) compared with group O (44.7%); relative risk 0.486 (95% CI, 0.258 to 0.917), P = .019; number needed to treat = 4.4. In the general pediatric population, nasopharyngeal suctioning did not reduce the incidence of PRAE. However, in children with URTI, PRAE incidence was significantly lower in those who underwent nasopharyngeal suctioning prior to SGA removal.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 4","pages":"281-288"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576588","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 Thromboelastography 6s in Trauma: An Integrative Review for Anesthesia Providers. 在创伤中使用血栓弹性成像：麻醉提供者的综合回顾。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.0000001086

Nathan Bowser, Kristie Hoch, James Reed, Timothy Markle

{"title":"Use of Thromboelastography 6s in Trauma: An Integrative Review for Anesthesia Providers.","authors":"Nathan Bowser, Kristie Hoch, James Reed, Timothy Markle","doi":"10.70278/AANAJ/.0000001086","DOIUrl":"10.70278/AANAJ/.0000001086","url":null,"abstract":"Trauma-induced coagulopathy is a major cause of preventable morbidity and mortality in adult trauma patients. Thromboelastography (TEG) has been shown to reduce blood product waste, morbidity, and mortality when used to guide trauma resuscitation. The TEG 6s is a new cartridge-based device that shifts the utility of TEG to the point-of-care. The purpose of this integrative review is to synthesize the current evidence regarding the use of the TEG 6s device in adult trauma patients with an emphasis on anesthesia. A comprehensive literature search was conducted following PRISMA 2020 guidelines, with eight articles meeting the inclusion criteria. These studies demonstrated comparable diagnostic accuracy to the TEG 5000 platform with improved interdevice reliability. Validated reference ranges, early predictors of maximum amplitude, and trauma-specific algorithms support the integration of the TEG 6s device into intraoperative and trauma workflows. The TEG 6s represents a promising tool for anesthesia providers to guide blood product management during the acute resuscitation of trauma patients. Further research should focus on validating standardized algorithms and assessing outcomes related to mortality, blood product usage, and cost.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 4","pages":"293-299"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576619","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

A Prospective Randomized Comparative Study of Hyperbaric Ropivacaine vs. Hyperbaric Bupivacaine in Spinal Anesthesia for Elective Infraumbilical Surgeries. 高压罗哌卡因与高压布比卡因在选择性脐下手术脊髓麻醉中的前瞻性随机比较研究。

AANA journal Pub Date : 2026-08-01 DOI: 10.70278/AANAJ/.0000001077

Deepali Shetty, Anula Sharan D'souza, Shweta Sinha, Suvajit Podder, Arun Parthasarathy, Hemamalini Sridharan

{"title":"A Prospective Randomized Comparative Study of Hyperbaric Ropivacaine vs. Hyperbaric Bupivacaine in Spinal Anesthesia for Elective Infraumbilical Surgeries.","authors":"Deepali Shetty, Anula Sharan D'souza, Shweta Sinha, Suvajit Podder, Arun Parthasarathy, Hemamalini Sridharan","doi":"10.70278/AANAJ/.0000001077","DOIUrl":"10.70278/AANAJ/.0000001077","url":null,"abstract":"Commercially available hyperbaric ropivacaine 0.75% has recently been gaining clinical acceptance for spinal anesthesia. However, limited studies are available comparing hyperbaric ropivacaine 0.75% with hyperbaric bupivacaine 0.5%. We hypothesized that ropivacaine, a pure S-enantiomer of bupivacaine, has a better clinical profile. We therefore compared the efficacy and safety of the two drugs. In this prospective, randomized, double-blind trial, 60 patients who belonged to the American Society of Anesthesiologists physical status I and II, undergoing elective infraumbilical surgeries were allocated into two groups: Group B (0.5% hyperbaric bupivacaine) and Group R (0.75% hyperbaric ropivacaine), respectively. The primary objective of this study was to compare the time to onset and duration of both sensory and motor blockade between both groups. Chi-square test was used for qualitative variables and independent t-test for quantitative data. P < 0.05 was considered statistically significant. The mean time to sensory and motor onset was longer in Group R (5.93 ± 1.86 min and 10.53 ± 2.03 min) when compared with Group B (3.20 ± 1.24 min and 7.93 ± 2.13 min) while the mean sensory and motor duration was shorter in Group R (146.57 ± 15.60 min and 108.87 ± 25.33 min) as compared with Group B (179.30 ± 21.35 min and 135 ± 14.10 min), both of which were statistically significant. Hyperbaric ropivacaine 0.75% has a slower onset and longer time to maximum spread but faster recovery, making it a safe alternative to bupivacaine.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"94 4","pages":"251-257"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576623","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