AANA journal最新文献_第3页

The Repurposing of Lidocaine for the Prevention and Treatment of Acute Lung Injury: An Integrative Review. 利多卡因在预防和治疗急性肺损伤中的应用：综合综述。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001048

Raymond J Devlin, Laura Bonanno

{"title":"The Repurposing of Lidocaine for the Prevention and Treatment of Acute Lung Injury: An Integrative Review.","authors":"Raymond J Devlin, Laura Bonanno","doi":"10.70278/AANAJ/.0000001048","DOIUrl":"10.70278/AANAJ/.0000001048","url":null,"abstract":"This integrative review evaluated current evidence on the use of lidocaine for the prevention and treatment of inflammation secondary to pulmonary aspiration of gastric contents. A comprehensive search of CINAHL, PubMed, and Embase was conducted for English-language studies published between 2014 and 2025, with the final search completed on May 5, 2025. Eligible studies included animal, human, and in vitro research that investigated the anti-inflammatory effects of intravenous lidocaine treatment for acute lung injury. Exclusion criteria were non-English publications, case reports, and studies that took place prior to 2014. Lidocaine appears to mitigate inflammatory lung injury through several mechanisms: antagonism of the P2X7 receptor, upregulation of SOCS3 protein, reduction of reactive oxygen species, and inhibition of NETosis. These effects contribute to a decrease in the inflammatory cascade following aspiration events. As research continues to expand the understanding of the different clinical applications of lidocaine, it may demonstrate promise in the prevention and treatment of pulmonary aspiration. Clinical judgment should always be used to assess patient-specific factors and ensure safe administration. Reliance on in vitro and animal studies limit the results of this review to be generalized to human subjects, therefore future research should be more inclusive of human trials.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"435-448"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653143","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

Nebulized Saline to Manage Airway Secretions in a Prone Pediatric Patient: A Case Report. 雾化生理盐水对俯卧儿科患者气道分泌物的控制：1例报告。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001040

Taylor Zawacki, Sophorn Mot, B Randall Brenn

引用次数: 0

Decision-Making Dynamics of Nurse Anesthetists in Surgical Settings: A Qualitative Study. 护理麻醉师在手术环境中的决策动态：一项定性研究。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001046

Nicolas Milleville, Sabine Pruvot, Audrey Gourdin, Gilles Chevalet, Clémence Cadot, Goeffrey Bailleul, Maxime Brousse, Gaëtan Carin, Paul Quindroit

{"title":"Decision-Making Dynamics of Nurse Anesthetists in Surgical Settings: A Qualitative Study.","authors":"Nicolas Milleville, Sabine Pruvot, Audrey Gourdin, Gilles Chevalet, Clémence Cadot, Goeffrey Bailleul, Maxime Brousse, Gaëtan Carin, Paul Quindroit","doi":"10.70278/AANAJ/.0000001046","DOIUrl":"10.70278/AANAJ/.0000001046","url":null,"abstract":"This study explores the clinical decision-making processes of certified registered nurse anesthetists (CRNAs) in the operating room, focusing on how their practice is shaped by clinical experience, education, interprofessional relationships, technology, psychological states, and ethical considerations. Using a qualitative, descriptive, and exploratory design, semistructured interviews were conducted with 10 CRNAs from public and private hospitals in France. Data were analyzed inductively through thematic analysis, following Braun and Clarke's framework. Six major themes emerged: clinical responsibility and patient safety, experience and intuition, collaboration with anesthesiologists, psychological and emotional influences, technology use, and ethical values. Participants emphasized that decisions are grounded in patient safety and shaped by trust-based collaboration with anesthesiologists. Experience was identified as a key factor enabling intuitive and rapid decision-making. Stress, tiredness, and emotional load were reported as affecting cognitive performance, while technology was viewed as a supportive but secondary tool. Ethical dilemmas, such as end-of-life care or treatment refusal, further influenced decision-making in complex contexts. The study concludes that CRNA decision-making is a multidimensional and context-sensitive process that relies on both individual expertise and relational dynamics. These findings support the need for continued simulation-based education, interprofessional training, and structured ethical reflection in anesthesia practice.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"449-455"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653098","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

Inhaled Milrinone in Weaning from Cardiopulmonary Bypass: A Case Study. 吸入米立酮在体外循环脱机中的应用：一个案例研究。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001042

Richard Wilson, Daniel King, Corie Morton

引用次数: 0

Increasing Student Registered Nurse Anesthesiologist Engagement in the State Professional Association by Solidifying the Student Representative Liaison Role. 通过巩固学生代表联络角色，增加学生注册护士麻醉师在国家专业协会的参与度。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001044

Vanessa E Vega, Christine M Riano, Kristi L Zastrow, M Beth Quaas

{"title":"Increasing Student Registered Nurse Anesthesiologist Engagement in the State Professional Association by Solidifying the Student Representative Liaison Role.","authors":"Vanessa E Vega, Christine M Riano, Kristi L Zastrow, M Beth Quaas","doi":"10.70278/AANAJ/.0000001044","DOIUrl":"10.70278/AANAJ/.0000001044","url":null,"abstract":"Despite rising numbers of certified registered nurse anesthetists and student registered nurse anesthetists (SRNAs) in the United States, engagement in state professional organizations has declined. To address this problem, the diffusion of innovation theory was applied to a quality improvement project. The student representative role within the state professional organization was enhanced by developing a toolkit and explicit expectations for the role. A pretest/posttest survey was distributed via email to SRNAs from three SRNA university programs within the state. SRNAs were assessed through the survey on engagement, beliefs, and attitudes. Additionally, engagement metrics including meeting attendance, and Midyear Assembly sponsorship applications were assessed. Utilizing Microsoft Excel for data analysis, we observed an increase in SRNA understanding of the professional organization's purpose (P = .02). Increased attendance at organizational events and sponsorship applications were shown. Our findings also highlight key barriers to engagement among SRNAs, including time conflicts (22.6%), cost (20.2%), and limited interest in the types of organizational events offered (20.8%). Enhancing the student representatives' role through explicit expectations and a toolkit successfully resulted in boosting SRNA engagement.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"425-433"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653133","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

The Impact of Negligence Claims on CRNAs: A Qualitative Study. 过失索赔对crna的影响：一项定性研究。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001043

Pamela Chambers, Meagan LaCour, Elvisa Muratovic

{"title":"The Impact of Negligence Claims on CRNAs: A Qualitative Study.","authors":"Pamela Chambers, Meagan LaCour, Elvisa Muratovic","doi":"10.70278/AANAJ/.0000001043","DOIUrl":"10.70278/AANAJ/.0000001043","url":null,"abstract":"Adverse events may cause emotional distress among clinicians. Negligence claims compound this stress, leading to emotional effects such as litigation stress syndrome. Repercussions of being named in a claim extend beyond the individual, affecting interpersonal relationships. There is a notable gap in research regarding the lived experiences of certified registered nurse anesthetists named in negligence claims. Eleven participants were recruited via social media who completed a demographic survey and were interviewed for up to 60 minutes. Data were coded through in vivo coding using thematic analysis. Forty six percent reported experiencing a patient death, 18% encountered a major event, and 36% faced a minor event. Participants described a range of emotions including \"stressful, angry, suicidal, confident, and fearful.\" All participants were instructed to not discuss the claim, leading to feelings of isolation and loneliness. Additionally, none of the participants were aware of the resources provided by the American Association of Nurse Anesthesiology, indicating a lack of awareness regarding available support for addressing litigation stress syndrome. Due to significant feelings of isolation, the emotional toll of a negligence claim can affect an individual's mental health, leading to anxiety, depression, or anger that can affect their relationships with others.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"409-416"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653113","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

Are You Safe Behind The Drape: Considerations For Mitigating Occupational Hazards Among Anesthesia Providers. 你在床后安全吗：减轻麻醉提供者职业危害的考虑。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001056

Kristine Cunha, Brittany Testani, Ashli Vitello

{"title":"Are You Safe Behind The Drape: Considerations For Mitigating Occupational Hazards Among Anesthesia Providers.","authors":"Kristine Cunha, Brittany Testani, Ashli Vitello","doi":"10.70278/AANAJ/.0000001056","DOIUrl":"10.70278/AANAJ/.0000001056","url":null,"abstract":"Hospitals rank among the most hazardous workplaces in the U.S. In 2011, healthcare institutions in the U.S. reported 253,700 work-related injuries and illnesses, surpassing those in traditionally high-risk industries like construction and manufacturing. Occupational hazards are prevalent in the operating room, contributing to injury, illness, and reduced employee productivity. Various occupational risks are encountered in this environment, including physical hazards such as radiation and noise; chemical hazards like waste anesthetic gases and methyl methacrylate; and biological hazards such as surgical smoke, which may contain viruses, bacteria, and carcinogens. Anesthesia providers, who primarily work in this high-risk setting, are regularly exposed to these dangers. Prolonged exposure is linked to a range of short- and long-term health effects, including skin conditions, reproductive issues such as miscarriage, and even cancer. Despite the seriousness of these risks, many anesthesia providers report a lack of knowledge about occupational health hazards and the necessary mitigation strategies. Raising awareness and implementing preventive measures are essential to reducing work-related illnesses and fostering a safer, more productive work environment.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"463-470"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653159","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

Utilizing the AANA Wellness Ambassador Microcredential as a Component of Resident Registered Nurse Anesthetist Education. 利用AANA健康大使微证书作为住院医师注册护士麻醉师教育的组成部分。

AANA journal Pub Date : 2025-12-01 DOI: 10.70278/AANAJ/.0000001070

Brett Morgan, Annie Meyers, Ewa Greenier, Rebecca Frese, Christine Tracy

{"title":"Utilizing the AANA Wellness Ambassador Microcredential as a Component of Resident Registered Nurse Anesthetist Education.","authors":"Brett Morgan, Annie Meyers, Ewa Greenier, Rebecca Frese, Christine Tracy","doi":"10.70278/AANAJ/.0000001070","DOIUrl":"10.70278/AANAJ/.0000001070","url":null,"abstract":"The purpose of this pilot educational program evaluation was to explore the integration of the American Association of Nurse Anesthesiology (AANA) Wellness Ambassador Microcredential (MC) into a nurse anesthesiology educational program's (NAEP) curriculum and evaluate its impact on resident registered nurse anesthetists' (RRNAs) wellness-related knowledge and competencies. Eighteen third-year RRNAs enrolled in a Professional Aspects of Anesthesia course completed the MC. Following completion, the RRNAs completed a 39-item survey assessing satisfaction, perceived relevance, and self-reported competency gains developed using the Kirkpatrick Model of instructional design. Results indicated high satisfaction, with 89.5% finding the content engaging and over half rating the quality as excellent. Self-reported improvements were observed across all nine wellness competencies, particularly in knowledge of wellness resources and application of holistic health principles. The interactive format and real-world applicability were especially valued. Participants reported increased confidence in addressing wellness-related challenges and a greater likelihood of utilizing and recommending wellness resources such as the AANA Helpline (800-654-5167). Findings support early and longitudinal integration of wellness education within the NAEP to foster resilience, reduce burnout, and promote a culture of well-being in nurse anesthesiology. While limited by sample size and self-reported data, this pilot project demonstrated the potential use of MC as scalable, competency-based tools for enhancing wellness education. Future research should include longitudinal and multisite evaluations to further validate outcomes and inform broader implementation strategies.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 6","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145653076","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

Age Differences in Patients With Postoperative Pain and Their Relationships to Comorbid Conditions: Multivariate Logistic Regression Analysis. 术后疼痛患者的年龄差异及其与合并症的关系：多因素Logistic回归分析。

AANA journal Pub Date : 2025-10-01 DOI: 10.70278/AANAJ/.0000001024

Lisiane Pruinelli, Michelle A Mathiason, Sisi Ma, Nicholas Stalter, Laura Stone, Roger B Fillingim, Sudarshan Setty, Ratan K Banik

{"title":"Age Differences in Patients With Postoperative Pain and Their Relationships to Comorbid Conditions: Multivariate Logistic Regression Analysis.","authors":"Lisiane Pruinelli, Michelle A Mathiason, Sisi Ma, Nicholas Stalter, Laura Stone, Roger B Fillingim, Sudarshan Setty, Ratan K Banik","doi":"10.70278/AANAJ/.0000001024","DOIUrl":"10.70278/AANAJ/.0000001024","url":null,"abstract":"This study analyzed the relationship between aging and reported pain during the acute postoperative period in a retrospective analysis of 2,600 adult patients who underwent abdominal surgeries. Data included demographics, diagnoses, surgical, and pain assessments. Severe pain was defined as reported pain intensity ≥ 7 on the numeric rating score during the first 24 hours postsurgery. Patients were grouped into three different age categories: 18-44, 45-64, and ≥ 65 years. Comparisons among groups were performed using the Chi-square test. Multivariate logistic regression was used to estimate the likelihood of patients reporting pain intensity ≥ 7. The likelihood of reporting severe pain was significantly lower in older (> 65 years; OR, 0.48; CI, 0.39-0.60) and middle-aged (45-64 years; OR, 0.77; CI, 0.63-0.91) patients as compared with younger patients (18-44 years). Factors increasing the likelihood of reporting severe pain included female sex (OR, 1.34; CI, 1.13-1.58), history of chronic pain (OR, 2.03; CI, 1.58-2.60), and incidence of depression and/or anxiety (OR, 1.65; CI, 1.29-2.12). Findings suggest that patients ≥ 65 years are significantly less likely to experience severe acute postoperative pain following a major abdominal surgery. Nurse anesthetists' awareness of age-specific acute postoperative pain management can lead to better patient pain outcomes.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 5","pages":"331-337"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243539","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

Balancing Risks in Obstetrics: Anesthesia Management in Facioscapulohumeral Muscular Dystrophy with Scoliosis. 平衡产科风险：面部肩胛骨肱肌营养不良伴脊柱侧凸的麻醉管理。

AANA journal Pub Date : 2025-10-01 DOI: 10.70278/AANAJ/.0000001035

Ashwin Mani, Sukriti Jha, Vinay Kumar, Shailendra Kumar

引用次数: 0