AANA journal最新文献_第6页

Resources Utilized by Certified Registered Nurse Anesthetists to Acquire Employment Opportunities. 注册麻醉师护士获取就业机会所利用的资源。

AANA journal Pub Date : 2025-06-01 DOI: 10.70278/AANAJ/.0000001015

Heather Danke, Alliene Olson, Claire Yee, Molly Kraus

{"title":"Resources Utilized by Certified Registered Nurse Anesthetists to Acquire Employment Opportunities.","authors":"Heather Danke, Alliene Olson, Claire Yee, Molly Kraus","doi":"10.70278/AANAJ/.0000001015","DOIUrl":"10.70278/AANAJ/.0000001015","url":null,"abstract":"The demand for anesthesia services continues to increase and the projected growth rate of this field may lead to increasing challenges in the future. Understanding how certified registered nurse anesthetists (CRNAs) acquire employment is important so practices can attract the CRNA workforce. It is unknown how CRNAs utilize resources to assess employment options. The aim of this survey was to determine how CRNAs acquire employment. A survey of a random sampling of 3,000 members of the American Association of Nurse Anesthesiology was conducted, 138 responses resulted in a response rate of 4.6%. Analyses were conducted using R version 4.2.2. Continuous variables were summarized using mean, standard deviation, and range. CRNAs seeking employment opportunities use on average 3.29 resources, with CRNA referrals (92.8%) and the professional association (74.6%) being most used. CRNAs ranked factors influencing employment decisions from most to least important, salary, location, and call. With the prevalence of social media use in the younger workforce, integration of this technology may become more common as an employment resource in years to come. Future research should focus on obtaining a larger sample size to ensure adequate generalizability to the CRNA population.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 3","pages":"185-189"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179854","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 Editor's Desk: What Makes a Good Scholarly Article? 编辑台：怎样才能写出一篇好的学术文章？

AANA journal Pub Date : 2025-06-01

Edwin N Aroke

引用次数: 0

A Rare Event With High Acuity: A Case of Autonomic Dysreflexia. 高敏度罕见事件：自主神经反射障碍1例。

AANA journal Pub Date : 2025-06-01 DOI: 10.70278/AANAJ/.0000001002

Emily Sullivan, Ali Husseini, Laurie Easter

引用次数: 0

Evolution of Effectiveness of the Self-Evaluation Examination: A Mixed Methods Study of Predictive Validity and Perceived Utility. 自我评价考试有效性的演化：预测效度与感知效用的混合方法研究。

AANA journal Pub Date : 2025-06-01 DOI: 10.70278/AANAJ/.0000001018

Susan P McMullan, Timothy J Muckle, Kenneth A Wofford, Robyn C Ward, Janet Chan

{"title":"Evolution of Effectiveness of the Self-Evaluation Examination: A Mixed Methods Study of Predictive Validity and Perceived Utility.","authors":"Susan P McMullan, Timothy J Muckle, Kenneth A Wofford, Robyn C Ward, Janet Chan","doi":"10.70278/AANAJ/.0000001018","DOIUrl":"10.70278/AANAJ/.0000001018","url":null,"abstract":"The Self-Evaluation Examination (SEE), an in-training examination administered by the National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA), was reconfigured in 2016 to ensure fulfillment of its intended purposes, improve its utility, and augment predictive value toward a first-time pass on the National Certification Examination (NCE). The purpose of this mixed methods study was to reenvision the SEE to further enhance its value to stakeholders. A correlational quantitative analysis was conducted between the reconfigured SEE and NCE. A qualitative analysis of survey results was also performed; focus groups were undertaken among program administrators to assess utilization of the SEE. Final SEE results for 8,552 students from September 2016 through October 2023 were linked to first-time NCE results. Pearson's r correlations (r = 0.57; P < .01) represent a moderately strong positive correlation between SEE and NCE performance. Data from a survey of 107 program administrators indicated positive support for reconfigured SEE. Themes from three focus groups identified uses, best practices, and desired enhancements. Results were consistent with previously reported results, confirming the reconfigured SEE met intended goals. Future augmentations are being considered by NBCRNA to further enhance utility and value to nurse anesthesia educational programs.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 3","pages":"177-184"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180728","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

Emergency Surgical Front-of-Neck Airway Access: Effectiveness of a Didactic and Simulation-Based Training Intervention to Improve Performance and Self-Efficacy Among Resident Registered Nurse Anesthetists. 急诊外科颈前气道通路：以教学和模拟为基础的培训干预对提高住院注册麻醉师的表现和自我效能的有效性。

AANA journal Pub Date : 2025-06-01 DOI: 10.70278/AANAJ/.0000001020

David Allen, Hannah Bulick, Carrie Bowman Dalley, Nancy Crowell, Christina Miller, Megan McAuliffe

{"title":"Emergency Surgical Front-of-Neck Airway Access: Effectiveness of a Didactic and Simulation-Based Training Intervention to Improve Performance and Self-Efficacy Among Resident Registered Nurse Anesthetists.","authors":"David Allen, Hannah Bulick, Carrie Bowman Dalley, Nancy Crowell, Christina Miller, Megan McAuliffe","doi":"10.70278/AANAJ/.0000001020","DOIUrl":"10.70278/AANAJ/.0000001020","url":null,"abstract":"Simulation is a valuable tool for developing technical skills and self-efficacy for high-risk, low-frequency events such as cannot intubate, cannot oxygenate (CICO) scenario. There is a deficiency of evidence regarding CICO events and emergency front of neck access training for resident registered nurse anesthetists (RRNAs). This study explored whether a low-fidelity simulation training utilizing a 3D-printed cricothyrotomy task trainer and educational intervention increased self-efficacy, improved performance measures (performance time, performance checklist scores), and increased expert performance levels (performance time, performance checklist score, completion of critical performance checklist steps) regarding scalpel-bougie-tube surgical cricothyrotomy (SBT-SC) among RRNAs. This pilot study utilized a quasiexperimental pretest-posttest design. Ten RRNAs participated in the study. Statistical analysis with paired t-tests demonstrated statistically significant improvement in mean self-efficacy scores (3.13 to 4.5 out of 5, P < .001), mean performance completion time (103.5 seconds (SD, 34.5) to 55.9 (SD, 17.9) seconds [P < .001]), mean performance checklist scores (5.5 to 9.1 out of 10, [P < .001]), and completion of critical checklist steps. Six participants completed the postintervention SBT-SC in under 60 seconds while completing all critical checklist steps. One participant met expert performance benchmark criteria following the intervention. This study supports low-fidelity simulation for SBT-SC education and training for RRNAs.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 3","pages":"213-220"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179635","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 Role of Tranexamic Acid in Postpartum Hemorrhage in the High-Risk Obstetric Patient: A Retrospective Study. 氨甲环酸在高危产科患者产后出血中的作用：回顾性研究。

AANA journal Pub Date : 2025-04-01 DOI: 10.70278/AANAJ/.0000001008

Kaitlyn Colliton, Madeleine Schaefer, Megan McAuliffe, Nancy Crowell, Lauren Suszan, Mary Scott-Herring

引用次数: 0

Simulation Training for Epidural Placement: A Randomized Trial Comparing the Use of an Ex Vivo Porcine Spine Model With the M43B Lumbar Puncture Simulator IIA Model. 硬膜外放置的模拟训练：一项比较离体猪脊柱模型与M43B腰椎穿刺模拟器IIA模型的随机试验。

AANA journal Pub Date : 2025-04-01 DOI: 10.70278/AANAJ/.0000001017

Clare K Banigan, Loralee Sessanna, Brian Lowe, Tyler J Rolland

{"title":"Simulation Training for Epidural Placement: A Randomized Trial Comparing the Use of an Ex Vivo Porcine Spine Model With the M43B Lumbar Puncture Simulator IIA Model.","authors":"Clare K Banigan, Loralee Sessanna, Brian Lowe, Tyler J Rolland","doi":"10.70278/AANAJ/.0000001017","DOIUrl":"10.70278/AANAJ/.0000001017","url":null,"abstract":"Proficiency in epidural placement remains a challenging skill for anesthesia providers, requiring the ability to discern loss of resistance (LOR) when entering the epidural space. Current educational manikins lack the tactile feedback required for realistic epidural training. This descriptive pilot study aimed to compare an ex vivo porcine spine model with the M43B manikin model for simulation of clinical epidural placement. Expert anesthesia providers (n = 10) evaluated physical characteristics of each model using a survey comprised of a visual analog scale (0-100) and qualitative open-ended questions. Continuous data were analyzed using paired two-tailed Student's t tests, while qualitative open-ended narrative responses were reported by response frequency. Epidural simulation with the porcine spine demonstrated significantly higher clinical similarity scores (P < .001) for ligamentum flavum feel (85 ± 4.5 vs. 32 ± 8.1), LOR (93.5 ± 3.0 vs. 42.5 ± 10.7), catheter insertion (92.3 ± 3.9 vs. 48.8 ± 8.0), and novice training utility (92.5 ± 3.3 vs. 41.5 ± 7.7), while landmark identification (iliac crest/spinous processes) was comparable between models. Providers unanimously preferred the porcine model for epidural simulation. Simulation using an ex vivo porcine spine model enhances the realism of epidural training and underscores the importance of utilizing clinically relevant models for anesthesia procedural skill acquisition and maintenance.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 2","pages":"117-124"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708086","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 Word of Caution With Esophageal Replacement for Corrosive Esophageal Injury: A Case Report. 腐蚀性食管损伤行食管置换术的注意事项：1例报告。

AANA journal Pub Date : 2025-04-01 DOI: 10.70278/AANAJ/.0000001014

Kavitha Girish, Shreya Bharat Shah

引用次数: 0

Anesthetic Considerations for the Convergent Plus Procedure: A Hybrid Approach to the Treatment of Nonparoxysmal Atrial Fibrillation. 收敛+手术的麻醉考虑：一种治疗非阵发性心房颤动的混合方法。

AANA journal Pub Date : 2025-04-01 DOI: 10.70278/AANAJ/.0000001009

Jenna E Jenkins, Margaret A Contrera

{"title":"Anesthetic Considerations for the Convergent Plus Procedure: A Hybrid Approach to the Treatment of Nonparoxysmal Atrial Fibrillation.","authors":"Jenna E Jenkins, Margaret A Contrera","doi":"10.70278/AANAJ/.0000001009","DOIUrl":"10.70278/AANAJ/.0000001009","url":null,"abstract":"One third of the population will develop atrial fibrillation in their lifetime and 12.1 million people in the United States are expected to be affected by 2030. A long-standing gap exists in traditional pharmacologic and nonpharmacologic treatments for persistent atrial fibrillation. An innovative, hybrid treatment, commonly referred to as the Convergent Procedure, combines surgical ablation of the posterior left atrium through a minimally invasive subxiphoid incision with traditional endocardial ablation techniques. When the procedure includes ligament of Marshall ligation and epicardial occlusion of the left atrial appendage using a video-assisted thoracoscopic approach, it is termed the Convergent 'Plus' Procedure. Evidence indicates that the procedure is twice as effective as endocardial ablation alone, reducing the need for atrial fibrillation medications by half. Consequently, demand for the procedure has surged, and anesthesia providers are now caring for patients in cardiac operating rooms and hybrid cardiology suites nationwide. Successful execution of the Convergent Plus Procedure demands close coordination among interdisciplinary teams, including surgery, cardiology, and anesthesiology. Anesthetic management is complex, requiring certified registered nurse anesthetists to understand procedural stages, ensure proper patient positioning, manage lung isolation, and be prepared for numerous complications such as hemodynamic instability, hemorrhage, and stroke.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 2","pages":"143-151"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708063","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

Prospective Observational Study of Pressure-Volume Curves and Respiratory Parameters in Oncology Patients Undergoing General Anesthesia. 肿瘤患者全麻压力-容积曲线和呼吸参数的前瞻性观察研究。

AANA journal Pub Date : 2025-04-01 DOI: 10.70278/AANAJ/.0000001013

Chrysoula Palazi, Theodoros Mariolis Sapsakos, Petros Galanis, Theodoros Katsoulas, Margarita Giannakopoulou, Evan Alexandrou, Georgios Skepastianos, Nikolaos Kopanakis, Maria E Bastaki, George Georgiopoulos, Evangelos A Konstantinou

{"title":"Prospective Observational Study of Pressure-Volume Curves and Respiratory Parameters in Oncology Patients Undergoing General Anesthesia.","authors":"Chrysoula Palazi, Theodoros Mariolis Sapsakos, Petros Galanis, Theodoros Katsoulas, Margarita Giannakopoulou, Evan Alexandrou, Georgios Skepastianos, Nikolaos Kopanakis, Maria E Bastaki, George Georgiopoulos, Evangelos A Konstantinou","doi":"10.70278/AANAJ/.0000001013","DOIUrl":"10.70278/AANAJ/.0000001013","url":null,"abstract":"The purpose of this study was the evaluation of the pressure-volume (PV) curve and all possible complications as it appears on an anesthesia monitor and the recording of parameters such as PO2 and SpO2 intraoperatively and before intubation. The study took place in the Surgery Department of a highly qualified Cancer Memorial Hospital, included 90 oncology patients diagnosed with abdominal cancer, and was divided into three groups. Patients in Group A had a normal history of pulmonary function and body mass index values; Group B included patients with a history of obstructive lung disease; and Group C comprised patients with a history of restrictive lung disease. Ppeak and Pplat measurements at baseline were significantly higher for Group C. PO2 for Group A was consistently higher. FiO2 was higher throughout Group C. It was found that rates of cough and shortness of breath differed significantly among the groups regarding respiratory complications. The PV curve for Group A was characterized by a sigmoid form; there was a concavity in the curve primarily in the final part for Group B; and there was a steep slope of the flow-volume curve and decreased forced vital capacity in Group C. Monitoring lung function during general anesthesia may provide useful information to anesthetists and allow the quantification of the severity of respiratory disease. The creation of PV curves and the evaluation of its data presents valuable information about lung mechanics and ventilator setup and can be an ideal postoperative tool as well as during general anesthesia.","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 2","pages":"89-100"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708072","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