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Calendar of Events. 事件日历。
AANA journal Pub Date : 2025-02-01
{"title":"Calendar of Events.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 1","pages":"71-78"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404998","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 Management and Outcomes of Pregnant Women With Ebstein's Anomaly: Prospective Report. Ebstein异常孕妇的麻醉管理和结局：前瞻性报告。
AANA journal Pub Date : 2025-02-01 DOI: 10.70278/AANAJ/.0000001005
Ajay Kumar Jha, Bhagyashree Gundagurti, Nivedita Jha
{"title":"Anesthetic Management and Outcomes of Pregnant Women With Ebstein's Anomaly: Prospective Report.","authors":"Ajay Kumar Jha, Bhagyashree Gundagurti, Nivedita Jha","doi":"10.70278/AANAJ/.0000001005","DOIUrl":"10.70278/AANAJ/.0000001005","url":null,"abstract":"<p><p>Fetomaternal outcomes and anesthetic management of pregnancy have rarely been described in a prospective cohort of women with Ebstein's anomaly. Therefore, due to the scarcity of data, diagnostic approaches and obstetric and anesthetic management plans are still evolving. In this prospective observational study, we describe the anesthetic management and fetomaternal outcomes of seven women with different grades of unrepaired Ebstein's anomaly. All women were in NYHA (New York Heart Association) Class II, none had cyanosis or cardiac decompensation at the time of admission during pregnancy. Pregnancy was uneventful except in one woman who developed pulmonary oedema. Two women developed supraventricular arrhythmia in the postpartum period. Six women underwent vaginal or assisted vaginal delivery, while one woman underwent cesarean delivery due to the transverse lie of the fetus. All mothers returned to NYHA Class I at 6 weeks follow up. In conclusion, pregnancy increases the risk of maternal complications in asymptomatic women with Ebstein's anomaly. Therefore, preoperative functional and echocardiographic risk stratification is crucial for prepregnancy counseling. Intrapartum and postpartum surveillance, prompt diagnosis of complications, and appropriate management in multidisciplinary hospital settings are associated with favorable fetomaternal outcomes.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"93 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405131","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
Anesthesia Management of the Patient With Pulmonary Alveolar Proteinosis Undergoing Lung Lavage. 对肺泡蛋白沉积症患者进行肺灌洗的麻醉管理
AANA journal Pub Date : 2024-12-01
Emily Hall, Brittany Hollabaugh, Jennifer Bendure
{"title":"Anesthesia Management of the Patient With Pulmonary Alveolar Proteinosis Undergoing Lung Lavage.","authors":"Emily Hall, Brittany Hollabaugh, Jennifer Bendure","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Pulmonary alveolar proteinosis (PAP) is a rare pulmonary disorder characterized by the accumulation of surfactant/lipoprotein material in the alveoli and subsequent hypoxemic respiratory failure. Whole lung lavage (WLL), a procedure used to physically remove the lipoprotein material from the alveoli, is the first-line treatment for this disease process. Anesthesia providers may infrequently encounter the management of the WLL procedure due to the rarity of the underlying disease process. Pertinent anesthesia considerations for WLL are covered in the following case report. A review of the literature examines the pathophysiology of PAP, the various approaches to WLL, and the physiologic implications of WLL.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"453-458"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724811","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
Factors Affecting Nurse Anesthetists' Transition from Clinical Practice to Academia: A Scoping Review. 影响麻醉护士从临床实践向学术界过渡的因素：范围审查。
AANA journal Pub Date : 2024-12-01
Denise J Stuit, Travis L Chabo, David Hart, Kerry Sewell, Susan P McMullan
{"title":"Factors Affecting Nurse Anesthetists' Transition from Clinical Practice to Academia: A Scoping Review.","authors":"Denise J Stuit, Travis L Chabo, David Hart, Kerry Sewell, Susan P McMullan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Workforce shortages influence all areas of healthcare including healthcare education. While recruitment and retention are known barriers within academia, the factors associated with the nurse anesthetist's transition from clinician to academics are unknown. The purpose of this scoping review was to identify factors that affect the transition from nurse anesthesia clinical practice to academia. A scoping review was conducted using the framework of Arksey and O'Malley. The search was performed using MEDLINE and CINAHL databases. Review selection was performed by two teams of two independent reviewers and summary of findings input into a comprehensive table. The search identified 733 articles published from 2014 to May 2023. Reviews were limited in nurse anesthesia and mainly consisted of alternate nursing specialties. Seven themes were extrapolated from the findings including mentorship (82%), orientation (47%), work-life balance (41%), early identification and empowerment (18%), formal pedagogical training (41%), faculty compensation (29%), and alternative faculty positions (23%). The review overwhelmingly revealed educator strategies available for undergraduate nursing, nurse practitioners, and midwifery, but not for nurse anesthetists. To gain a more robust knowledge of this current issue, additional research is required to educate, support, inform, and evaluate the current nurse anesthesia transition to academia process.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"411-419"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724830","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 Case Report of a Rescue of Unanticipated Obstetric Difficult Airway Secondary to Limited Mouth Opening With i-gel® and Establishing Definitive Airway With Aintree and Fiberscope-Guided Intubation. 用 i-gel® 抢救因张口受限而导致的产科困难气道，并用 Aintree 和纤维镜引导插管建立最终气道的病例报告。
AANA journal Pub Date : 2024-12-01
Amy I Lee, Jaime Ortiz, Maya S Suresh
{"title":"A Case Report of a Rescue of Unanticipated Obstetric Difficult Airway Secondary to Limited Mouth Opening With i-gel® and Establishing Definitive Airway With Aintree and Fiberscope-Guided Intubation.","authors":"Amy I Lee, Jaime Ortiz, Maya S Suresh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Obstetric difficult airway management has emerged as a critical safety issue, and unsuccessful intubation can lead to morbidity and mortality. A literature review of difficult and failed obstetric intubations from the 1970s to 2015 shows that the incidence of failed intubation is unchanged, remaining at one per 390 anesthetics. Our obstetric case report highlights an obstetric difficult airway secondary to limited mouth opening; rescue of the airway with an i-gel®; and establishment of a definitive airway with the aid of an Aintree intubation catheter and flexible fiberoptic scope-guided intubation through the i-gel®, a second-generation supraglottic airway.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"443-447"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724809","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
Implementing A Surgical Safety Checklist for In-Office Procedures. 实施诊室内手术安全检查表。
AANA journal Pub Date : 2024-12-01
Jacqueline R Kaiser, Thomas Hayth, Connie DeBlieck
{"title":"Implementing A Surgical Safety Checklist for In-Office Procedures.","authors":"Jacqueline R Kaiser, Thomas Hayth, Connie DeBlieck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There has been a notable movement in performing procedures in the office setting. With this new shift, the utilization of proven safety measures would be beneficial to mirror. The utilization of a surgical safety checklist (SSC) has become an essential part of safety measures instituted to mitigate preventable errors in the operating room (OR). This measure is equally important to institute for non-OR procedures. The purpose of this project was to implement a SSC protocol as a standard of care at a clinic that newly adopted in-office surgical procedures with anesthesia. The project focused on developing and disseminating a SSC educational program for the procedural staff that included: three surgeons, three medical assistants, and one anesthesia provider. The staff were assessed on their ability to successfully implement the SSC over a 3-month period with a goal of 90% compliance. The result of the project was that the staff exceeded the compliance goal by successfully completing the SSC on 28 of the 29 procedures performed with anesthesia, meeting a 96% compliance. Overall, the implementation was embraced and effectively incorporated into the workflow. Comments received revealed that three staff have now adopted using the SSC beyond the project and utilize it for all procedures and injections they perform, making this implementation successful.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"421-427"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724833","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 Cesarean Section With Acute Promyelocytic Leukemia and Disseminated Intravascular Coagulation-A Case Report. 伴有急性早幼粒细胞白血病和弥散性血管内凝血的紧急剖腹产--病例报告。
AANA journal Pub Date : 2024-12-01
Rachel M Smith-Steinert, Benu Makkad
{"title":"Emergency Cesarean Section With Acute Promyelocytic Leukemia and Disseminated Intravascular Coagulation-A Case Report.","authors":"Rachel M Smith-Steinert, Benu Makkad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute promyelocytic leukemia (APML), a rare disease encountered during pregnancy, is associated with high mortality secondary to consumptive coagulopathy and fatal bleeding diathesis. It usually presents as a medical emergency and warrants prompt diagnosis and treatment to improve maternal survival. This case report details a 19-year-old female with new onset APML who presented for emergency cesarean section because of respiratory distress and suspected placental abruption. Antifibrinolytics, which are commonly utilized to treat postpartum hemorrhage, were contraindicated because the patient was receiving all transretinoic acid (ATRA) therapy for APML. This case adds insight into the disease and its management along with anesthesia considerations for patients undergoing emergent caesarean delivery in the setting of acute disseminated intravascular coagulation and ATRA therapy. It also highlights the importance of a multidisciplinary team approach to plan for treatment and timing of delivery that balances the risk of disease progression and fetal well-being. Such multidisciplinary care and proper planning helped in attaining the best possible outcomes for both mother and baby.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"448-452"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724828","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
Perioperative Management of Atrial Fibrillation In a Geriatric Neurosurgical Patient With Acute Aneurysmal Subarachnoid Hemorrhage. 急性动脉瘤性蛛网膜下腔出血老年神经外科患者心房颤动的围手术期处理。
AANA journal Pub Date : 2024-12-01
Ashwini Reddy, Shalvi Mahajan, Nidhi Panda, Sanjay Kumar
{"title":"Perioperative Management of Atrial Fibrillation In a Geriatric Neurosurgical Patient With Acute Aneurysmal Subarachnoid Hemorrhage.","authors":"Ashwini Reddy, Shalvi Mahajan, Nidhi Panda, Sanjay Kumar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Aneurysmal subarachnoid hemorrhage (SAH) is a complex multifaceted neurosurgical emergency with cardiopulmonary complications. Concurrent atrial fibrillation seen commonly in the geriatric population further challenges perioperative management. Osmotherapeutic agents such as mannitol are routinely used in SAH to decrease intracranial pressure by withdrawing water from the brain parenchyma into the intravascular space. However, mannitol also has the potential to cause myocardial dysfunction and exacerbation of arrhythmias like atrial fibrillation in geriatric patients with decreased cardiovascular reserve. The literature on goal-directed fluid therapy and transesophageal echocardiography (TEE)-guided intraoperative management of a case of atrial fibrillation is sparse. This case report highlights the role of mannitol in the potentiation of arrhythmias like atrial fibrillation which was then successfully managed using goal-directed fluid therapy and TEE leading to a favorable outcome.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"407-410"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724837","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
Sleep: Architecture, Deprivation, and Propofol-Induced Sleep. 睡眠：结构、剥夺和异丙酚诱导睡眠。
AANA journal Pub Date : 2024-12-01
Kyle T McClintock, Angela K Mercurio, Drew S Reilly, Marianne Cosgrove, Rachel Rachler
{"title":"Sleep: Architecture, Deprivation, and Propofol-Induced Sleep.","authors":"Kyle T McClintock, Angela K Mercurio, Drew S Reilly, Marianne Cosgrove, Rachel Rachler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The importance of sleep and its role in maintaining health and well-being has garnered much attention in recent years. A large percentage of people suffer from sleep deprivation and chronic insomnia. These derangements can lead to a wide range of adverse health effects. Therefore, the crucial nature of sleep health cannot be overstated. Normal sleep architecture along with adequate sleep hygiene promotes homeostasis by way of positive feedback, which in turn, maintains many crucial physiologic functions. Given their education and area of expertise, certified registered nurse anesthetists should possess a thorough knowledge of sleep, its benefits, and the detriments associated with inadequate sleep. This journal course aims to disseminate useful information regarding sleep architecture and hygiene, the sleep-health relationship, risk factors related to chronic sleep deprivation (CSD), and current treatment modalities, including a novel approach to CSD: propofol-induced sleep.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"459-470"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724838","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 CRNAs in Reduction of Sharps Waste in the Operating Room. CRNA 在减少手术室利器浪费中的作用。
AANA journal Pub Date : 2024-12-01
Kristen Lewkovich, Katelyn Roberts, Devyn Severance, Carrie Bowman Dalley, Martina Cade, Nancy Crowell, Mary Scott-Herring
{"title":"The Role of CRNAs in Reduction of Sharps Waste in the Operating Room.","authors":"Kristen Lewkovich, Katelyn Roberts, Devyn Severance, Carrie Bowman Dalley, Martina Cade, Nancy Crowell, Mary Scott-Herring","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to identify and explore certified registered nurse anesthetists' (CRNA) knowledge, current practices, and barriers to proper sharps waste disposal practices in the operating room. Approximately 100 CRNAs who practice anesthesia in the Mid-Atlantic region at 10 different hospitals were given an electronic survey. Forty CRNAs completed the 15-question de novo quantitative descriptive survey. The survey was created by three researchers and five experts in the field to ensure validity. Data were analyzed using the chi-squared test and the Mann-Whitney U test. Thirty-seven percent of respondents reported placing unbroken vials, and 46.4% reported placing empty plastic syringes with needles still attached in sharps containers. Most survey respondents (73.7%) agreed that they had inadequate information creating a knowledge deficit on the proper disposal of sharps and that additional teaching material would be helpful.</p>","PeriodicalId":7104,"journal":{"name":"AANA journal","volume":"92 6","pages":"437-442"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142724841","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
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