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CRNA : the clinical forum for nurse anesthetists最新文献

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A postanesthetic care charge nurse's perspective of postoperative verbal report by anesthesia providers. 麻醉提供者术后口头报告中麻醉后护理主管护士的观点。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1998-02-01
R O Diring, C L O'Connor
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引用次数: 0
Quarterly update. 每季度更新。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1998-02-01
M S McAuliffe, E A Hartshorn
{"title":"Quarterly update.","authors":"M S McAuliffe, E A Hartshorn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"9 1","pages":"33-6"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20544583","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 continuing postoperative complication: nausea and vomiting--who is affected, why, and what are the contributing factors? A review. 持续的术后并发症:恶心和呕吐——谁会受到影响，原因是什么，影响因素是什么?复习一下。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1998-02-01
A Mann
{"title":"A continuing postoperative complication: nausea and vomiting--who is affected, why, and what are the contributing factors? A review.","authors":"A Mann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outpatient surgery has become increasingly popular. Technical advances in both surgery and anesthesia have made the practice of ambulatory surgery safe and attractive. However, vomiting remains one of the most common postoperative complications. The valid patient complaint of postoperative nausea and vomiting has been shown to significantly delay discharge from the recovery area after ambulatory surgery. This article reviews the numerous factors that have been identified as fostering the postoperative complication of nausea and vomiting.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"9 1","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20544581","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
Professional autonomy. 专业自主权。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1998-02-01
A E Aprile
{"title":"Professional autonomy.","authors":"A E Aprile","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Professional autonomy may represent the first step to implementing measures that will allow CRNAs to attain a level of independent practice consistent with their clinical and educational training. Autonomy is regarded as an essential ingredient of professionalism and confers independent function at the individual practitioner level. The principle of autonomy refers to the individual's capacity to make independent decisions based on the assumption that he or she possesses the cognitive, psychological, and emotional faculties to make rational decisions. Nursing practice meets the first two criteria of professionalism--competence and dedication to an important social good. The third criterion of professionalism, autonomy, has been a focal point for controversy since the late nineteenth century, in which obedience to supervisors and physicians remained a central focus of nursing ethics teaching until the advent of feminism in the 1970s. This article presents a thorough analysis of these concepts with some thoughts on how understanding the fundamental precepts and further research may not only help maintain the current level of CRNA professional autonomy but serve to guide us to become more autonomous in the future.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"9 1","pages":"10-8"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20544580","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
Informed consent: an overview. 知情同意:概述。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1998-02-01
E A Schultz
{"title":"Informed consent: an overview.","authors":"E A Schultz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The patient, as a health care consumer, has a fundamental right to determine what shall be done to his or her own body. The doctrine of informed consent has evolved to protect that right. This article represents a review of the literature regarding the informed consent process in medicine, with an emphasis on consent for anesthesia. A brief history of informed consent is provided, as well as discussion of the controversies surrounding the topic. Several court cases are cited, and the opinions of various authors reflect the wide range of legal and ethical implications associated with informed consent.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"9 1","pages":"2-9"},"PeriodicalIF":0.0,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20544579","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 of children with craniofacial anomalies. 颅面畸形患儿的麻醉处理。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1997-11-01
C Vaughan
{"title":"Anesthetic management of children with craniofacial anomalies.","authors":"C Vaughan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children with craniofacial anomalies, in particular those with facial clefts and the associated syndromes of Treacher Collins, Pierre Robin, and Klippel-Fiel and craniosynostosis and its related syndromes, present some of the most hazardous and difficult challenges that anesthetists may encounter within the entire practice of pediatric anesthesia. Through this review of the embryological development of the above-listed anomalies, the specific concerns of the airway and coexisting congenital defects, the reader will develop a better understanding of each anomaly in order to create a safe anesthetic plan for the management of children with these types of craniofacial conditions.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"8 4","pages":"123-34"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20365617","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
Comparison of ondansetron, metoclopramide, and placebo in the prevention of postoperative emesis in children undergoing ophthalmic surgery. 昂丹司琼、甲氧氯普胺和安慰剂预防儿童眼科手术术后呕吐的比较。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1997-11-01
T Bach-Styles, D Martin-Sheridan, C Hughes, S Kaufman
{"title":"Comparison of ondansetron, metoclopramide, and placebo in the prevention of postoperative emesis in children undergoing ophthalmic surgery.","authors":"T Bach-Styles,&nbsp;D Martin-Sheridan,&nbsp;C Hughes,&nbsp;S Kaufman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A common and distressing adverse effect following general anesthesia is nausea and vomiting. Pediatric ophthalmic surgery is associated with a high (50%-80%) incidence of postoperative emesis. Vomiting postoperatively may cause a prolonged hospital stay, and if it is persistent, may lead to unanticipated hospital admission after ambulatory surgery. The purpose of the present study was to compare the effectiveness of prophylactic antiemetic treatment with ondansetron, metoclopramide, and placebo in a study population of pediatric patients scheduled to undergo ophthalmic surgery. One hundred and one patients were included in this double-blinded study. The incidence of emesis and adverse effects were observed in the postanesthesia care unit and documented for 24 hours postoperatively. Analysis of variance showed that ondansetron significantly decreased (P = .05) the incidence of emesis in the postanesthesia care unit and during the first 24 hours postoperatively (P = .049). Additionally, parents of children in the ondansetron group reported a high degree (94%) of satisfaction with the experience.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"8 4","pages":"152-6"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20365620","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
Clinical applications for pediatric sedation. 小儿镇静的临床应用。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1997-11-01
T M Warner
{"title":"Clinical applications for pediatric sedation.","authors":"T M Warner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the last 5 years, the number of nonoperating room procedures performed on the pediatric population requiring sedation has skyrocketed. Some of these procedures, such as bone marrow aspiration or dental restorations, may be painful, whereas others, such as magnetic resonance imaging, are not painful but require a motionless patient. Anesthesia departments are being tasked more and more frequently to provide the sedation and monitoring for these procedures. The pediatric patient offers unique challenges in attaining the desired level of sedation for the optimal duration of time, without compromising protective reflexes, a patent airway, or cardiopulmonary stability. Currently, there are several medications or combinations of medications that offer advantages over the commonly used chloral hydrate and \"lytic\" cocktail. Selection of medication(s) should be based on the type of procedure (painful v painless), the length of the procedure, the medical condition of the patient (current medications, fasting status, and disease processes or metabolic disorders), and the need for anxiolysis or amnesia. This article briefly reviews: (1) developmental changes and metabolic capacity in the pediatric patient; (2) the American Academy of Pediatrics guidelines for care of the pediatric patient undergoing sedation; (3) basic pharmacology of sedative-hypnotics and opioids; and (4) patient monitoring and discharge.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"8 4","pages":"144-51"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20365619","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
Pediatric trauma. 小儿创伤。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1997-11-01
J A Kirk
{"title":"Pediatric trauma.","authors":"J A Kirk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the United States, trauma continues to be the leading cause of death in children between the ages of 1 and 15 years of age. Children die from trauma at a rate five times greater than from leukemia which is the next leading cause of death in this age group. The acutely injured child is brought to community hospitals as well as university hospitals. The CRNA that is called to care for the injured child, either in the emergency room or the operating room, must be knowledgeable of the anatomic, physiological, and emotional differences between the adult and pediatric trauma patient and their response to treatment. Only with this knowledge will there be a decrease in the morbidity of the traumatized pediatric patient. The CRNA should be able to rapidly assess and gain control of the pediatric airway and assure adequate respiration. Initial assessment of the pediatric trauma patient also includes the restoration or maintenance of hemodynamic stability.</p>","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"8 4","pages":"135-43"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20365618","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 drug interactions. 麻醉药物的相互作用。
CRNA : the clinical forum for nurse anesthetists Pub Date : 1997-11-01
M S McAuliffe, E A Hartshorn
{"title":"Anesthetic drug interactions.","authors":"M S McAuliffe,&nbsp;E A Hartshorn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77087,"journal":{"name":"CRNA : the clinical forum for nurse anesthetists","volume":"8 4","pages":"157-61"},"PeriodicalIF":0.0,"publicationDate":"1997-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20365621","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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