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AANA journal course: update for nurse anesthetists--Part3--Tobacco smoking using a waterpipe (hookah): what you need to know.
Smoking tobacco using a waterpipe (hookah) is increasing worldwide and is remarkably common among adolescents and young adults in the United States. Contrary to misperceptions that waterpipe tobacco smoking presents fewer health risks than cigarette smoking, recent data demonstrate clearly that the...
Activated charcoal adsorption of volatile anesthetic agents for anesthesia machine preparation of malignant hyperthermia susceptible patient...
A closer look at the standards for nurse anesthesia practice.
As part of its ongoing work, the AANA's Practice Committee reviewed the Scope and Standards for Nurse Anesthesia Practice, particularly focusing on the Standards for Nurse Anesthesia Practice. Revisions and updates were made to the standards to ensure clarity and reflect current anesthesia practice....
Peering into peer review: Galileo, ESP, Dr Scott Reuben, and advancing our professional evolution.
The fundamental purpose of peer review is quality control that facilitates the introduction of information into our discipline; information that is essential to the care of patients who require anesthesia services. While the AANA Journal relies heavily on this process to maintain the overall quality...
Ultrasound guidance in anesthesia.
Sonography addresses a variety of concerns, such as patient safety and comfort, cost-effectiveness, time to complete a procedure, and success rates associated with invasive anesthesia procedures. Ultrasound guidance is commonly being used for the placement of nerve blocks, placement of peripheral an...
Accuracy of fingerbreadth measurements for thyromental distance estimates: a brief report.
There have been many contradicting studies as to how well preoperative airway assessments predict difficult intubation. One of these measures, thyromental distance (TMD), has often been called into question. However, there have been no published studies evaluating whether anesthesia practitioners are...
Pediatric respiratory complication after general anesthesia with exposure to environmental tobacco smoke in the home: a case report.
In 2005, the World Health Organization estimated that 572% of children were exposed to environmental tobacco smoke (ETS) in the home. Studies show that children who are exposed to ETS are more prone to airway and pulmonary complications perioperatively. A 4-year-old healthy girl, weighing 12.7 kg, wh...
Use of dexmedetomidine and ketamine infusions during scoliosis repair surgery with somatosensory and motor-evoked potential monitoring: a ca...
Dexmedetomidine and ketamine infusions were the main anesthetic for a 15-year-old girl, who underwent scoliosis repair surgery with intraoperative wake-up test, somatosensory evoked potential (SSEP), and motor-evoked potential (MEP) monitoring. To achieve maintenance of anesthesia, dexmedetomidine an...
Lipid infusion as a treatment for local anesthetic toxicity: a literature review.
Local anesthetic toxicity can have catastrophic outcome in an otherwise benign procedure. Introduction of even a small amount of local anesthetic into the bloodstream can cause cardiac arrest in a healthy patient. Most healthcare facilities rely on standard resuscitative techniques to treat such eve...
New estimates for CRNA vacancies.
A national survey to estimate vacancy rates of Certified Registered Nurse Anesthetists (CRNAs) in hospitals and ambulatory surgical centers was conducted in 2007. Poisson regression methods were used to improve the precision of the estimates. A significant increase in the estimated vacancy rate was...