journal
https://read.qxmd.com/read/38289689/truncal-plane-blocks-for-implantation-of-cardiac-resynchronization-devices-a-systematic-review
#1
JOURNAL ARTICLE
Hannah Bridges, Duy Tran, Ruben A Lopez, Ashlee M Ericksen
Patients undergoing subcutaneous implantable cardioverter-defibrillator (S-ICD) placement can experience significant perioperative pain. General anesthesia is traditionally used for S-ICD placement and is associated with increased risk. Truncal plane blocks (TPBs) and sedation offer an alternative for adequate analgesia while avoiding hemodynamic compromise related to general anesthesia. A comprehensive evidence search utilized PubMed, CINAHL, Google Scholar, EBSCOhost, US National Library of Medicine Clinical Trials, and Medline Complete databases and the evidence examined the efficacy of TPBs in S-ICD placement...
February 2024: AANA Journal
https://read.qxmd.com/read/38289688/a-nurse-anesthesiology-mentorship-program-an-evidence-based-project-for-implementation
#2
JOURNAL ARTICLE
Shelly Anderson
Transitioning from the role of student to the professional certified registered nurse anesthetist (CRNA), as well as a CRNA transitioning to a new job can be very difficult because of uncertainty in the new environment when compounded by a lack of social support. A formal mentorship program was developed and organized by CRNA leadership to help retain and engage new employees and ensure that they assimilate to the new culture while effectively gaining institutional knowledge and clinical skills. The mentorship program consisted of structured meetings that included the newly hired cohort of CRNAs, matched mentors, and CRNA leadership at regular intervals to foster a sense of community and professional growth...
February 2024: AANA Journal
https://read.qxmd.com/read/38289687/anesthesia-management-for-electroconvulsive-therapy
#3
JOURNAL ARTICLE
Brian Czerwonka, Jake Johnston, Rachel Smith-Steinert
Electroconvulsive therapy (ECT) was first introduced in the late 1930s. In 2016, 1.4 million people worldwide were treated with ECT, a procedure that differs from any other. Indications for ECT include schizophrenia, schizoaffective disorder, catatonia, neuroleptic malignant syndrome, and bipolar disorder. Additionally, ECT can be beneficial for patients with autism spectrum disorder, specifically those with self-injurious behaviors and severe behaviors related to agitated or excited catatonia. As indications for ECT have grown, the results of therapy have proven beneficial...
February 2024: AANA Journal
https://read.qxmd.com/read/38289686/an-evaluation-of-commercial-payer-reimbursement-and-contracting-factors-for-physician-anesthesiologists-and-certified-registered-nurse-anesthetists-for-services-performed-in-2019
#4
JOURNAL ARTICLE
Jean Covillo, Maria Sallie Poepsel, Jeanie Skibiski
We sought to establish commercial rate benchmarks specific to certified registered nurse anesthetist (CRNA) anesthesia delivery models (QZ), quantify any payer disparities discovered between CRNAs and anesthesiologists, and determine payer alignment with nondiscrimination provisions of the Affordable Care Act (ACA). The Lewin Group administered the exploratory, descriptive study of QZ billing practices by surveying a targeted cross-section of 345 CRNAs known for QZ billing. Forty-one respondents reported information from 1,089 CRNAs and 351,920 cases with 127,888 commercial claims billed under 144 unique commercial contracts as performed in 2019...
February 2024: AANA Journal
https://read.qxmd.com/read/38289685/lateral-femoral-cutaneous-nerve-cryoneurolysis-for-meralgia-paresthetica-a-case-report
#5
JOURNAL ARTICLE
Lisa Pearson, Victoria Schmelzer, John Maye, Sarah Jingying Zhang
Meralgia paresthetica (MP) is a disorder of lateral femoral cutaneous nerve mononeuropathy caused by entrapment or compression of the nerve. It is characterized by numbing, tingling, and burning pain in the lateral aspect of the thigh. The current treatments for MP include conventional medical management, peripheral nerve blocks, and surgical interventions. Some patients who suffer from MP can experience intractable pain and medical management of MP is often inadequate to provide satisfactory pain control. Although regional anesthesia provides excellent pain relief, the analgesic effects of peripheral nerve block are short-lived...
February 2024: AANA Journal
https://read.qxmd.com/read/38289684/redefining-competencies-for-nurse-anesthesia-education-integrating-emotional-intelligence-assessment-and-training-into-a-nurse-anesthesia-dnp-program
#6
JOURNAL ARTICLE
Catherine S Daus, Kevin J Stein, Leah M Baecht
We present an overview of best practices for integrating emotional intelligence into a nurse anesthesia educational program. We first cover a brief history of the importance of emotional intelligence to the healthcare, nursing, and nurse anesthesia fields and then present the processes we undertook to integrate emotional intelligence holistically into our curriculum.
February 2024: AANA Journal
https://read.qxmd.com/read/38289683/preliminary-investigation-pilot-study-of-program-directors-perceptions-of-wellness-and-suicide-prevention-for-student-registered-nurse-anesthetists
#7
JOURNAL ARTICLE
Charles A Griffis, Elizabeth Bamgbose, Maria Van Pelt, Holli DeVon, Holly Wilhalme, Kristen Choi
The purpose of this pilot study was to investigate wellness and student suicidality in nurse anesthesia programs. Graduate students such as student registered nurse anesthetists (SRNAs) are at increased risk of suicide from environmental and educational stressors. Wellness interventions may help. An observational, anonymous online survey of all program directors (PDs) was conducted. Identical responses on a simultaneous pilot SRNA study were compared. Quantitative data were analyzed using Wilcoxon rank sum and Fisher's exact tests...
February 2024: AANA Journal
https://read.qxmd.com/read/38289682/educational-costs-expended-and-career-incomes-in-advanced-healthcare-professions
#8
JOURNAL ARTICLE
Melissa M Brown, Gary C Brown, Meg R Smith
The financial desirability of dollar/time investments in postbaccalaureate healthcare professional education is needed. We therefore compared postbaccalaureate educational costs and career earnings for nurse anesthetists, eight other advanced degree, nonphysician professions, and 14 physician specialties with internal rate of return (IRR) and net present value (NPV) analysis. The IRR and NPV integrated educational costs (tuition, finance charges, lost salary opportunity costs), and career earnings using U.S...
February 2024: AANA Journal
https://read.qxmd.com/read/37987729/calendar-of-events
#9
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
December 2023: AANA Journal
https://read.qxmd.com/read/37987728/anesthetic-management-of-patients-undergoing-electroconvulsive-therapy
#10
REVIEW
Sydna Sebastian
Electroconvulsive Therapy (ECT) is an effective treatment for mood disorders, particularly treatment-resistant depression, and several psychiatric illnesses. Anesthetic management of patients undergoing ECT requires an understanding of ECT, the physiologic changes induced by electrical stimulus, the anesthetic agents used, and the potential complications associated with the procedure. Numerous medical and surgical conditions can impact procedural approach and anesthetic management. ECT is challenging due to its typically off-site location, fast-paced general anesthesia with bag-mask ventilation, selection of anesthetic agents that minimally affect the seizure, patient's comorbidities, and unique physiologic responses...
December 2023: AANA Journal
https://read.qxmd.com/read/37987727/bilateral-erector-spinae-plane-blocks-versus-bilateral-transversus-abdominis-plane-blocks-in-patients-undergoing-abdominal-surgery-a-systematic-review-and-meta-analysis
#11
JOURNAL ARTICLE
Matthew Stewart, Tito D Tubog, William Johnson, Hallie Evans
Postoperative pain associated with abdominal surgeries impairs physical function, delays recovery, and decreases quality of life. Regional anesthetic techniques such as transversus abdominis plane (TAP) block and erector spinae plane (ESP) block are used to improve patients' postoperative pain experiences. PubMed, CINAHL, Google Scholar, Cochrane Library, and gray literature were searched. Mean difference (MD) and risk ratio were used to estimate continuous and dichotomous variables. Quality of evidence was analyzed using Risk of Bias and GRADE...
December 2023: AANA Journal
https://read.qxmd.com/read/37987726/the-value-of-history-and-physical-examination-to-optimize-outcomes-of-cataract-surgery-a-systematic-review
#12
JOURNAL ARTICLE
Carolyn L Jackson, Richard J Rivers, Michael E Conti, Lauren S Freedman, Margaret Song, James D Lehmann, Vinciya Pandian
This systematic review was conducted to examine the value of the preoperative history and physical (H&P) examination and preoperative care prior to cataract extraction and the resulting outcomes of adverse events, patient experience, and cost. Four databases were searched using appropriate keywords from 2012 to 2022. Observational studies, randomized controlled trials, and quality improvement studies with data on the precataract H&P were included. Outcome measures were adverse events, cost, and patient experience...
December 2023: AANA Journal
https://read.qxmd.com/read/37987725/a-subtle-ecg-change-leading-to-wolff-parkinson-white-diagnosis-under-general-anesthesia-a-case-report
#13
JOURNAL ARTICLE
Cory Groves
Wolff-Parkinson-White (WPW) syndrome is a congenital cardiac preexcitation syndrome that presents with an uninhibited electrical conduction between the atria and ventricles via an accessory pathway that has the potential for life-threatening arrhythmias. This is a case report of an asymptomatic/undiagnosed 43-year-old female with an incidental finding of WPW pattern during hardware removal surgery of the right hip while under general anesthesia. The identification of asymptomatic patients can be difficult because there may be only subtle changes on the electrocardiogram but could still pose as life-threatening in the presence of supraventricular tachycardia...
December 2023: AANA Journal
https://read.qxmd.com/read/37987724/dexmedetomidine-versus-opioids-on-labor-analgesia-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
JOURNAL ARTICLE
Eduardo Cedeno, Mary Ann Janice L Vo, Tito D Tubog
Effective control of labor pain is critical to the birthing experience. Dexmedetomidine is an alternative adjunct to labor analgesia without the risk of opioid-related adverse effects. The purpose of this study was to examine the efficacy and safety of neuraxial dexmedetomidine versus neuraxial opioids in labor analgesia. PubMed, CINAHL, Cochrane, Google Scholar, and grey literature were searched for evidence. Risk ratio and mean difference (MD) were used to estimate outcomes. The quality of evidence was assessed using the Risk of Bias and GRADE system...
December 2023: AANA Journal
https://read.qxmd.com/read/37987723/a-retrospective-study-multimodal-analgesia-quality-measure-implementation-and-patient-outcome-assessment
#15
JOURNAL ARTICLE
Noah Lee, Jamie Feldt, Carrie Bowman, Brent Lee, Nicole Grass, Nancy Crowell, Ladan Eshkevari
Current research has demonstrated that nonopioid multimodal analgesia decreases perioperative opioid consumption, postoperative nausea and vomiting (PONV), and pain scores. However, no research has been conducted to examine the patient outcomes of Merit-based Incentive Payment System (MIPS) 477. This study evaluates those outcomes following implementation of MIPS 477. The medical records of 400 adult patients who underwent elective and urgent laparoscopic gynecological procedures at a facility in the Mid-Atlantic region were reviewed...
December 2023: AANA Journal
https://read.qxmd.com/read/37987722/cognitive-preference-and-clinical-experience-the-relationship-between-student-nurse-anesthetists-and-certified-registered-nurse-anesthetists-thinking-styles
#16
JOURNAL ARTICLE
Thomas A Diller, Lisa Haddad, Sharon E Bigger, Teresa Carnevale, Linda Hill, Vallire Hooper
This study examined the relationship between cognitive preference and clinical experience in student registered nurse anesthetists (SRNAs) and certified registered nurse anesthetists (CRNAs). Survey data was collected from enrolled SRNAs and practicing CRNAs via an email link distributive through a network sampling technique. Participants completed the Rational Experiential Inventory (REI-40), which assesses individuals' preference, ability, and engagement with rational and experiential cognitive styles. Data analysis revealed that SRNAs and CRNAs have the ability and engagement preference for rational decision-making...
December 2023: AANA Journal
https://read.qxmd.com/read/37987721/preliminary-investigation-pilot-study-of-wellness-and-suicide-prevention-for-student-registered-nurse-anesthetists
#17
JOURNAL ARTICLE
Charles A Griffis, Elizabeth Bamgbose, Maria van Pelt, Holli DeVon, Holly Wilhalme, Kristen Choi
This pilot study investigated wellness and causes and prevention of suicide in student registered nurse anesthetists (SRNAs). A cross-sectional anonymous survey study was conducted of a sample of randomly chosen SRNAs. Data were analyzed with descriptive and inferential statistics. Responses to open-ended questions were summarized and presented. Results demonstrated elevated SRNA stress levels. There was an association between suicidal ideation in SRNAs and depression, lack of perceived agency, and elevated anxiety in the classroom...
December 2023: AANA Journal
https://read.qxmd.com/read/37788182/calendar-of-events
#18
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
October 2023: AANA Journal
https://read.qxmd.com/read/37788181/assessing-crna-knowledge-of-local-anesthetic-systemic-toxicity-treatment
#19
JOURNAL ARTICLE
Lapio Tkach, Laura Baillie, Jamison Newby, Crystal O'Guin, Carrie Bowman Dalley, Nancy Crowell, Ladan Eshkevari
Local anesthetic systemic toxicity (LAST) is a rare life-threatening adverse event. Due to the potential for devastating patient outcomes, it is crucial for anesthesia providers to understand appropriate LAST management. The primary aim of this study was to assess certified registered nurse anesthetist (CRNA) knowledge of the 2020 American Society of Regional Anesthesia and Pain Medicine (ASRA) LAST treatment guidelines. The secondary aim was to determine whether there was a relationship between the frequency of CRNAs' exposure to perioperative local anesthetic use and their knowledge level...
October 2023: AANA Journal
https://read.qxmd.com/read/37788180/effects-of-gabapentin-on-emergence-delirium-in-pediatric-tonsillectomy-adenoidectomy-patients-a-post-hoc-analysis
#20
RANDOMIZED CONTROLLED TRIAL
Emily Tuggle, Margaret Gettis, Ann-Marie Brown, Leslie Jeter, Akane Fujimoto
Emergence delirium (ED) is a significant source of both short- and long-term negative effects in the postoperative pediatric population, most notably following otolaryngology surgeries with an occurrence rate of 17.9%. Gabapentin, a gamma aminobutyric acid agonist, has been used for enhanced recovery in adult patients and for the purpose of decreasing ED in some pediatric patients undergoing strabismus surgery. This secondary analysis examined the effects of preoperative administration of gabapentin on the reduction of postoperative ED in pediatric patients between the ages of 3-18 undergoing elective tonsillectomy and adenoidectomy...
October 2023: AANA Journal
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