AANA Journal Search Results
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Health Insurance in the United States
December 2009
www.aana.com/aanajournal.aspx AANA Journal ß December 2009 ß Vol. 77, No. 6 439 About two-thirds of Americans under the age of 65 have health insurance coverage. This leaves 43 million without. Sixteen million people with insurance are underinsured. Lack of insurance and inadequate insur-
Health Insurance in the United States
April 2010
www.aana.com/aanajournalonline.aspx AANA Journal ß April 2010 ß Vol. 78, No. 2 93 Another Case of Knotting of an Epidural Catheter To the Editor: We are reporting a case of a knotted epidural catheter during catheter placement. A 39- year-old primigravida patient was admitted in early labo
Management of Gravity Intravenous Infusions in an Austere Environment Using the DripAssist Infusion Rate Monitor
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 65 The US Army’s 541st Forward Surgical Team (FST) deployed in support of Operation Inherent Resolve– Syria in 2017. Throughout the deployment the 541st FST provided surgical and anesthesia services to US, coalition, and pa
Critical Events Leading to Endotracheal Reintubation in the Postanesthesia Care Unit: A Retrospective Inquiry of Contributory Factors
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 59 The tracheal reintubation of a surgical patient in the postanesthesia care unit (PACU) is a critical event that increases patient morbidity and mortality, cost, and staff demands. We performed a descriptive retrospec- ti
Comparison of Selected Outcomes Associated with Two Postoperative Analgesic Approaches in Patients Undergoing Total Knee Arthroplasty
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 51 Femoral nerve blocks (FNBs) and periarticular injec- tions (PAIs) are often used for analgesia following bone and joint surgery. The purpose of this retro- spective analysis was to investigate the association of analgesi
Role of Telehealth in Pre-anesthetic Evaluations
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 43 Before an elective surgical procedure, patients are required to have a pre-anesthetic evaluation (PAE) with the primary objective of assessing medical readiness. Telehealth, the delivery of healthcare and medical informa
Posterior Ischemic Optic Neuropathy After Extensive Spine Surgery: A Case Report and Review of the Literature
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 37 Postoperative vision loss (POVL) after spine surgery is a rare but devastating complication. Because of its rar- ity (incidence < 0.2%), POVL might not be considered for inclusion in an informed consent by surgeons an
The Perceived Value of Certification in Nonsurgical Pain Management
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 29 Chronic pain is a growing epidemic in America. Chal- lenges in patients’ access to care, and in reimbursement to Certified Registered Nurse Anesthetists (CRNAs) who provide pain services, have resulted in a voluntary sub
Intraoperative Change in Urine Color: Be Cautious for a Clinical Entity!
February 2019
26 AANA Journal February 2019 Vol. 87, No. 1 www.aana.com/aanajournalonline A change in urine color is an unusual intraopera- tive occurrence, which can be distressing for the anesthesia provider. Abnormal changes in color are generally benign effects of medications and foods; however, a change
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an Option for Uncontrolled Hemorrhagic Shock: Current Best Practices and Anesthetic Implications
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 19 Noncompressible torso hemorrhage is reported to be a leading cause of potentially preventable mortality in both civilian trauma victims and military combat casualties. This hemorrhage may come from venous, arterial, or a
Development of a Training Program in Peripherally Inserted Central Catheter Placement for Certified Registered Nurse Anesthetists Using an N-of-1 Method
February 2019
www.aana.com/aanajournalonline AANA Journal February 2019 Vol. 87, No. 1 11 Patients wait an average of 23 hours for a peripher- ally inserted central catheter (PICC) in our hospital. Long waits lead to delays in discharge and medica- tion administration. For quality improvement, devel- opment o
A Certified Registered Nurse Anesthetist’s Transition to Manager
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 447 The purpose of this exploratory qualitative study was twofold: (1) to identify common experiences or barri- ers that arise during the first year as Certified Regis- tered Nurse Anesthetists (CRNAs) move into manage- men
Complications Related to Laryngeal Mask Airway Use and a Postoperative Diagnosis of Reinke Edema: A Case Study
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 443 This case report describes a partial airway obstruction encountered with the use of a laryngeal mask airway and the inability to deliver adequate tidal volumes despite manipulation and device exchange. The patient later
Methylene Blue as an Adjunct to Treat Vasoplegia in Patients Undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass: A Literature Review
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 455 The term vasoplegia describes hypotension refractory to vasopressor therapy, a common finding related to cardiac surgery requiring cardiopulmonary bypass. High doses of vasoactive agents are associated with adverse effe
Thematic Analysis of Obstetric Anesthesia Cases From the AANA Foundation Closed Claims Database
December 2018
464 AANA Journal December 2018 Vol. 86, No. 6 www.aana.com/aanajournalonline Maternal morbidity and mortality in the United States continues to be high. Understanding parturient com- plications and causes of death is critical to determine corrective actions. Analysis of closed malpractice claims
Mobile Computing Devices in the Perioperative Environment: A Survey Exploring Uses and Experiences Among Certified Registered Nurse Anesthetists
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 471 The use of mobile computing devices (MCDs) such as smartphones, tablet computers, and laptops among Certified Registered Nurse Anesthetists (CRNAs) in the clinical area may provide benefits as well as pose risks. Limite
Implementation of an Education Program for an Ultrasound-Guided Liposomal Bupivacaine Transversus Abdominis Plane (TAP) Block Protocol for Open Abdominal Procedures
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 479 Anesthesia practitioners at the authors’ facility had varying education and training with placing transver- sus abdominis plane (TAP) blocks and with the use of liposomal bupivacaine limiting the utilization of this reg
Intravenous Dexamethasone as an Analgesic: A Literature Review
December 2018
488 AANA Journal December 2018 Vol. 86, No. 6 www.aana.com/aanajournalonline The management of pain in surgical patients has shifted in recent years from a technique grounded in opioid administration, to a multimodal method that uses the analgesic properties of many drugs to minimize required na
AANA Journal Course: Update for Nurse Anesthetists—Cryoneurolysis for the Treatment of Sensory Nerve Pain
December 2018
www.aana.com/aanajournalonline AANA Journal December 2018 Vol. 86, No. 6 495 AANA Journal Course Cryoneurolysis for the Treatment of Sensory Nerve Pain Alison Smiley, CRNA Jason McGuire, PhD, CRNA Objectives: At the completion of this course, the reader should be able to: 1. Describe how cryoneu
Preanesthesia Detection of Equipment Faults by Anesthesia Providers at an Academic Hospital: Comparison of Standard Practice and a New Electronic Checklist
December 2000
AANA Journal/December 2000/Vol. 68, No. 6 497 Key words: Anesthesia machines, computer checklist, equipment, pre-use checkout methods, US Food and Drug Administration anesthesia checklist. Introduction Despite the growth in the number and quality of anesthesia providers, human error remains a major
Dislocation of the Mandible: A Case Report
December 2000
AANA Journal/December 2000/Vol. 68, No. 6 507 Introduction Thisisacasereportofapatientwhodevelopeddis- locationofthemandibleduringthecourseofagen- eral anesthetic. Dislocation of the mandibular condyles may occur when direct laryngoscopy is employed.Theanatomyofthetemporomandibular joint (TMJ), the
Faculty Perceptions of Characteristics Needed for Clinical Success at Military Nurse Anesthesia Programs
December 2000
AANA Journal/December 2000/Vol. 68, No. 6 515 portion of the education, personal characteristics and clinical awareness have a large role in success in the clinical portion. Knowing what characteristics are thought important allows the characteristics to be studied further. With the emphasis in this
Assessment of Blood Pressure Discrepancies in Third-Trimester Hypertensive Gravidas
December 2000
AANA Journal/December 2000/Vol. 68, No. 6 525 difference in BP between arms was greater for the hypertensive group compared with the normotensive group. Using a 1-tailed t test, the mean difference was statistically significant (P≤.05) for the systolic pressure (P = .027) and for the mean pressure (
AANA Journal Course: Update for Nurse Anesthetists—Part 5 Intraoperative Fluid Management for the Pediatric Surgical Patient
December 2000
AANA Journal/December 2000/Vol. 68, No. 6 531 restore intravascular volume, maintain cardiac output, and, ultimately, ensure provision of oxygen to the tissues. Key words: Blood loss, fluid management, fluid translocation, hypovolemia, pediatric anesthesia. Objectives Upon completion of this course,
