Implementation of a Spaced Learning Program for Educating CRNAs on a Scalpel-Bougie Cricothyrotomy Procedure for Emergency Front of Neck Access
AANA J. 2024 Apr;92(2):145-152.ABSTRACTCertified registered nurse anesthetists (CRNAs) who are responsible for airway management, may lack adequate continuing education for emergency front of neck access (EFONA), an advanced skill necessary in situations when a patient cannot be intubated and cannot be oxygenated (CICO). The purpose of this study was to improve CRNA knowledge and confidence when performing a scalpel-bougie cricothyrotomy for EFONA in a CICO event through the implementation of a spaced learning intervention. Thirteen CRNAs at a 160-bed community hospital participated in a 3-week educational intervention. We...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Antoinette T Padula Joy Elwell Maria Madonick Michael Wilhelm Don Boyd Source Type: research
A Novel Mechanistic Model for Future Research in the Elements of the ERAS Program in Patients With Sickle Cell Disease
AANA J. 2024 Apr;92(2):87-92.ABSTRACTEnhanced recovery after surgery (ERAS) is a patient-centered, evidence-based, multidisciplinary team-developed approach to a surgical stress response that is implemented to optimize physiological function and facilitate recovery for the best possible outcomes from surgery. Although there are currently well-known published guidelines for the perioperative management of patients with sickle cell disease, there are currently no specific and evidencebased ERAS protocols that address the needs of these patients. A novel mechanistic model has recently been found that could change ERAS protoco...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Marcy Purnell Michong Rayborn Source Type: research
Anesthesia Medication Safety in Relation to Pharmacopeia Medication Use Best Practice Initiatives
AANA J. 2024 Apr;92(2):93-103.ABSTRACTImprovement to anesthesia medication safety is a useful and worthwhile area of research. Anesthesia is one of the few healthcare professions to have immediate access to compounding and label high-hazard medications at the bedside. There is a need to assess the perceptions of anesthesia medication safety and this relationship with pharmacopeia's updated recommendations for anesthesia to improve medication safety and prevent adverse drug events. Certified registered nurse anesthetist (CRNA) perceptions of medication safety climate in Florida were measured utilizing a validated Likert-sca...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: David B Koontz Source Type: research
A Mixed-Methods Exploration of Competencies and Professional Development Needs Among Chief Certified Registered Nurse Anesthetists
AANA J. 2024 Apr;92(2):105-113.ABSTRACTThis project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded to a demographics survey and participated in one-on-one interviews using a 14-question, semi-structured interview framework modified from a previous study. Interview responses were deidentified and qualitatively analyzed for common themes by two content experts and one qualitative analysis expert. Results suggest that CRNAs entering...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Austin L Cole Virginia C Simmons Barbara S Turner Robert Whitehurst Denise H Tola Source Type: research
A New Distal Pharyngeal Airway Device Associated with a Reduced Need for Chin-Lift and Jaw-Thrust Maneuvers in Sedated Patients
AANA J. 2024 Apr;92(2):115-120.ABSTRACTOropharyngeal airways (OPA) or nasopharyngeal airways (NPA) sometimes require chin-lift or jaw-thrust (CLJT) maneuvers to relieve airway obstruction which creates the burden of continuous hands-on care by the anesthesia provider. A new distal pharyngeal airway device (DPA) was used on 63 successive ambulatory surgery patients to assess the frequency of patients requiring manual CLJT maneuvers to prevent airway obstruction. Results were then compared with a contemporaneous group of patients who had used OPA or NPA devices for similar procedures. Patients using the DPA had a 38.5% lower...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Carol Daniel Monika Feeney Leah Gordon Source Type: research
Improving CRNAs' Confidence and Perceived Knowledge of Endosurgical Patients Who Use Marijuana: A Quality Improvement Project
AANA J. 2024 Apr;92(2):121-130.ABSTRACTAlthough some researchers have reported health-related benefits of marijuana, others have reported adverse side effects in nearly every organ system. Patterns of marijuana use are evolving, as is researchers' understanding of marijuana use for healthcare. Despite these findings and developments, nurse anesthetists are inadequately educated about marijuana's perioperative effects on endosurgical patients. As a result, many nurse anesthetists lack confidence in and knowledge of the perioperative care of endosurgical patients under the influence of marijuana. This lack of confidence and ...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Janice Cain Teri Lindgren Alexandra Duke Source Type: research
Challenges for Nurse Anesthetists Reentering Practice Following Substance Use Disorder Treatment
AANA J. 2024 Apr;92(2):131-138.ABSTRACTSubstance use disorder (SUD) is a persistent, relapsing condition that is present in approximately 10% of anesthesia providers, who, compared with other healthcare providers, face a greater risk of developing an SUD by virtue of constant access to medications. The ability of certified registered nurse anesthesiologists (CRNAs) to obtain or maintain employment after treatment for SUD treatment is not well documented. The purpose of this qualitative study was to explore challenges encountered by CRNAs in recovery as they attempt to reenter practice following SUD treatment. The phenomeno...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: T'Anya Carter Nancy Wingo Susan McMullan Gwen Childs Bernadette Roche Lisa J Merlo Karen Heaton Source Type: research
Quantitative Neuromuscular Monitoring Permits Early Diagnosis of Abnormal Butyrylcholinestrase: Two Case Studies Demonstrating Prevention of Awareness from Premature Awakening
We present two patients with abnormal BChE gene variants. In the first case, quantitative monitoring was applied too late to prevent awareness, but allowed diagnosis and prevented admission to the intensive care unit. In the second case, monitoring was applied prior to NMB, which enabled early diagnosis and prevented premature awakening from anesthesia. These cases illustrate the importance of quantitative NMM, even in short cases and with short-acting depolarizing agents such as succinylcholine. The clinical implications of this report include a more consistent use of NMM to identify and manage patients with undiagnosed a...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Erica M Harris Emily M Funk Daniel Plezia Judson Elliott Ryland Elliott Jessica Szydlowski Pitman Stuart A Grant Source Type: research
Implementation of a Spaced Learning Program for Educating CRNAs on a Scalpel-Bougie Cricothyrotomy Procedure for Emergency Front of Neck Access
AANA J. 2024 Apr;92(2):145-152.ABSTRACTCertified registered nurse anesthetists (CRNAs) who are responsible for airway management, may lack adequate continuing education for emergency front of neck access (EFONA), an advanced skill necessary in situations when a patient cannot be intubated and cannot be oxygenated (CICO). The purpose of this study was to improve CRNA knowledge and confidence when performing a scalpel-bougie cricothyrotomy for EFONA in a CICO event through the implementation of a spaced learning intervention. Thirteen CRNAs at a 160-bed community hospital participated in a 3-week educational intervention. We...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Antoinette T Padula Joy Elwell Maria Madonick Michael Wilhelm Don Boyd Source Type: research
A Novel Mechanistic Model for Future Research in the Elements of the ERAS Program in Patients With Sickle Cell Disease
AANA J. 2024 Apr;92(2):87-92.ABSTRACTEnhanced recovery after surgery (ERAS) is a patient-centered, evidence-based, multidisciplinary team-developed approach to a surgical stress response that is implemented to optimize physiological function and facilitate recovery for the best possible outcomes from surgery. Although there are currently well-known published guidelines for the perioperative management of patients with sickle cell disease, there are currently no specific and evidencebased ERAS protocols that address the needs of these patients. A novel mechanistic model has recently been found that could change ERAS protoco...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Marcy Purnell Michong Rayborn Source Type: research
Anesthesia Medication Safety in Relation to Pharmacopeia Medication Use Best Practice Initiatives
AANA J. 2024 Apr;92(2):93-103.ABSTRACTImprovement to anesthesia medication safety is a useful and worthwhile area of research. Anesthesia is one of the few healthcare professions to have immediate access to compounding and label high-hazard medications at the bedside. There is a need to assess the perceptions of anesthesia medication safety and this relationship with pharmacopeia's updated recommendations for anesthesia to improve medication safety and prevent adverse drug events. Certified registered nurse anesthetist (CRNA) perceptions of medication safety climate in Florida were measured utilizing a validated Likert-sca...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: David B Koontz Source Type: research
A Mixed-Methods Exploration of Competencies and Professional Development Needs Among Chief Certified Registered Nurse Anesthetists
AANA J. 2024 Apr;92(2):105-113.ABSTRACTThis project sought to explore the experiences, self-perceived preparation, professional development needs, and preferred learning methods of certified registered nurse anesthetists (CRNAs) in a management role. A sample of 10 current chief CRNAs responded to a demographics survey and participated in one-on-one interviews using a 14-question, semi-structured interview framework modified from a previous study. Interview responses were deidentified and qualitatively analyzed for common themes by two content experts and one qualitative analysis expert. Results suggest that CRNAs entering...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Austin L Cole Virginia C Simmons Barbara S Turner Robert Whitehurst Denise H Tola Source Type: research
A New Distal Pharyngeal Airway Device Associated with a Reduced Need for Chin-Lift and Jaw-Thrust Maneuvers in Sedated Patients
AANA J. 2024 Apr;92(2):115-120.ABSTRACTOropharyngeal airways (OPA) or nasopharyngeal airways (NPA) sometimes require chin-lift or jaw-thrust (CLJT) maneuvers to relieve airway obstruction which creates the burden of continuous hands-on care by the anesthesia provider. A new distal pharyngeal airway device (DPA) was used on 63 successive ambulatory surgery patients to assess the frequency of patients requiring manual CLJT maneuvers to prevent airway obstruction. Results were then compared with a contemporaneous group of patients who had used OPA or NPA devices for similar procedures. Patients using the DPA had a 38.5% lower...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Carol Daniel Monika Feeney Leah Gordon Source Type: research
Improving CRNAs' Confidence and Perceived Knowledge of Endosurgical Patients Who Use Marijuana: A Quality Improvement Project
AANA J. 2024 Apr;92(2):121-130.ABSTRACTAlthough some researchers have reported health-related benefits of marijuana, others have reported adverse side effects in nearly every organ system. Patterns of marijuana use are evolving, as is researchers' understanding of marijuana use for healthcare. Despite these findings and developments, nurse anesthetists are inadequately educated about marijuana's perioperative effects on endosurgical patients. As a result, many nurse anesthetists lack confidence in and knowledge of the perioperative care of endosurgical patients under the influence of marijuana. This lack of confidence and ...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: Janice Cain Teri Lindgren Alexandra Duke Source Type: research
Challenges for Nurse Anesthetists Reentering Practice Following Substance Use Disorder Treatment
AANA J. 2024 Apr;92(2):131-138.ABSTRACTSubstance use disorder (SUD) is a persistent, relapsing condition that is present in approximately 10% of anesthesia providers, who, compared with other healthcare providers, face a greater risk of developing an SUD by virtue of constant access to medications. The ability of certified registered nurse anesthesiologists (CRNAs) to obtain or maintain employment after treatment for SUD treatment is not well documented. The purpose of this qualitative study was to explore challenges encountered by CRNAs in recovery as they attempt to reenter practice following SUD treatment. The phenomeno...
Source: AANA Journal - April 2, 2024 Category: Anesthesiology Authors: T'Anya Carter Nancy Wingo Susan McMullan Gwen Childs Bernadette Roche Lisa J Merlo Karen Heaton Source Type: research
