Anesthesia Management for Electroconvulsive Therapy
AANA J. 2024 Feb;92(1):51-56.ABSTRACTElectroconvulsive 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. The anesthe...
Source: AANA Journal - January 30, 2024 Category: Anesthesiology Authors: Brian Czerwonka Jake Johnston Rachel Smith-Steinert Source Type: research
A Nurse Anesthesiology Mentorship Program: An Evidence-Based Project for Implementation
AANA J. 2024 Feb;92(1):57-62.ABSTRACTTransitioning 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...
Source: AANA Journal - January 30, 2024 Category: Anesthesiology Authors: Shelly Anderson Source Type: research
Truncal Plane Blocks for Implantation of Cardiac Resynchronization Devices: A Systematic Review
AANA J. 2024 Feb;92(1):63-71.ABSTRACTPatients 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...
Source: AANA Journal - January 30, 2024 Category: Anesthesiology Authors: Hannah Bridges Duy Tran Ruben A Lopez Ashlee M Ericksen Source Type: research
Educational Costs Expended and Career Incomes in Advanced Healthcare Professions
AANA J. 2024 Feb;92(1):7-16.ABSTRACTThe 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. Bureau of Labor and Medscape 2022 Physician Compensation Report data. Costs were...
Source: AANA Journal - January 30, 2024 Category: Anesthesiology Authors: Melissa M Brown Gary C Brown Meg R Smith Source Type: research
Preliminary Investigation: Pilot Study of Program Directors' Perceptions of Wellness and Suicide Prevention for Student Registered Nurse Anesthetists
AANA J. 2024 Feb;92(1):17-26.ABSTRACTThe 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. Three PDs reported student suicides. Anxiety, depressio...
Source: AANA Journal - January 30, 2024 Category: Anesthesiology Authors: Charles A Griffis Elizabeth Bamgbose Maria Van Pelt Holli DeVon Holly Wilhalme Kristen Choi Source Type: research
