AANA Journal February 2013 : Page 8

ARTICLES Continued from page 6 during the loss of resistance technique. This article illustrates how providers should consider other factors when selecting loss of resistance medium. surgical intervention for candidates unable to undergo AVR. This case summary reviews the anesthetic management of a patient undergoing AVB. 31 Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting John E. Poulos, MD, MSci, FACG, AGAF, FACP Peter T. Kalogerinis, MMS, PA-C Jeffrey N. Caudle, CRNA, MSN This study evaluated procedural efficiency and patient satisfaction in patients who had received propofol, mid-azolam/fentanyl/propofol (MFP), or midazolam/fentanyl, as sedation for either esophagogastroduodenoscopy or colo-noscopy. Patients receiving propofol felt less discomfort and need for adjustment in the sedation, and remembered less of the procedure compared with the MFP group. 55 Cochlear Implant in an Ambulatory Surgery Center Aimee M. Joseph, CRNA, DNAP L. Frederick Lassen, MD, FACS Cochlear implants are especially useful for those with severe-to-profound hearing loss. The population is aging, so the demand for cochlear implantation in ambulatory surgery centers will likely increase. Ambulatory surgery centers can provide a more convenient and less expensive location for cochlear implant surgery than hospital-based operating facilities. 60 von Willebrand Disease and Cardiopulmonary Bypass: A Case Report Oxana L. Teppone-Martin, CRNA, MS Manxu Zhao, MD, MS Teresa E. Norris, CRNA, EdD The anesthetic management of patients undergoing cardiac surgery on cardiopulmonary bypass can be challenging. Contact of blood with extracorporeal surfaces results in altered coagulational integrity and increased risk of bleeding. Patients with preexisting bleeding disorders are particularly vulnerable. The authors discuss the anesthetic management of a patient with von Willebrand disease undergoing mitral valve replacement on cardiopulmonary bypass. 37 Survey of Syringe and Needle Safety Among Student Registered Nurse Anesthetists: Are We Making Any Progress? Kelli Ford, CRNA, MSHS The goal of this study was to determine the extent of unsafe injection practices that exist among student anesthesia pro-viders. The results demonstrate that additional education on injection safety must take place to improve practice, increase patient safety, and reduce healthcare costs. 43 Implementing a Perpetual Anesthesia Setup Standardized for the Trauma Room in a Level I Trauma Center Amanda C. Faircloth, CRNA, DNAP Mary B. Ford, CRNA, PhD The trauma room in a level I trauma center is a dynamic environment that provides little room for error. Significant variability can exist if anesthesia providers do not provide a setup that is consistent, reliable, and cost-effective. This study examines the process of creating and implementing a standardized anesthesia setup in the trauma room of a level I trauma center. 65 AANA Journal Course: Update for Nurse Anesthetists – Part 6 – Anesthesia Case Management for Video-Assisted Thoracoscopic Surgery Loretta Kitabjian, CRNA, MSN Sandy Bordi, CRNA, MSN Sass Elisha, CRNA, EdD Mark Gabot, CRNA, MSN Jeremy Heiner, CRNA, MSN John Nagelhout, CRNA, PhD, FAAN Jennifer Thompson, CRNA, MSN As the population ages, the number of patients in whom lung disease develops and who require surgical interven-tion will continue to rise. When compared with open thoracotomy, video-assisted thoracoscopic surgery offers patients significant advantages. Decreased invasiveness results in less blood loss, lower infection rates, and less postoperative pain. 50 Aortic Valve Bypass: A Case Summary and Discussion of Anesthesia Considerations Elizabeth Pelkey, CRNA, MSNA Aortic valve replacement (AVR) is a common surgical intervention for symptomatic aortic stenosis. For many high-risk patients with severe symptomatic aortic stenosis, AVR is not an option. Aortic valve bypass (AVB) can offer Authors: View the AANA Journal author guidelines on the AANA website at http://www.aana.com/authors. Submit editorial copy via Editorial Manager at http://www.editorialmanager.com/aana. _ 8 AANA Journal „ February 2013 „ Vol. 81, No. 1 www.aana.com/aanajournalonline

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