Denver, the "Mile High City," will be home to nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 74th Annual Meeting of the American Association of Nurse Anesthetists, August 4-8, 2007. Throughout the meeting, participants will have opportunities to benefit from quality educational programs, the exhibit hall, and social activities, as well as all the things Denver has to offer, such as abundant outdoor recreation, a wide selection of restaurants, and endless shopping possibilities. (Photo courtesy of Denver Metro Convention & Visitors Bureau.)
A study comparing chloroprocaine with lidocaine for skin infiltration before intravenous catheter insertionIn this original research, the authors conducted a prospective, double-blind, mixed, crossover study to determine the perception of pain associated with intradermal lidocaine and chloroprocaine for insertion of an 18-gauge intravenous catheter. They report that, although the use of lidocaine is the most economical choice, both local anesthetics are relatively inexpensive and are effective in reducing the pain associated with an 18-gauge catheter insertion and should be implemented to reduce the pain.
Keywords: Chloroprocaine, lidocaine, local anesthetics, visual analog scale.
Version: 2007;75:255-258.Authors: MAJ Richard Ales, CRNA, MSN, AN, USA
CPT Dorianne May, CRNA, MSN, AN, USA
CPT Lori Whitney, CRNA, MSN, AN, USA
Closed claims studies in anesthesia: A literature review and implications for practiceHistorically, closed malpractice claims have been used to identify and examine potential causes for adverse anesthesia outcomes. In the United States, the American Association of Nurse Anesthetists and the American Society of Anesthesiologists have compiled and analyzed such data. The author concludes that although some researchers have cited closed claims studies as evidence of anesthesia risk trends, the nature of the data makes it inappropriate for calculation or comparison of risk. Further work is needed to elucidate some mechanisms of injury and to develop interventions to maximize patient safety.
Anesthetic implications for surgical correction of scoliosisThis literature review focuses on key considerations for anesthetists, including common comorbidities in patients with scoliosis, the need for induced hypotension, large surgical blood loss, the need for transfusion of blood and blood products, possible autologous blood donation and acute normovolemic hemodilution, patient positioning, possible intraoperative wake-up testing to assess motor function, spinal cord monitoring, and hypothermia.
Keywords: Anesthesia, scoliosis, spinal fusion.
Version: 2007;75:277-285.Authors: Melissa A. Gambrall, CRNA, MSN, ARNP