AANA journal
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Anesthesia providers serve a vital role in preventing the transmission of disease by following safe injection practices, yet violations of these standards have occurred. The goal of this study was to determine the extent of unsafe injection practices that exist among student anesthesia providers. An online survey containing 8 yes-no questions that assessed injection practices as outlined by the American Association of Nurse Anesthetists was sent to student registered nurse anesthetists with at least 3 months' clinical experience. ⋯ Furthermore, 71 (22%) have reused a syringe or needle to withdraw medication from a multidose vial, and 160 (49%) have reentered a single-use medication vial to prepare doses for multiple patients. Students also were asked to report their experiences with nurse anesthetists who engaged in these practices. The results demonstrate that additional education on injection safety must take place to improve practice, increase patient safety, and reduce healthcare costs.
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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. ⋯ AVB is an alternative to AVR that avoids median sternotomy, cardiopulmonary bypass, cross clamping the aorta, manipulation of the native aortic valve, and aortic cannulation. This case summary reviews the anesthetic management of a patient undergoing AVB.