AANA journal
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An educational curriculum using adult learning principles in an active learning format was developed for Certified Registered Nurse Anesthetist clinical educators (CRNACEs) to help improve the quality of the clinical learning experiences for student nurse anesthetists (SNAs). This exploratory study sought to determine the extent to which an 8-hour educational course modified the behavioral perceptions and the knowledge of CRNACEs. The effects of the CRNACE course were measured using a questionnaire that consisted of 22 Likert scale items and 8 open-ended questions. ⋯ Additional findings included that information provided during the CRNACE course did not change the perceptions of CRNACEs related to their ability to communicate with students or their willingness to modify their teaching practices. Providing instruction incorporating principles of adult learning using an active learning format for CRNACEs may improve the clinical learning experiences for SNAs. As a result, SNAs would be better prepared to make the transition to clinical expert.
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Case Reports
Subcutaneous carbon dioxide emphysema following laparoscopic salpingo-oophorectomy: a case report.
Multiple patient and economic benefits have contributed to the widespread popularity of laparoscopic surgery. Although the laparoscopic approach is safe, it is not without potential complications. ⋯ Hyperventilation, close monitoring, and mechanical ventilation for 4 hours postoperatively resulted in a positive patient outcome. The mechanisms of carbon dioxide absorption, as well as risk factors, complications, treatment, and prevention of subcutaneous emphysema will be described.
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Use of the Bullard laryngoscope has been fraught with difficulties, especially for inexperienced users who often end up placing the instrument on the back shelf of the airway cart without further use. A recent hypothesis suggests that the use of a flexible tip tube on the Bullard stylet might facilitate intubation. ⋯ Intubations on 6 patients assessed as difficult to intubate were performed on the first attempt without any difficulty. In fact, the effortlessness of these potentially difficult intubations led to the conclusion that the preliminary finding should be reported immediately.