Cuffed endotracheal tubes are one aspect of airway management designed to ensure safety, yet patients can be at risk for injury from underinflated and overinflated endotracheal cuffs. Tracheal pressures exceeding approximately 48 cm H2O impede capillary blood flow, potentially causing tracheal damage, and pressures below approximately 18 mm Hg may increase the risk of aspiration. There is no st...

An emphasis on research was established with the 1998 Council on Accreditation of Nurse Anesthesia Educational Programs (COA) requirement that all nurse anesthetists graduate with a master's level of education. Nursing research is essential to expand the profession's knowledge base and to establish a foundation for evidence-based practice. However, to date there are no existing data indicating ...

In the United States, anesthesia care can be provided by anesthesiologists or nurse anesthetists. Since 2001, 17 states have exercised their right to "opt-out" of the federal requirement that a physician supervise the administration of anesthesia by a nurse anesthetist, with the majority citing increased access to anesthesia care as the rationale for their decision. By using Medicare data, we f...

Introduction. Every second patient in intensive care has a low nutritional status. Since one of the duties nurse is to fulfill doctor's orders, providing and maintaining support also falls on shoulders nursing staff. Therefore, level knowledge among health workers should be sufficiently high. In our opinion, each worker must understand need, indications contraindications for medical procedures ...

Submit Manuscript | http://medcraveonline.com dynamic and systematic procedure intended to achieve the goals of optimum critical care management. In this regard, nurse anesthetists and intensive care nursing personnel are indispensable. Their dedicated efforts guided by the intensivists are undoubtedly responsible for improved patient outcomes. This article is primarily intended for them and ot...

In 2011 the National Board of Certification and Recertification for Nurse Anesthetists initiated a Continued Professional Certification program that strongly suggests the search for alternatives. This article presents a thoughtful critique of the proposed professional competency program as well as alternatives that could be considered in a revision of the current program. Options discussed incl...

As nurse anesthetists today we must have a thorough knowledge of anesthesia and the ability to apply this to the millions of aged ill patients in our population. Although science has given us immunity to many communicable diseases, we are on the frontier of the growing forces of chronic and disabling diseases that surgeons have learned to treat and improve. Comprehensive health care will lead t...