Medicine and Health Sciences Commons^™

Anesthetic Considerations For Patients With Aortic Stenosis, Owen Diehl

Nursing Student Class Projects (Formerly MSN)

Aortic Stenosis places surgical patients at greater risk for adverse events during surgery. Due to the pathological process of Aortic Stenosis, the left ventricle must generate high systolic pressures to ensure adequate cardiac output. These increased pressures result in left ventricular hypertrophy, placing the patient at greater risk for myocardial ischemia. For induction of anesthesia, it is imperative to maintain hemodynamic stability as this is where problems arise. Five research articles were reviewed to determine how to administer anesthesia to these patients safely. Additional sources were gathered for a background on the pathophysiology of aortic stenosis. The research articles reviewed …

Myasthenia Gravis, Rebecca Wheeler

Nursing Student Class Projects (Formerly MSN)

Myasthenia gravis (MG), a neuromuscular and autoimmune disorder, is not completely understood by clinicians and scientists. The primary cause is thought to be anti-Acetylcholine receptor antibodies that attack the neuromuscular junction, causing destruction of post-synaptic junctional folds and blockade of the receptor. This causes frequent weakness and fatigability of voluntary muscles, making activities of daily living difficult for those living with MG. Although it is not an incredibly prevalent disease, the incidence is increasing in the United States due to better testing and diagnosis. Treatments are available, including cholinesterase inhibitors that raise the concentration of Acetylcholine at the neuromuscular junction …

Perioperative Management Of The Patient With Obesity, Trevor Mack

Nursing Student Class Projects (Formerly MSN)

Abstract

Obesity has become a problem worldwide during the past few decades. The prevalence of obesity worldwide has led to an increase in the number of obese surgical patients to whom perioperative care needs to be delivered. Hence, surgeons and nurse anesthetists will care for an increasing number of obese patients in the foreseeable future and should be prepared to provide optimal management for these individuals. This poster considers preparing for and managing the obese surgical patient by explaining underlying pathophysiology, implications of nursing care, perioperative considerations, diagnosis, and various treatments. This review provides updated evidence regarding perioperative management for …

Pathophysiology Of Pulmonary Hypertension, Kayla Thomsen

Nursing Student Class Projects (Formerly MSN)

Abstract

Understanding the pathophysiology behind various diseases is essential for nursing, especially those in advanced practice roles such as nurse anesthetists. Pulmonary hypertension (PH), characterized by vasoconstriction, vascular remodeling, and thrombosis, has a complex physiological process and a vast compilation of patient considerations (Sarkar & Desai, 2018). PH affects up to fifty million people worldwide, with 1-year survival rates of 90.4% and 5-year survival rate of 65.4%, further solidifying the importance of understanding the disease for quick diagnosis and treatment (Bandyopadhyay et al., 2021). Diagnosis of PH is often delayed, with some patients experiencing symptoms up to two years before …

Electronic - Cigarettes And Anesthesia Implications, Duane Robinson

Nursing Student Class Projects (Formerly MSN)

Electronic cigarettes (ECs) became available in the United States in 2007. They were originally marketed as a safer alternative to smoking (Arndt et al., 2020). The number of users has exceeded 14M people in the U.S. (Bulat et al., 2022). ECs are not as regulated as tobacco cigarettes. The levels of nicotine in the e-liquid vary significantly and the Federal Drug Administration (FDA) does not regulate the non-nicotine ingredients in e-liquid (Krishna et al., 2020). The vapor from ECs contains heavy metals, volatile hydrocarbons, and over 70 carcinogenic substances. Lung damage from EC use has created a new respiratory ailment, …

Malignant Hyperthermia, Brennon Pinion

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia is a rare but potentially fatal disorder that is triggered by the use of certain anesthetic medications. It is caused by a mutation in specific proteins in skeletal muscle that causes prolonged contraction, leading to a hypermetabolic state. This condition can have deadly effects like kidney failure, hemodynamic instability, and cardiac arrest. It is normally discovered during surgery and must be treated right away. The discovery of the treatment of Malignant Hyperthermia has dramatically decreased the fatality of the disorder, but treatment must be given immediately. For patients who develop Malignant Hyperthermia to have the highest chance of …

Substance Use Disorder In The Crna, Bridget Hayes

Nursing Student Class Projects (Formerly MSN)

Substance use disorder (SUD) affects the anesthesia community disproportionally as compared to the general public (Rupprecht, 2022). It is estimated that SUD will affect 10%-15% of all anesthesia providers at some point in their careers (Rupprecht, 2022). One way that SUD affects the human body is the alteration of microRNAs, which are small segments of RNA that exist to regulate gene expression (Gowen et al., 2020). This poster will discuss how miRNAs change in the SUD-affected individual, anesthesia-specific risk factors, and signs and symptoms to identify when this disorder has affected someone else. Resources for help are available from the …

Parkinson's Disease And Anesthesia, Anthony Brusadin

Nursing Student Class Projects (Formerly MSN)

Parkinson’s disease is one of the most common neurodegenerative disorders in the world and is rapidly growing. With the global population living longer there will be more people that develop Parkinson’s like the average person’s life expectancy increases. With no cure and only treatment and management of the symptoms, it is important for research to continue to find better treatment options and potentially a cure. In the world of anesthesia patients with Parkinson’s are more difficult to manage with sedation medication because of the lower dopamine levels the patient has. It is important to stay updated on how to prepare …

Type I And Type Ii Diabetes Mellitus: Pathophysiology And Nursing Anesthesia Considerations, Megan Przybysz

Nursing Student Class Projects (Formerly MSN)

Diabetes Mellitus is prevalent across the globe, affecting more than 400 million people worldwide (Ogurtsova, 2017). Due to the high incidence of those affected, all healthcare providers will be responsible for the care of a diabetic patient, making it imperative that providers have a working knowledge of the pathophysiology of diabetes. This poster discusses the pathophysiology of type I and type II diabetes mellitus, as well as diabetes signs and symptoms and diagnostic criteria. There is also an examination of comorbidities associated with diabetes and how the pathophysiology of diabetes assists in the development of conditions such as autonomic neuropathy, …

Malignant Hyperthermia, Nicholas Colangelo

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia is a rare manifestation of a genetic mutation involving the ryanodine receptors. This mutation causes a sustained intracellular calcium release that is triggered by certain anesthetics such as depolarizing neuromuscular blockers and volatile gases. The extended release of calcium functions as a dangerous catalyst for hyper-metabolism that will lead to rapid death if unrecognized and untreated. Current treatment involves the drug dantrolene in tandem with symptomatic management in the intensive care setting. Symptomatic treatment may likely involve rapid cooling, fluid resuscitation, electrolyte management, and mechanical ventilation until symptoms resolve. A literature review of malignant hyperthermia is of vital …

Understanding Covid-19, William Carson Ii

Nursing Student Class Projects (Formerly MSN)

The SARS-CoV-2 outbreak has changed the lives of many. To combat the disease referred to as COVID- 19, anesthesia providers must be educated on specific topics. Understanding of a brief history of previous strands of the disease details the need for measures to reduce healthcare providers exposure. As patients present to the operating room (OR), viral and antibody testing combined provides identification and prognosis of the disease with infected patients who can transmit the disease. Anesthesia providers encounter transmission entry points frequently increasing possibility of exposure. The disease process of COVID-19 can lead to progression of complications necessitating interventions from …

Malignant Hyperthermia, Courtney Stevenson

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia (MH) is a rare but life-threatening medical emergency. It is a skeletal muscle disorder that leads to a hypermetabolic reaction. It occurs in response to the administration of inhaled anesthetics and depolarizing muscle relaxants.

Opiate Addiction And Considerations For Anesthesia, James Saltanovitz

Nursing Student Class Projects (Formerly MSN)

Opiate addiction and awareness are problems and should be of interest to our society, particularly those working in healthcare. This poster provides statistics that provide the reader with information of the depth of the problem in the United States. The poster presents information for the reader to better understand opiate addiction’s pathophysiology, signs, and symptoms. For anesthesia providers there are many different evaluations that can be made to make sure that us at risk or opiate dependent patients are safe while under anesthesia. The poster presents many alternative options to help prevent patients’ from feeling pain, while also keeping them …

Pheochromocytoma, Cody Plapp

Nursing Student Class Projects (Formerly MSN)

• Pheochromocytoma presents with unusual symptomology and can remain difficult to diagnose. Early detection is paramount along with pre-surgical pharmacological intervention for best outcomes. Decrease manipulation of tumor to avoid additional secretion of catecholamine (Chung et al., 2018). From an anesthesia perspective, pheochromocytomas in patients presents a severe risk to the preservation of life pre, intra, and post-operatively. It remains necessary to prevent hemodynamic instability and to prevent administration of drugs which may elicit hemodynamic instability, since prolonged hemodynamic instability may lead to loss of life or chronic disability (Sonntagbauer et al., 2018).

Malignant Hyperthermia, Alexandra Mcguire

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia (MH) is a rare but life-threatening, genetic condition that can manifest when a patient is exposed to certain inhalation agents used in anesthesia as well as the depolarizing muscle relaxant succinylcholine (Rosenberg, Pollock, Schiemann, Bulger, & Stowell, 2015, p. 1). MH can develop during or after a surgical procedure and if left untreated, can cause major organ system damage and death (Seifert, Wahr, Pace, Cochrane, & Bagnola, 2014, p. 189). Creating awareness of this rare genetic condition allows for quicker interventions in reversing MH.

Post-Operative Nausea And Vomiting In Adults, Kristina Ann Vasnaik

Nursing Student Class Projects (Formerly MSN)

The purpose of this evidence-based poster is to discuss post-operative nausea and vomiting in the adult population undergoing surgery. Post-operative nausea and vomiting is a common concern for patients and providers, a common complication of surgery, and leading cause of unexpected hospital admission of ambulatory care patients. Post-operative nausea and vomiting also increases healthcare costs and causes decreased patient satisfaction as it creates additional discomfort for the surgical patient. The goal of this poster is to discuss common pathophysiology and significance of post-operative nausea and vomiting, signs and symptoms, risk factors for developing post-operative nausea and vomiting, pre-operative/intra-operative/post-operative treatment strategies, …

Malignant Hyperthermia, Ashley Casimir Vasnaik

Nursing Student Class Projects (Formerly MSN)

The Certified Registered Nurse Anesthetist (CRNA), as well as other anesthesia providers and support staff interact with a variety of patients on a day to day basis. These patients come to the hospital to seek help for their medical and surgical ailments. As every patient is different, they can also have a variety of health-related issues, many of which can also impact their anesthetic plan. One of the most difficult issues and or emergent situations that can impact everyone in the operating room is an exacerbation of Malignant Hyperthermia (MH), whether it is anticipated or unanticipated. The task of preventing …

Malignant Hyperthermia, Ryan Vincent

Nursing Student Class Projects (Formerly MSN)

No abstract provided.

Malignant Hyperthermia, Brandon Kinnamon

Nursing Student Class Projects (Formerly MSN)

Common anesthetic agents can trigger a pathological response in patients resulting in intracellular calcium release and hyper-metabolism. This condition is known as Malignant Hyperthermia (MH). It is vital for anesthesia professionals and critical care nurses to recognize MH and act quickly to limit rapid shifts of electrolytes which can ultimately lead to death. As soon as cardinal signs of malignant hyperthermia are identified, the medication dantrolene should be administered along with intensive nursing care. Significant signs and symptoms, the pathophysiology of MH, and implications for nursing care are all examined in greater detail.

Acute Bronchospasm Under General Anesthesia, Cody Rasmussen

Nursing Student Class Projects (Formerly MSN)

An acute bronchospasm during general anesthesia can become a life-threatening intraoperative condition for any patient. Bronchospasm occurs when the bronchial smooth muscle constricts which makes ventilating the patient difficult, and can ultimately lead to hypoventilation, hypoxemia, and metabolic acidosis. It’s imperative for any anesthesia provider to understand what a bronchospasm is, its pathophysiology, differential diagnosis, and algorithm of treatments. This poster presentation provides a summary based discussion of acute bronchospasm under general anesthesia.

Malignant Hyperthermia, Garrett Erickson

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia is known as a pharmacogenetic disorder which manifests itself in the skeletal muscle (Heytens, Forget, Scholtès, & Veyckemans, 2015). When a susceptible patient, who carries the autosomal dominant trait, is exposed to volatile anesthetics and/or the neuromuscular blocker succinylcholine, a detrimental response can occur. This response is a hypermetabolic state with hypercapnia, hemodynamic instability, rigidity, hyperthermia, and signs of rhabdomyolysis (Heytens et al., 2015). MH is a rare condition with incidences between 1/5,000 and 1/50,000 (Nagelhout and Plaus, 2014, p. 829), and often occurs during the induction of anesthesia but can also occur intraoperatively or one hour post …

Malignant Hyperthermia, David Kanotz

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia (MH) is a life-threatening skeletal muscle disorder that presents as a hypermetabolic response to several inhaled anesthetics and to the depolarizing muscle relaxant succinylcholine. It is extremely important for certified registered nurse anesthetist (CRNA) to understand the pathophysiology, clinical symptoms, and treatment plan of MH due to their vital role in managing these patients in the operating room.

Malignant Hyperthermia, Taylor M. Morriss

Nursing Student Class Projects (Formerly MSN)

Complications related to the anesthetic process are multifaceted and abundant. As a future nurse anesthesia student, the underlying pathophysiology, diagnosis, and treatment of anesthesia-related complications are of particular interest. One such anesthesia-induced life-threatening metabolic process involves the hypermetabolism of skeletal muscle. This pharmacogenetic process, known as malignant hyperthermia (MH), has a variable incidence rate ranging from 1:10,000 to 1: 250,000 anesthetic cases. However, the prevalence of the genetic abnormalities may be as great as one in 400 individuals (Rosenberg, Pollock, Schiemann, Bulger, & Stowell, 2015, p. 1). “Malignant hyperthermia (MH) is a rare, but life-threatening, autosomal-dominant inherited disorder that may …

Malignant Hyperthermia, Aaron Roth

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia is a rare disease trait and can take place in a variety of settings. If not treated in a timely manner, the consequences will be dire. It is recommended that nurses and other healthcare personnel be properly educated on MH crises. By detecting the signs and symptoms associated with the disease, providers can efficiently remedy the crisis and save patient lives (Seifert, 2014). Since the discovery of dantrolene in 1975 and the advancement of genetics regarding MH, death rates dropped from about 80% to about 5% (Schneiderbanger et al., 2014). Today there is a MH group called the …

Treacher Collins Syndrome: Challenges For Anesthesia Care, Clara Smith

Nursing Student Class Projects (Formerly MSN)

This poster discusses the disorder known as Treacher Collins syndrome with a focus on understanding the syndrome and unique challenges in patient care. Hallmark features of the disorder present unique challenges for healthcare professionals, especially those providing anesthesia care. Patients with Treacher Collins syndrome are more much more likely than patients without the disorder to have a difficult airway. This poster explores the condition and some of the implications for providing safe patient care and achieving positive outcomes.

Malignant Hyperthermia, Hailey Jones

Nursing Student Class Projects (Formerly MSN)

According to the Malignant Hyperthermia Association of the United States (2015), “Malignant hyperthermia (MH) is a potentially fatal, inherited disorder usually associated with the administration of certain general anesthetics and/or the drug succinylcholine.” Malignant hyperthermia has been presented to me during hospital skills days over the past year due to the increased need for knowledge regarding this topic. I choose this topic because I find it interesting due to the fact that I could encounter this in the remainder of my days in the intensive care unit, but most importantly because I will be dealing with these drugs on a …

Turning Up The Heat On Malignant Hyperthermia, Katie Carroll

Nursing Student Class Projects (Formerly MSN)

Surgeries are common, everyday procedures within the walls of America’s hospitals. According to Orser, Mazer, and Baker (2008), more than forty million patients in North America are given anesthetics annually. One of the major complications of anesthesia is malignant hyperthermia: a hyper-metabolic state that affects skeletal muscles. If left uncontrolled, malignant hyperthermia can cause multiple reactions within the body leading to metabolic and respiratory acidosis, cardiac dysrhythmias, kidney failure, coagulopathy, neurologic injury, and ultimately death (Seifert, Wahr, Pace, Cochrane, & Bagnola 2014). The incidence of this condition is estimated to be 1:15,000 in children and 1:20,000-50,000 in adults (Redmond, 2001). …

Pseudocholinesterase Deficiency, Ross Gerken

Nursing Student Class Projects (Formerly MSN)

Pseudocholinesterase deficiency is a rare genetic or acquired variation in the metabolism of choline esters such as the neuromuscular blockers succinylcholine, mivacurium, and ester local anesthetics. Pseudocholinesterase deficiency genetically is transmitted in an autosomal recessive pattern with the frequency of apnea from a genetic abnormality of pseudocholinesterase between 1:480 and 1:3200 people (Ok et al., 2013). An extended period of neuromuscular blockade results from these medications than what is clinically expected. The signs and symptoms which occur are apnea and paralysis hours longer. This condition is rare but must be known and understood by the clinician in order to provide …