Related Experiment Videos
AANA journal course. Update for nurse anesthetists. Aspiration prophylaxis: is it time for changes in our practice?
1Kaiser Permanente School of Anesthesia/California State University Fullerton, Pasadena, Calif., USA.
Abstract:
Pulmonary aspiration of gastric contents during anesthesia is a complication that is fortunately rare, yet potentially catastrophic. Despite its infrequency, techniques geared toward preventing this serious outcome influence many of our routine practices and beliefs. Reports on large-scale clinical studies have opened new insights and questions about the effectiveness of long-standing anesthetic practices. These include conventional beliefs about preoperative fasting guidelines, acceptable gastric fluid volumes and pH, effective pharmacologic interventions, risk factors for pulmonary aspiration, and preventative anesthetic techniques such as rapid-sequence induction. This AANA Journal course outlines current knowledge as to the incidence, risk factors, and efficacy of practices geared toward preventing aspiration. It is anticipated that this review will stimulate discussions regarding possible changes in the anesthetic management of patients in individual practice settings.
Related Concept Videos
01:30Asthma-IV: Nursing Management
First, in...
01:30Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:22Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:22Aneurysm IV: Nursing Management
01:19Respiratory Assessment: Purpose and Indications
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
01:26Standard Precaution
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...