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17 results on '"Wren, Kathleen R."'

5. Asystole During Elective A Case Study.

Author

Wren, Kathleen R. and Wren, Timothy L.

Subjects
*CERVICAL vertebrae, *ANESTHESIOLOGY, *VAGUS nerve, *SPINAL fusion, *SURGICAL complications, *DISCECTOMY, *NEUROMUSCULAR blockade, *CARDIAC arrest, *NEURAL stimulation
Abstract

A 52-year-old, ASA class II patient was scheduled for anterior cervical discectomy and fusion at the C3 - C4 level. During the surgery when the surgeon was placing retractors the patient developed an instant onset of asystole. This case review will discuss potential reasons for asystole during cervical spinal surgery, as well as anatomical considerations when confronted with asystole during surgical dissection and retraction. Many complications resulting from asystole have poor prognosis. This case study will review what was done in a timely manner to recognize and treat this life-threatening event. [ABSTRACT FROM AUTHOR]

Published
2022

11. Experiencing learning: Perspectives from nurse anesthetists

Author

Wren, Kathleen R and Wren, Kathleen R

Abstract

This study explored Certified Registered Nurse Anesthetists' (CRNAs) learning and problem solving experiences using a qualitative, case study design. Through interviewing and observation techniques, five informants provided information on learning and problem solving in daily clinical practice. CRNAs follow a similar path in their learning process. CRNAs first desire to know the pharmacologic, physiologic, or pathophysiologic ("basic") principles needed to understand clinical situations. Next, CRNAs want to "talk to others" as they expand their knowledge of the basic principles. Once they are comfortable with their grasp of the basic principles, CRNAs will then "try out" the new agent or technique in their clinical practice. During this time, they continue to converse with others, expanding their knowledge of the basics with contextualized information and cues. As experiences accumulate, CRNAs create complex practice structures. Practice structures are an amalgamation of many information pieces obtained through understanding the basics, experiences, and talking to others. The depth and breadth of practice structures possessed by expert CRNAs provide them with the capacity to identify and understand salient, complex environmental cues, anticipate clinical events and physiologic incidents expediently, and provide appropriate and needed interventions before other, less expert, practitioners. Experts are able to handle many clinical situations effortlessly and efficiently. They are confident in their clinical practice; they "know what has to be done" and they "just do it." Thus, CRNAs use experiences to enliven, expand, and enhance the scientific principles that guide their practice. CRNAs do not use scientific principles as a list of arbitrary principles and rules to direct their practice; CRNAs instead use scientific principles as a filter or lens through which experiences are interpreted and practice structures are developed. As practice structures develop and accumu

Published
1998

12. LEARNING FROM A NURSE ANESTHETIST PERSPECTIVE: A QUALITATIVE STUDY.

Author

Wren, Kathleen R.

Subjects
*LEARNING, *NURSE anesthetists, *EDUCATION
Abstract

Describes the learning processes of certified registered nurse anesthetists (CRNA). Influences of formalized educational institutions and national nursing anesthesia organizations on CRNA learning; Stages in learning; Significance of hands-on experiences.

Published
2001

13. CONTRIBUTORS

Author

Agugo, Michael I, Baker, Lyle Stuart, Jr, Brown, Cynthia, Brown, Lori Ann, Buchsel, Patricia C, Burleson, Jill K, Bush, Nancy Jo, Casey, Kristin, Chernecky, Cynthia C, Cobb, Brenda K, Cope, Diane G, Daniel, Angela L, Ellsworth-Wolk, Jean, Fortenbaugh, Cathy, Gannuscio, Jacqueline R, Gaskamp, Carol D, Grant, Marcia, Held-Warmkessel, Jeanne, Jackson, Demica N, Kelly, Nancy, Kravits, Kathy G, Kuntzsch, Teresa, Loney, Molly, Lovely, Mary P, Lynch, Mary Pat, Martin, Yvonne D, Meraviglia, Martha, Miaskowski, Christine, Milligan, Laura, Montoya, Libby, Murphy, Deborah, Murphy-Ende, Kathleen, Osenga, Kaci L, Pearson, Kathryn E, Penne, Kara L, Rosenkoetter, Marlene M, Sargent, Catherine, Savage, Dionne T, Shane, Kathy A, Shelton, Brenda K, Stovall, Mady, Sutter, Rebecca R, Varma, Jennifer U, Voge, Cassie A, Wren, Kathleen R, Wren, Timothy L, and Young, Mercedes K

Published
2009
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14. Limitations to self-care in theambulatory surgical patient

Author

Lupien, Alfred E., Schoneboom, Bruce A., and Wren, Kathleen R.

Abstract

Myalgia, or muscle pain, is a common postoperative phenomenon. Causes of myalgia include age, gender, medication, positioning, and abdominal insufflation for laparoscopic surgery. For some patients, myalgia may be more severe than surgically induced pain. This study explored postoperative myalgia from the perspective of self-care limitations. Sixty-three individuals were surveyed, and responses were analyzed using unidimensional and multidimensional scaling techniques. Subjects reported back pain and the inability to accomplish high-energy activities of daily living to be most incapacitating after surgery. Results of this investigation may be used to structure preoperative teaching and perianesthetic nursing interventions.

Published
2000
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15. Contributors

Author

Wren, Kathleen R., Balogh, Jean D., Buzhardt, Susan M., Derrick, Corliss Grinstead, Hodges, Rebecca K., Kiernan, Barbara, Revolinski, Patricia H., Rule, Rebecca, and Wren, Timothy L.

Published
2011
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16. REVIEWERS

Author

Bell, Donald M., Geisz-Everson, Marjorie A., Hovis, Robert M., Kremer, Michael J., Malina, Debra Pecka, Moos, Daniel D., Nagelhout, John, Seibert, Elizabeth, Wren, Kathleen R., and Zaglaniczny, Karen

17. Asystole During Elective Cervical Spine Surgery: A Case Study.

Author

Wren KR and Wren TL

Subjects
Cervical Vertebrae surgery, Diskectomy adverse effects, Humans, Middle Aged, Heart Arrest etiology, Spinal Fusion adverse effects
Abstract

A 52-year-old, ASA class II patient was scheduled for anterior cervical discectomy and fusion at the C3 - C4 level. During the surgery when the surgeon was placing retractors the patient developed an instant onset of asystole. This case review will discuss potential reasons for asystole during cervical spinal surgery, as well as anatomical considerations when confronted with asystole during surgical dissection and retraction. Many complications resulting from asystole have poor prognosis. This case study will review what was done in a timely manner to recognize and treat this life-threatening event., Competing Interests: Name: Kathleen R. Wren, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Timothy L. Wren, DNP, RN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors have declared no financial relationships with any commercial entity related to the content of this article. The authors did not discuss off-label use within the article., (Copyright © by the American Association of Nurse Anesthetists.)

Published
2022

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