The article, 鈥淪noring, Trouble Breathing, Un-Refreshed (STBUR) Screening Questionnaire to Reduce Perioperative Respiratory Adverse Events in Pediatric Surgical Patients: A Quality Improvement Project,鈥� appears in the August 2015 issue of the journal, published by the American Association of Nurse Anesthetists (AANA).
A main challenge to addressing SDB in children about to undergo surgery is the lack of awareness of the risks and parents who underestimate their child鈥檚 condition. Lead author Karrey L. Terry, CRNA, DNP, says, 鈥淧arents are often unaware of the potential problems related to their child鈥檚 snoring. Recognition of this condition is of utmost importance, as children have died after routine tonsillectomies after receiving too much pain medication.鈥�
Because SDB manifests itself in a patient鈥檚 respiration, anesthesia professionals such as Certified Registered Nurse Anesthetists (CRNAs) are in a perfect position to uncover undiagnosed conditions such as SDB prior to surgery in an effort to head off any respiratory complications during anesthesia. The STBUR questionnaire provides five questions that help to identify SDB prior to surgery. The importance of identifying those at risk is paramount: The likelihood of developing a perioperative respiratory adverse event (PRAE) increases three-fold in the presence of any three STBUR symptoms, and by 10-fold when all five symptoms are present.
Including the STBUR questionnaire in the pre-anesthesia interview serves to raise awareness of potential risks, and allows anesthesia professionals to modify their airway and anesthesia plans toward safer practices. 鈥淲e are looking to improve safety by creating evidence-based standards of care,鈥� says Terry.
For more information on the STBUR Questionnaire and the AANA Journal article, visit:
About the American Association of Nurse AnesthetistsFounded in 1931 and located in Park Ridge, Ill., and Washington, D.C., the American Association of Nurse Anesthetists (AANA) is the professional organization representing more than 48,000 Certified Registered Nurse Anesthetists (CRNAs) and student registered nurse anesthetists across the United States. As advanced practice registered nurses and anesthesia specialists, CRNAs administer approximately 38 million anesthetics to patients in the United States each year and are the primary providers of anesthesia care in rural America. In some states, CRNAs are the sole anesthesia professionals in nearly 100 percent of rural hospitals. For more information, visit .
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