ABSTRACT

Nurse anesthetists are crucial healthcare providers throughout the world. The duties, regulations, and educational requirements for nurse anesthetists vary from country to country. The purpose of this article is to provide the reader with a brief historical perspective on the development of nurse anesthesia in the United States; describe current nurse anesthesia practice; and allow the reader to compare and contrast it with the practice of nurse anesthesia in their own country.

ABSTRACT

Friends of African Nursing (FoAN) is a small UK based charity which has been teaching perioperative nurses in Africa since 2001. Run entirely by volunteers from amongst the UK perioperative community, it aims to leave a sustainable legacy of educational resource to African nurses working in difficult and sometimes impossible conditions without access to continuing education. This article describes the appalling clinical conditions in which the nurses have to work and the educational framework which has been developed by FoAN to support the nurses learning needs and how that is delivered.

ABSTRACT

On the basis of hypothesis from our own practice, a study dealing with postoperative urine retention (PUR) in patients in the recovery ward was completed during 2006 in Odense University Hospital.

Three hundred and seven patients took part in the study with a view to monitoring the occurrence of PUR and to identify the relationship between risk factors and the development of PUR. Defining PUR as >300 mL in the bladder with the inability to urinate, the study showed that 28.7% of the patients had PUR at arrival to the recovery ward.

The study showed a positive correlation between patients with ascending age, rising anaesthesia duration, regional anaesthesia (RA) and developing PUR.

PUR occurred in half of the patients with diabetes and approximately half of the patients treated with ephedrine. Furthermore, the type of surgery had significance, as considerably more patients with plastic and orthopaedic surgery developed PUR. On the other hand, the study showed no correlation between subjective symptoms, e.g. like a strong desire to void, and the occurrence of PUR.

The results highlight the necessity for greater attention to screening patients for PUR.