A neonatal emergency can be a nurse anesthetists worst nightmare. It doesn’t matter if you work at a level one trauma center or a community hospital, the unexpected birth of a compromised infant can occur.

Does PONV still haunt your practice?

I’m just curious, how many people have problems with PONV?

How do you treat patients to prevent PONV?

I recently asked a student to tell me the PONV risk factors that our patient had, and they could not! In fact, they couldn’t identify risk factors at all. I was completely floored that a junior student had no strategy on how to prevent PONV!

An Amniotic Fluid Embolism(AFE) is terrible situation for any nurse anesthetists. Have you experienced one in your practice? It’s a scary situation. Unfortunately, an AFE is an unpredictable, unpreventable complication of pregnancy that has an extremely high mortality rate.