Diane Miller

                                             When I was 8 years old, I wanted to be an  astronaut.                                                 As a teenager, I couldn't ride the   a roller coaster                                                         without feeling ill.  At that point, a future career in flying                                                to the stars proved unpromising, so I decided to                                                           approach it from a different angle.  I began my college career as a student of aerospace engineering.  I did well but, in my sophomore year, I had an  experience that changed the rest of my life: I had my wisdom teeth removed.  I remember my overwhelming fear at the thought  of surgery.  Flashbacks of my own mask induction as a child flashed in my mind, the panic so overwhelming that I bit the doctor.  I was too old to bite anyone now, but somehow that made me feel worse!  But then a nurse anesthetist named Mike explained the anesthetic process, calmed my fears, and even had me laughing.  Before I knew it, Mike said, "Sweet dreams", and I drifted off t sleep. 

How cool was that?  He knew the exact moment I would fall asleep.  At the ripe old age of 20, I thought  that impressed me so much I changed my major--and I never looked back.

Two decades later, I can say without reservation I made the right choice.  I may not have realized my dreams of flying to the stars but, every day, I get to fly my patients to 'sweet dreams', answer their questions and, like Mike, calm their fears.  With the invention of PeDIA, I also get to play with a little engineering on the side.       
WORK EXPERIENCE:

2015-Present: CEO PeDIA, LLC
1999-2017:  CRNA Dominion  Anesthesia
1996-1999: CRNA Potomac Anesthesia Associates
1995-1996: CRNA Kaiser Permanente  Inc.

EDUCATION:
1992-1994: Medical University of South Carolina, MHS 
                   & Certificate in Nurse Anesthesia
1982-1987: State University of New York at Buffalo,  BSN


Articles:


Miller DM. Take the Fear out of Mask  Induction for Kids. Outpatient Surgery Magazine. 2016;17(10):21-23

http://magazine.outpatientsurgery.net/h/i/293987079-heavy-duty-october-2016-subscribe-to-outpatient-surgery-magazine


Manzellla D.  Pediatric Anxiety During Mask Induction of Anesthesia.  CRNA Today. 2017;2:3-11. https://crnatoday.lmscheckout.com/Course/view/430020


Manzella D. Pediatric Anxiety During Induction of Anesthesia. https://www.linkedin.com/pulse/pediatric-anxiety-during-induction-anesthesia-manzella-miller-crna?trk=prof-post


Kain ZN, Shu MW., Mayes L.C., Caramico LA, Hofstadter MB. Distress During the Induction of Anesthesia and Postoperative Behavioral Outcomes. Anesth Analg. 1999;8:1042-7.  ​https://www.ncbi.nlm.nih.gov/pubmed/10320165


Chorney JM, Kain ZN. Behavioral analysis of children’s response to induction of anesthesia. Anesth Analg, 2009;109:1434–1440.  

http://journals.lww.com/surveyanesthesiology/Citation/2010/06000/Behavioral_Analysis_of_Children_s_Response_to.22.aspx


Chundamala, MA, Wright J.G., Kemp S.M.  An evidence-based review of parental presence during anesthesia induction and parent/child anxiety.  Can J Anesth/Can Anesth. 2009;56:57-70.  http://opensample.info/an-evidence-based-review-of-parental-presence-during-anesthesia-induction-and-parent-child-anxiety


Kain Z., Caldwell-Andrews A., Mayes L., Weinburg M., Wang S, MacLaren J, Blount R. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial.  Anesthesiology.  2007;106:65-74.  ​http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1922803


Chorney J, Torrey C, Blount R, McLaren C, Chen W, Kain Z. Healthcare Provider and Parent Behavior and Children’s Coping and Distress at Anesthesia Induction. 
Anesth. 2009;111(6): 1290–1296. doi:  10.1097/ALN.0b013e3181c14be5 ​ http://pubmedcentralcanada.ca/pmcc/articles/PMC2790460/


Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, Czarnecki C, Gibson MA, Stewart SA, Stargatt R. Risk factors for anxiety at induction of anesthesia in children; a prospective cohort study.  Paediatr Anaeth. 2006;16:919-27. ​https://www.ncbi.nlm.nih.gov/pubmed/16918652