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 played in my mind, the panic so overwhelming that four-year-old Diane bit the doctor (I was a feisty one).  I was too old to bite anyone now, but somehow that made me feel worse!  But then a nurse anesthetist named Mike came to the rescue.  He explained the anesthetic process, calmed my fears, and had me laughing.  Before I knew it, Mike said, "Sweet dreams", and I drifted off to sleep. 

How cool was that?  Mike 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.       
WORK EXPERIENCE:

2015-Present: PeDIA, LLC
1999-2017:  Dominion  Anesthesia
1996-1999:  Potomac Anesthesia Associates
1995-1996:  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:


Eijlers R et al. Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival. J Clin Psych Med Setting. 2020

DOI 10.1007/s10880-20-09716-6


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​


Carlsson RN et al. Visiting the Operating Theatre Before Surgery Did Not Reduce the Anxiety in Children and Their Attendant Parent. J Pediatr Nurs. 2018;38:E24-E29  DOI: 10.1016/j-ped-n.2017.09.005


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

Jun JH, et al. The effects of intranasal dexmedetomidine premedication in children: a systematic review an meta-analysis. Can J Anesth. 2017;64:947-961

DIO 10.1007//s12630-017-0917-x


Richter JP et.al. Patient experience and hospital profitability: Is there a link? Health Care Manage Rev. 2017;42(3):247-257

DOI: 10.1097/HMR00000000000000105


Yeo AS. Abstract PR279: Incidence and Duration of Post-operative Maladaptive Behaviour in An Asian Day Surgical Population. Anesthesia & Analgesia. 2016;(123)(3S):359-360


Singh A, Purohit B. Mobile Phones in Hospital Setting: A Serious Threat to Infectious Control Practices. Occupational Health and Safety. March 01, 2012


Shakir I. Investigation of Cell Phones as a Potential Source of Bacterial Contamination in the Operating Room. 


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/


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

Przybylo HJ et al. Mask fear in children presenting for anesthesia: aversion, phobia or both? Paediatr Anaesth. 2005;15(5)

DOI10.1111/j.1460-9592.2004.01524.x