Volume 75, Number 5
ISSN 0094-6354
On the cover:
Suzanne M. Wright, CRNA, MSNA, assistant professor (seated), incorporates distance learning technologies while directing simulation training for nurse anesthesia students in the Center for Research in Human Simulation, Department of Nurse Anesthesia, VIrginia Commonwealth University (VCU), Richmond, Virginia. VCU students shown working in an operating room environment (from left to right) are: Karen Barnes, Ashley Hutchinson, and Scott Petey. The background screen and accompanying audio equipment allow the Center to communicate visually and vocally with distance classroom and simulation lab in Southwest Virginia. (Photo courtesy of Department of Nurse Anesthesia, VCU.)
AANA Journal Homepage
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Letters
Upgrading nurse anesthesia educational requirements
David G. Potter, CRNA, MBA
Epidural catheter complication
Jeffrey Huang, MD
Print version: 2007;75:323-324.
Education News
Share your secrets— Teach! A proposal to increase the number of nurse anesthesia educators
Tara D. Ray, CRNA, MSN
Print version: 2007;75:325-328.
Key words: Barriers, CRNA instructor shortage, nurse anesthesia education.
State of the Science Oral and Poster Sessions
Print version: 2007;75:357-387.
Airway management in a child with penetrating pharyngeal wall foreign body injury: A case report
Fabio Incollingo, CRNA, MSC
Yuri Shevchenko, MD
In this case report, the authors state that penetrating foreign bodies of the oropharynx are encountered in children of all ages, although more frequently between the ages of 3 to 5 years. A thorough preanesthetic evaluation of these patients, including type and extent of injury, must be performed if time allows. As a result of the often emergent nature of these cases, poor patient cooperation, and great potential for airway compromise, special considerations are given to management of the airway. The use of nontraditional equipment may greatly facilitate laryngoscopy and intubation.
Print version: 2007;75:329-332.
Key words: Airway management, difficult intubation, penetrating oropharyngeal foreign body.
Evaluation of the anxiolytic effects of chrysin, a Passiflora incarnata extract, in the laboratory rat
CPT Eric (Walter) Brown, CRNA, MSN, ANC, USA
CPT Neil S. Hurd, CRNA, MSN, ANC, USA
Suzanne McCall
LTC Thomas E. Ceremuga, CRNA, PhD, ANC, USA
In this original research, the authors state that most patients admitted to the operating room for surgery experience anxiety and subsequent activation of the stress response. Factors associated with activation of the stress response place patients at greater risk for adverse outcomes and predispose them to a more complicated anesthetic plan. The authors studied the potential anxiolytic effects of chrysin, a Passiflora extract, and the purported modulation of the benzodiazepine recepter on the GABAA receptor in laboratory rats. The data suggest that chrysin may have anxiolytic properties similar to midazolam but to a lesser magnitude at the 2-mg/kg dose used in this study.
Print version: 2007;75:333-337.
Key words: Anxiety, chrysin, elevated plus-maze, Passiflora incarnata.
Predictors of student success in the US Army Graduate Program in Anesthesia Nursing
CPT Joseph A. Hulse, CRNA, MSN, ANC, USA
CPT Thomas Chenowith, CRNA, MSN, ANC, USA
LTC Linda Lebedovych, CRNA, BSN, ANC, USA
MAJ Paul Dickinson, RN, BSN, ANC, USA
Brett Cavanaugh, RN, BSN
Normalynn Garrett, CRNA, PhD
The primary objective of this research was to identify cognitive and noncognitive factors that may predict student success in the US Army Graduate Program in Anesthesia Nursing. Second, the results of this study will help iddentify students possibly at risk for failure so that interventional measures can be developed and implemented to promote success and reduce attrition. The findings suggest that locus of control and trait anxiety may be the most predictive indicators of success in the program, and the findings support that noncognitive factors may be as vital as cognitive factors in predicting academic success.
Print version: 2007;75:339-346.
Key words: Academic perfrmance, anesthesia nursing, graduate nursing education.
AANA Journal Course 4
Update for nurse anesthetists --
Life in the balance: The role of serpins in disease genesis and prevention
John Aker, CRNA, MS
Chuck Biddle, CRNA, PhD
The conditions discussed in this course, pulmonary emphysema and angioedema, result in part from a functional imbalance in the mechanics of protease inhibition by the serpins. The authors introduced this concept using the metaphor of Yin and Yang, 2 opposing but intertwined forces that interact to achieve an exquisite balance in human life. They conclude that proteases are diffusely located in the body and have essential roles in maintaining homeostasis. The serpin, a1-AT, exerts influence of such magnitude that aberrations in its expression lead to conditions of significant consideration to anesthesia providers,
Print version: 2007;75:349-354.
Key words: a1-Antitrypsin deficiency, angioedema, emphysema, serpins.
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