April 1991, AANA Journal

Table of Contents

Legal Briefs  
By Gene A. Blumenreich, JD
Medicare fraud and abuse
Print version: 1991;59(2):98-100.
Keywords: Employment, fraud and abuse, Medicare.
Sedation technique for cataract surgery; suggestions for overcoming patient's discomfort on injection of propofol.
Print version: 1991;59(2):101.
Washington Scene 
By Kathleen A. Michels, RN, JD
Health Care Financing Administration – Structure and mission
Print version: 1991;59(2):102-105.
Keywords: Health Care Financing Administration, Medicaid, Medicare, Quality Assurance.
Education News 
By Tom L. McKibban, CRNA, MS
The dual role – Educator and lobbyist
Print version: 1991;59(2):106-108.
Keywords: Education, legislation, legislative aides, letters, lobbying.
Practical Technicalities  
By Linda M. Huffman, CRNA, BA
Common problems in waste gas management
Print version: 1991;59(2):109-112.
Keywords: Active and passive scavenging, airway pressure, relief valves, scavenging valves, waste gas.
Reducing the need for intubation in plastic surgery 
By Lyle E. Gates, CRNA, BSN
Edward N. Hamacher, MD, JD
Dan Simonson, CRNA, BSN
Ketamine-based intravenous sedation technique can overcome the disadvantages of general endotracheal anesthesia used in plastic surgery procedures, such as lack of patient acceptance. The authors provide the advantages and steps involved in this alternate technique.
Print version: 1991;59(2):131-135.
Keywords: Endotracheal intubation, intravenous sedation, ketamine, lidocaine, local anesthesia.
Clinical Exchange  
By Carol Elliott, CRNA, MA
Craig Atkins, CRNA, MS
Chuck Biddle, CRNA, PhD
The clinical nurse anesthetist as diagnostic sleuth
Print version: 1991;59(2):136-138.
Keywords: Differential diagnosis, electromyography, monitoring, myasthenia gravis.
Anesthesia for athletes using performance-enhancing drugs
By Joseph A. Joyce, CRNA, BS
Anabolic steroids have been used by some athletes for almost four decades despite warnings of potentially fatal adverse sequelae. The author presents the physiologic changes associated with anabolic steroid ingestion and relates them to the administration of anesthesia.
Print version: 1991;59(2):139-144.
Keywords: Anabolic-androgenic steroids, enzyme induction, steroids, volume of distribution.
AANA Journal Course: New technologies in anesthesia: Update for nurse anesthetists — Clonidine: An established drug with futuristic indications  
By Wanda S. Marley, CRNA, MS
In this thirteenth chapter of the AANA Journal Update Course – New Technologies in Anesthesia – the author discusses the potential uses of clonidine and explains its pharmacological and physiological mechanisms of action.
Print version: 1991;59(2):161-170.
Keywords: Adrenergic, alpha-2 agonist, antinociceptive, clonidine.
Monographs from the Report of the National Commission on Nurse Anesthesia Education
Federal legislative and regulatory impact on funding of nurse anesthesia education 
By Debra Hardy-Havens, RN, BSN, FNP
Print version: 1991;59(2):171-176.
Factors influencing nurse anesthesia educational programs: 1982-1987  
By Mary V. DePaolis-Lutzo, CRNA, PhD
Print version: 1991;59(2):177-179.

The cost of nurse anesthesia education 
By Bonnie Bullough, FNP, PhD, FAAN
Print version: 1991;59(2):183-184.
AANA Journal Course No. 10 Examination 
Print version: 1991;59(2):185-191.
General and Subscription Information
Print version: 1991;59(2):101.
Index to Advertisers  
Print version: 1991;59(2):192.


Volume 59 , Number 2
ISSN 0094-6354
On the Cover: