April 1994 AANA Journal

Table of Contents


Book Reviews
Obstetric Anesthesia
Reviewed by: Carolyn Nicholson, CRNA, BSEd

Year Book of Anesthesia and Pain Management
Reviewed by: Frank T. Maziarski, CRNA, MS

Anesthesia Equipment
Reviewed by: Johan Lundberg, MD, PhD
Print version: 1994;62(2):86,88,90.

Washington Scene
By Kathleen A. Michels, RN, JD, FAAN
Sue Ellen Hopkinson, RN, MPP
Comparison of federal healthcare reform plans
Print version: 1994;62(2):93-101.
Keywords: Healthcare reform, managed competition, President Clinton, single payer system.

Legal Briefs
By Gene A. Blumenreich, JD
The CRNA as employee
Print version: 1994;62(2):102-105.
Keywords: Employee, statutory interpretation, Workmen's Compensation.

Management Briefs
By Thomas G. Healey, CRNA, MA
Managing the change process
Print version: 1994;62(2):106-107.
Keywords: Anger, change, confusion, denial, loss.

AANA Journal Course: Update for nurse anesthetists–Outcome measures in anesthesiology: Are we going in the right direction?
By Chuck Biddle, CRNA, PhD
Anesthesia care has undergone dramatic evolution in terms of the technologies and drugs which are currently available. This AANA Journal course explores the issue of safety and the role that outcome studies play in quantifying its evolution.
Print version: 1994;62(2):117-124.
Keywords: Anesthesia safety, complications, outcomes.

Anesthesia for thoracoscopy: An Overview
By John J. Fair, CRNA, MSN
Thoracoscopy offers some distinct advantages in the evaluation and treatment of intrapleural disease processes. This review article discusses the challenges faced in the anesthetic care of the thoracoscopy patient, such as choosing the anesthetic technique, patient monitoring, and maintenance of cardiorespiratory function in the presence of pneumothorax and a variety of coexisting disease states.
Print version: 1994;62(2):133-138.
Keywords: One-lung anesthesia, thoracoscopy, videoscopic surgery.

Examining collaborative relationships between anesthesiologists and certified registered nurse anesthetists in nurse anesthesia educational programs
By Keith A. Torgersen, CRNA, MSN
Patricia A. Chamings, RN, PhD, CNA, FAAN
This original research article examines the collaborative perceptions that Certified Registered Nurse Anesthetists and anesthesiologists have of each other in nurse anesthesia educational programs. A major area of concern raised in this study was that inadequate collaborative practices persist which could be indicative of critical deficiencies in the educational system and clinical practice settings of both providers.
Print version: 1994;62(2):139-148.
Keywords: Anesthesiology education, communication, graduate nursing education, interpersonal relations, nurse/physician collaboration.

The airway in the obstetrical patient
By Calvin Johnson, MD
Michael Lawlor, DO
Mark Weiner, DO
Airway management in the obstetrical patient requires meticulous attention to patient evaluation and preparation. In this review article, the authors discuss anatomic and physiologic changes, clinical implications for the anesthetist, equipment and techniques for airway management, airway management scenarios, and preparation for emergency and nonemergency cesarean section.
Print version: 1994;62(2):149-159.
Keywords: Airway, anesthesia, difficult airway, intubate, obstetrics.

Perioperative challenges in the care of the Jehovah's Witness: A case report
By Wayne Nussbaum, CRNA, MS
Nieves deCastro, MD
Frederick W. Campbell, MD
Anticipation and avoidance of major problems are paramount when caring for the Jehovah's Witness patient. In this case report, severe anemia during a myomectomy resulted from preoperative anemia and the patient's refusal to accept replacement of lost circulating red blood cells.
Print version: 1994;62(2):160-164.
Keywords: Acute anemia, autotransfusion, Jehovah's Witness.

Acromegaly and transsphenoidal hypophysectomy: A case report
By Melissa A. Baxter, CRNA, BSN
Anterior pituitary tumors that cause hypersecretion of the growth hormone lead to acromegaly in adults. This is a case report of a patient who sustained a traumatic head injury, developed symptoms of acromegaly, and subsequently underwent an elective transsphenoidal hypophysectomy for removal of a pituitary adenoma.
Print version: 1994;62(2):182-185.
Keywords: Acromegaly, adenoma, anterior pituitary, growth hormone, hypophysectomy, transsphenoidal.

AANA Education and Research Foundation Poster Session abstracts presented at the 1993 AANA Annual Meeting in San Francisco
Print version: 1994;62(2):186-187.

AANA Journal Course No. 13 Examination
Print version: 1994;62(2):188-196.

General and Subscription Information
Print version: 1994;62(2):86.

Index to Advertisers
Print version: 1994;62(2):181.

April 1994 AANA Journal
Volume 62 , Number 2
ISSN 0094-6354
On the Cover: