April 1995 AANA Journal

Table of Contents


Book Reviews
Clinical Anesthesiology
Reviewed by: E. Jane McCarthy, CRNA, PhD, FAAN

Clinical Teaching in Nursing Education
Reviewed by: Denise Martin-Sheridan, CRNA, EdD
Print version: 1995;63(2):80,82.

Legal Briefs
By Gene A. Blumenreich, JD
The CRNA as an expert witness
Print version: 1995;63(2):85-87.
Keywords: Expert testimony, professionals, standard of care.

Imagining in Time
By Lee C. Fosburgh, MA
Evan Koch, CRNA, MSN
The AANA Archives: Documenting a distinguished past
Print version: 1995;63(2):88-93.
Keywords: Archives, history of American Association of Nurse Anesthetists, history of nurse anesthesia.

Washington Scene
By David E. Hebert, JD
Kathleen A. Michels, RN, JD, FAAN
Key health committees in the 104th Congress
Print version: 1995;63(2):94-99.
Keywords: Congressional committees, Democrat, 104th Congress, Republican.

Perceptions by an anesthesia care team on the need for medical direction
By Sharry Fassett, CRNA, MS
Selma Harrison Calmes, MD
This original research, which was conducted in a 370-bed teaching hospital, examines how one anesthesia care team provided services, identifies roles of CRNAs and anesthesiologists within this team practice, determines if medical direction was perceived as equally beneficial in all cases, and identifies practice modifications which could possibly lower costs.
Print version: 1995;63(2):117-123.
Keywords: Anesthesia care team, anesthesiology, economics, manpower.

Chloroprocaine for epidural anesthesia in infants and children
By Joseph D. Tobias, MD
Nancy O'Dell, MD
In this article, the authors discuss their experience with the use of chloroprocaine for epidural anesthesia in five pediatric patients. In all five cases, chloroprocaine was chosen because of preexisting or associated conditions that might increase the risk of bupivacaine toxicity.
Print version: 1995;63(2):131-135.
Keywords: Bupivacaine, chloroprocaine, epidural anesthesia, local anesthetics, pediatric anesthesia.

Paroxysmal supraventricular tachycardia of unusual etiology: A case report
By William Ball, CRNA, MS
Paroxysmal supraventricular tachycardia (PSVT) can arise from either cardiac or noncardiac causes. In this case report, two episodes of PSVT occurred in a 55-year-old male who was undergoing minor surgery for excision of an abdominal mass.
Print version: 1995;63(2):136-139.
Keywords: Anesthesia complications, cardiac arrhythmias, monitored anesthesia care, pacemakers, paroxysmal supraventricular tachycardia.

Effective communication using a speech aid for a postlaryngectomy patient undergoing regional anesthesia: A case report
By Adena Burnstein, MD
Elizabeth Page, CRNA, PhD
It is important for the anesthetist to become familiar with speech aids in order to establish effective communication with postlaryngectomy patients. The authors present a case of a postlaryngectomy patient who uses an electrolarynx to communicate and who underwent a cystoscopic procedure under general anesthesia.
Print version: 1995;63(2):154-156.
Keywords: Anesthesia, communication, electrolarynx, laryngectomy.

AANA Journal Course: Update for nurse anesthetists–Perioperative therapeutic aerosol administration
By Rex A. Marley, CRNA, RRT, MS
In this AANA Journal course, the author describes factors which influence aerosol particle deposition, selection and use of aerosol generating devices and delivery systems, and techniques of aerosol administration for the upper and lower airways.
Print version: 1995;63(2):165-175.
Keywords: Aerosol, atomizer, inhalation administration, jet nebulizer, metered dose inhaler.

General and Subscription Information
Print version: 1995;63(2):80.

Council on Accreditation List of Programs to be Reviewed During Fiscal Year 1996
Print version: 1995;63(2):100.

AANA Journal Course No. 14 Examination
Print version: 1995;63(2):144-153.

Index to Advertisers
Print version: 1995;63(2):176.

April 1995 AANA Journal
Volume 63 , Number 2
ISSN 0094-6354
On the Cover: