April 1997 AANA Journal

Table of Contents


Book Reviews
Anesthesia Secrets
Reviewed by: Steve L. Alves, CRNA, MSNA

Regional Anesthesia: An Atlas of Anatomy and Techniques
Reviewed by: Angelito A. Ham, MD

Airway Management: Principles and Practice
Reviewed by: Elizabeth Visco, CRNA

Smith's Anesthesia for Infants and Children
Reviewed by: Nancy L. Glass, MD

The Pediatric Pain Handbook
Reviewed by: Jay J . Beebe, CRNA, PhD
Print version: 1997;65(2):103,178-180.

Anesthesia providers, patient outcomes, and costs: The AANA responds to the Abenstein and Warner article in the June 1996 Anesthesia and Analgesia; Anesthetic considerations for the new antiobesity medications.
Print version: 1997;65(2):104,112.

Legal Briefs
By Gene A. Blumenreich, JD
Double standards in anesthesia
Print version: 1997;65(2):106-109.
Keywords: Anesthesiologist, negligence, standard of care.

Education News
By Lois Frels, RN, PhD
Similarities and differences in U.S. nurse anesthesia curriculum and Mexican military nurses in anesthesiology curriculum.
Print version: 1997;65(2):116-122.
Keywords: Comparison of Mexico and U.S. anesthesia curriculums, international curriculum, NAFTA project curriculum, nurse anesthesia curriculum.

AANA Journal Course: Update for nurse anesthetists–Brain death: Terminology, clinical criteria, and diagnostic testing
By John Aker, CRNA, MS
Kent S. Pearson, MD
In this AANA Journal course, the authors examine the definitions of death and the evolution of the term brain death. The essential clinical criteria and confirmatory diagnostic testing for the determination of adult whole-brain death will be reviewed.
Print version: 1997;65(2):129-135.
Keywords: Brain death, cardiopulmonary resuscitation, organ transplantation.

Sevoflurane use in Veterans Affairs medical centers: Utility, safety, and cost-effectiveness
By Sara D. Puckett, CRNA
J. Jeff Andrews, MD
The authors of this article state that if used appropriately, sevoflurane can be administered safely at a cost comparable to desflurane. Discussion concerning this drug includes respiratory response, cardiovascular and neurocirculatory response, response of elderly and VA patients, fluoride ion and base stability, metabolism, hepatic/renal effects, and cost comparison of inhaled anesthetics.
Print version: 1997;65(2):136-142.
Keywords: Cost comparisons of inhaled agents, desflurane, inhaled anesthetics, sevoflurane, Veterans Affairs patients.

Comparison of intubating conditions related to timed dosages and a nerve stimulator based on the measurement of acceleration using mivacurium
By Daniel D. Moos, CRNA, MS
James D. Cuddeford, CRNA, MA
The purpose of this prospective, experimental, clinical trial was to determine whether a difference existed in intubating conditions when using mivacurium between a timed-dose technique and the ParaGraph®, a new quantitative neuromuscular blockade monitor that uses the concept of acceleromyography.
Print version: 1997;65(2):143-146.
Keywords: Intubation, mivacurium, piezoelectric sensor, timed dose.

Postextubation foreign body aspiration: A case report
By Sandra L. Walton, CRNA, BSN
In this case report, endoscopic sinus surgery performed on a healthy young male could have resulted in a fatal outcome when a surgically placed nasal pack became dislodged upon extubation and unknowingly was aspirated. Fiberoptic bronchoscope equipment was used to promptly retrieve the foreign body.
Print version: 1997;65(2):147-149.
Keywords: Aspiration, endoscopic sinus surgery, fiberoptic bronchoscope, foreign body, nasal packing.

Anesthesia-related periodic involuntary movement in an obstetrical patient for cesarean section under epidural anesthesia: A case report
By Lola P. Martinez, CRNA
Marjorie Koza, CRNA
The authors describe anesthesia-related periodic involuntary movement in a patient undergoing cesarean section with epidural anesthesia in this case report. The discussion includes a brief review of spinal cord anatomy and physiology, as well as a review of the literature describing similar events.
Print version: 1997;65(2):150-153.
Keywords: Myoclonus, nocturnal myoclonus, periodic movement in sleep.

The safety and efficacy of granisetron in postoperative vomiting in pediatric patients undergoing tonsillectomy
By Donna Carnahan, CRNA, MS
Keumae Dato, CRNA, MS
Jenni Hartsuff, CRNA, MS
In this original research article, the authors state that the results of their study suggest that the prophylactic administration of granisetron 10 μg/kg in pediatric patients undergoing tonsillectomies and adenoidectomies significantly reduces the severity of postoperative vomiting in the immediate postoperative period and during the 24-hour period after surgery.
Print version: 1997;65(2):154-159.
Keywords: Granisetron, postoperative vomiting, tonsillectomy.

Imagining in Time
By Lee C. Fosburgh, MLIS, MA
Organization of the Michigan Association of Nurse Anesthetists, 1937-1938
Print version: 1997;65(2):160-161.
Keywords: Michigan Association of Nurse Anesthetists, nurse anesthesia history, state nurse anesthetist associations.

On Leadership
By Karlene Kerfoot, RN, CNAA, PhD, FAAN
World class excellence
Print version: 1997;65(2):174-176.
Keywords: Excellence, healthcare, leadership, nursing.

General and Subscription Information
Print version: 1997;65(2):103.

AANA Journal Course No. 16 Examination
Print version: 1997;65(2):162-172.

Index to Advertisers
Print version: 1997;65(2):192.

April 1997 AANA Journal Table of Contents
Volume 65 , Number 2
ISSN 0094-6354
On the Cover: