April 1999 AANA Journal

Table of Contents


The Effect of Epidural Analgesia on the Second Stage of Labor
Print version: 1999;67(2):107.

Legal Briefs
Anesthesia–It's Finally the Practice of Medicine
Gene A. Blumenreich, JD
Print version: 1999;67(2):109-112.
Keywords: Licensing laws, practice of medicine.

Practice Issues
Office Based Anesthesia Standards
Sandra K. Tunajek, CRNA, MSN
Print version: 1999;67(2):115-120.
Keywords: Accountability, anesthetist, office based anesthesia, standard of care, safety.

Education News
The Application Process for Nurse Anesthesia Programs: Is there room for improvement?
Sandra M. Ouellette, CRNA, MEd, FAAN
Nancy Courts, MSN, PhD
Pamela J. Lincoln, RN, MSN

Print version: 1999;67(2):121-130.
Keywords: Graduate education, nurse anesthesia education, nurse anesthesia program admissions.

Council on Accreditation List of Programs to be Reviewed During Fiscal Year 2000
Print version:

On Leadership
Karlene Kerfoot, RN, CNAA, PhD, FAAN
The People Side of Transformations
Print version: 1999;67(2):167-168.
Keywords: Healthcare, leadership, nursing, transformation.

AANA Journal Course No. 18 Examination
Print version:


Controlled Drug Misuse by Certified Registered Nurse Anesthetists
Donald M. Bell, CRNA, MS, MSNA
John P McDonough, CRNA, EdD
Jack S. Ellison, EdD, CHES
Eugene C. Fitzhugh, PhD, CHES

The primary purpose of this study was to determine the prevalence of controlled drug misuse among practicing Certified Registered Nurse Anesthetists. The authors recommend specific tactics for strengthening drug misuse education and prevention and suggest modifications in research design and additional studies in the research area.
Print version: 1999;67(2):133-140.
Keywords: Certified Registered Nurse Anesthetist, chemical dependency, controlled drugs, substance abuse.

Alkaptonuric Aortic Stenosis: A Case Report
Maria Elena Gonzales, CRNA, MSN
Alkaptonuria is a rare collagen vascular disease that can cause, among other clinical manifestations, arthropathy and aortic stenosis. This case report of a 75-year-old woman with alkaptonuric aortic stenosis who underwent emergency aortic valve replacement surgery offers insight into the anesthetic considerations specific to alkaptonuria and other collagen vascular diseases.
Print version: 1999;67(2):145-151.
Keywords: Alkaptonuria, aortic stenosis, ochronosis.

Maintaining Intraoperative Normothermia: A Meta-analysis of Outcomes with Costs
Christine Brown Mahoney, RN, PhD, MS
Jan Odom, RN, MS, CPAN, FAAN
Mild intraoperative hypothermia has adverse consequences reaching far beyond patient discomfort. The results of this meta-analytic study indicate that hypothermia averaging only 1.5°C less than normal significantly increases the risk of adverse patient outcomes. The authors also examine the costs resulting from adverse patient outcomes and differences in the effectiveness of modalities for maintaining intraoperative normothermia.
Print version: 1999;67(2):155-164.
Keywords: Cost-effectiveness, hypothermia, intraoperative normothermia, meta-analysis, perioperative normothermia.

AANA Journal Course: Update for Nurse Anesthetists – Part 1 – Magnesium Homeostasis and Deficiency
Terry C. Wicks, CRNA, BSN, MHS
Magnesium deficiency complicates the management of hypertension and cardiac arrhythmias, affects the clinical behavior of neuromuscular blocking drugs, and may impair immune function. In this AANA Journal course, the author discusses the normal distribution and homeostatic regulation of magnesium, magnesium's role in normal cardiovascular performance, common causes of magnesium deficiency, and anesthesia considerations for patients with magnesium deficiency.
Print version: 1999;67(2):171-179.
Keywords: Cardiac arrhythmias, magnesium, magnesium deficiency, magnesium homeostasis.

April 1999 AANA Journal
Volume 67 , Number 2
ISSN 0094-6354
On the Cover: