April 2000 AANA Journal

Table of Contents

Departments

Books and Multimedia of Interest
The Pain Clinic Manual
Reviewed by Heidi M. Dix, RN, BSN
Management of the Difficult Airway 
Reviewed by Michael A. Fiedler, CRNA, MS
Print version: 2000;68(2):105-106.

Legal Briefs
The Importance of Following Procedures in Anesthesia
Gene A. Blumenreich, JD
Print version: 2000;68(2):107-110.
Keywords: Evidence of custom and routine practice, malpractice, protocols and established procedures.

Education News
Education of Nurse Anesthetists in the United States
E. Jane McCarthy, CRNA, PhD, FAAN
Julie Pearson, CRNA, MSN
W. Gray McCall, CRNA, MHDL, Chairman
Margaret Faut-Callahan, CRNA, DNSc, FAAN
Sandra L. Lovell, CRNA, MA, MS
Billy D. Sanders, RN, BSN
1998-1999 Education Committee
Print version: 2000;68(2):111-113.
Keywords: Accreditation, nurse anesthesia education.

Council on Accreditation of Nurse Anesthesia Educational Programs to be Reviewed During Fiscal Year 2001
Print version: 2000;68(2):170.

AANA Journal Course No. 19 Examination Information Update for Nurse Anesthetists
Print version
: 2000;68(2):171-180.

Articles

Comparing the Effects of Stress and Relationship Style on Student and Practicing Nurse Anesthetists
Charles P. Kendrick, CRNA, PhD
Stress-related outcomes present heavy costs to organizations and can lead to burnout for the healthcare professional. This study compares and contrasts stress levels between practicing nurse anesthetists and those in training and evaluates whether stress and the style in which a nurse anesthetist relates to others affect communication.
Print version: 2000;68(2):115-122.
Keywords:Communication, interpersonal relationships, occupational stress.

Dental Guards: Helpful or Hazards? — A Case Report
Linda R. McFadden, CRNA, MSN
John M. O'Donnell, CRNA, MSN
Carol E. Rose, MD

This case report relates how a dental guard was apparently overlooked during the sequence of events following intubation and displaced into the patient's posterior orpharynx. The authors also provide recommendations for the proper use of dental guards to avoid adverse effects to the patient.
Print version: 2000;68(2):127-130.
Keywords: Aspiration, dental guards, dental injury.

An Investigation of the Effect of 2 Sedation Regimens on Patient Mood State Following Upper Extremity Surgery Using Local Anesthesia
Sheri A. Baker, CRNA, MSN
Charlene A. Benz, CRNA, MSN
Nancy A. Dalton, CRNA, MSN
Janna J. Smith, CRNA, MSN
Angela N. Stillmunkes, CRNA, MSN
Beth A. Elliott, MD
Edward S. Thompson, CRNA, PhD
Designed to look for differential effects of 2 sedation regimens on perioperative mood states, this study examines differences in mood between patients receiving propofol or midazolam intravenously for interoperative sedation.
Print version: 2000;68(2):135-140.
Keywords: Midazolam, Profile of Mood States (POMS), propofol, upper extremity surgery.

An Update on Cystic Fibrosis and Implications for Anesthesia
Mary C. Karlet, CRNA, PhD
The majority of infants born with cystic fibrosis now reach adulthood, making surgical procedures performed in this patient group more common. In this article, the author outlines the epidemiology, genetics, and pathophysiology of cystic fibrosis; reviews preoperative assessment; and offers guidelines for anesthetic management of patients with the disease.
Print version: 2000;68(2):141-148.
Keywords: Cystic fibrosis, respiratory disease.

Induction Pain Perception After Premedication With Propofol vs Lidocaine: A Pilot Study
John David Singleton, CRNA, MSN
Propofol has a substantial potential for causing a burning sensation at the intravenous site during anesthetic induction. In this study, the author examines the clinical effectiveness administering preinduction doses of lidocaine vs propofol for decreasing pain upon induction with propofol.
Print version: 2000;68(2):149-151.
Keywords: Induction, lidocaine, propofol.

Do Oxygen-enriched Atmospheres Exist Beneath Surgical Drapes and Contribute to Fire Hazard Potential in the Operating Room?
Angela M. Barnes, CRNA, MSN
Rita A. Frantz, RN, PhD, FAAN

Although the occurrence of small fires caused by the ignition of drapes and other fuels by cautery devices is extensively documented, the circumstances surrounding their development are not well known. This study aims to describe the microenvironment in terms of oxygen beneath the drapes of healthy subjects who were simulating patients undergoing minor surgical procedures with supplemental oxygen and to evaluate the efficacy of using a scavenger system to lower those concentrations.
Print version: 2000;68(2):153-161.
Keywords: Anesthesia complications, fires, gas scavengers, oxygen, safety.


AANA Journal Course Part 1—Update for Nurse Anesthetists
Transient Neurologic Symptoms and Spinal Anesthesia
Capt Anne C. Sime, CRNA, MS, USAF, NC
During the last decade, the use of hyperbaric 5% lidocaine as a spinal anesthetic has been implicated as the cause of transient neurologic syndrome (TNS) and cauda equina syndrome. In this AANA Journal Course, the author discusses factors that contribute to the development of TNS, the occurrence of TNS associated with various local anesthetics, and alternatives to lidocaine for short spinal anesthetics.
Print version: 2000;68(2):163-168.
Keywords: Spinal anesthesia, spinal narcotics, transient neurologic syndrome.

April 2000 AANA Journal
Volume 68 , Number 2
ISSN 0094-6354
On the Cover: