April 2001 AANA Journal

Table of Contents


Reducing Anxiety in Patients Before and During Pediatric Anesthesia Induction
Ron Zuwala, CRNA, MS
Kimberly Barber, CRNA, MS
Print version: 2001;69(2):88.

Military and Civilian Penetrating Eye Trauma: Anesthetic Implications
Daniel D. Moos, CRNA, MS
Print version: 2001;69(2):88.

Legal Briefs
Conflict for the Court
Gene A. Blumenreich, JD
Print version: 2001;69(2):91-94.
Key words: Informed consent, negligence per se, res ipsa loquitur, tort reform.

Books and Multimedia of Interest
Clinical Guide to Pediatric Anesthesia
Reviewer: Corry A. Coopmans, CRNA, MS
Print version: 2001;69(2):101-102. 

Foundations of Anesthesia: Basic and Clinical Science
Reviewer: Vicki C. Coopmans, CRNA, MS
Print version: 2001;69(2):101-102.

AANA Journal Course No. 20 -- Examination Information, Update for Nurse Anesthetists
Print version:


The Addition of Interscalene Block to General Anesthesia for Patients Undergoing Open Shoulder Procedures
LCDR Mark R. Gohl, CRNA, MS, NC, USN
LT Robin K. Moeller, CRNA, MS, NC, USN
CDR R. Lee Olson, CRNA, MS, NC, USN
CDR Charles A.Vacchiano, CRNA, PhD, NC, USN

Anecdotal evidence suggests that an interscalene block combined with general anesthesia decreases unwanted effects of general anesthesia following open shoulder surgery. Results of this study suggest that adding an interscalene block to general anesthesia can be of value in today's outpatient-dominated surgery schedule.
Print version: 2001;69(2):105-109.
Key words: Combined technique, general anesthesia, interscalene block, shoulder surgery.

Cost Analysis in Vitrectomy: Monitored Anesthesia Care and General Anesthesia
Jeffrey Jian-Hong Huang, MD, MS
Steven Fogel, MD
Michael Leavell, MD

This retrospective study compared hospital charges associated with monitored anesthesia care with retrobulbar block (MAC/RBB) with charges associated with general anesthesia among patients undergoing vitrectomy. Results indicated that hospital charges associated with MAC/RBB were 20% less than charges associated with general anesthesia.
Print version: 2001;69(2):111-113.
Key words: Charges, cost, general anesthesia, monitored anesthesia care.

Anesthetic Implications in Epidermolysis Bullosa Dystrophica
Theresa L. Culpepper, CRNA, PhD
Epidermolysis bullosa, a genetic disease in which blisters form after minor shearing trauma to the skin or mucous membranes, presents special problems for the anesthesia provider. In this case report, the author describes the precautions taken when delivering anesthesia to a young woman undergoing esophageal dilation and reviews the symptoms and anesthetic considerations of the disease.
Print version: 2001;69(2):114-118.
Key words: Bullae, collagenase, epidermolysis bullosa dystrophica, regional anesthesia, skin disease.

Relative Value Guide Basic Units in Operating Room Scheduling to Ensure Compliance with Anesthesia Group Policies for Surgical Procedures Performed at Each Anesthetizing Location
Franklin Dexter, MD, PhD
Edward Thompson, CRNA, PhD

A uniformly understood measure of case complexity could assist an anesthesia group in ensuring appropriate anesthesia provider expertise and equipment availability at each anesthetizing location. In this article, the authors show how the American Society of Anesthesiologists' Relative Value Guide basic units can be used as a criterion to establish the maximum level of complexity of cases performed at each location.
Print version: 2001;69(2):120-123.
Key words: Compliance program, operating room management, operating room information system, practice management, relative value guides.

AANA Journal Course: Update for Nurse Anesthetists—Part 1
The Hazards of Surgical Smoke

Inhaling surgical smoke is an ever-growing concern for the healthcare professional since the majority of all surgeries generate laser or electrosurgical smoke. This article explores the hazards of surgical smoke (including plume odor, particulate matter size, viability of the smoke contents, and laparascopic concerns) and describes effective methods to evacuate the plume.
Print version: 2001;69(2):125-132.
Key words: Smoke evacuation, surgical plume, surgical smoke.
April 2001 AANA Journal
Volume 69 , Number 2
ISSN 0094-6354
On the Cover:
Displayed on the cover is an aerial photograph of "Sacred Trust," a 3-acre work of "crop art" by environmental artist Stan Herd of Lawrence, Kan. The work of art, which is located near the Topeka, Kan. Airport, was commissioned by a group of Certified Registered Nurse Anesthetists called CPR (CRNAs for PR) to commemorate the 2001 National Nurse Anesthetists Week. The CRNA group, which can be seen gathered in the CRNA's "cap" in the photo, chose this inventive method to promote the profession of nurse anesthesia and convey the idea that "CRNAs are outstanding in their field." Photo © CRNA 2001. Photo courtesy of John Blumb, Lawrence, Kan.