April 2002 AANA Journal

Table of Contents

Departments

Letters
AANA Journal Course: Update for Nurse Anesthetists -- Thermoregulation: Anesthetic and perioperative concerns
Bruce A. Tomlinson, President and CEO, Sharn, Inc.
Print version: 2002;70(2):89-90.

Response
Michael A. Fiedler, CRNA, MS

Legal Briefs
The difficulties of complying with TEFRA
Gene Blumenreich, JD
Print version: 2002;70(2):93-95.
Key words: Qui tam, retaliatory discharge, Tax Equity and Fiscal Responsibility Act (TEFRA).

Books and Multimedia of Interest
Ether Day: The Strange Tale of America's Greatest Medical Discovery and the Haunted Men Who Made It
Reviewer: Lemont B. Kier, PhD
Print version: 2002;70(2):115.

AANA Journal Course No. 21 Introduction
Print version: 2002;70(2):139.

AANA Journal Course No. 21 Examination
Print version: 2002;70(2):144-148.

AANA Journal Course No. 21 Evaluation
Print version: 2002;70(2):141-143.

AANA Journal Course Examination Answer Sheet
Print version: 2002;70(2):140.

Articles

The AANA Foundation Closed Malpractice Claims Study: Obstetric anesthesia
Karen Crawforth, CRNA, PhD
The purpose of this study was to evaluate the anesthesia care provided during obstetric adverse events, which occurred from 1990 to1996. In these events, anesthetics were provided by anesthetists and anesthesiologists. Risk factors for adverse outcomes identified in the study, included advanced maternal age, ethnicity, and obesity.
Print version: 2002;70(2):97-104.
Key words: Adverse outcomes, anesthesia risk, closed claims, malpractice, sentinel events.

Living related kidney transplantation in a 15-year-old patient with type I hyperoxaluria: A case report
Jeffrey W. Weir, CRNA, MSN
Jerry Ciancione, RN, BSN
John O'Donnell, CRNA, MSN

Type I hyperoxaluria is an inherited condition of the liver that results in the overproduction of oxalate. In this case report, the authors describe a patient with type I hyperoxaluria who received a living related renal transplant for end-state renal disease.
Print version: 2002;70(2):107-109.
Key words: Hepatic disease, hyperoxaluria, renal transplantation.

Meta-analysis of the effectiveness of nonsteroidal anti-inflammatory drugs in a standardized pain model
Chuck Biddle, CRNA, PhD
In this study, a comprehensive meta-analysis using strict criteria examined 8 studies comparing the efficacy of nonsteroidal anti-inflammatory drugs and codeine-based oral analgesics for treating moderate to severe oral surgery pain.
Print version: 2002;70(2):111-114.
Key words: Analgesic efficacy, nonsteroidal anti-inflammatory drugs, oral surgery, pain.

A follow-up survey of the use of complementary and alternative medicines by surgical patients
Carol L. Norred, CRNA, MHS
Herbal remedies commonly are consumed preoperatively by surgical patients, which may post significant yet undefined patient safety risks. This study investigated the use of complementary and alternative medicines by surgical patients at the University of Colorado Health Sciences Center, Denver.
Print version: 2002;70(2):119-125.
Key words: Anesthesia, complementary and alternative medicine, herb-drug interaction, surgical patient.

Use of Bullard laryngoscope in the adult patient with epiglottitis: A case report
Ken Spain, CRNA, MSEd
This case report involves the anesthetic management of a rare case of adult epiglottitis, which includes photographs of the illness and a previously undocumented use of a specific airway adjunct in acute epiglottitis, the Bullard laryngoscope.
Print version: 2002;70(2):127-129.
Key words: Bullard laryngoscope, difficult airway management, epiglottitis, incidence.


AANA Journal Course, Part 1
Update for nurse anesthetists -- Perioperative considerations in major orthopedic trauma: Pelvic and long bone fractures 

By David D. Rose, CRNA, MAEd
David W. Rowen, CRNA, MSNA
Although pelvic fractures constitute a small percentage of total orthopedic injuries, they are associated with the highest mortality rate. In this Journal course, the authors present basic information concerning the mechanisms of injury, early treatment in the emergency department, and factors that affect intraoperative management to help optimize the outcome for patients with these injuries.
Print version: 2002;70(2):131-137.
Key words: Long bone fracture, orthopedic trauma, pelvic fracture.

April 2002 AANA Journal
Volume 70 , Number 2
ISSN 0094-6354
On the Cover:
In this photograph (circa 1950s), a nurse anesthetist administers anesthesia to a patient. The royal blue, silver and white diamond-shaped emblem on her sleeve was first made available for members to wear on their uniforms in 1945. In 1952, it was offered as a car emblem; later in 1959 the same design was made available on gummed "stamps" for state associations to use on bulletins, programs, menus, or place cards.