April 2003 AANA Journal

Table of Contents


Legal Briefs
More help for whistleblowers
Gene A. Blumenreich, JD
Print version: 2003;71:89-91.
Key words: Employment, Sarbanes-Oxley Act, whistleblower.

Imagining in Time
Helen Lamb: Some insight into her life and times -- Part 1
Allan J. Schwartz, CRNA, DDS
Print version: 2003;71:93-96.
Key words: Anesthesia history, Barnes Hospital School of Anesthesia, biography, Helen Lamb.

Guest Editorial
What role should education standards play in the manpower shortage?
Margaret Faut-Callahan, CRNA, DNSc, FAAN
Print version: 2003;71:100-102.
Key words: Accreditation, education, manpower, workforce.

Education News
Are we really mentoring our students?
Rick Hand, CRNA, DNSc
Edward Thompson, CRNA, PhD, ARNP

Print version: 2003;71:105-108.
Key words: Mentor, mentoring, professional development.

Books and Multimedia of Interest
Essentials of Anaesthetic Equipment
Reviewer: Kathy Fear, CRNA, MSN
Print version: 2003;71:141.

AANA Journal Course No. 22 Examination
Print version
: 2003;71:143-152.


Surgical mortality and type of anesthesia provider
Michael Pine, MD, MBA
Kathleen D. Holt, PhD
You-Bei Lou, PhD

In this research article, the authors studied the effect of type of anesthesia provider on surgical mortality associated with selected surgical procedures performed on Medicare beneficiaries. Their findings indicate that for the surgical procedures included in this study, the type of anesthesia provider does not affect inpatient surgical mortality.
Print version: 2003;71:109-116.
Key words: Anesthesia mortality, anesthesia providers, nurse anesthetist, quality of care, surgical mortality.

Suspected methemoglobinemia following awake intubation: One possible effect of benzocaine topical anesthesia -- A case report
Robert Sean Rinehart, CRNA, MS
David Norman, CRNA, MS

Methemoglobinemia is a potential negative side effect associated with the use of benzocaine for topical anesthesia. This case report discusses a patient whose abnormally low intraoperative pulse oximeter readings were suspected to result from methemoglobinemia.
Print version: 2003;71:117-118.
Key words: Benzocaine, differential diagnosis, methemoglobinemia, methylene blue, oxidation.

Anaphylactoid syndrome of pregnancy: A review of the literature with latest management and outcome data
Debra A. Gilmore, CRNA, MSN
Judith Wakim, RN, PhD
Janet Secrest, RN, PhD
Richard Rawson, CRNA, MSN

Anaphylactoid syndrome of pregnancy has an 80% to 90% mortality rate. It is difficult to diagnose, and once symptoms occur there is rapid deterioration in the patient's condition. This review article provides an introduction as well as literature related to amniotic fluid emboli etiology and morbidity, anaphylactoid syndrome of pregnancy, and management and outcomes.
Print version: 2003;71:126-126.
Key words: Amniotic fluid emboli, anaphylactoid syndrome of pregnancy, extracorporeal membrane oxygenation, intra-aortic balloon pump, transesophageal echocardiography.

Comparison of inhaled isopropyl alcohol and intravenous ondansetron for treatment of postoperative nausea and vomiting
LT Anthony W. Winston, CRNA, MS, NC, USN
LT Robert S. Rinehart, CRNA, MS, NC, USN
LT George P. Riley, CRNA, MSN, NC, USN
CAPT Charles Vacchiano, CRNA, PhD, NC, USN
CDR Joseph Pellegrini, CRNA, DNSc, NC, USN

Postoperative nausea and vomiting (PONV) is a pervasive problem in patients who undergo general anesthesia. For reasons not clearly understood, the inhalation of isopropyl alcohol vapors seems to be effective for treating PONV. In this randomized investigation, the authors compare the efficacy of 70% inhaled isopropyl alcohol and intravenous ondansetron.
Print version: 2003;71:127-132.
Key words: Antiemetics, inhaled isopropyl alcohol, ondansetron, postoperative nausea.

AANA Journal Course, Part 1
Update for nurse anesthetists -- Antiemetic prophylaxis: Pharmacology and therapeutics
Carol L. Norred, CRNA, MHS
Postoperative nausea and vomiting (PONV), a common problem with complex causes, may result in substantial complications. In this AANA Journal course, the author provides an overview of the pathogenesis and physiological mechanisms of postoperative nausea and vomiting (PONV), in addition to an extensive review of current pharmacology for antiemetic prophylaxis and a description of therapeutic anesthetic techniques to minimize PONV.
Print version: 2003;71:133-140.
Key words: Antiemetics, nausea, vomiting.

April 2003 AANA Journal
Volume 71 , Number 2
ISSN 0094-6354
On the Cover:
Lisa C. Scott, RN, BSN, confirms placement of a double-lumen endobronchial tube with a fiberoptic scope. Scott is a senior student in The University of Iowa College of Nursing Anesthesia Program, Iowa City, Iowa. The school is one of 88 nurse anesthesia programs in the United States today.