April 2004 AANA Journal

​Table of Contents

Mission, vision, and core values: The foundation of our strategic plan
Tom McKibban, CRNA, MS
 AANA President
Print version: 2004:72:89.
Key words: AANA core values, AANA mission statement, enviroscanning, strategic planning.
Legal Briefs
Standards of care and the ASA medical direction statement
Gene A. Blumenreich, JD
Print version: 2004;72:91-94.
Key words: Negligence, role of professional association, standard of care.

Print version
: 2004;72:97.
A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement
John Karnes, CRNA, BSN

Scott L. Stewart, CRNA, MSN
Janet A. Secrest, RN, PhD
Barbara R. Norwood, RN, EdD
Richard Zachary, CRNA, MSN

Books and Multimedia of Interest
Radiographic Imaging for Regional Anesthesia and Pain Management

Reviewers: C. Hagerty, MD
Michael A. Fiedler, CRNA, PhD

Print version: 2004; 72:100.

Notice from the Council on Accreditation of Nurse Anesthesia Educational Programs (PDF)
Print version: 2004;72:100. Scroll down PDF underneath Books and Multimedia of Interest to view notice.

Imagining In Time
The evolution of diversity in nursing and nurse anesthesia
Prudentia Worth, CRNA, PhD
Print version: 2004;72:101-105.
Key words: Black leaders in nursing, diversity, minority nurse anesthetists, minority nurses.

Education News
Community initiative: Elementary and middle school students—A creative approach

Sandra Sell, CRNA, MSN
Laura Palmer, CRNA, MNEd

Print version: 2004;72:107-113.
Key words: Community outreach, classroom presentation, hands-on experience, school-aged children, simulation.

AANA Journal Course No. 23 Examination
Print version
: 2004;72:139-148.




The critical airway, rescue ventilation, and the Combitube: Part 2
James M. Rich, CRNA, MA
Andrew M. Mason, MB, BS, MRCS, LRCP
Tareg A. Bey, MD
Peter Krafft, MD, PhD
Michael Frass, MD

In Part 2 of this review article, the authors discuss esophageal-tracheal Combitube (ETC) advantages, contraindications, and reported complications in prehospital, emergency medicine, and anesthesia settings. Safe methods to exchange the ETC for a definitive airway also are described.
Print version: 2004;72:115-124.
Keywords: Airway complications, combat casualty core, Combitube, failed intubation, rescue ventilation.
Postoperative respiratory depression and unresponsiveness following epidural opiate administration: A case report
LT Johnnie Holmes, CRNA, MS, NC, USN
LCDR John P. Maye, CRNA, PhD, NC, USN

In this case report, the authors outline a patient's postoperative course in which she experienced respiratory depression while receiving epidural opioids. The pharmacokinetics of lipophilic vs hydrophilic opioids in relation to the occurrence of respiratory depression is discussed.
Print version: 2004;72:126-128.
Key words: Epidural opioids, hydromorphone, morphine, opioid pharmacokinetics, respiratory depression, sublimaze.
Ondansetron versus dolasetron: A comparison study in the prevention of postoperative nausea and vomiting in patients undergoing gynecological procedures
Beth A. Browning, CRNA, MAE
Carol A. Fort, CRNA, MAE
Kevan D. Kemp, CRNA, MAE
Manardie F. Shimata, CRNA, MAE
Melissa D. Strube, CRNA, MAE

Despite advances in technology, postoperative nausea and vomiting (PONV) continues to have a negative impact on patients in both the inpatient and ambulatory surgery setting. The purpose of this study was to determine if 4 mg of ondansetron and 12.5 mg of dolasetron were equally effective in preventing postoperative nausea and vomiting in patients undergoing gynecological procedures.
Print version: 2004;72:129-132.
Key words: Antiemetics, dolasetron, gynecological procedures, ondansetron, postoperative nausea and vomiting.

AANA Journal Course, Part 1
Update for nurse anesthetists -- 
The Starling resistor: A model for explaining and treating obstructive sleep apnea
Catherine B. Stalford, CRNA, MSNA
Anesthesia providers need to be aware of the acute and residual influences of anesthetic drugs on the complex orchestration of airway muscles and reflexes involved in upper airway patency in the patient with obstructive sleep apnea. This article provides an overview of the Starling resistor model, its application to obstructive sleep apnea, and preoperative and postoperative anesthetic considerations.
Print version: 2004;72:133-138.
Key words: Airway, anesthesia complications, obstructive sleep apnea, Starling resistor. 
April 2004 AANA Journal Table of Contents
Volume 72 , Number 2
ISSN 0094-6354
On the Cover:
Annette Fuller Hightower, CRNA, BA, is shown preparing her equipment before the start of an anesthetic for surgery at Charleston Memorial Hospital (now known as Charleston Area Medical Center), Charleston, WVa. Hightower was the first African-American to graduate from anesthesia school in West Virginia in 1966, and she was the first African-American to work in West Virginia as a CRNA. See the "Imagining in Time" column for more information on the history of minorities in nursing. (Photograph, taken in 1968, courtesy of Priscilla P. Walkup, CRNA, MS.)