April 2006 AANA Journal

Table of Contents


Legal Briefs
Can a CRNA be medically directed and be an independent contractor for tax purposes at the same time?
Ronald L. Van Nest, CRNA, MA
Print version: 2006;74:89-92.
Key words: Control, independent contractor, medical direction, nurse anesthetist, tax.

Imagining in Time
AANA's 75th Anniversary: Remembering the Silver Jubilee
Kathy Koch, MLIS, CA
Print version: 2006;74:95-97.
Key words: AANA Annual Meeting, AANA history, anniversaries.

Education News
Is doctoral education in our future?
Denise Martin-Sheridan, CRNA, PhD
Sandra Maree Ouellette, CRNA, MEd, FAAN
Betty J. Horton, CRNA, DNSc

Print version: 2006;74:101-104.
Key words: Advanced practice nursing, doctorate of nursing practice, education standards, graduate degree education.

Books and Multimedia of Interest
Pediatric Cardia Anesthesia
Reviewers: Sam Yanofsky, MD, MSEd
Sass Elisha, CRNA, EdD

Laryngeal Mask Anesthesia: Principles and Practice
: David G. Potter, CRNA, MBA/HCM
Print version: 2006;74:106-108.

AANA Journal Course No. 25 Examination


Kimberly E. Mason, CRNA, MSN
Liana L. Davis, CRNA, MSN
In this article, the authors discuss randomized trials of beta blocker use perioperatively, those who should receive this therapy, agents and goals of therapy, when to start and when to stop beta blocker therapy, and contraindications to perioperative beta blockade.
Print version: 2006;74:113-117.
Key words: Beta blockade, beta blockers, perioperative.
Pollution of ambient air by volatile anesthetics: A comparison of 4 anesthetic management techniques
Capt Joy C. Barberio, CRNA, MSN, USAF, NC
Capt Jason D. Bolt, CRNA, MSN, USAF, NC
Lt Col(ret) Paul N. Austin, CRNA, PhD, USAF, NC
Maj William J. Craig, CRNA, MSN, USAF, NC

This study compares waste anesthetic gas concentrations resulting from 4 combinations of fresh gas flow and vaporizer settings during a simulated intravenous induction in which the anesthetic is deepened using a volatile anesthetic delivered via mask ventilation before intubation.
Print version: 2006;74:121-125.
Key words: Anesthesia, environmental monitoring, occupational exposure.

The effect of transdermal scopolamine on the incidence and severity of postoperative nausea and vomiting in a group of high-risk patients given prophylactic intravenous ondansetron
LCDR Shari Jones, CRNA, MSN, NC, USN
LT Robert Strobl, CRNA, MSN, NC, USN
CDR Joseph F. Burkard, CRNA, DNSc, NC, USN
CDR John Maye, CRNA, PhD, NC, USN
CAPT Joseph E. Pellegrini, CRNA, DNSc, NC, USN
Patients at greater risk for postoperative nausea and vomiting (PONV) are routinely treated prophylactically with intravenous ondansetron or transdermal (TD) scopolamine. Based on this study, the authors recommend using a combinaton of TD scopolamine and IV ondansetron to prevent PONV in patients identified as high risk for PONV.
Print version: 2006,74:127-132.
Key words: Ondansetron, postoperative nausea and vomiting, prevention, scopolamine.

Anesthetic implications for patients receiving exogenous corticosteroids
Judith H. Wakim, RN, EdD
Kathryn C. Sledge, CRNA, MSN

This article reviews the literature and explains the rationale and the proper perioperative dosing with corticosteroids for patients with long-standing asthma, rheumatoid arthritis, or Crohn disease, and it includes information on endogenous hormones, exogenous hormones, diseases that require long-term corticosteroid therapy, the hypothalamus-pituitary-adrenal axis, and corticosteroid replacement therapy.
Print version: 2006;74:133-139.
Key words: Anesthesia, exogenous corticosteroids, perioperative implications.

Thoracic endovascular stent graft placement: A case report
Colleen M. Smith, CRNA, MS
Endovascular stent grafting (EVSG) is a minimally invasive alternative to open repair of thoracic aortic aneurysms. It is alternative to open repair of thoracic aortic aneurysms. It is useful in the treatment of thoracic aneurysms, dissections, and ruptures. This article describes a patient who underwent EVSG who had a history of abdominal aortic aneurysm repair and a known bovine arch.
Print version: 2006; 74:140-144.
Key words: Aortic aneurysm repair techniques, aortic aneurysms, thoracic endovascular stent graft repair, thoracic stent grafts.



AANA Journal Course, Part 1
Update for nurse anesthetists –
The neurobiology of the human febrile response
Chuck Biddle, CRNA, PhD
In this AANA Journal course, the author reviews normal temperature homeostasis, the mechanisms of the febrile response, and the rationale for target therapies. Included are discussions of normal thermoregulation, the role of the hypothalamus, how the brain senses the presence of a pyrogen, the value of fever and whether or not to treat it, and postoperative fever.
Print version: 2006;74:145-150.
Key words: Circumventricular organ system, febrile response, fever, hypothalamus, pyrogenic cytokines.

April 2006 AANA Journal
Volume 74 , Number 2
ISSN 0094-6354
On the Cover:
Nurse anesthetists Mary Alice Costello (standing) director of the Cincinnati General Hospital School of Anesthesia, and Marjorie Day staff an exhibit sponsored by the AANA at the 1952 American Congress of Obstetrics and Gynecology in Cincinnati, Ohio. To commemorate AANA's 75th anniversary, 12 historical photos, including this one, are available, as postcards, along with other anniversary logo items. For more information, see page 119. (Photo courtesy of AANA Archives)