April 2014 AANA Journal Table of Contents

Table of Contents

The AANA Journal is now available in a digital edition.
The Table of Contents is reproduced below for your convenience.
General and Subscription Information
Print version: 2014;82(2):98.
Books, Etc.
Re-Entry: A Guide for Nurses Dealing with Substance Use Disorder
Reviewers: Ann Bostic, CRNA, DNP, and Martha Kral, CRNA, BSN
Print version: 2014;82(2):93.
Information For Authors
Print version: 2014;82(2):144.
Calendar of Events
Print version: 2014;82(2):162-168.
Index for Advertisers
Print version: 2014;82(2):168.
The Concept of Reentry in the Addicted Anesthesia Provider
Jorge A. Valdes, CRNA, DNP
Substance abuse among healthcare providers is a serious issue affecting patient care and patient outcomes. Successful reentry is sometimes rare, and providers are plagued with the stigma of abuse, shame, and a high incidence of relapse. Tenets of successful reentry are discussed.
Keywords: Addiction, concept analysis, reentry, substance abuse in anesthesia.
Print version: 2014;82(2):95-100.
An Update: Use of Laryngeal Mask Airway Devices in Patients in the Prone Position
William Whitacre, CRNA, DNAP
Loraine Dieckmann, PhD
Paul N. Austin, CRNA, PhD
Some providers advocate using laryngeal mask airways (LMAs) for procedures performed in the prone position to meet the demands of quicker operating room turnover time requirements and staffing reductions. An update to a 2010
systemic review examining the use of LMAs in patients in the prone position is provided.
Keywords: Adult, laryngeal mask airway, LMA, prone. 
Print version: 2014;82(2):101-107.
Anesthetic Management of Costello Syndrome: A Case Report
Christol Williams, CRNA, DNAP
A scarcity of literature for the anesthetic management of Costello syndrome exists. Utilizing an overview of the pertinent literature, clinical practice recommendations are suggested for the anesthetic implications of managing a pediatric patient with this rare syndrome.
Keywords: Anesthesia, Costello syndrome, faciocutaneoskeletal syndrome, rare genetic disorder. 
Print version: 2014;82(2):108-113.
Ventilation With Increased Apparatus Dead Space vs Positive End-Expiratory Pressure: Effects on Gas Exchange and Circulation During Anesthesia in a  Randomized Clinical Study
Bruno Enekvist, CRNA, PhD
Mikael Bodelsson, MD
Michelle Chew, MD
Anders Johansson, CRNA
Atelectasis formation can be reduced by positive end expiratory pressure (PEEP), but resulting increases in intrathoracic pressure could affect circulation. Thirty patients, with ASA physical status 1 or 2, scheduled for elective open colon surgery were randomly assigned to be ventilated with either PEEP at 10 cm H2O or increased tidal volumes achieved with larger apparatus dead space but with zero end-expiratory pressure.
Keywords: Cardiac output, pulmonary gas exchange, sevoflurane. 
Print version: 2014;82(2):114-120.
Comparison of 3 Ultrasound-Guided Brachial Plexus Block Approaches for Cubital Tunnel Release Surgery in 120 Ambulatory Patients
John Roussel, CRNA, MS
Sunil Thirkannad, MD
The authors wanted to determine whether 1 of 3 brachial plexus blocks was best for one of their most common surgeries, the cubital tunnel release with or without transposition of the ulnar nerve. This article suggests that increasing the volume of the intercostobrachial nerve block may improve success.
Keywords: ​Brachial plexus block, cubital tunnel release, ultrasound.
Print version: 2014;82(2):121-126.
Utility of Thromboelastography During Neuraxial Blockade in the Parturient With Thrombocytopenia
Jeffrey Huang, MD
Nicholas McKenna, BA
Noah Babins, MD
No consensus exists on when it is safe to administer neuraxial blockade in a patient with a low platelet count. This study analyzes the incidence of neurologic complications, if any, related to regional anesthesia in parturients with a platelet count less than 100,000 mm-3 and especially those with less than 80,000 mm-3 and normal thromboelastography values.
Keywords: Complications, platelet count, regional anesthesia,  thromboelastography.
Print version: 2014;82(2):127-130.
Evaluation of Postprocedure Cognitive Function Using 3 Distinct Standard Sedation Regimens for Endoscopic Procedures
Tobie J. Watkins, CRNA, MSN
Raymond L. Bonds, CRNA, MSN, DNP
Kedrin Hodges, CRNA, MSN
Brooks B. Goettle, CRNA, MHS
D. Anne Marie Dobson, MD
John P. Maye, CRNA, PhD
This investigation evaluates postprocedure cognitive function associated with 3 distinct standard sedation regimens used for endoscopic procedures. A secondary aim was to identify complications requiring provider interventions.
Keywords: Colonoscopy, patient outcomes, physician outcomes, postoperative cognitive dysfunction, provider interventions.
Print version: 2014;82(2):133-139.
Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy: A Case Report
LCDR Shannan Rotruck, RN, BSN, USN
MAJ John T. Wilson, CRNA, PhD, USA
CDR Jason McGuire, CRNA, PhD, USN
Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) is a complex procedure used for the treatment of various types of cancer. A knowledge of what to anticipate anesthetically guides the practitioner to achieve successful management. In this case report, a 71-year-old was treated for stage III peritoneal and ovarian cancer by cytoreductive surgery with HIPEC.
Keywords: ​Cytoreductive surgery, hyperthermic intraperitoneal chemotherapy, ovarian cancer, peritoneal cancer.
Print version: 2014;82(2):140-143.
AANA Journal Course: Update for Nurse Anesthetists – Part 1 – Anesthesia Case Management for Endovascular Aortic Aneurysm Repair
Sass Elisha, CRNA, EdD
John Nagelhout, CRNA, PhD, FAAN
Jeremy Heiner, CRNA, EdD
Mark Gabot, CRNA, MSN
With the advent of endovascular aortic repair, patients who were not considered surgical candidates for abdominal aortic aneurysmectomy because of their tenuous physical status can undergo corrective treatment. A thorough understanding
of the surgical procedure, perioperative process, and anesthetic considerations is vital.
Keywords: Endoleak, endovascular aortic repair, endovascular stent graft, EVAR.
Print version: 2014;82(2):145-152.
Authors: You may view the AANA Journal author guidelines on the AANA website at http://www.aana.com/authors.
Submit editorial copy via Editorial Manager at http://www.editorialmanager.com/aana.
Volume 82 , Number 2
ISSN 0094-6354
On the Cover:
From the archives: Lucy E. Richards, AANA President 1946-1948, gives anesthesia to a patient in 1956. This photograph appeared on the cover of a 1956 brochure titled “Nurse Anesthetist…Career,” which debuted at the Annual Meeting in Chicago celebrating the AANA’s 25th anniversary.