August 2009 AANA Journal

Table of Contents


Safe Practices for Propofol Infusion
Jacqualyn Fanelle, CRNA

Jeffrey Huang, MD
Todd Gorman, CRNA
Print Version: 2009;77(4):250.
Books, Etc.
A Practical Approach to Obstetric Anesthesia
Reviewer: Lynn L. Lebeck, CRNA, PhD

ICU Recall
Reviewer: Bernadette Henrichs, CRNA, PhD, CCRN
Print Version: 2009;77(4):252.
Imagining in Time
Peer Assistance Reaches its 25th Year
Diana Quinlan, CRNA, MA
Print Version: 2009;77(4):254-258.
Keywords: Addiction, chemical dependency, history, peer assistance, wellness.

Fire in the Operating Room During Open Heart Surgery: A Case Report
Michael Moskowitz, CRNA, MS
This case report identifies the need for continued fire training and prevention strategies, persistent vigilance, and quick intervention to prevent injury whenever electrosurgical units are used in an oxygen-enriched environment.
Print Version: 2009;77(4):261-264.
Keywords: Fire, open heart surgery, operating room.
Radiation Safety in Fluoroscopy for Neuraxial Injections
Gerry E. Fink, CRNA, MS
The purpose of this article is to review the basic concepts of fluoroscopic imaging, biologic effects of ionizing radiation, and radiation safety.
Print Version: 2009;77(4):265-269.
Keywords: Epidural injections, fluoroscopy, radiation safety.
Frontal Lobe Oxygenation Is Maintained During Hypotension Following Propofol-Fentanyl Anesthesia
Peter Nissen, CRNA
Johannes J. van Lieshout, MD, PhD
Henning B. Nielsen, MD
Niels H. Secher, MD, PhD
In this research article, the authors evaluated whether marked reduction in mean arterial pressure during propofol-fentanyl anesthesia induction affects frontal lobe oxygenation.
Print Version: 2009;77(4):271-276.
Keywords: Anesthesia, blood pressure, cerebral autoregulation, heart rate, near infrared spectroscopy.
Hemodynamic Measurement in the Operating Room: A Review of Conventional Measures to Identify Hypovolemia
Matthew R. D’Angelo, CRNA, DNP
Richard P. Dutton, MD, MBA
Commonly used intraoperative monitoring techniques and their potential limitations as they relate to hypovolemia and hemorrhagic shock are discussed in this article.
Print Version: 2009;77(4):279-284.
Keywords: Hemodynamic monitoring, hypovolemia, measurements.
Effects of Anesthetics and Analgesics on Natural Killer Cell Activity
MAJ Brett Welden, CRNA, MSN, ANC, USA
MAJ Gerald Gates, CRNA, MSN, ANC, USA
CPT Resti Mallari, CRNA, MSN, ANC, USA
Normalynn Garrett, CRNA, PhD, COL(ret), ANC, USA
In this review article, the authors discuss the effects of various anesthetics and analgesics on natural killer cell activity and suggest techniques to attenuate the suppressive effects of these compounds.
Print Version: 2009;77(4):287-292.
Keywords: Analgesics, anesthetics, cancer, morphine, natural killer cells.
Comparison of Inhalation of Isopropyl Alcohol vs Promethazine in the Treatment of Postoperative Nausea and Vomiting (PONV) in Patients Identified as at High Risk for Developing PONV
Joseph Pellegrini, CRNA, PhD, CDR(ret), NC, USN
LCDR John Bennett, CRNA, MSN, NC, USNR
Joseph Kelly, CRNA, MS, CAPT(ret), NC, USN
The purpose of this study was to determine if using an aromatic therapy of 70% isopropyl alcohol would be more effective than promethazine in resolution of breakthrough PONV symptoms in groups of high-risk patients administered prophylactic ondansetron.
Print Version: 2009;77(4):293-299.
Keywords: Isopropyl alcohol, postoperative nausea and vomiting (PONV), promethazine, risk factors for PONV.

AANA Journal Course: Update for Nurse Anesthetists—Part 3—New Drug, Fospropofol Disodium: A Propofol Prodrug
Mark Welliver, CRNA, DNP
Susan M. Rugari, RN, PhD, CNS
Fospropofol is an aqueous solution of a propofol prodrug intended for injection. Discovery and development of this drug may address the concerns with the current propofol emulsion formulations while offering altered pharmacokinetics and pharmacodynamics for sedation. The structure, pharmacokinetics, pharmacodynamics, clinical studies, clinical applications, and implications are discussed.
Print Version: 2009;77(4):301-308.
Keywords: 2,6-Diisopropylphenoxymethyl phosphate disodium salt, fospropofol disodium, lipid-based emulsion, prodrug, propofol.


August 2009 AANA Journal
Volume 77 , Number 4
ISSN 0094-6354
On the Cover:
San Diego, renowned for its idyllic climate and 70 miles of pristine beaches, welcomes attendees to the 76th Annual Meeting of the American Association of Nurse Anesthetists, August 8-12, 2009. The Annual Meeting program is structured so there is ample free time to visit many attractions, while still offering a quality educational program, the exhibit hall, and social activities. (Photo courtesy of the San Diego Convention & Visitors Bureau.)