August 1992 AANA Journal

Table of Contents

Contents

Practice Issues
By Darlene G. Homa, CRNA, MEd
Leon G. Helton, CRNA
Infection control monograph update
Print version: 1992;60(4):327-328.
Keywords: Infection control guide index, infection control program, principles of infection, risk of infection.

Letters
A simple technique for oxygen analysis during provision of supplemental oxygen during regional or local MAC cases; Reduce, reuse and recycle in the anesthesia workplace.
Print version: 1992;60(4):329-330.

Legal Briefs
By Gene A. Blumenreich, JD
Wrongful termination: Massachusetts takes a step backward
Print version: 1992;60(4):333-335.
Keywords: Employment, retaliatory termination, wrongful termination.

Washington Scene
By Sue Ellen Hopkinson, RN, MPP
Kathleen A. Michels, RN, JD
Healthcare reform debate at the federal level
Print version: 1992;60(4):336-340.
Keywords: Healthcare reform, national health insurance.

Research in Action abstracts presented at the 1992 AANA Annual Meeting in Denver
Print version: 1992;60(4):349-361.

Education News
By Lois Frels, RN, PhD
Sources and means of acquiring grant support for selected projects
Print version: 1992;60(4):362-364.
Keywords: Federal funding, foundations, grants, National Commission on Nurse Anesthesia Education.

Efficiency of the Thermal Jacket™ on the delivered temperature of prewarmed crystalloid intravenous fluid
By Capt Danny R. Bowen, CRNA, MSNA, USAF, NC
Warming of intravenous fluids can decrease the incidence of hypothermia in surgical patients. In this original research, the author compared the delivered temperature of fluids using a conventional blood warmer and the Thermal Jacket™, an insulation device designed for intravenous fluid bags.
Print version: 1992;60(4):369-373.
Keywords: Blood warmer, fluid warming, hypothermia.

The relationship between preintubation lidocaine and postanesthesia sore throat
By Paula Bunker Fuller, CRNA, MSN
In this original research, the author looked at the relationship between intravenous lidocaine given during induction of general endotracheal anesthesia and postanesthesia sore throat. The study also examined selected variables in relation to the occurrence of postoperative sore throat.
Print version: 1992;60(4):374-378.
Keywords: Lidocaine, postanesthesia sore throat, sore throat.

A descriptive study of blood in the mouth following routine oral endotracheal intubation
By Jo Anne Chrisco, CRNA, MS
George DeVane, CRNA, MHS
Visible blood cannot be relied upon to prompt the use of gloves and other protective equipment when infectious diseases can potentially be transmitted through inadvertent contact with patient secretions. The purpose of this study was to determine the incidence of mucosal breaches that resulted in occult or overt blood in the oral and pharyngeal areas which occurred following oral endotracheal intubation and extubation.
Print version: 1992;60(4):379-383.
Keywords: Airway management, blood in mouth, universal precautions.

AANA Journal Course: Update for nurse anesthetists–Current concepts in cardiopulmonary resuscitation
By John Aker, CRNA, MS
In this third chapter of the AANA Journal Update Course, the author discusses the etiology of cardiac arrest during anesthesia, the mechanisms of blood flow during resuscitation, and the pharmacological importance of epinephrine for the preservation of myocardial and neurologic function.
Print version: 1992;60(4):384-392.
Keywords: Cardiac arrest, cardiopulmonary resuscitation, epinephrine, resuscitation.

Infection and the epidural space: A case report
By Christopher C. Ferguson, CRNA, BSN
An epidural infection has the potential for causing profound neurologic damage. In this case report, the author describes an epidural infection following the use of a continuous lumbar epidural anesthetic. Factors relating to epidural infections, as well as pathophysiology, symptomology, diagnosis and treatment, are also presented.
Print version: 1992;60(4):393-396.
Keywords: Epidural abscess, epidural anesthesia, epidural infection.

General and Subscription Information
Print version: 1992;60(4):327.

Book Reviews
Print version: 1992;60(4):331.

Council on Accreditation List of Programs to be Reviewed During Fiscal Year 1993
Print version: 1992;60(4):332.

Answers to the AANA Journal Course No. 11 Examination
Print version: 1992;60(4):407-411.

Index to Advertisers
Print version: 1992;60(4):428.

August 1992 AANA Journal
Volume 60 , Number 4
ISSN 0094-6354
On the Cover: