August 1996 AANA Journal

Table of Contents


Book Reviews
The Obstetric Anesthesia Handbook
Reviewed by: Mary J. Cohen, CRNA, MS
Print version: 1996;64(4):312.

Legal Briefs
By Gene A. Blumenreich, JD
Covenants not to compete
Print version: 1996;64(4):317-319.
Keywords: Covenant not to compete, employment, injunctions.

Washington Scene
By Josie M. Ogaitis, RN, MS
Medical savings accounts
Print version: 1996;64(4):320-323.
Keywords: Adverse selection, deductible, insurance, medical savings accounts (MSAs), Medicare.

Practice Issues
By Melissa G. Halliburton, CRNA, BS
Methicillin-resistant Staphylococcus aureus: Implications for the anesthesia provider
Print version: 1996;64(4):325-328.
Keywords: Anesthesia implications, handwashing, hospital setting, methicillin-resistant Staphylococcus aureus (MRSA), prevention, universal precautions.

Education News
By Lois Frels, RN, PhD
Betty Horton, CRNA, MA, MSN
One profession's analysis: Barriers to professional mobility
Print version: 1996;64(4):330-335.
Keywords: Mobility barriers in nursing, North American Free Trade Agreement (NAFTA), professional barriers in nursing.

Evaluation of succinylcholine-induced fasciculations and myalgias with or without atracurium pretreatment
By Cathy M. Hochhalter, CRNA, MSN
This experimental study measures the effectiveness of atracurium as a pretreatment to decrease the incidence of fasciculations and myalgias after administration of succinylcholine. The relationship of fasciculations and postoperative myalgias is assessed, as well as the quality of neuromuscular blockade produced by succinylcholine.
Print version: 1996;64(4):336-340.
Keywords: Atracurium, myalgias, precurarization, pretreatment, postsuccinylcholine myalgias, succinylcholine.

AANA Journal Course: Update for nurse anesthetists-The control of ventilation and its modification by anesthetic-related drugs
By Chuck Biddle, CRNA, PhD
A variety of drugs, commonly used in anesthesia, can profoundly alter the body's response to ventilatory changes. In this AANA Journal course, the author describes the control of the respiratory drive and the effects that anesthetic drugs have on ventilation in humans.
Print version: 1996;64(4):349-355.
Keywords: Anesthetic actions, anesthetic complications, control, ventilation.

Glucose monitoring of patients with diabetes mellitus receiving general anesthesia: A study of the practices of anesthesia providers in a large community hospital
By Raelene E. Maser, PhD
Judith M. Ellers, CRNA, MS
G. Stephen DeCherney, MD
In this original research, the major objective was to determine to what extent anesthesia providers monitor glucose levels in patients with diabetes during the preoperative, intraoperative, and postoperative periods. The authors also examine whether the type of current diabetes therapy and the type of surgical procedures influence the frequency of glucose monitoring.
Print version: 1996;64(4):357-361.
Keywords: Anesthesia, diabetes mellitus, glucose monitoring.

Anesthetic management of children with recurrent, viral laryngeal papillomatosis: A case report
By Carole Sartain Rietz, CRNA, MSN
Joseph D. Tobias, MD
This case report highlights several of the important anesthetic management issues including the psychologic impact of repeated anesthetic and surgical procedures, the anesthetic management of an upper airway obstruction, the mode of ventilation during laser surgery on the upper airway, and the infectious disease risk of the papillomavirus to operating room personnel.
Print version: 1996;64(4):362-368.
Keywords: Laryngeal papillomatosis, laser surgery, pediatric anesthesia, plume emission, psychosocial, recurrent surgery.

Applying nursing theory to the practice of nurse anesthesia
By Susan A. Martin, CRNA, MSN
In this review article, the author examines how the issues of nursing theory apply to the practice of nurse anesthesia. Applications of Betty Neuman's systems model are used in specific examples of the anesthesia role.
Print version: 1996;64(4):369-372.
Keywords: Graduate education, Neuman systems model, nursing, nursing theory.

On Leadership
By Karlene Kerfoot, RN, CNAA, PhD, FAAN
The new nursing leader for the new world order
Print version: 1996;64(4):373-375.
Keywords: Change, excellence, healthcare, leadership, nursing.

Research in Action abstracts presented at the 1996 AANA Annual Meeting in Philadelphia
Print version: 1996;64(4):376-389.

General and Subscription Information
Print version: 1996;64(4):312.

Print version: 1996;64(4):329.

Answers to the AANA Journal Course No. 15 Examination
Print version: 1996;64(4):390-395.

Index to Advertisers
Print version: 1996;64(4):404.

August 1996 AANA Journal Table of Contents
Volume 64 , Number 4
ISSN 0094-6354
On the Cover: