August 1997 AANA Journal

Table of Contents


Legal Briefs
By Gene A. Blumenreich, JD
Freedom of Information Acts and healthcare
Print version: 1997;65(4):307-309.
Keywords: Freedom of Information Act, intent of legislature, opinions of attorney general.

Washington Scene
By David E. Hebert, JD
Coalition building in the legislative arena
Print version: 1997;65(4):312-315.
Keywords: Antitrust, coalitions, tort reform.

Imagining in Time
By Lee C. Fosburgh, MLIS, MA
From this point in time: Some memories of my part in the history of anesthesia–John S. Lundy, MD
Print version: 1997;65(4):323-328.
Keywords: Autobiography, history of anesthesia, John S. Lundy, MD.

Management Briefs
By Nancy S. Gondringer, CRNA, MA
Benchmarking: Friend or foe
Print version: 1997;65(4):335-336.
Keywords: CRNA administrative managers, benchmarking.

Education News
By Lois Frels, RN, PhD
Jeanette Scott RN, BSN, MS, CNS, CTN
Sr. Mary Arthur Schramm, CRNA, PhD
A process: Development of a model multiculturism curriculum designed for mobility across geographic borders
Print version: 1997;65(4):339-345.
Keywords: Council on Accreditation (COA) North American Free Trade Agreement (NAFTA) project, educational requirements and geographic borders mobility, model curriculum, multiculturalism, NAFTA curriculum.

Books of Interest
Geriatric Anesthesiology
Reviewed by: Denise Martin-Sheridan, CRNA, EdD
Print version: 1997;65(4):348.

The utilization of automated ST segment analysis in the determination of myocardial ischemia
By lan Hewer, CRNA, MA, MS
Barbara Drew, RN, PhD
Karyn Karp, CRNA, MS
Nancy Stotts, RN, EdD
Perioperative cardiac mobility is a recognized complication of anesthesia and surgery. In this original research, the authors assess the utility of ST segment technology in the early postoperative period for patients undergoing vascular, abdominal, or thoracic surgery.
Print version: 1997;65(4):351-356.
Keywords: Electrocardiography, myocardial ischemia, physiologic monitoring.

Anesthesia providers' interventions during cataract extraction under monitored anesthesia care
By Shannon L. Pecka, CRNA, MSN
Franklin Dexter, MD, PhD
Cataract surgery is the most commonly performed surgical procedure for Medicare recipients, and it has been a focus of the Health Care Financing Administration's efforts to reduce costs. The goal of this study was to describe interventions of anesthesia providers during cataract extraction after the placement of a retrobulbar block. A retrospective review of 600 cases of cataract extractions under monitored anesthesia care was conducted.
Print version: 1997;65(4):357-360.
Keywords: Anesthesia costs, cataract extraction, conscious sedation, monitored anesthesia care, retrobulbar block complications.

The effect of acrylic nails on the measurement of oxygen saturation as determined by pulse oximetry
By Stephanie M. Peters, CRNA, MSN
This study investigates the effect of unpolished acrylic nails on the measurement of oxygen saturation as determined by pulse oximetry. The author reports that the study showed no significant difference in the measurements of oxygen saturation with natural nails versus unpolished acrylic nails.
Print version: 1997;65(4):361-363.
Keywords: Acrylic nails, oxygen saturation, pulse oximetry.

The laryngeal mask airway and the emergency airway
By Patricia L. Stanwood, CRNA, MNA
The laryngeal mask airway (LMA) is an important new tool for managing the emergency airway. This review article explores the role of the LMA in the patient with (1) the emergency airway, a situation in which a normal airway must be controlled, or (2) the difficult airway which requires more vigilance in the operating room.
Print version: 1997;65(4):364-370.
Keywords: Difficult airway, emergency airway, laryngeal mask airway.

AANA Journal Course: Update for nurse anesthetists– Improving the safety of subarachnoid and epidural blocks–Part A
By Michael A. Fiedler, CRNA, MS
This is Part A of a two-part AANA Journal Course. In this course, which deals with the safety of subarachnoid and epidural blocks, the author describes the epidural test dose, hypotension, subdural injection, apnea, bradycardia, cardiac arrest, monitoring and vigilance, and neural injury. Part B, which will be published in October 1997, will present the effectiveness of spinal and epidural blocks.
Print version: 1997;65(4):371-381.
Keywords: Anesthesia, conduction (adverse effects, methods), epidural anesthesia, spinal anesthesia.

Research in Action abstracts presented at the 1997 AANA Annual Meeting in San Francisco
Print version: 1997;65(4):382-395.

General and Subscription Information
Print version: 1997;65(4):300.

Answers to the AANA Journal Course No. 16 Examination
Print version:

Index to Advertisers
Print version: 1997;65(4):408.

August 1997 AANA Journal
Volume 65 , Number 4
ISSN 0094-6354
On the Cover: