August 1998 AANA Journal

Table of Contents

Contents

Letters
Endotracheal intubation
Print version: 1998;66(4):332.

Books of Interest
Fiberoptic Endoscopy and the Difficult Airway
Reviewed by: Craig S. Atkins, CRNA, MS
Print version: 1998;66(4):334.

Education News
Nurse Anesthesia Educational Programs, 1991-1997
By Betty J. Horton, CRNA, MA, MSN
Marguerite Brunner, MA
Print version: 1998;66(4):338-342.
Keywords: Annual report data, Internet transmission, trends in nurse anesthesia education.

Washington Scene
Is the control of Congress in doubt?
By Dena Zenti, BA
Print version: 1998;66(4):345- 346.
Keywords: Campaigns, Democrats, elections, politics, Republicans.

Practice Issues
State master's degree requirements for nurse anesthetists
By Jana Conover, BA
Mitchell H. Tobin, JD
Print version: 1998;66(4):351-357.
Keywords: Master's degree, state legislation, state regulations.

Management Briefs;
Reentry using naltrexone: One anesthesia department's experience
By Sandra Hudson, CRNA, BA
Print version: 1998;66(4):360-364.
Keywords: Chemical dependency, naltrexone, recovery, reentry.

AANA Journal Course: Update for nurse anesthetists–Femoral nerve block and 3-in-1 block in anesthesia
By Daniel D. Moos, CRNA, MS
James D. Cuddeford, CRNA, MA

Femoral nerve blocks and 3-in-1 blocks are useful alternatives to other regional or general anesthetic techniques for selected surgeries. In this Journal course, the authors include an introduction and history of femoral nerve block and 3-in-1 block, anatomic considerations, techniques of femoral nerve block and 3-in-1 block, uses of femoral nerve block, uses of 3-in-1 block, and contraindications and complications.
Print: 1998;66(4):367-375.
Keywords: Femoral nerve block, inguinal paravascular block, 3-in-1 block.

Answers to the AANA Journal Course No. 17 Examination
Print version: 1998;66(4):407-412.

Index to Advertisers
Print version: 1998;66(4):424.


Factors that influenced six nurse anesthesia programs to close
By Denise Martin-Sheridan, CRNA, EdD
The purpose of this study was to identify factors that influenced decisions to close, or move to inactive admission status, six nurse anesthesia education programs. Identifying factors that affected the study population may assist policy makers in the profession understand conditions in the environment with the potential to affect the education system as a whole.
Print version: 1998;66(4):377-384.
Keywords: Managed care impacts, nurse anesthesia education, program closure, risk domains.

Study of direct variable anesthesia costs in the dilatation and curettage patient
By Anne Meyer-McCright. CRNA, MNA
Roger E. Hoffer, MD
Sait Tarhan, MD
In this retrospective study, the authors compared the cost of anesthesia in three different groups of patients who received general anesthesia for a diagnostic dilatation and curettage procedure. It was concluded that an anesthetic using thiopental/isoflurane is more cost-effective than propofol/desflurane or propofol/isoflurane anesthetics, and the postoperative length of stay is no different for the three anesthetic approaches.
Print version: 1998;66(4):385-389.
Keywords: Anesthesia costs, propofol, thiopental, volatile agent costs.

Hazards of nitrous oxide exposure in healthcare personnel
By Deborah Ann Smith, CRNA, MSN
Nitrous oxide, a commonly used agent in the dental and anesthesia practice, carries serious risks to healthcare providers. In this review article, the author includes a history of nitrous oxide, a review of the literature, and recommendations for anesthesia personnel.
Print version: 1998;66(4):390-393.
Keywords: Health risks, nitrous oxide, psychomotor performance, vitamin B12.

Anesthesia-related lawsuits in Maryland: CRNA and anesthesiologist claimsBy William O. Howie, CRNA, MS
This study constisted of a retrospective review of all anesthesia-related claims filed with the Maryland Health Claims Arbitration Office from January 1990 through February 1994. Fifty-two anesthesia-related claims were analyzed in terms of patient care variables, types of anesthesia, surgical categories, legal causes of action, and patient outcomes to determine whether differences existed in the rate of filing of cases provided by CRNAs and anesthesiologists.
Print version: 1998;66(4):394-397.
Keywords: Anesthesia mishap, legal action, malpractice filing.

Research in Action abstracts presented at the 1998 AANA Annual Meeting in Nashville, Tennessee
Print version: 1998;66(4):398-405.

August 1998 AANA Journal
Volume 66 , Number 4
ISSN 0094-6354
On the Cover: