August 2000 AANA Journal

Table of Contents


Comparative Propofol Emulsion Stabilities
Max Baker, PhD
Dental Guards: Helpful or Hazards?
Allan J. Schwartz, CRNA, DDS
Print version: 2000;68(4):287-288.

Legal Briefs
One More Battle in the Competitive Struggle
Neil P. Motenko, JD
Print version: 2000;68(4):291-294.
Keywords: Antitrust, conspiracy, exclusive contracts.

Education News
Should Nurse Anesthesia Programs be Directed by a CRNA?
Cathy Mastropietro, CRNA, PhD
MAJ Mark S. Holland, CRNA, MHS, USAF, NC
Stanley M. Hall, MD, PhD
Print version: 2000;68(4):299-301.
Keywords: Anesthesia program director, nurse anesthesia program.

Answers to the AANA Journal Course No. 19 Examination
Print version: 2000;68(4):369-373.


Anesthesia for Cesarean Section for Achondroplastic Dwarf: A Case Report
Scott McGlothlen, CRNA
In this case report, the author describes the pre-anesthesia plan, anesthesia administration, and post-anesthesia course involving a gravid patient with achondroplastic dwarfism. Also illustrated is the need for discussion of all anesthesia options when planning the anesthesia care associated with uncommon disorders and pregnancy.
Print version: 2000;68(4):305-307.
Keywords: Achondroplasia, anesthesia, pregnancy, cesarean section.

Massive Blood Transfusion Therapy
Michelle L. Corazza, CRNA, MSN
Anne M. Hranchook, CRNA, MSN

Surgical patients requiring massive blood transfusion therapy present many challenges for the anesthetist. This article presents a review of metabolic changes that occur in banked blood, the risk of infection, and physiologic derangements that may develop during massive blood transfusion.
Print version: 2000;68(4):311-314.
Keywords: Coagulopathies, massive blood transfusions.

Patient Perceptions of the Importance of Maintaining Preoperative NPO Status
Frances M. Kramer, CRNA, MSN, ND
Although NPO (nothing by mouth) after midnight policies are being liberalized, noncompliance with NPO policies remains a threat to patient safety and may result in delays of elective surgical procedures. Findings of this study of ambulatory surgery patients suggest that providing patients with the rationale for adhering to preoperative NPO orders can significantly increase the patient's perception of the NPO policy's importance.
Print version: 2000;68(4):321-328.
Keywords: NPO status, NPO rationale, patient knowledge, preoperative education.

Perioperative Monitoring with the Electroencephalogram and the Bispectral Index Monitor
LTC (ret.) James R. Halliburton, CRNA, MHS, AN, USA
Recent clinical studies using the bispectral index monitor have renewed interest in the use of a monitor to assess the effects of anesthetics on the brain. This article provides a historical perspective of the development and use of the processed electroencephalographic monitor, as well as a discussion of the clinical usefulness of the bispectral index monitor in anesthesia practice today.
Print version: 2000;68(4):333-340.
Keywords: Bispectral index, electroencephalogram power spectrum.

Does ketorolac Produce Preemptive Analgesic Effects in Laparoscopic Ambulatory Surgery Patients?
Constance Anne Cabell, CRNA, MSNA
Preemptive analgesia is a new concept for providing pain relief, suggesting that an analgesic given before a pain stimulus will prevent or reduce subsequent pain. Findings from this study of patients undergoing laparoscopic gynecological surgical procedures suggest that the preemptive administration of ketorolac did not demonstrate preemptive analgesic effects in these patients.
Print version: 2000;68(4):343-349.
Keywords: Ambulatory surgery, ketorolac, preemptive analgesia.

AANA Journal Course—Part 3—Update for Nurse Anesthetists
Low Molecular Weight Heparin: Pharmacology and Regional Anesthetic Implications
Barbara Crosby Thames, CRNA, MA
Donald O. Allen, PhD

This Journal course includes the pharmacology, incidence and risk factors for the development of spinal or epidural hematoma, and current recommendations for the use of low molecular weight heparins in conjunction with spinal or epidural anesthesia. Guidelines for the postoperative use of indwelling spinal or epidural catheters in patients receiving this drug therapy perioperatively also are provided.
Print version: 2000;68(4):357-364.
Keywords: Anticoagulants, low molecular weight heparin, regional anesthesia, spinal or epidural hematoma.

August 2000 AANA Journal
Volume 68 , Number 4
ISSN 0094-6354
On the Cover: