August 2001 AANA Journal

Table of Contents


Education News
Mentoring: A Call to Professional Responsibility
Margaret Faut-Callahan, CRNA, DNSc, FAAN
Print version: 2001;69(4):248-251.
Keywords: Leadership, mentoring, professional development.

Books and Multimedia of Interest
Ostheimer's Manual of Obstetric Anesthesia
Reviewed by Charles A. Reese, CRNA, PhD

Awareness During Anesthesia
Reviewed by Timothy L. Smith, CRNA, PhD
Print version: 2001;69(4):255-256.

Answers to the AANA Journal Course No. 20 Examination
Print version: 2001;69(4):328-332.



Mode of Delivery Following Labor Epidural Analgesia: Influence of Ropivacaine and Bupivacaine
Alexander A. Litwin, CRNA, MSN
This study compares the cesarean section and instrumental delivery rates for patients receiving labor epidural analgesia using bupivacaine with those receiving ropivacaine. Results indicated that the use of ropivacaine decreased both cesarean section and instrumental delivery rates when compared with bupivacaine at the facility studied.
Print version: 2001;69(4):259-261.
Keywords: Bupivacaine, cesarean section, epidural analgesia, ropivacaine.

Learning From a Nurse Anesthetist Perspective: A Qualitative Study
Kathleen R. Wren, CRNA, PhD
Understanding how expert nurse anesthetists learn and develop may enable educators and students to identify and design learning activities that prepare students for successful anesthesia practice. Using interviewing and observation techniques, the author explores the learning and problem-solving experiences in daily clinical practice of 5 expert Certified Registered Nurse Anesthetists.
Print version: 2001;69(4):273-278.
Keywords: Expert clinical practitioners, learning, qualitative case study.

New Advances in the Treatment of Sickle Cell Disease: Focus on Perioperative Significance
Heidi M. Dix, CRNA, MSNA
Patients with sickle cell diseases, a group of inherited disorders that cause hemolytic anemia and reoccurring instances of painful vascular occlusion, present a challenge to the anesthetist. This article reviews traditional preoperative and postoperative therapies, recent research, and promising new therapies that should improve the anesthetic course of patients with sickle cell disease.
Print version: 2001;69(4):281-286.
Keywords: Anesthesia, pain, sickle cell anemia.

Modified Rapid-Sequence Induction of Anesthesia: A Survey of Current Clinical Practice
Stacy Schlesinger, CRNA, MSN, MBA
Diane Blanchfield, CRNA, MS

The purpose of this study was to identify the use of rapid-sequence induction (RSI) and its hybrids. Results of the survey revealed that a modification of standard RSI is used commonly in clinical practice, and that these modified RSI techniques are not standardized. Further study is necessary to identify widespread use of modified RSI techniques and to clarify the risks and benefits of modified RSI.
Print version: 2001;69(4):291-298.
Keywords: Modified rapid-sequence induction, preoxygenation, cricoid pressure, positive-pressure ventilation.

Data-Driven Practice Improvement: The AANA Foundation Closed Malpractice Claims Study
Lorraine M. Jordan, CRNA, PhD
Michael Kremer, CRNA, DNSc
Karen Crawforth, CRNA, PhD
Susan Shott, PhD

Most risk management studies have evaluated the practices of the physician anesthesiologist, while minimal research has been conducted to examine anesthesia care provided by Certified Registered Nurse Anesthetists (CRNAs). Filling a need to examine adverse outcomes of anesthesia care provided by CRNAs, this study of CRNA-related anesthesia events provides information for improving anesthesia care and patient safety and compring outcomes with various provider mixes.
Print version: 2001;69(4):301-311.
Keywords: Adverse outcomes, anesthesia risk, closed claims, damaging events, malpractice.

AANA Journal Course: Update for Nurse Anesthetists—Part 3—Asthma: An Anesthetic Update
Mary Karlet, CRNA, PhD
John Nagelhout, CRNA, PhD
The effective management of the patient with asthma continues to represent a significant challenge in modern anesthesia practice. A thorough understanding of the pathogenesis of asthma will assist in developing anesthetic management plans that are patient specific and use the best treatment pathways currently available.
Print version: 2001;69(4):317-324.
Keywords: Anesthesia, asthma, bronchospasm.

August 2001 AANA Journal
Volume 69 , Number 4
ISSN 0094-6354
On the Cover:
The Moscone Center, located in the heart of downtown San Francisco, is the city's premier meeting and exhibition facility situated on two adjacent 11-acre blocks. The Moscone Center will be home to nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 68th Annual Meeting of the American Association of Nurse Anesthetists, August 11-15, 2001. AANA's Annual Meeting is devoted to assessing and evaluating issues that affect nurse anesthesia practice and to offering continuing educational opportunities that re-energize attendees and enhance their effectiveness as providers of the highest quality healthcare. (Photo courtesy of San Francisco Convention Facilities.)