August 2002 AANA Journal

Table of Contents

Departments

Legal Briefs
Charting 

Gene A. Blumenreich, JD
Print version: 2002;70(4):257-260
Key words: Charting, evidence, negligence

Education News
Establishing requirements for teaching at a distance 

Diane Ritter, CRNA, MS, MSN
Print version: 2002;70(4):263-264.
Key words: Accreditation requirements, distance education, Higher Education Act, nurse anesthesia programs.

Answers to the AANA Journal Course No. 21 Examination
Print version: 2002;70(4):313-317.

Articles

Assessment of postanesthesia short-term quality of life: A pilot study
LCDR Carey L. Oakes, CRNA, MS, NC, USN
LCDR Kendall J. Ellington, CRNA, MS, NC, USN
LT Kenneth J. Oakes, CRNA, MS, NC, USN
CDR R. Lee Olson, CRNA, MS, NC, USN
Kathleen M. Neill, RN, DNSc
CAPT Charles A. Vacchiano, CRNA, PhD, NC, USN
Quality of life is a major focus for researchers conducting studies on patient satisfaction and anesthetic outcomes. The purpose of this study was to develop and pilot a tool to measure the effect of anesthesia on short-term quality of life.
Print version: 2002;70(4):267-273.
Key words: general anesthesia, quality of life, spinal anesthesia, tool development

Use of the Cook airway exchange catheter in "bridging" the potentially difficult extubation: A case report
Geraud Moyers, CRNA, MSN
The unique characteristics of the Cook airway exchange catheter led the author of this case report to use it in the anesthetic management of a morbidly obese patient with significant tracheal deviation secondary to an enlarged thyroid gland.
Print version: 2002;70(4):275-278.
Key words: Cook airway exchange catheter, difficult extubation.

Newly graduated nurse anesthetists' experiences and views on anesthesia nursing — A phenomenographic study
Annika Larsson Mauleon, NA, RNT
Sirkka-Liisa Ekman, RN, PhD

Few studies have focused on newly graduated nurses and how they experience and perceive their clinical nursing situations. This qualitative study identifies and describes ways in which newly graduated nurse anesthetists in Sweden experience and perceive anesthesia nursing.
Print version: 2002;70(4):281-287.
Key words: Nurse anesthesia, nurse anesthetist, nursing context, phenomenography.

Boerhaave syndrome: A case report
MAJ William B. Marshall, CRNA, MS, MAE, USAF, NC
Spontaneous rupture of the esophagus (Boerhaave syndrome) is a rare condition that carries a mortality rate of greater than 30%, even when diagnosed soon after the event and treated aggressively. This case report presents an overview of Boerhaave syndrome, including morbidity, mortality and treatment.
Print version: 2002;70(4):289-292.
Key words: Boerhaave syndrome, esophageal rupture.

Use of a simple forearm tourniquet as an adjunct to an intravenous regional block
LT Roger Davis, CRNA, MSN, NC, USN
LT John Keenan, CRNA, MSN, NC, USN
LCDR Alex Meza, MD, MC, USN
CAPT Patrick Danaher, DO, MC, USN
CAPT Charles A. Vacchiano, CRNA, PhD, NC, USN
CDR R. Lee Olson, CRNA, MS, NC, USN
LCDR John Maye, CRNA, PhD, NC, USN

The purpose of this investigation was to determine whether the application of a forearm tourniquet would accelerate onset time and improve the density and quality of an intravenous block.
Print version: 2002;70(4):295-298.
Key words: Analgesia, Bier block, forearm tourniquet, intravenous regional anesthesia, lidocaine.


AANA Journal Course, Part 3
Update for nurse anesthetists — Etiology, mechanisms, and anesthesia implications of autoimmune myasthenia gravis

MAJ Thomas E. Ceremuga, CRNA, MSN, AN, USA
Xiang-Lan Yao, MD, PhD
Joseph T. McCabe, PhD

In this Journal course, the authors emphasize the autoimmune neuromuscular defect in myasthenia gravis, current treatments for this syndrome, contraindications of certain anesthetic drugs in this condition, and anesthetic management of a patient with myasthenia gravis in the operating room environment.
Print version: 2002;70(4):301-310.
Key words: Acetylcholine receptor, autoimmune disease, myasthenia gravis, receptor, neuromuscular junction.

August 2002 AANA Journal
Volume 70 , Number 4
ISSN 0094-6354
On the Cover:
Located in tropical Orlando, Fla, Orange County Convention Center will be home to nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 69th Annual Meeting of the American Association of Nurse Anesthetists (AANA), August 3-7, 2002. AANA's Annual Meeting is designed to help CRNAs enhance their personal and professional development through interaction with their peers and others in anesthesia and allied professions. Its programming draws on current concepts in adult education that are intended to facilitate the sharing of knowledge and the attainment of a sense of oneness in the face of challenges from within and outside the profession. (Photo courtesy of Orlando/Orange County Convention & Visitors Bureau, Inc.)