December 1991, AANA Journal

Table of Contents

Practice Issues 
By Terrie Kole, CRNA, BA
AANA Practice Committee introduces new column
Print version: 1991;59(6):502.
Keywords: CRNA Practice Manual, nurse anesthesia practice, patient safety.
Legal Briefs 
By Gene A. Blumenreich, JD
Anesthesia and the surgeon's comfort
Print version: 1991;59(6):505-507.
Keywords: Anesthesiologists, surgeons, vicarious liability.
Washington Scene 
By Kathleen A. Michels, RN, JD
HCFA issues final rule on "Medicare Payment; Fee Schedule for Physicians' Services"
Print version: 1991;59(6):508-515.
Keywords: Conversion factors, Medicare CRNA payment, Medicare physician payment.
Alfentanil analgesia/sedation for extracorporeal shock wave lithotripsy: A comparison with general and epidural anesthesia 
By Richard Morgulis, MD
Joel Yarmush, MD
Jay Woglom, CRNA, BS
Barbara Gelarden, CRNA, BS
In this retrospective research study, the authors present their experience using alfentanil analgesia/sedation for extracorporeal shock wave lithotripsy with the Dornier Model HM-4™ lithotripter and compare it to general and epidural anesthesia on the same unit.
Print version: 1991;59(6):533-537.
Keywords: Alfentanil, analgesia, extracorporeal shock wave lithotripsy, lithotripsy, sedation.
Clinical Exchange 
By MAJ Craig E. Anderson, CRNA, MSN, USA, AN
CPT Arthur C. Savignac, CRNA, MS, USA, AN
Nasoendotracheal tube obstruction secondary to inferior turbinate impaction.
Print version: 1991;59(6):538-540.
Keywords: Airway obstruction, capnography, inferior turbinate impaction, nasoendotrocheal intubation.
Esmolol and beta-adrenergic blockade 
By Richard L. Wolman, MD
Michael A. Fiedler, CRNA, MS
In this review article, it is pointed out that esmolol is a rapidly acting, short duration, titratable, beta1 (cardioselective) blocker that is useful in the attenuation and/or treatment of the tachycardic and hypertensive adrenergic responses to noxious stimuli and supraventricular tachycardias.
Print version: 1991;59(6):541-548.
Keywords: Beta-adrenergic blockade, esmolol, hypertension, pharmacology, tachycardia.
Postdural puncture headache: A literature review 
By John H. Hess, CRNA, BA
The author reviews the literature on postdural puncture headache, and he discusses the currently held thoughts on the cause, prevention, and treatments of this second most frequent side effect of spinal anesthesia.
Print version: 1991;59(6):549-555.
Keywords: Cerebral spinal fluid, headache, postdural puncture headache.
Monographs from the Report of the National Commission on Nurse Anesthesia Education
Graduate nurse anesthesia education: The university based model 
By Wynne R. Waugaman, CRNA, PhD
Print version: 1991;59(6):559-560.
The role of the medical director in nurse anesthesia education 
By Shep Cohen, MD
Print version: 1991;59(6):563-564.
The impact of the national nursing shortage on applicants for nurse anesthesia educational programs 
By Lorraine M. Jordan, CRNA, MS
Print version: 1991;59(6):573-576.
An analysis of the cost of nurse anesthesia programs
By Sandra M. Maree, CRNA, MEd
Print version: 1991;59(6):577-580.
Clinical Exchange 
By Steven R. Leach, CRNA, MSN
Cardiovascular collapse following infusion of 5% albumin
Print version: 1991;59(6):592-594.
Keywords: Albumin, cardiovascular collapse, anaphylactoid reaction, anaphylaxis.
General and Subscription Information 
Print version: 1991;59(6):503.
Official Council Listings 
Print version: 1991;59(6):595-596.
Index to Volume 59 of the AANA Journal 
Print version: 1991;59(6):606-611.
Index to Advertisers 
Print version: 1991;59(6):612.
AANA Journal Course
The final segment of the annual AANA Journal Course, scheduled for publication in the February 1992 issue, will constitute the length of two Journal Course chapters and has been awarded 2 CE credits. This expanded course will provide AANA Journal readers with the opportunity to earn a total of 6 CE credits upon successful completion of the annual examination, which will be published in the April 1992 issue.
Volume 59 , Number 6
ISSN 0094-6354
On the Cover: