Table of Contents
Practice Issues By Terrie Kole, CRNA, BA
AANA Practice Committee introduces new columnPrint version:
CRNA Practice Manual, nurse anesthesia practice, patient safety.
Legal Briefs By Gene A. Blumenreich, JD
Anesthesia and the surgeon's comfortPrint version:
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:
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, MDJoel Yarmush, MDJay Woglom, CRNA, BSBarbara 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:
Alfentanil, analgesia, extracorporeal shock wave lithotripsy, lithotripsy, sedation.
Clinical Exchange By MAJ Craig E. Anderson, CRNA, MSN, USA, ANCPT Arthur C. Savignac, CRNA, MS, USA, AN
Nasoendotracheal tube obstruction secondary to inferior turbinate impaction.Print version:
Airway obstruction, capnography, inferior turbinate impaction, nasoendotrocheal intubation.
Esmolol and beta-adrenergic blockade By Richard L. Wolman, MDMichael 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:
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:
Cerebral spinal fluid, headache, postdural puncture headache.
Monographs from the Report of the National Commission on Nurse Anesthesia Education
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% albuminPrint version:
Albumin, cardiovascular collapse, anaphylactoid reaction, anaphylaxis.
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.