December 1996 AANA Journal

Table of Contents


Book Reviews
Common Problems in Obstetric Anesthesia
Reviewed by: Nancy Porter, RN, BSN

Practical Procedures in Anesthesia and Critical Care
Reviewed by: Ingrid B. Mroz, RN, MS, CCRN

The Pain Drugs Handbook
Reviewed by: Kathleen Fagerlund, CRNA, PhD and Shep Cohen, MD

Clinical Monitoring for Anesthesia & Critical Care
Reviewed by: Brian D. Johnson, MD
Print version: 1996;64(6):510, 587-588.

Washington Scene
By David E. Hebert, JD
Josie M. Ogaitis, RN, MS
Revised antitrust policy statements on healthcare
Print version: 1996;64(6):512-514.
Keywords: Antitrust, collateral agreements, competition, financial integration, per se, rule-of-reason.

Legal Briefs
By Gene A. Blumenreich, JD
Expert testimony
Print version: 1996;64(6):517-520.
Keywords: Expert testimony, professionals, standard of care.

Management Briefs
By Stacey Kohler Moran, PhD
Charles M. Sicher, PhD
Interprofessional jousting and medical tragedies: Strategies for enhancing professional relationships
Print version: 1996;64(6):521-524.
Keywords: Media relations, professional relations, risk management, stress.

Practice Issues
By Charles A. Griffis, CRNA, MS
Implications of recent antiviral pharmacology to prevention of occupational HIV transmission in anesthesia clinical practice
Print version: 1996;64(6):525-527.
Keywords: Clinical practice, human immunodeficiency virus (HIV), occupational HIV transmission, postexposure prophylaxis.

Anesthesia providers, patient outcomes, and costs: A critique
By Denise Martin-Sheridan, CRNA, EdD
Paul Wing, MA, DEngin

The authors carefully examine the June 1996 article in Anesthesia and Analgesia by Abenstein and Warner entitled Anesthesia Providers, Patient Outcomes, and Costs, noting that it contains a number of errors and questionable interpretations that could lead to inappropriate programs and policies.
Print version: 1996;64(6):528-534.
Keywords: Anesthesia costs, anesthesia providers, methodology, patient outcomes.

Effect of preemptive acetaminophen on postoperative pain scores and oral fluid intake in pediatric tonsillectomy patients
By Michael Romej, CRNA, MS
Terri Voepel-Lewis, RN, MS
Sandra I. Merkel, RN, MS
Paul I. Reynolds, MD
Patrick Quinn, CRNA
The use of preemptive analgesics has recently emerged as a potential method to improve pain management. This original research compares postoperative pain scores, rescue analgesic use, and oral fluid intake in children who received postoperative acetaminophen.
Print version: 1996;64(6):535-540.
Keywords: Acetaminophen, pediatric, postoperative outcomes, preemptive analgesia, tonsillectomy.

Anesthetic considerations for the new antiobesity medications
By Lynette A. Jeffers, CRNA, MSN
Antiobesity medications, in combination with diet and exercise, facilitate weight loss with few side effects. However, there are several anesthetic considerations when providing anesthesia services for patients on this drug regimen. This article provides an overview of three antiobesity medications and problems
that may occur during the administration of anesthesia.
Print version: 1996;64(6):541-544.
Keywords: Catecholamine depleting, dexfenfluramine, fenfluramine, obesity, pulmonary hypertension.

The effect of glycopyrrolate premedication on postoperative sore throat
By Patricia A. Stratelak, CRNA, CCRN, MS
Wendy White, CRNA, MS
David Wenzel, MD
This original research examined whether the occurrence of postoperative sore throat was associated with the use of a glycopyrrolate medication. The authors found that patients who did not receive preoperative glycopyrrolate were significantly less likely to report having a sore throat or reported having a less severe sore throat than patients who did receive glycopyrrolate.
Print version: 1996;64(6):545-548.
Keywords: Glycopyrrolate, postoperative complications, sore throat.

AANA Journal Course: Update for nurse anesthetists–Genetic testing for malignant hyperthermia
By Sherry Curtis, CRNA, BSN
As the workings of molecular genetics are better understood, research is being applied to finding the causative gene for malignant hyperthermia (MH). In this AANA Journal course, the author defines MH and discusses genetic testing, disorders associated with MH, the significance of the ryanodine receptor, and the major limitations of the caffeine-halothane-contracture test.
Print version: 1996;64(6):557-562.
Keywords: Caffeine-halothane-contracture test, chromosome 19, linkage analysis, molecular genetics, ryanodine receptor.

Imagining in Time
By Lee C. Fosburgh, MLIS, MA
Mack: An autobiography
Print version: 1996;64(6):583-586.
Keywords: American Association of Nurse Anesthetists executive director, autobiography, ether, history of nurse anesthetists, Mayo Clinic.

Chair design and the anesthesia provider; The sesquicentennial of ether anesthesia
Print version: 1996;64(6):589.

On Leadership
By Karlene Kerfoot, RN, CNAA, PhD, FAAN
The change leader
Print version: 1996;64(6):590-592.
Keywords: Change, healthcare, leadership, nursing.

General and Subscription Information
Print version: 1996;64(6):510.

Council on Accreditation of Nurse Anesthesia Educational Programs
Print version: 1996;64(6):563-572.

Official Council Listings
Print version: 1996;64(6):581-582.

Print version: 1996;64(6):589.

Index to Volume 64 of the AANA Journal
Print version: 1996;64(6):593-603.

Index to Advertisers
Print version: 1996;64(6):604.

December 1996 AANA Journal
Volume 64 , Number 6
ISSN 0094-6354
On the Cover: