December 1997 AANA Journal

Table of Contents

Contents

Legal Briefs
By Gene A. Blumenreich, JD
Standard of care
Print version: 1997;65(6):523-526.
Keywords: Expert witnesses, negligence, standard of care.

Washington Scene
By Wendy C. Parker, BA
The Balanced Budget Act of 1997 and its implications for
CRNAs
Print version: 1997;65(6):529-534.
Keywords: Antidiscrimination, conversion factors, fraud, Medicare, Medicaid, private contracting.

Education News
By 1996-97 AANA Education Committee
W. Gray McCall, CRNA, MHDL, Chairman
Steve L. Alves, CRNA, MSNA
Dana Y. Brooks, RN, MSN, MHS, USAF, NC
Michael D. Fallacaro, CRNA, DNS
COL G. Chris Gray, CRNA, MSN, USAF, NC
Diane Ritter, CRNA, MS, MSN

An analysis of factors influencing nurse anesthesia educational program director turnover
Print version: 1997;65(6):537-542.
Keywords: Nurse anesthesia education, program directors, program director turnover.

Perceived importance of clinical teaching characteristics for nurse anesthesia clinical faculty
By William Hartland, Jr., CRNA, PhD
Carroll A. Londoner, PhD
In this research article, the authors state there were two purposes to the study: (1) to determine the perceived importance of the effective clinical anesthesia instructor characteristics, and (2) to determine if these perceived levels of importance varied between four types of professionals, namely, nurse anesthesia program directors, Certified Registered Nurse Anesthetist clinical instructors, first-year nurse anesthesia students, and second-year nurse anesthesia students in relation to various demographic factors.
Print version: 1997;65(6):547-551.
Keywords: Clinical faculty, clinical teaching, faculty characteristics, faculty development.

Intrathecal opioids plus bupivacaine: An option to prolong analgesic efficacy when using the combined spinal-epidural technique-A case report
By LCDR Joseph E. Pellegrini, CRNA, ND, USN, NC
Anesthesia providers administering routine analgesia during labor are often frustrated by the limitations of currently available analgesic techniques. In this case report, low intrathecal concentrations of local anesthetics were used in combination with sufentanil. This successfully delayed the need for the initiation of epidural analgesia until the patient had advanced cervical dilation.
Print version: 1997;65(6):552-556.
Keywords: Analgesic efficacy, combined spinal-epidural technique, intrathecal opioids, obstetrics.

Complex regional pain syndrome
By Ann E. Aprile, CRNA, MSN
Complex regional pain syndrome is a progressive, chronic illness that is enigmatic because the mechanisms for its pathogenesis have yet to be determined. This review article includes information on pathogenesis and diagnosis, clinical course, causalgia, exploration of symptoms, and treatment.
Print version: 1997;65(6):557-560.
Keywords: Causalgia, complex regional pain syndrome (Type I and Type II), neuropathic pain, reflex sympathetic dystrophy, sympathetically maintained pain.

AANA Journal Course: Update for nurse anesthetists-Management of malignant ventricular tachyarrhythmias: The role of drug therapy and surgical intervention in sudden cardiac death survivors
By Lynne M. Van Wormer, CRNA, MSN
Denise Martin-Sheridan, CRNA, EdD
The use of implantable cardioverter-defibrillators (ICDs) to
treat patients with ventricular tachyarrhythmias and sudden
cardiac death (SCD) has increased over the last decade. In this Journal Course, the authors review the medical and surgical management of patients with ventricular tachyarrhythmias at risk to sustain SCD. A case presentation illustrates an example of an anesthetic plan of care for a patient who underwent insertion of an ICD.
Print version: 1997;65(6):561-563.
Keywords: Implantable cardioverter-defibrillator, sudden cardiac death, ventricular tachyarrhythmias.

On Leadership
By Karlene Kerfoot, RN, CNAA, PhD, FAAN
Leadership: Believing in followers
Print version: 1997;65(6):578-579.
Keywords: Healthcare, leadership.

Books of Interest
Drugs, Diseases and Anesthesia
Reviewed by: Michael A. Fiedler, CRNA, MS
Bill Hubbard, RN, BSN
Print version: 1997;65(6):580.

Addendum to Poster Session Abstracts
Print version: 1997;65(6):581.

Official Council Listings
Print version: 1997;65(6):583-584.

Council on Accreditation of Nurse Anesthesia Educational Programs and Council Listings
Print version: 1997;65(6):585-595.

Index to Volume 65 of the AANA Journal
Print version: 1997;65(6):596-607.

Index to Advertisers
Print version: 1997;65(6):608.

December 19997 AANA Journal
Volume 65 , Number 6
ISSN 0094-6354
On the Cover: