December 2000 AANA Journal

Table of Contents

Departments

Letters
Bilateral Tension Pneumothorax During Jet Ventilation
Joseph S. Goode, Jr., RN, BSN
John M. O'Donnell, CRNA, MSN
Miroslav Klain, MD, PhD
Renee Taylor, CRNA, MSN
Print version: 2000;68(6):484-486.

Imagining in Time
Pearl Harbor, the Korean Conflict, and COL Mildred Irene Clark
Ira P. Gunn, CRNA, MLN, FAAN, LTC, AN, USA (ret.)
Print version: 2000;68(6):487-490.
Keywords: Korean Conflict, military, nurse anesthetists, Pearl Harbor.

Management Briefs
Understanding the New Medicare Outpatient Prospective Payment System
Theresa Ruiz-Law, BA
Print version: 2000;68(6):491-495.
Keywords:Medicare, Outpatient Prospective Payment System.

Council on Accreditation of Nurse Anesthesia Educational Programs to be Reviewed During Fiscal Year 2002
Print version:
2000;68(6):514.

Council on Accreditation of Nurse Anesthesia Educational Programs
Print version:
2000;68(6):539-547.

Index to Volume 68 of the AANA Journal
Print version:
2000;68(6):553-563.

Preanesthesia Detection of Equipment Faults by Anesthesia Providers at an Academic Hospital: Comparison of Standard Practice and a New Electronic Checklist
George Blike, MD
Chuck Biddle, CRNA, PhD

Failure to perform a preanesthetic check of anesthesia equipment has been cited as the most common associated factor with mishaps attributed to anesthesia systems failure. The authors compare a computer-based interactive electronic checklist with their institution's standard equipment check practice. The results indicated that their electronic checklist was superior, but that further study and improvements in checklist design and provider education are needed.
Print version: 2000;68(6):497-505.
Keywords: Anesthesia machines, computer checklist, equipment, pre-use checkout methods, US Food and Drug Administration anesthesia checklist.

Dislocation of the Mandible: A Case Report
Allan J. Schwartz, CRNA, DDS
This article describes the case of a patient who developed dislocation of the mandible during general anesthesia. The anatomy of the temporomandibularjoint, the anatomy and etiology of the dislocation, presenting symptoms, and the technique for bimanual reduction of the dislocation are reviewed.
Print version: 2000;68(6):507-513.
Keywords: Mandibular condyle, mandibular dislocation, mandibular subluxation, temporomandibular joint dislocation.

Faculty Perceptions of Characteristics Needed for Clinical Success at Military Nurse Anesthesia Programs
LTC Brian L. Clayton, CRNA, MSN, USAF, NC
MAJ Douglas J. Lypek, CRNA, MSN, USAF, NC
COL Lynne M. Connelly, RN, PhD, USA, AN (ret.)

This study focuses on the student characteristics needed for success in the clinical portion of graduate education, as described by 29 military nurse anesthesia clinical faculty. The findings represent a first step in developing a map to success and suggest ways that students might prepare themselves for anesthesia school.
Print version: 2000;68(6):515-523.
Keywords: Anesthesia education, clinical success, military training.

Assessment of Blood Pressure Discrepancies in Third-Trimester Hypertensive Gravidas
W. Terry Ray, CRNA, PhD
Hypertension has been associated with discrepancies between right arm and left arm blood pressure (BP) measurements. The findings of this study indicated BP discrepancies between arms exist in both normotensive and hypertensive gravidas, with a greater range and frequency of differences in the hypertensive group, supporting the American Heart Association's recommendation of initial bilateral BP assessment.
Print version: 2000;68(6):525-530.
Keywords: Blood pressure, blood pressure discrepancies, blood pressure monitoring, hypertension in pregnancy.


AANA Journal Course: Update for Nurse Anesthetists—Part 5
Intraoperative Fluid Management for the Pediatric Surgical Patient
Theresa Long Culpepper, CRNA, PhD
Intraoperative fluid management for the pediatric surgical patient is a critical element of the anesthetic care plan. This course explains how to calculate hourly fluid requirement, estimated fluid deficit, fluid replacement plan, third-space loss, estimated blood volume, and allowable blood loss, as well as formulate a blood replacement plan based on 1 of 4 formulas.
Print version: 2000;68(6):531-538.
Keywords: Blood loss, fluid management, fluid translocation, hypovolemia, pediatric anesthesia.

December 2000 AANA Journal
Volume 68 , Number 6
ISSN 0094-6354
On the Cover: