December 2002 AANA Journal

Table of Contents


Columns

Legal Briefs
Conflict of laws
Gene A. Blumenreich, JD
Print version: 2002;70:431-434.
Key words: Conflict of interest, procedural law, substantive law.

Guest Editorial
Expansion of nurse anesthesia educational programs: Where are the barriers?
Sandra M. Ouellette, CRNA, MEd, FAAN
Nancy Bruton-Maree, CRNA, MS
Eileen Kohlenberg, RN, PhD
Print version: 2002;70:435-438.
Key words: Barriers, educational programs, nurse anesthetist.

List of Recognized Educational Programs Council on Accreditation of Nurse Anesthesia Educational Programs
Print version
: 2002;70:482-491.

Official Council Listings
Print version
: 2002;70:492-493.

AANA Journal Volume 70 Index
Print version
: 2002;70:495-506.

Features

The effects of spinal anesthesia vs epidural anesthesia on 3 potential postoperative complications: Pain, urinary retention and mobility following inguinal herniorrhaphy
Ceri L. Faas, CRNA, MSN
Florence J. Acosta, CRNA, MSN
Mark D. R. Campbell, CRNA, MSN
Chris E. O'Hagan, CRNA, MSN
Sarah E. Newton, RN, PhD
Karen Zaglaniczny, CRNA, PhD, FAAN

Efforts to minimize postoperative complications following outpatient inguinal hernia surgery are important for the anesthesia provider since most patients undergoing inguinal hernia repair will care for themselves at home after their procedures. This study demonstrates epidural anesthesia results in less urinary retention and earlier mobility than spinal anesthesia in men undergoing inguinal herniorrhaphy.
Print version: 2002;70:441-447.
Key words: Inguinal herniorrhaphy, mobility, pain, outpatient anesthesia, urinary retention.

The effect of spinal introducer needle use on postoperative back pain
LCDR Rebekah R. Brooks, CRNA, MS, NC, USN
LT Chris Oudekerk, CRNA, MS, NC, USN
CDR R. Lee Olson, CRNA, MSN, NC, USN
LCDR Carol Daniel, CRNA, MSN, NC, USN
CAPT Charles Vacchiano, CRNA, PhD, NC, USN
LCDR John Maye, CRNA, PhD, NC, USN

In this research article, the authors compare the back pain and patient satisfaction scores after the administration of a spinal anesthetic with or without the use of an 18-gauge introducer needle.
Print version: 2002;70:449-452.
Key words: Back pain, introducer needle, postdural puncture back pain, spinal anesthesia, spinal needle.

Massive subcutaneous emphysema and hypercarbia: Complications of carbon dioxide absorption during extraperitoneal and intraperitoneal laparoscopic surgery -- Case studies
Lt Col Jeffrey B. Worrell, CRNA, MSN, USAF, NC
Lt Col Deborah Tarleton Cleary, CRNA, MSN, USAF, NC

The authors present 2 case studies that describe the circumstances contributing to a complication of laparoscopic surgery using CO2 as the insufflation gas: subcutaneous emphysema.
Print version: 2002;70:456-461.
Key words: Emphysema, hypercapnia, laparoscopy, subcutaneous emphysema.

Nurse anesthesia research: A follow-up study
COL (ret) Lynne M. Connelly, RN, PhD, ANC, USA
LTC Joel Schretenthaler, CRNA, MHS, ANC, USA
Roma Lee Taunton, RN, PhD

The amount of research published in the AANA Journal has steadily increased with a stable focus on clinical practice. The authors describe a follow-up study comparing nurse anesthesia research in the 1990s with findings of a previous study.
Print version: 2002;70:463-469.
Key words: Nurse anesthesia research, research, scientific literature, trends.

Assessing the authenticity of the human simulation experience in anesthesiology
Melissa A. Hotchkiss, CRNA, MSNA
Chuck Biddle, CRNA, PhD
Michael Fallacaro, CRNA, DNS

The purpose of this study was to assess the authenticity of human simulation with the goal of making future adjustments targeted at enhancing the overall worth of the experience.
Print version: 2002;70:470-473.
Key words: Anesthesia simulators, authenticity, computers, crisis resource management.


AANA Journal Course, Part 5
Update for nurse anesthetists --
Gender and pain

Amy Criste, RN, BSN, CCRN
In this Journal course, the author provides historical background on gender and pain, gender differences in medical research, epidemiology of pain, gender and opioids, gender differences in pain perception, gender reports of pain, and gender bias in pain assessment and treatment.
Print version: 2002;70:475-480.
Key words: Gender pain management, provider bias.

December 2002 AANA Journal
Volume 70 , Number 6
ISSN 0094-6354
On the Cover:
A thorough evaluation of the patient an anesthesia provider is mandatory prior to the administration of anesthesia. In addition to a review of systems and a records review, such an evaluation should contain personal communications; physical assessment, when indicated; and evidence that informed consent for the anesthetic has been obtained. (Source: Documenting the Standard of Care: The Anesthesia Record. In: Professional Practice Manual for the Certified Registered Nurse Anesthetist. Park Ridge, Ill: American Association of Nurse Anesthetists. 1991:1.)