December 2003 AANA Journal

Table of Contents


Legal Briefs
Due process
Gene A. Blumenreich, JD
Print version: 2003;71:417-421.
Key words: At-will employment, due process, privileging.

Books and Multimedia of Interest
Nursing, Physician Control, and the Medical Monopoly: Historical Perspectives on Gender Inequality in Roles, Rights, and Range of Practice
Reviewed Carol L. Norred, CRNA, MHS
Print version: 2003;71:442.

State of the Science Oral and Poster Sessions: Part 2
Print version
: 2003;71:455-463.

List of Recognized Programs the Council on Accreditation of Nurse Anesthesia Educational Programs
Print version
: 2003;71:465-475.

Official Council Listings
Print version
: 2003;71:478-479.

Index to Volume 71 of the AANA Journal
Print version
: 2003;71:481-493.


A theory of inhaled anesthetic action disruption of ligand diffusion chreodes
Lemont B. Kier, PhD
A novel theory of inhalational anesthesia extends beyond earlier work the author, invoking the concept of chreodes. Chreodes are passages through water, occurring near a protein surface, that are organized amino acid side chains of varying lipophilic status. The theory accounts for the nonspecific, ubiquitous, and modest stereospecificity observed for inhalation anesthetics.
Print version: 2003;71:422-428.
Key words: Inhaled anesthetics, ligand diffusion, mechanism of action, protein landscape, water chreodes.

Anesthetic management for the placement of a fully implantable heart: A case report
Debra A. Barber, CRNA, MS
Carla Hobbs, CRNA
Ken Thielmeier, MD

The authors report that this unique and interesting case was challenging for anesthesia providers. The review of the hemodynamic and pharmacologic management of the case provides an excellent review of the principals of cardiac anesthesia.
Print version: 2003;71:431-439.
Key words: Abiocor, end-stage cardiomyopathy, hemodynamics, replacement heart.

A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement
Scott L. Stewart, CRNA, MSN
Janet A. Secrest, RN, PhD
Barbara R. Norwood, RN, EdD
Richard Zachary, CRNA, MSN

This study focused on estimation techniques used to assess the adequacy of endotracheal tube cuff pressure anesthesia providers. The results of this study suggest that estimation techniques are not adequate. The findings of this study can be used to establish standards in anesthesia practice and add to the body of information to support practice guidelines in all areas of nursing.
Print version: 2003;71:443-447.
Key words: Endotracheal cuff pressures, estimation techniques.

AANA Journal
Course, Part 5

Update for nurse anesthetists – Epidural analgesia using loss of resistance with air versus saline: Does it make a difference? Should we reevaluate our practice?
CDR David Norman, CRNA, MSN, NC, USN
Epidural analgesia is a popular method of pain control for laboring parturients. The most common method for determining entry into the epidural space is the loss-of-resistance (LOR) technique. In this AANA Journal course, the author discusses the problems associated with the 2 most common injected substances used for the LOR technique.
Print version: 2003;71:449-453.
Key words: Air, analgesia, epidural, loss of resistance, saline.

December 2003 AANA Journal
Volume 71 , Number 6
ISSN 0094-6354
On the Cover:
A banner announcing National Nurse Anesthetists Week, January 25-31, 2004, is prominently displayed at the entrance of the American Association of Nurse Anesthetists headquarters in Park Ridge, Ill. National Nurse Anesthetists Week was formally established in 2000 to educate the American public about the safe, high-quality anesthesia care that Certified Registered Nurse Anesthetists have been providing for more than a century. To request promotional materials for the fifth annual week-long event, email or fax (847) 692-2051.