December 2004 AANA Journal

Table of Contents


Visual loss: A review of the literature
E. Ruth Longway, RN, BSN Response
Kimberly Rupp-Montpetit, CRNA, MS Merri L. Moody, CRNA, MS
Print version: 2004;72:407.

Legal Briefs
Just following orders
Gene Blumenreich, JD
Print version: 2004;72:409-412.

Education News
Economics and the education of nurse anesthetists, Part 2

Cormac T. O'Sullivan, CRNA, MSN
Edward S. Thompson, CRNA, PhD
Print version: 2004;72:413-417.

List of Recognized Programs by the Council on Accreditation of Nurse Anesthesia Educational Programs
Print version: 2004; 72:455-465.

Official Council Listing
Print version: 2004;72:466-467.

Revised Fiscal Year 2005 Council on Accreditation of Nurse Anesthesia Educational Programs Scheduled for Onsite Reviews
Print version: 2004;72:467.

Index to Volume 72 of the AANA Journal
Print version: 2004;72:468-482.

State of the Science Oral and Poster Sessions: Part 2
Print version: 2004;72:441-453.


Local block for postoperative knee arthroscopy pain management: A retrospective study
Richard Lee, CRNA, MMS, BS, BSN
Knee arthroscopy is one of the most common orthopedic procedures done in the United States. It is usually performed as an outpatient procedure. This retrospective study was designed to assess the level of postoperative analgesia provided by the local knee block. Results suggest that the local knee block provides superior postoperative analgesia for the knee arthroscopy patient.
Print version: 2004;72:419-421.
Key words: Knee arthroscopy, local anesthesia, local knee block, postoperative pain management.

Ruptured arteriovenous malformation and subarachnoid hemorrhage during emergent cesarean delivery: A case report
LCDR Lorraine A. English, CRNA, MS, NC, USN
Deborah C. Mulvey, CRNA, MBA
Cerebral arteriovenous malformations (AVMs) are formed from a vascular plexus of direct arterial-venous connections that progressively dilate, making them prone to rupture. This case report describes the anesthetic management of a 31-year-old laboring patient who first complained of a headache, then suffered an acute subarachnoid hemorrhage secondary to rupture of a previously undiagnosed AVM during emergent cesarean delivery.
Print version: 2004;72:423-426.
Key words: Anesthesia, arteriovenous malaformation, headache, pregnancy.

Use of the LMA Classic to secure the airway of a premature neonate with Smith-Lemli-Opitz syndrome: A case report
Yolanda R. Leal-Pavey, CRNA, BS
In this case report, the author describes a premature infant born with multiple and life threatening congenital anomalies in a rural facility. The current recommendations of the American Heart Association for neonatal resuscitation were followed: however, the resuscitating team was unable to secure the airway with standard intubating techniques. Consultation with the anesthetist on duty resulted in the successful placement of the laryngeal mask airway.
Print version: 2004;72:427-430.
Key words: Laryngeal mask airway, neonate, Smith-Lemli-Opitz syndrome.


AANA Journal Course, Part 5
Update for nurse anesthetists --
The SLAM Emergency Airway Flowchart: A new guide for advanced airway practitioners
James M. Rich, CRNA, MA
Andrew M. Mason, MB, BS, MRCS, LRCP
Michael A. E. Ramsay, MD, FRCA
The SLAM Emergency Airway Flowchart is intended to prevent the 3 reported primary causes of adverse respiratory events (inadequate ventilation, undetected esophageal intubation, and difficult intubation). The flowchart's 5 pathways are primary ventilation, rapid-sequence intubation, difficult intubation, rescue ventilation, and cricothyrotomy. It is intended for use with adult patients by advanced airway practitioners competent in direct laryngoscopy, tracheal intubation, administration of airway drugs, rescue ventilation, and cricothyrotomy.
Print version: 2004;72:431-439.
Key words: Combitube, emergency airway algorithm, failed intubation, laryngeal mask airway, rescue ventilation.

December 2004 AANA Journal
Volume 72 , Number 6
ISSN 0094-6354
On the Cover:
Daily check of an emergency cart is completed by Janice Izlar, CRNA, BS, at Georgia Institute for Plastic Surgery, Savannah, Ga. Among the many items on the cart are a defibrillator, portable suction machine, intravenous catheters and fluids, laryngoscope blades and handles, emergency drugs such as dantrolene, and a malignant hyperthermia algorithm and flowsheet for charting. In 1999, the AANA developed Standards for Office Based Anesthesia Practice that describes a properly equipped crash cart. In November 2004, the AANA released the patient education brochure, "Office Based Anesthesia: What Every Patient Should Know ." Both are available through the AANA Bookstore at or 847-655-1129.