December 2005 AANA Journal

Table of Contents


Books and Multimedia of Interest
Miller's Anesthesia
Ray J Teheng, RN, BSN

Adverse Events, Stress and Litigation: A Physician's Guide
Ken Kirsner, CRNA, JD, MS

Perioperative Drug Manual
Darien Arrington, RN, BSN
Print version: 2005;73:417-419.

Legal Briefs
Sweetwater Hospital Association v Carpenter
Gene P. Blumenreich, JD
Key words: Ambiguity, interpretation of contracts.
Print version: 2005;73:420-424.

List of Recognized Programs by the Council on Accreditation of Nurse Anesthesia Educational Programs
Print version
: 2005;73:473-484.

Official Council Listing
Print version
: 2005;73:486-487.

Index to Volume 73 of the AANA Journal
Print version
: 2005;73:488-502.

State of the Science Oral and Poster Sessions: Part 2
Print version
: 2005;73:459-471.


Effects of preincisional ketamine treatment on natural killer cell activity and postoperative pain management after oral maxillofacial surgery
CPT Michael W. Bently, CRNA, MSN, AN, USA
CPT John M. Stas, CRNA, MSN, AN, USA
CPT Jimmire M. Johnson, CRNA, MSN, AN, USA
COL Normalynn Garrett, CRNA, PhD, AN, USA
Poorly controlled pain may lead to increased risk of cancer metastasis by supressing natural killer (NK) cell activity. Ketamine may be beneficial by potentiating opiad-induced analgesia. The purpose of this study was to explore the effects of precisional ketamine on postoperative pain perception and attenuating surgery-induced suppression of NK cell activity.
Print version: 2005;73:427-436.
Key words: Ketamine, natural killer cell, postoperative pain.

Hyperkalemia-induced residual neuromuscular blockade: A case-report
Bryan A. Wilbanks, CRNA, MSN
Judith Wakim, RN, EdD
Barbara Daicoff, RN, PhD
Scott Monterde, CRNA, MSN

In this case report, the authors describe the anesthetic management of a patient who experienced postoperative residual muscle weakness secondary to hyperkalemia. A discussion of the role of potassium in membrane excitability and factors that must be considered in the differential diagnosis of residual neuromuscular weakness is included.
Print version: 2005;73:437-441.
Key words: Electrolytes, hyperkalemia, postoperative complications, residual neuromuscular blockade.

A study of occupational stress, scope of practice,and collaboration in nurse anesthetists practicing in anesthesia care team settings
Steve L. Alves, CRNA, PhD
In this research article, the author examines the relationships among CRNA scope of practice in anesthesia care team (ACT) settings, collaboration, and role-related occupational stress. Implications for future studies include exploring strategies that achieve consensus beteween CRNAs and anesthesiologists in ACTs, emphasizing clearly defined roles and optimizing productivity.
Print version: 2005;73:443-452.
Key words: Anesthesia care team, nurse anesthesia, occupational stress.

AANA Journal Course, Part 5
Update for nurse anesthetists --
Anesthetic considerations for patients with amyloidosis
Jill M. Nisbit, CRNA, MNA
Bradly J. Narr, MD
Mary E. Shirk Marienau, CRNA, MS
Christopher K. Dietz, CRNA, MNA

Amyloidosis is a rare disease that has multiple implications for anesthesia providers due to the possibility of multiorgan involvement. Each amyloidosis case is unique, and the anesthetic must be determined on a case-by-case basis and tailored to the individual signs and symptoms the patient is experiencing. This course describes 2 cases of amyloidosis and anesthetic implications.
Print version: 2005;73:453-458.
Key words: Amyloidosis, anesthesia, hemodynamics, sedation, transplant.

December 2005 AANA Journal
Volume 73 , Number 6
ISSN 0094-6354
On the Cover:
At Robert Wood Johnson University Hospital in New Brunswick, NJ, Tracy Castleman, CRNA, MS,hangs blood as part of an effort to resuscitate a patient who suffered life-threatening gunshot wounds. Nurse anesthetists working alone or as a member of an anesthesia on-call team provide emergency care in level-one trauma centers across the United States every day.