December 2006 AANA Journal

Table of Contents


Is it time to abandon the loss of resistance to air technique for labor analgesia?

Krzysztof M. Kuczkowski, MD
Michele S. Reynolds, CRNA, MSN

CAPT David Norman, CRNA, ND, NC, USN
Chris Winkelman, RN, PhD, CCRN, ACNP

Author's Correction – Labor epidural anesthetic comparing loss of resistance with air versus saline: Does the choice matter?
Jackie Marfilius, CRNA, MSN

CAPT David Norman, CRNA, ND, NC, USN
Chris Winkelman, RN, PhD, CCRN, ACNP

Print version: 2006;74:423-424.

Education News
Sharing nurse anesthesia program resources: Clinical

Wanda O. Wilson, CRNA, PhD
Print version: 2006;74:425-428.
Key words: Antitrust, clinical sites, communication, nurse anesthesia programs, partnering. 

State of the Science Oral and Poster Sessions: Part 2
Print version: 2006;74:454-468. 

List of Recognized Programs by the Council on Accreditation of Nurse Anesthesia Educational Programs
Print version: 2006;74:469-480. 

Official Council Listings
Print version: 2006;74:482-483.

Index to Volume 74 of the AANA Journal
Print version
: 2006;74:484-502. 



Awake intubation using fast-track laryngeal mask airway as an alternative to fiberoptic bronchoscopy: A case report
J. David Parnell, CRNA, MS
Jeff Mills, CRNA, MS

In this case study, the authors state that patients with rheumatoid arthritis pose a unique challenge to the anesthetist. The manifestations of rheumatoid arthritis may include cervical spine instability, limited range of motion, and temperomandibular joint involvement limiting mouth opening; therefore, securing the airway, while maintaining the head and neck in a neutral position, is of particular concern to the anesthetist.
Print version: 2006;74:429-431.
Keywords: Awake fiberoptic intubation, cervical spine instability, fast-track laryngeal mask airway, rheumatoid arthritis, temperomandibular joint. 

A published student journal: Effect on graduate students of nurse anesthesia
John Christ, CRNA, MSN
Rosemary Cutler, CRNA, MSN
Rebecca Mahrs, CRNA, MSN
Donna Jasinski, CRNA, PhD
Julie Pearson, CRNA, MSN

The purpose of this study was to explore the impact of a published student journal on the education, knowledge base, and clinical practice of nurse anesthesia students. The authors used a correlational design with a descriptive component. An assessment tool measured the students' perceptions of the Journal and the knowledge gained from reading an issue. An information-processing model was used to convey the educational value and clinical benefits of the journal.
Print version: 2006;74:433-439.
Key words: Case reports, graduate student education, nurse anesthesia, student journal. 


John G. Wooley II, CRNA, MSN
Valerie Wynn Redmon, CRNA, MNA
Jeffery Groom, CRNA, PhD, MSN


The authors of this case study report a lack of information on aortic dissection in parturients was identified within the US anesthesia literature. They said that because the nurse anesthetist may often be the primary or sole anesthesia provider, it is imperative that he or she become familiar with the signs, symptoms, predisposing factors, and treatment of this potentially lethal complication of pregnancy.


Print version: 2006;74:440-444.
Key words: Anesthesia, aortic dissection, parturient, pregnancy, thoracic. 




AANA Journal Course 5, Update for nurse anesthetists
Ludwig angina: Forewarned is forearmed
Michael J. Kremer, CRNA, DNSc, FAAN
Tracy Blair, CRNA, MSN

While the incidence of Ludwig angina is decreasing, this is an important disease process because failure to control the airway can have catastrophic consequences. In this AANA Journal course, the authors conclude that given the host of potential etiologic factors for Ludwig angina, it is unlikely that this potentially fatal clinical entity will disappear. Therefore, clinicians must be aware of the pathogenesis and treatment options for Ludwig angina, which need to be implemented quickly and systematically using a team approach.
Print version: 2006;74:445-451.
Key words: Airway, angina, infection, Ludwig angina.

December 2006 AANA Journal
Volume 74 , Number 6
ISSN 0094-6354
On the Cover:
Lisa K. Killam, CRNA, MS, stands in front of the poster she presented at the AANA Annual Meeting in Cleveland, Ohio, in August 2006, when she was a student at Northeastern University, Boston, Mass. The poster abstract titled "Perioperative management of a patient with progeria" is included in State of the Science Oral and Poster Sessions: Part 2, on page 454 of this Journal. Killam is a staff nurse anesthetist as Catholic