February 1994 AANA Journal

Table of Contents


Should student nurse anesthetists be required to administer regional anesthesia?; cardiac pacemakers.
Print version: 1994;62(1):2.

Management Briefs
By Darlene Homa, CRNA, MEd
JCAHO's new leadership standards
Print version: 1994;62(1):6-7.
Keywords: Leadership checklist, management, 1994 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.

Legal Briefs
By Gene A. Blumenreich, JD
Mitchell v Amarillo Hospital District
Print version: 1994;62(1):9-13.
Keywords: Constitutional rights, evidence of negligence, negligence per se, supervision.

Washington Scene
By Kathleen A. Michels, RN, JD, FAAN
Sue Ellen Hopkinson, RN, MPP
HCFA issues 1994 CRNA and anesthesiologist Medicare conversion factors
Print version: 1994;62(1):14-18.
Keywords: CRNA and anesthesiologist Medicare conversion factors, healthcare reform, managed care, managed competition, President Clinton.

Healthcare reform glossary of terms
Print version: 1994;62(1):19-23.

The pharmacology of rocuronium bromide (ORG 9426)
By Terry C. Wicks, CRNA, MHS
This article reviews rocuronium bromide (ORG 9426), a new nondepolarizing neuromuscular blocking drug with a rapid onset of action, an intermediate duration of action, and a relatively uniform pharmacokinetic profile.
Print version: 1994;62(1):33-38.
Keywords: Intubation, neuromuscular blockade, rocuronium.

Learning styles of nurse anesthesia students related to level in a master of science in nursing program
By Linda Sherbinski, CRNA, MSN
In this original research, the author identified the learning styles of nurse anesthesia students enrolled in 12 programs that confer a master of science in Nursing degree in relation to the students' gender and level in an anesthesia program.
Print version: 1994;62(1):39-45.
Keywords: Learning styles, master of science in nursing anesthesia students, nurse anesthesia education.

Congestive heart failure associated with endoscopic cholecystectomy: A case report
By Ken Spain, CRNA, MSEd
Endoscopic cholecystectomies or laparoscopic cholecystectomies are becoming relatively commonplace in major U.S. medical centers and have presented very few anesthesia complications.This is a case report of congestive heart failure occurring during the procedure itself, which could have implications for patient management and selection.
Print version: 1994;62(1):46-48.
Keywords: Congestive heart failure, endoscopic cholecystectomy, laparoscopic cholescystectomy.

Subarachnoid injection during retrobulbar block: A case report
By Patricia Lindsay Tatum, CRNA, BSN
Raymond J. Defalque, MD
Subarachnoid injection during a retrobulbar block is a rare complication requiring prompt recognition and management of life-threatening respiratory and cardiac depression. This case report describes a patient who began to decompensate 2 minutes after receiving a retrobulbar block.
Print version: 1994;62(1):49-52.
Keywords: Brain stem anesthesia, inadvertent subarachnoid injection, retrobulbar block.

AANA Journal Course: Update for nurse anesthetists–An overview of electrical safety
By Elizabeth Moak, RN
Prevention of electrical injury involves the coordination of effort of the perioperative team to ensure that equipment is used properly, is checked regularly, and is maintained adequately.This sixth chapter of the AANA Journal Update Course explores issues that have an impact on electrical safety in the operating room.
Print version: 1994;62(1):69-76.
Keywords: Electrical safety, isolated power system, line isolation monitor, operating room hazards.

Rediffusion of nitrous oxide prevents increases in endotracheal tube cuff pressure
By Donald M. Fill, CRNA, MS
Michael P. Dosch, CRNA, MS
Mark R. Bruni, MD
Studies have implied that high pressures in the cuffs of endotracheal tubes may be associated with an increased incidence of complications. This study demonstrated that a significant rise in endotracheal tube cuff pressure occurs in a conventional-type intratracheal cuff within 10 minutes of initial inflation, as compared to a rediffusion-type endotracheal tube cuff.
Print version: 1994;62(1):77-81.
Keywords: Adverse effect of anesthetics, inhalation anesthesia, intratracheal anesthesia, intratracheal intubation, nitrous oxide.

Book Reviews
Risk and Outcome in Anesthesia
Reviewed by: Neil A. Macdonald, MD, MPH

Anaesthesia A-Z: An Encyclopaedia of Principles and Practice
Reviewed by: Patrick K. Muus, CRNA, BSN

Clinical Procedures in Anesthesia and Intensive Care
Reviewed by: Mark Yeager, MD
Print version: 1994;62(1):82-83.

General and Subscription Information
Print version: 1994;62(1):2.

Council on Accreditation List of Proposed Programs to be Reviewed During Fiscal Year 1994
Print version: 1994;62(1):8.

Index to Advertisers
Print version: 1994;62(1):84.

February 1994 AANA Journal
Volume 62 , Number 1
ISSN 0094-6354
On the Cover: