February 1995 AANA Journal

Table of Contents


Book Reviews
Cardiac Anesthesia: Principles and Clinical Practice
Reviewed by: Denise Blankenship, CRNA, MS

Nunn's Applied Respiratory Physiology
Reviewed by: Rex A. Marley, CRNA, RRT, MS
Print version: 1995;63(1):4,6.

Washington Scene
By Kathleen A. Michels, RN, JD, FAAN
HCFA issues 1995 CRNA and anesthesiologist Medicare conversion factors
Print version: 1995;63(1):9-11.
Keywords: Conversion factors, Health Care Financing Administration, Medicare.

Legal Briefs
By Edgar H. Brenner, JD
Antitrust enforcement policy relating to healthcare
Print version: 1995;63(1):13-16.
Keywords: Antitrust, Federal Trade Commission, healthcare, U.S. Department of Justice.

Education News
By Marjorie Peace Lenn, EdD
Quality assurance in international education
Print version: 1995;63(1):17-20.
Keywords: Higher education, international accreditation, quality assurance.

The Trendelenburg position: A review of current slants about head down tilt
By John T. Martin, MD
In this review, the author presents considerations that aid in the selection of head down tilt, as well as a plea for the abandonment of the Trendelenburg eponym and a suggestion for future investigation.
Print version: 1995;63(1):29-36.
Keywords: Contoured supine position, laparoscopies, resuscitation, shoulder braces, Trendelenburg position, wristlets.

Postoperative nausea and vomiting: A comparison of propofol infusion versus isoflurane inhalational technique for laparoscopic patients
By Martie M. Reigle, CRNA, MS
Martha A. LeVeque, CRNA, MS
Agnes B. Hagan, CRNA, MS
Francis R. Gerbasi, CRNA, PhD
Kumbla Bhakta, MD
This original research determined the occurrence of postoperative nausea/retching/vomiting when propofol was used for anesthesia maintenance compared with isoflurane when both groups of patients received metoclopramide and ranitidine preoperatively and were induced with propofol.
Print version: 1995;63(1):37-41.
Keywords: Gastrointestinal complications, laparoscopic complications, nausea and vomiting.

Tympanic membrane rupture following general anesthesia with nitrous oxide: A case report
By Margaret Ohryn, CRNA, MS
Caution should be exercised with the use of nitrous oxide in patients with known disease processes that may affect the eustachian tube structure and patency. In this case report, tympanic rupture, noted 1 hour postoperatively, was probably due to administered nitrous oxide.
Print version: 1995;63(1):42-44.
Keywords: Closed space expansion, eustachian tube patency, nitrous oxide, tympanic membrane trauma.

Do current educational programs address critical thinking in nurse anesthesia?
By Anthony Chipas, CRNA, MS
This descriptive study surveyed 197 nurse anesthesia students and 128 faculty members from 32 schools of nurse anesthesia to determine the effect of using adult education principles on student satisfaction.
Print version: 1995;63(1):45-49.
Keywords: Andragogy, critical thinking, pedagogy, satisfaction, teaching methods.

Hybrid intubation technique for the management of a difficult airway: A case report
By Alfred E. Lupien, CRNA, MSN
CPT Carol Taylor, CRNA, MHS, AN
This case report describes and presents a protocol for a method of endotracheal intubation that combines the benefits of light wand and fiberoptic techniques.
Print version: 1995;63(1):50-52.
Keywords: Difficult intubation, fiberoptic intubation, light wand.

AANA Journal Course:Update for nurse anesthetists– Anesthesia simulation: A tool for learning and research
By Joanne L. Fletcher, CRNA, EdD
In this AANA Journal course, the author defines the anesthesia simulator, describes the two available models, details the principal components, discusses theoretical issues, and points out the advantages and disadvantages of simulation training.
Print version: 1995;63(1):61-67.
Keywords: Anesthesia simulation, education, research.

General and Subscription Information
Print version: 1995;63(1):4.

Index to Advertisers
Print version: 1995;63(1):76.

February 1995 AANA Journal
Volume 63 , Number 1
ISSN 0094-6354
On the Cover: