February 1998 AANA Journal

Table of Contents


Legal Briefs
By Gene A. Blumenreich, JD
The overlap between the practice of medicine and the practice of nursing
Print version: 1998;66(1):11-15.
Key words: Licensing laws, practice of nursing, scope of practice.

Washington Scene
By Dena Zenti, BA
Getting politically involved
Print version: 1998;66(1):19-22.
Key words: Advocacy, grassroots, legislators, lobbying, politics.

Management Briefs
By Gregory P Sauer, CRNA, BS
Information technology: Meet the challenge
Print version: 1998;66(1):29-31.
Key words: Information management, information technology, medical records.

Reimbursement News
By Billie Bradford, BA
HCFA issues 1998 anesthesia Medicare conversion factors: Anesthesia services receive 2.1% payment increase
Print version: 1998;66(1):35-39.
Key words: Conversion factors, CPT anesthesia codes, Health Care Financing Administration, medical direction for single procedure, Medicare physician fee schedule.

Guest Editorial
By Karen Zaglaniczny, CRNA, PhD
Thomas Healey, CRNA, MA
A report on the Council on Certification 1996 Professional Practice Analysis
Print version: 1998;66(1):43-62.
Key words: Content validation studies, Council on Certification of Nurse Anesthetists, national certification examination, Professional Practice Analysis.

AANA Journal Course: Update for nurse anesthetists–Diabetes mellitus: Overview and current concepts in anesthetic management
By Sandra M. Ouellette, CRNA, MEd, FAAN
Diabetes mellitus, a disease of the pancreas, affects nearly 15 million people or approximately 1 in 20 in the United States. In this Journal course, the author reviews the pathophysiology of diabetes and common complications associated with the disease. Perioperative considerations include assessment and metabolic control during the time of surgical stress. It concludes with acute complications and their recognition and management.
Print version: 1998;66(1):65-76.
Key words: Diabetes mellitus, endocrine disorders, metabolic disorders.

Assessing sensory blockade with alcohol and pinprick after subarachnoid block
By Barbara A. Grover, CRNA, MS
Joanne Muzyka Rush, CRNA, MS
Michael M. Servoss, MD
In this research article, the authors compared the alcohol swab to the pinprick method of assessing dermatome levels at 5, 10, and 15 minutes, after administering a subarachnoid block.
Print version: 1998;66(1):77-81.
Key words: Alcohol assessment, dermatome levels, hyperbaric bupivacaine subarachnoid block.

A review of regional blocks for the foot
By John Hess, CRNA
In this review article, the author discusses the blocking of the posterior tibial, sural, saphenous, superficial peroneal, and the deep peroneal nerves with  possible alternative approaches. Digital blocks, Mayo blocks, and intravenous regional anesthesia are also presented.
Print version: 1998;66(1):82-87.
Key words: Intravenous regional anesthesia; Mayo block; regional anesthesia, foot.

Ascaris lumbricoides: A case report 
By Kelly J. Scherbenske, RN, MS, MSN
Peter Norman, MD
This is a case report of a multiple trauma patient who was infested with Ascaris lumbricoides, a roundworm. Anesthesia
providers should be aware of ascariasis infestation, especially in immigrant patients. An estimated 25% of the world's population is infested, and prevalence increases to 90% in Third World countries where poor sanitation, poverty, and crowded living conditions are widespread.
Print version: 1998;66(1):88-90.
Keywords: Ascariasis, Ascaris lumbricoides, endotracheal tube, parasitic infections, roundworm.

General and Subscription Information
Print version: 1998;66(1):4.

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February 1998 AANA Journal
Volume 66 , Number 1
ISSN 0094-6354
On the Cover: