February 2001 AANA Journal

Table of Contents


Guest Editorial
The Phenomenon of Change: A Mountain or a River? A new look for the AANA Journal
Chuck Biddle, CRNA, PhD
Print reference: 2001;69(1):9.
Keywords: AANA Journal redesign, AANA Web site, theoretical and practical knowledge base.

Legal Briefs
Anesthetists and the Criminal Law
Gene A. Blumenreich, JD
Print reference: 2001;69(1):10-13.
Keywords: Contract interpretation, criminal prosecution, fraud.

Imagining in Time
Capsule History of the AANA Journal
Kevin D. Corbitt, MA
Print reference: 2001;69(1):15-18.
Keywords: AANA Journal, Bulletin of the American Association of Nurse Anesthetists, Bulletin of the National Association of Nurse Anesthetists, Journal of the American Association of Nurse Anesthetists. 


Reducing Anxiety in Parents Before and During Pediatric Anesthesia Induction
Ronald Zuwala, CRNA, MS
Kimberly R. Barber, MS
Fear and anxiety in a child undergoing surgery are correlated positively with the parent's level of anxiety, and interventions to decrease the parents' anxiety are appropriate. The findings of this study suggest that viewing a preoperative videotape of an inhalation induction seems to be beneficial and that decreasing the parents; level of anxiety preoperatively may have a positive effect on the child's level of anxiety expressed postoperatively.
Print reference: 2001;69(1):21-25.
Key words: Anxiety, child, induction, State-Trait Anxiety Inventory, video.

Evaluation of Word Associations as a Reliable Postoperative Indicator of Implicit Memory Formation During the Intraoperative Period
LCDR John P. Maye, CRNA, PhD, NC, USN
Timothy L. Smith, CRNA, PhD

While explicit intraoperative memory formation occurs 40,000 times per year in the United States, the incidence of implicit intraoperative memories is thought to be greater. The findings of this study illustrate that the word association test in the form of Trivial Pursuit game statements/answers may be a reliable indicator of implicit memory formation during the intraoperative period.
Print reference: 2001;69(1):27-30.
Key words: Contract interpretation, criminal prosecution, fraud.

Military and Civilian Penetrating Eye Trauma: Anesthetic Implications
MAJ Jerry W. Biehl, CRNA, AN, USAR
Penetrating open eye injuries merit extensive clinical assessment that can be life saving. This article reviews the vital assessment for the patient with a penetrating eye injury and provides a comparative analysis of the literature. The conclusion favors pretreatment with a nondepolarizing agent and the use of succinylcholine during rapid-sequence induction.
Print reference: 2001;69(1):31-37.
Key words: Anesthesia, eye injury, military, terrorist bombings, trauma.

Prevention of Vomiting After General Anesthesia for Pediatric Ophthalmic Surgery
Paula V. Smith, CRNA, BS
David S. Walton, MD

Vomiting is the most common reason for prolonged recovery and unanticipated admission of children to the hospital from the ambulatory surgical unit. The findings of this study indicate that postoperative vomiting can be substantially decreased by adopting a protocol of limited use of nitrous oxide for mask induction only, gastric emptying and administration of metoclopramide and ondansetron intravenously in combination.
Print reference: 2001;69(1):39-43.
Key words: Anesthesia, children, glaucoma, postoperative emesis, surgery.

The Prevalence of Visible and/or Occult Blood on Anesthesia and Monitoring Equipment
CAPT Susan Marie Perry, CRNA, MSN, USAF, NC
W. Patrick Monaghan, SBB, CLS, PhD

In the anesthesia care environment, the anesthetist is responsible for ensuring that the equipment is clean and disinfected before use. The authors of this study, which found evidence of occult blood on 32.7% of anesthesia equipment surfaces tested, explain how to decrease the risks from this contamination by redesigning equipment, increasing the use of disposable equipment, and compliance with effective infection control practices.
Print reference: 2001;69(1):44-48.
Key words: Anesthesia, anesthesia equipment, contamination decontamination, occult blood.

Anesthetic Implications of a Partial Molar Pregnancy and Associated Complications
LT Daniel Celeski, CRNA, MSN, NC, USN
CDR Jerry Micho, CRNA, MS, NC, USN
CDR Lynda Walters, CRNA, MS, NC, USN

This case report details the anesthetic management of a 34-year-old woman with a partial molar pregnancy who required a dilatation and curettage procedure following therapeutic termination of a coexisting fetus at 18 weeks' gestation. the medical and anesthetic interventions required for treatment of molar pregnancy are reviewed.
Print reference: 2001;69(1):49-53. 
Keywords: Gestational trophoblastic neoplasia, hydatidiform mole, molar pregnancy.

A Comparison of Motor Block Between Ropivacaine and Bupivacaine for Continuous Labor Epidural Analgesia
Nancy Merson, CRNA, MS
In this study of healthy term primigravid parturients, the author compares the amount of motor block produced by different loading doses of ropivacaine and bupivacaine when delivered in a dilute solution with added opioid. The results indicate that a greater percentage of parturients receiving bupivacaine had motor block, with a marked decrease in the occurrence of motor block in the low ropivacaine group.
Print reference: 2001;69(1):54-58. 
Key words: Bupivacaine, epidural, local anesthetics, motor block, ropivacaine. 

AANA Journal Course: Update for Nurse Anesthetists—Part 6—Full-Body Patient Simulation Technology: Gaining Experience Using a Malignant Hyperthermia Model
Melissa A. Hotchkiss, CRNA, MSNA
Sharlene N. Mendoza, RN, MSNA
Full-body patient simulators can be used to teach the essential concepts of many healthcare professions. This course discusses simulators currently available, the basic design of simulation centers and standard equipment used in these facilities, and the role of this technology in enhancing the knowledge of nurse anesthetists
Print reference: 2001;69(1):59-65.
Key words: Clinical simulation, education, full-body patient simulation, malignant hyperthermia.
Volume 69 , Number 1
ISSN 0094-6354
On the Cover: