February 2002 AANA Journal

Table of Contents

Columns

Legal Briefs
CRNAs as independent contractors
Gene A. Blumenreich, JD
Print version: 2002;70(1):9-13.
Key words: Employee, independent contractor, liability, respondeat superior, supervision.

Education News
School-related expenses, living expenses, and income sources for graduate students in nurse anesthesia programs
Dianna Heikkila, CRNA, MSN
Print version: 2002;70(1):15-19.
Key words: Nurse anesthesia school expenses, nurse anesthesia students, student cost survey.

Features

Diagnosis and treatment of tension pneumothorax under anesthesia: A case report
Vicki L. Gambrill, CRNA, MSN 
This case report describes the occurrence, diagnosis, and treatment of a tension pneumothorax during general anesthesia.
Print version: 2002;70(1):21-24.
Key words: General anesthesia, jet ventilation, otolaryngology surgery, subcutaneous emphysema, tension pneumothorax.

The morphine-sparing effect of metoclopramide on postoperative laparoscopic tubal ligation patients 
LCDR Robin D. Gibbs, CRNA, MS, NC, USN
LT Beth Ann Movinsky, CRNA, MS, NC, USN
CDR Joseph Pellegrini, CRNA, DNSc, NC, USN
CAPT Charles A. Vacchiano, CRNA, PhD, NC, USN 
The primary purpose of this study was to determine whether the administration of metoclopramide could decrease the morphine requirements in the postanesthesia care unit (PACU) and decrease the total time a patient stays in the PACU.
Print version: 2002;70(1):27-32.
Key words: Analgesia, metoclopramide, pain measurement, postoperative pain, tubal sterilization.

Prevalence of and reasons for preoperative tobacco use
Janice Shannon-Cain, CRNA, MS
Steven F. Webster, MD
Brian S. Cain, MD

Smoking cigarettes has an impact on all aspects of the perioperative anesthetic. In this original research, 81 patients completed a questionnaire concerning smoking behavior in the 24 hours before surgery.
Print version: 2002;70(1):33-40.
Key words: Addiction, anesthesia, carboxyhemoglobin, smoking, teaching.

Safety in the use of compressed air versus oxygen for the ophthalmic patient
Laura A. Rodgers, CRNA, BSN
Anahid Kulwicki, DNS, MSN, BSN

The purpose of this study was to determine whether hypoxia occurs more frequently when compressed air replaces supplemental oxygen during ophthalmic surgery.
Print version: 2002;70(1):41-46.
Key words: Cataract extraction, compressed air, oxygen, operating room fire, photosensitivity.

Herbal medicines and possible anesthesia interactions
Timothy R. Lyons, RN, MSN
In this review article, the author provides an industry overview and look at commonly used herbal medicines, focusing on those with the greatest potential for anesthetic and operative complications.
Print version: 2002;70(1):47-51.
Key words: Anesthesia, drug interaction, herbs.

Microbial growth on the anesthesia machine
PaTricia A. Maslyk, CRNA, MS
Daniel A. Nafziger, MD
Susan M. Burns, BS, CIC
Philip R. Bowers, CRNA, MS

The purpose of the study was to determine the amount of microbial growth that develops on the anesthesia machine after a full day's use in the operating room.
Print version: 2002;70(1):53-56.
Key words: Anesthesia machines, bacteriology, colony-forming units (CFUs), infection control, microbes.

AANA Journal Course, Part 6 Update for nurse anesthetists
A pathway toward safer anesthesia: Stereochemical advances
Joseph A. Joyce, CRNA, BSDevelopment of stereochemically pure medications can lead to safer medications, reduce the amount of medication needed to produce the desired effect, and potentially reduce untoward and/or toxic effects of a medication. In this Journal course, the author provides background, biological significance, and anesthesia implications of stereochemical pure medications.
Print version: 2002;70(1):63-67.
Key words: Chiral, racemic mixture, enantiomers, geometric isomers, optical activity, stereoselectivity.

February 2002 AANA Journal
Volume 70 , Number 1
ISSN 0094-6354
On the Cover:
On the cover: Dave Pederson, CRNA, administers an epidural anesthetic for a scheduled cesarean section at St. Anthony Regional Hospital in Carroll, Iowa. The hospital serves a rural community of 10,000 people and is staffed by 4 nurse anesthetists who provide anesthesia for ear, nose and throat; ophthalmologic; orthopedic; urologic; obstetric/gynecologic; and general surgeries.