February 2013 AANA Journal Table of Contents

Table of Contents

The AANA Journal is now available in a digital edition.
The Table of Contents is reproduced below for your convenience.
 

Digital Edition

 
Departments
General and Subscription Information
Print version: 2013;81(1):4.
 
Practice News
Michael Neft, CRNA, DNP, MHA, LTC(ret), USA
Ewa Greenier, MPH, MBA
Keywords: Evidence-based process, nurse anesthesia practice, practice committee, standards of practice.
Print version: 2013;81(1):9-12.
 
Letters
Craig S. Atkins, CRNA, MS, APRN
Response
Mark Welliver, CRNA, DNP, ARNP
Dawn Dalpe Welliver, CRNA, DNP, ARNP
Print version: 2013;81(1):13-14.
 
Guest Editorial
A View From China: Scope of Practice of the Chinese Anesthesia Nurse and a Proposal for an Evolving Role
Jiale Hu, MS, RN
Michael D. Fallacaro, CRNA, DNS
Lili Jiang, MS, RN
Huifen Wang, RN
Hong Ruan, MS, RN
Keywords: China, comparative study, nurse anesthetists, scope of practice.
Print version: 2013;81(1):15-18.
 
Correction
Print version: 2013;81(1):18.
 
Index for Advertisers
Print version: 2013;81(1):80. 
 
Calendar of Events
Printed version: 2013;81(1):73-79.
 
Articles
Ultrasound-Guided Placement of Combined Superficial Cervical Plexus and Selective C5 Nerve Root Catheters: A Novel Approach to Treating Distal Clavicle Surgical Pain
Jonathan P. Kline, CRNA, MSNA
Treating the pain that patients experience from repair of distal clavicle fracture can be a challenge for the anesthesia provider. This article describes the first successful use of 2 separate ultrasound-guided perineural catheters placed for the purpose of treating distal clavicle pain and maintaining the analgesia.
Keywords: Distal clavicle repair, perineural catheter, selective C5 nerve root block, superficial cervical plexus block, ultrasound guidance.
Print version: 2013;81(1):19-22.
 
Evidence for Using Air or Fluid When Identifying the Epidural Space
Curtis L. Sanford II, CRNA, DNAP
Ricardo E. Rodriguez, PhD
James Schmidt, PhD
Paul N. Austin, CRNA, PhD
Lumbar epidural analgesia is frequently employed to provide pain relief for women during labor. Anesthesia providers use various methods to identify the epidural space. Some use air, some use fluid, and others use a combination of air and fluid during the loss of resistance technique. This article illustrates how providers should consider other factors when selecting loss of resistance medium.
Keywords: Air, epidural space, identification, loss of resistance.
Print version: 2013;81(1):23-28.
 
Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting
John E. Poulos, MD, MSci, FACG, AGAF, FACP
Peter T. Kalogerinis, MMS, PA-C
Jeffrey N. Caudle, CRNA, MSN

This study evaluated procedural efficiency and patient satisfaction in patients who had received propofol, mid­azolam/fentanyl/propofol (MFP), or midazolam/fentanyl, as sedation for either esophagogastroduodenoscopy or colo­noscopy. Patients receiving propofol felt less discomfort and need for adjustment in the sedation, and remembered less of the procedure compared with the MFP group.
Keywords: Balanced sedation, conscious sedation, endoscopy, endoscopy unit efficiency, propofol.
Print version: 2013;81(1):31-36.
 
Survey of Syringe and Needle Safety Among Student Registered Nurse Anesthetists: Are We Making Any Progress?
Kelli Ford, CRNA, MSHS
The goal of this study was to determine the extent of unsafe injection practices that exist among student anesthesia pro­viders. The results demonstrate that additional education on injection safety must take place to improve practice, increase patient safety, and reduce healthcare costs.
Keywords: Anesthesia practice, infection control, injection safety, needle and syringe use, syringe reuse.
Print version: 2013;81(1):37-42.
 
The trauma room in a level I trauma center is a dynamic environment that provides little room for error. Significant variability can exist if anesthesia providers do not provide a setup that is consistent, reliable, and cost-effective. This study examines the process of creating and implementing a standardized anesthesia setup in the trauma room of a level I trauma center.
Keywords: Anesthesia, level I trauma center, prefilled syringes, standardization, Theory of Reasoned Action.
Print version: 2013;81(1):43-49.
 
Aortic Valve Bypass: A Case Summary and Discussion of Anesthesia Considerations
Elizabeth Pelkey, CRNA, MSNA
Aortic valve replacement (AVR) is a common surgical intervention for symptomatic aortic stenosis. For many high-risk patients with severe symptomatic aortic stenosis, AVR is not an option. Aortic valve bypass (AVB) can offer surgical intervention for candidates unable to undergo AVR. This case summary reviews the anesthetic management of a patient undergoing AVB.
Keywords: Aortic stenosis, aortic valve, aortic valve bypass, apicoaortic conduit, surgery.
Print version: 2013;81(1):50-54.
 
Cochlear Implant in an Ambulatory Surgery Center
Aimee M. Joseph, CRNA, DNAP
L. Frederick Lassen, MD, FACS
Cochlear implants are especially useful for those with severe-to-profound hearing loss. The population is aging, so the demand for cochlear implantation in ambulatory surgery centers will likely increase. Ambulatory surgery centers can provide a more convenient and less expensive location for cochlear implant surgery than hospital-based operating facilities.
Keywords: Ambulatory surgery, anesthesia, cochlear implant, elderly population, hearing loss.
Print version: 2013;81(1):55-59.
 
von Willebrand Disease and Cardiopulmonary Bypass: A Case Report
Oxana L. Teppone-Martin, CRNA, MS
Manxu Zhao, MD, MS
Teresa E. Norris, CRNA, EdD
The anesthetic management of patients undergoing cardiac surgery on cardiopulmonary bypass can be challenging. Contact of blood with extracorporeal surfaces results in altered coagulational integrity and increased risk of bleeding. Patients with preexisting bleeding disorders are particularly vulnerable. The authors discuss the anesthetic management of a patient with von Willebrand disease undergoing mitral valve replacement on cardiopulmonary bypass.
Keywords: Antihemophilic factor/von Willebrand factor complex [human], cardiopulmonary bypass, desmopressin, von Willebrand, vWF/FVIII.
Print version: 2013;81(1):60-64.
 
AANA Journal Course: Update for Nurse Anesthetists – Part 6 – Anesthesia Case Management for Video-Assisted Thoracoscopic Surgery
Loretta Kitabjian, CRNA, MSN
Sandy Bordi, CRNA, MSN
Sass Elisha, CRNA, EdD
Mark Gabot, CRNA, MSN
Jeremy Heiner, CRNA, MSN
John Nagelhout, CRNA, PhD, FAAN
Jennifer Thompson, CRNA, MSN
As the population ages, the number of patients in whom lung disease develops and who require surgical interven­tion will continue to rise. When compared with open thoracotomy, video-assisted thoracoscopic surgery offers patients significant advantages. Decreased invasiveness results in less blood loss, lower infection rates, and less postoperative pain.
Keywords: Double-lumen endotracheal tube, one-lung ventilation, video-assisted thoracoscopic surgery.
Print version: 2013;81(1):65-72.
  

 

AANA Journal Homepage

Volume 81 , Number 1
ISSN 0094-6354
On the Cover:
Greg Humbracht, CRNA (left), administers propofol to a patient undergoing an esophagogastroduodenoscopy, which is being performed by John Poulos, MD (right), at Fayetteville Gastroenterology Endoscopy Center. Amy Inman, CST, provides assistance during the procedure. This issue features an article titled “Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting,” by John Poulos, MD, MSci, FACG, AGAF, FACP; Peter Kalogerinis, MMS, PA-C; and Jeffrey Caudle, CRNA, MSN. (Photo taken by Jennifer Thomas.)