June 1984, AANA Journal

Table of Contents

By Barbara Shwiry, CRNA
Joseph P. Giffin, MD
James E. Cottrell, MD
The authors present a review of the management of patients with intracranial injury, providing the anesthetist with a working knowledge of the physiology of intracranial dynamics and pathophysiology of intracranial insult.
Print version: 1984;52(3):264-274.
By Jeffrey A. Lynch
This article affords a basic review of the origin and action of insulin as well as other hormones that affect the level of blood glucose; special emphasis is placed on the pre- and intra-operative use of insulin.
Print version: 1984;52(3):275-279.
By Charles R. Barton, CRNA, BA
Yvonne Weisburn, RN
Sharon Castor, MD
Don M. Benson, MD
John R. McVey, MD
The recently FDA-released drug, chymopapain, is used as an alternative to lumbar laminectomy in selected patients, though there is a 1% incidence of anaphylactic reaction. The authors describe the means of early recognition of the signs and symptoms of anaphylaxis, including an anesthetic plan.
Print version: 1984;52(3):280-295.
Anaphylaxis and chemonucleolysis: A case report and treatment summary
By Karen F. Herriotts, CRNA, BS
In conjunction with the use of chymopapain, the author reports on a case where an anaphylactic reaction occurred; treatment summary, rationale for pretreatment, and therapy for a reaction are included.
Print version: 1984;52(3):296-298.
By Julianne H. Shea, CRNA, BSN
The author reviews the current literature concerning atracurium, which was recently released by the FDA, focusing on the drug's usage during general, pediatric and obstetric anesthesia. Additionally, she draws on her own experience with the drug as an anesthetic research nurse in England.
Print version: 1984;52(3):299-302.
By Barbara Tolin Allen, CRNA, BSN
The author describes the characteristics of a freestanding ambulatory surgery center and outlines the requirements for the administration of anesthesia in an ambulatory setting.
Print version: 1984;52(3):303-308.
Guidelines for the anesthetic management of pyloromyotomy
By Sandra Weiss Rix, CRNA, CCRN, BA
The author provides guidelines for the management of pyloromyotomy in the infant pre-, intra, and post-operatively; a review of the pathophysiology of hypertrophic pyloric stenosis is also included.
Print version: 1984;52(3):325-328.
More about safety; the patient chart; malignant hyperthermia
Print version: 1984;52(3):262-263.
AANA Journal Course: The anesthetic management of the patient-A case approach. Part II-Anesthesia for trauma surgery
By Howard R. Bailey, CRNA, MA
Ross K. Henderson, CRNA, BS
Trauma surgery and anesthesia present complex problems unequaled in general practice. The authors explore the special considerations of the trauma patient, focusing on the anesthesia and airway management.
Print version: 1984;52(3):329-334.
Legal briefs
By Gene A. Blumenreich, JD
Deborah Benkov, JD
AANA Legal Counsel
Liability of a surgeon when working with a nurse anesthetist.
Print version: 1984;52(3):335-336.
By Richard E. Verville, JD
AANA Washington Counsel
Congress acts.
Print version: 1984;52(3):337-338.
General and subscription information
Print version: 1984;52(3):230.
Print version: 1984;52(3):340.
Volume 52 , Number 3
ISSN 0094-6354
On the Cover: