June 1996 AANA Journal

Table of Contents

Contents

Book and Software Reviews
EndNote® Plus
Reviewed by: Kenneth M. Kirsner, CRNA, MS, JD

Key Topics in Anesthesia
Reviewed by: Kristen A. Hedemann, CRNA, MS
Print version: 1996;64(3):208,228.

Legal Briefs
By Gene A. Blumenreich, JD
Improving technology
Print version: 1996;64(3):213-216.
Keywords: Negligence, strict liability, technology.

Washington Scene
By Greta Todd, BS
Healthcare reform – Past, present, future
Print version: 1996;64(3):221-224.
Keywords: Advanced practice nurses, healthcare reform, insurance, Medicare reform.

Practice Issues
By COL Gale S. Pollock, CRNA, MSBA, MHCA, USA, AN
We are all leaders
Print version: 1996;64(3):225-227.
Keywords: Leaders, mentoring, role models.

Letters
Carotid endarterectomy: Anesthetic implications
Print version: 1996;64(3):228.

The national distribution of Certified Registered Nurse Anesthetists across metropolitan and nonmetropolitan settings
By Michael D. Fallacaro, CRNA, DNS
Ira P. Gunn, CRNA, MLN, FAAN
Manquing Chu, BA
This study looks at the national rural/urban distribution of CRNAs by county of residence in the United States. The author states that the data will prove foundational to future research proposed to examine the practice patterns of nurse anesthetists in various geographical settings and may help identify any barriers to such practice.
Print version: 1996;64(3):237-242.
Keywords: Anesthesia manpower, metropolitan area, rural-urban continuum.

Aortic valve repair and arch replacement during pregnancy: A case report
By Leslie P. Golden, RN, BSN
The author describes a patient who, at 17 weeks' gestation, underwent aortic valve replacement and ascending aortic aneurysm excision under pulsatile cardiopulmonary bypass and mild hypothermia. The principles for fetal preservation and anesthetic considerations for pregnant women undergoing open heart surgery are reviewed.
Print version: 1996;64(3):243-254.
Keywords: Aortic insufficiency, aortic valve replacement, ascending aortic aneurysm, cardiopulmonary bypass, pregnancy.

Chair design and the anesthesia provider
By CAPT William Clayton Petty, MD, USN, MC
Anesthesia providers spend an extraordinary amount of time in the sitting position and have a need for a mobile, adjustable, and ergonomically designed chair. This article discusses ergonomics, back injury, and chair research and design, as well as recommended seating for the anesthesia provider.
Print version: 1996;64(3):255-260.
Keywords: Chair, ergonomics, low back pain.

Evaluation of instrument error and method agreement
By Robert L. Chatburn, RRT
The author points out that clinicians must be familiar with the basic concepts of measurement theory in order to operate equipment effectively and to evaluate new technology. Concepts which should be understood are measurement error and agreement between measurement methods.
Print version: 1996;64(3):261-268.
Keywords: Degree of association, instrument evaluation, measurement error, method agreement.

An assessment of the effectiveness of the revised FDA checklist
By CDR Rebecca Manley, CRNA, MS, USPHS
James D. Cuddeford, CRNA, MA
Prior research has demonstrated the clear need to improve anesthesia safety and preuse checkout procedures. However, the authors of this study concluded that the introduction of the revised FDA checklist did not improve the anesthesia providers' abilities to detect anesthesia machine faults. Some suggestions are offered.
Print version: 1996;64(3):277-282.
Keywords: Anesthesia equipment, anesthesia machines, Food and Drug Administration anesthesia apparatus checkout recommendations, malfunctions, preuse checkout methods.

Imagining in Time
By Lee C. Fosburgh, MLIS, MA
The Second National Association of Nurse Anesthetists Annual Meeting
Print version: 1996;64(3):285-287.
Keywords: AANA Annual Meeting, Education, National Association of Nurse Anesthetists, Pennsylvania Association of Nurse Anesthetists.

Thoracic complications associated with utilization of the air turbine dental drill
By Michael Kost, CRNA, MS
Although a rare and oftentimes benign complication, pneumomediastinum and air embolism associated with the use of the high-speed dental drill can be life threatening. This case report describes a patient who developed pneumomediastinum while receiving dental preparatory treatment for multiple crowns, veneers, and impressions.
Print version: 1996;64(3):288-292.
Keywords: Burr-tooth interface, crepitus, high-speed dental drill, pneumothorax, venous air emboli.

AANA Journal Course: Update for nurse anesthetists – Do psychotropes affect anesthetic medications?
By Bill Lewis, CRNA, PharmD
Psychotropic medications have significant implications for the anesthetist caring for patients on these medications. The author discusses antipsychotics, antidepressants, tricyclic antidepressants, monoamine oxidase inhibitors, and atypical antidepressants, as well as the problems they present to the anesthetist.
Print version: 1996;64(3):293-299.
Keywords: Anesthesia-related medications, antidepressants, antipsychotics, anxiolytics, lithium.


General and Subscription Information
Print version: 1996;64(3):208.

AANA Annual Meeting: Educational sessions meet the needs of CRNAs
Print version: 1996;64(3):218-220.

Index to Advertisers
Print version: 1996;64(3):308.

June 1996 AANA Journal
Volume 64 , Number 3
ISSN 0094-6354
On the Cover: