June 1999 AANA Journal

Table of Contents

Departments

Letters
A National Study: Stress Perception by Nurse Anesthesia Students
Jack Norris, CRNA, MS
Response
Ernesto C. Perez, CRNA, MS
Idena Carroll-Perez, CRNA, MS
Print version: 1999;67(3)211.

Legal Briefs
Dismissal of the Minnesota qui tam Action
Gene A. Blumenreich, JD
Print version: 1999;67(3)213-217.
Keywords: Fraud, qui tam, reimbursement.

Management Briefs
Deposition: Never Underestimate its Significance
Nancy S. Gondringer, CRNA, MA
Print version: 1999;67(3)221-223.
Keywords: Deposition, lawsuit, testimony, trial.

Education News
Distance Learning Principles and Practice
Kathleen P. Kinslow, CRNA, EdD
Print version: 1999;67(3):225-226.
Keywords: Accreditation decisions, distance learning, learner focus.

Imagining in Time
Voice and Touch: Florence Henderson on the Skills of an Ether Specialist
Joan Hunziker-Dean, CRNA, MNA
Print version: 1999;67(3):263-269.
Keywords: Anesthesia techniques, Florence Henderson, ether anesthesia, pioneer nurse anesthetists, suggestive technique in anesthesia.

Articles

The Effect of Flumazenil on Patient Recovery and Discharge Following Ambulatory Surgery 
John Nagelhout, CRNA, PhD
Francis Gerbasi, CRNA, PhD
Karen L. Zaglaniczny, CRNA, PhD
Shawn Fryzel, CRNA, MS
Jennifer Hourrigan, CRNA, MS
Jane Motz, CRNA, MS
Frances Wakefield, CRNA, MS
Thomas Wigton, CRNA, MS
John Masserant, CRNA, MS

Administration of flumazenil, a benzodiazepine antagonist, can reverse the centrally mediated effects of midazolam and facilitate patient recovery and discharge, thereby reducing costs. This multicenter study examines whether flumazenil decreases the length of postoperative stay following intravenous sedation.
Print version: 1999;67(3):229-236.
Keywords: Benzodiazepine antagonism, flumazenil, postoperative recovery.

Effect of Intrathecal Fentanyl Dose on the Duration of Labor Analgesia
LT Daniel C. Celeski, CRNA, MS, NC, USN
CDR Louis Heindel, CRNA, ND, NC, USN
Jerry Haas, MD
CDR Charles A. Vacchiano, CRNA, PhD, NC, USN

The short duration of effective analgesia produced by intrathecal fentanyl (ITF) at doses ranging from 5 to 25 μg limits the
drug's use for the management of labor pain. This study compared the difference in duration of effective analgesia and adverse effects produced by 25, 37.5, and 50 μg. The study's findings indicate that there is no real advantage of using doses of ITF greater than 25 μg in quality and duration of effective labor analgesia.
Print version: 1999;67(3):239-244.
Keywords: Fentanyl, intraspinal narcotics, intrathecal narcotics, labor analgesia, obstetrical analgesia.

Relationship of Auditory Middle Latency Response and Stem-word Completion Test as Indicators of Implicit Memory Formation During General Anesthesia 
Timothy L. Smith, CRNA, PhD
David Zapala, CCC-A, PhD
Carol L. Thompson, CCRN, CS, PhD
Wayne Hoye, PhD
Timothy Kelly, CCC-A, MS

The purpose of this study was to evaluate the anesthetized patient's ability to process auditory information while receiving an inhalational or intravenous anesthetic regimen. The study also examines the relationship of the Pa latency of the auditory middle latency response with the stem-word completion test as an intraoperative indicator of implicit memory formation during general anesthesia.
Print version: 1999;67(3):247-253.
Keywords: Auditory middle latency response, implicit memory, stem-word completion test.

Essential Skills and Knowledge of Applicants
Christine Elnitsky, RN, MSN, CHNS
Jim Cato, CRNA, MHS, MSN
Brenda S. Nichols, RN, DNSc
The authors review the historical development and organization of the profession of nurse anesthesia and the present requirements for admission to nurse anesthesia education programs. Implications for future research and innovative education programs are addressed.
Print version: 1999;67(3):273-278.
Keywords: Acute/critical care experience, graduate education, nurse anesthesia education, nursing education, qualified nurse anesthesia applicants.


AANA Journal Course: Update for Nurse Anesthetists – Part 2 – Accelerated Detoxification From Opioid Addiction Under Anesthesia: The Midas Touch or the Emperor's new Clothes? 
Kenneth Kirsner, CRNA, MS, JD
Chuck Biddle, CRNA, PhD

Recently, accelerated detoxification using opioid antagonists administered while the patient is anesthetized has been promoted, with centers proliferating nationwide. This Journal Course examines the issues surrounding this interesting but highly controversial approach to the treatment of persons addicted to opioids, emphasizing the implications for nurse anesthetists and the need for further research.
Print version: 1999;67(3):279-285.
Keywords: Detoxification, general anesthesia, opioid addiction, rapid detoxification, ultrarapid detoxification.

June 1999 AANA Journal
Volume 67 , Number 3
ISSN 0094-6354
On the Cover: