June 2000 AANA Journal

Table of Contents


Legal Briefs
Being Smart About Malpractice
Gene A. Blumenreich, JD
Print version: 2000;68(3):201-204.
Keywords: Captain of the ship doctrine, malpractice, standard of care

Print version
: 2000;68(3):204.

Guest Editorial
The International Federation of Nurse Anesthetists: 10 Years Later
Sandra M. Ouellette, CRNA, MEd, FAAN
Ronald F. Caulk, CRNA, FAAN
Print version: 2000;68(3):209-214.
Keywords: International Federation of Nurse Anesthetists, international nurse anesthesia, nurse anesthesia education.

Guest Editorial
Computerized Adaptive Administration of the Self-evaluation Examination
Tom LaVelle, MA
Karen Zaglaniczny, CRNA, PhD
Loren E. Spitzer, CRNA, MSNA

Print version: 2000;68(3):226-231.
Keywords: Computerized adaptive testing, self-evaluation examination, test performance.


Hemorrhage After the Preoperative use of Complementary and Alternative Medicine: A Case Report
Carol L. Norred, CRNA, MHS
Christina A. Finlayson, MD

Widely self-prescribed complementary and alternative medicines are often considered to be safe food supplements because of minimal federal product labeling requirements, although some herbal products may cause adverse effects or interact with prescription medications. This case report describes a patient who underwent breast surgery and had extensive postoperative bleeding. Preoperatively the patient consumed vitamin E and several herbs with potential to alter the hemostatic process combined with the drugs quinine sulfate and sertraline hydrochloride.
Print version: 2000;68(3):217-220.
Keywords: Anesthesia, complementary and alternative medicine, drug interaction, herbs, surgical patient. 

Laryngoscope Handles: A Potential for Infection
Sue Ann Simmons, CRNA, MSN
In this original research, the author describes the incidence and types of microbes on laryngoscope handles after their use in the operating rooms of a 502-bed medical center. The author states that recognizing the existence of potential pathogens on laryngoscope blades and handles necessitates development of institution policies to promote cleaning, as well as use of disposable covers, high-level disinfection, or sterilization for blades and handles after each use.
Print version: 2000;68(3):233-236.
Keywords: Disinfection, laryngoscope handle, nosocomial infection.

Bilateral Tension Pneumothorax During Jet Ventilation: A Case Report
Mary Jo Hardy, CRNA, MSN
Craig Huard, CRNA, MSN
Thomas C. Lundblad, CRNA, MSN

Anesthetic management for the patient undergoing jet ventilation (high-pressure ventilation for upper laryngeal laser procedures) can be challenging, as complications of jet ventilation can include subcutaneous emphysema and tension pneumothorax. The authors use this case report to discuss the pathophysiology related to tension pneumothorax and anesthetic implications for management of cases involving jet ventilation.
Print version: 2000;68(3):241-244.
Keywords: Bilateral tension pneumothorax, jet ventilation, laser surgery.

CRNA Awareness and Experience with DNR Orders
Vicki Callan Coopmans, CRNA, MS
Carolyn Austin Gries, CRNA, MSN
Despite 2 decades of experience with do-not-resuscitate (DNR) orders, some controversy regarding their use still remains. The purpose of this study was to determine nurse anesthetists' level of awareness of their institution's perioperative DNR policy and their experiences and opinions regarding surgical candidates with DNR orders.
Print version: 2000;68(3):247-256.
Keywords: Anesthesia, do-not-resuscitate, ethical issues, resuscitate.

Xenon: Anesthesia for the 21st Century
Joseph A. Joyce, CRNA, BS
As a result of the environmental concerns surrounding the use of nitrous oxide, both microscopically and globally, investigation of the use of xenon (a naturally occurring element in the earth's atmosphere) as a replacement for nitrous oxide has been renewed. This review article presents a historical perspective, environmental issues, and the advantages and disadvantages of the use of xenon.
Print version: 2000;68(3):259-264.
Keywords: Anesthesia, inhalation, nitrous oxide, xenon. 

AANA Journal Course—Part 2—Update for Nurse Anesthetists
Refrigerated Anesthesia-related Medications
Bill Lewis, CRNA, PharmD
Most anesthesia-related medications need not be refrigerated; however, some of them must be refrigerated to maintain potency until the expiration date. This AANA Journal course discusses anesthesia medications that require refrigeration and how long potency and safety is maintained out of the refrigerator.
Print version: 2000;68(3):265-268.
Keywords: Medications, potency, refrigeration, safety, warming.

June 2000 AANA Journal Table of Contents
Volume 68 , Number 3
ISSN 0094-6354
On the Cover: