June 2002 AANA Journal


Legal Briefs
Nurse anesthesia students and liability 

Gene A. Blumenreich, JD
Print version: 2002;70(3):171-175
Key words: Liability, standard of care, supervision.

Education News
Monitoring nurse anesthesia educational programs 

Betty J. Horton, CRNA, DNSc
Print version: 2002;70(3):177-179.
Key words: Compliance with accreditation standards, nurse anesthesia program data.


CRNA-conducted research: Is it being done?
Cherry Cowan, CRNA, MS
Kimberly Vinayak, CRNA, MS
Donna M. Jasinski, CRNA, DNSc

The purpose of this study was to determine whether research is conducted by Certified Registered Nurse Anesthetists (CRNAs) and what factors influence whether CRNAs engage in research.
Print version: 2002;70(3)181-186:.
Key words: CRNA research, conduct of research, research.

Continuous spinal anesthesia for cesarean section for a morbidly obese parturient patient: A case report
Lanny L. Coker, CRNA, MSN
This case report details the successful anesthetic management of a morbidly obese parturient patient who presented for a repeat, elective cesarean section.
Print version: 2002;70(3):189-192.
Key words: Anesthetic techniques, cesarean section, continuous spinal anesthesia, morbidly obese, obstetric anesthesia.

A synthesis of the Australia Patient Safety Foundation Anesthesia Incident Monitoring Study, the American Society of Anesthesiologists Closed Claims Project, and the American Association of Nurse Anesethetists Closed Claims Study
William Clayton Petty, MD
Michael Kremer, CRNA, DNSc
Chuck Biddle, CRNA, PhD

In this research article, the authors examined research design, methodology, and findings to date in 3 studies of anesthesia risk. Limitations include self-report by providers in the Australian study and the retrospective nature of closed claims research in American studies.
Print version: 2002;70(3):193-202.
Key words: Adverse events, closed claims, critical incidents, monitoring, patient safety.

Is there postoperative evidence of implicit learning following aural stimuli at moderate hypnotic BIS levels during general anesthesia?
Richard E. Haas, CRNA, EdM, MS
Duane Patterson, PhD
Shannon Powell, CRNA, MN
Ron Eslick, CRNA, MHS
Rob Cassingham, MD
Todd Nesley, CRNA, MS

Implicit memory formation is of concern to anesthesia providers during general anesthesia. The authors state that this study was designed to determine whether implicit learning occurred during levels of general anesthesia incompatible with explicit recall.
Print version: 2002;70(3):205-211.
Key words: Anesthesia, bispectral index, implicit learning, memory.

Acute fatty liver of pregnancy: A case report
LT Rebekah R. Brooks, CRNA, MS, NC, USN
CAPT Cynthia M. Feller, CRNA, MS, NC, USN
LCDR John P. Maye, CRNA, PhD, NC, USN

Acute fatty liver of pregnancy is a potentially fatal metabolic disorder unique to the third trimester of pregnancy. This case report describes such an occurrence in a 27-year-old patient.
Print version: 2002;70(3):215-217.
Key words: Acute fatty liver of pregnancy, disseminated intravascular coagulopathy, hepatic failure.

Nurse anesthesia students' perceptions of the anesthesia patient simulator: A qualitative study
Bernadette Henrichs, CRNA, CCRN, PhD
Ann Rule, PhD
Michael Grady, PhD
Wayne Ellis, CRNA, PhD

The authors of this research article conducted a qualitative study to determine the perceptions of nurse anesthesia students in the use of the anesthesia patient simulator as part of their educational training.
Print version: 2002;70(3):219-225.
Key words: Nurse anesthesia education, perceptions of nurse anesthesia students, qualitative research, simulation.

AANA Journal Course, Part 2
Update for nurse anesthetists -- A common sense approach to hypothermia

Tony C. Welch, CRNA, MSNA
Hypothermia is a significant risk factor for perioperative complications. In this AANA Journal course, the author presents a review of the literature, physiological implications of hypothermia, physical factors that cause heat loss, negative outcomes associated with hypothermia, the economics of heat loss, and interventions directed at minimizing heat loss, as well as discussion and conclusions.
Print version: 2002;70(3):227-231.
Key words: Causes, costs, hypothermia, morbid conditions, normothermia.

June 2002 AANA Journal
Volume 70 , Number 3
ISSN 0094-6354
On the Cover:
On the cover: Andrew Teich, RN, BSN, a senior student nurse anesthetists at Columbia University School of Nursing Program in Nurse Anesthesia, New York, NY, participates in the Alternative Airway Management Hands-On Workshop at the 2001 AANA Annual Meeting in San Francisco. For information on various educational sessions, exhibit hall hours, and social activities featured at this year's Annual Meeting in Orlando, Florida, August 3-7, see Preview.