June 2003 AANA Journal

Table of Contents


Legal Briefs
The danger of using a nurse who is not a CRNA to administer anesthesia
Gene A. Blumenreich, JD
Print version: 2003;71:177-180.
Key words: Attorneys, negligence, standard of care.

Imagining in Time
Helen Lamb: Some insight into her life and times -- Part 2
Allan J. Schwartz, CRNA, DDS
Print version: 2003;71:183-186.
Key words: Anesthesia history, Barnes Hospital School of Anesthesia, biography, Helen Lamb

Education News
The importance of mentoring in recruiting and retaining junior faculty
Betty J. Horton, CRNA, DNSc
Print version: 2003;71:189-195.
Key words: Benefits of mentoring; Certified Registered Nurse Anesthetists; mentoring, effective and ineffective; mentoring faculty, recruitment and retention of faculty.

Books and Multimedia of Interest
A Practical Approach to Cardiac Anesthesia
Reviewer: Thomas Corey Davis, CRNA, MSNA
Print version: 2003;71:196.


The role of the nurse anesthetist in the planning of postoperative pain management
Margareta Warrén Stomberg, RN
Björn Sjöström, RN, PhD
Hengo Haljamäe, MD, PhD
Print version: 2003;71:197-202.
Key words: Anesthesia, nurse anesthetist, physiological responses, postoperative pain management.

Severe intraoperative hyponatremia in a patient scheduled for elective hysteroscopy: A case report
CDR Colleen M. Estes, CRNA, MS, NC, USN
LCDR John P. Maye, CRNA, PhD, NC, USN

Hysteroscopy is a minimally invasive procedure that may result in potentially disastrous complications. In this case report, the authors describe the perioperative events of a 40-year-old woman in whom severe hyponatremia developed during an elective hysteroscopy.
Print version: 2003;71:203-205.
Key words: Hyponatremia, hysteroscopy, TURP [transurethral resection of the prostate] syndrome.

Do nurse anesthetists demonstrate gender bias in treating pain? A national survey using a standardized pain model
Amy Criste, CRNA, MSNA
In this study, the author found that gender bias does not seem to exist when pain management scenarios are presented and pain management plans are compared.
Print version: 2003;71:206-209.
Key words: Gender, pain management, provider bias.

Management of postoperative pain after T6 corpectomy: Use of epidural bupivacaine and sufentanil -- A case report
Jeffrey J. Huang, MD
Carl Lauryssen, MD

The objective of this case report is to discuss the successful postoperative analgesic management in a patient who had disseminated rectal cancer pain and failed to obtain pain relief despite high-dose intravenous hydromorphone.
Print version: 2003;71:212-214.
Key words: Cancer pain, epidural, postoperative analgesia, sufentanil.

Comparison of the effects of propofol versus thiopental induction on postoperative outcomes following surgical procedures longer than 2 hours
LCDR Kevin J. Coolong, CRNA, MS, NC, USN
LT Eugene McGough, CRNA, MS, NC, USN
CPT Charles Vacchiano, CRNA, PhD, NC, USN
CDR Joseph E. Pellegrini, CRNA, ND, DNSc, NC, USN

The use of propofol as an induction agent for surgeries lasting less than 2 hours has been shown to result in a faster emergence from anesthesia. In this study, the authors analyzed the impact of propofol on surgical procedures lasting longer than 2 hours.
Print version: 2003;71:215-222.
Key words: Propofol, recovery profiles, thiopental, wakefulness.

Transesophageal echocardiography as an alternative for the assessment of the trauma and critical care patient
David D. Rose, CRNA, MAEd
The purpose of this paper is to familiarize the reader with the benefits of transesophageal echocardiography and compare its use to the more commonly practiced technique of pulmonary artery catheter measurement in the critically ill and trauma population.
Print version: 2003;71:223-228
Key words: Critical care, pulmonary artery catheter, transesophageal echocardiography, trauma.

AANA Journal Course, Part 2
Update for nurse anesthetists – 
Parkinson disease

Scott R. Doyle, RN, MSN
Michael J. Kremer, CRNA, DNSc

In this AANA Journal course, the manifestations, etiologic and pathophysiologic factors, and incidence of Parkinson disease are reviewed along with current medical management. Also discussed are medications and other factors that influence the course of Parkinson disease, as well as preanesthetic, intraoperative, and postoperative interventions.
Print version: 2003;71:229-234
Key words: Anesthetic management, neuroanatomy, Parkinson disease.

June 2003 AANA Journal
Volume 71 , Number 3
ISSN 0094-6354
On the Cover:
Maj Adrienne Hartgerink, CRNA, MSN, USAF, NC, is pictured carrying an 80-pound backpack filled with anesthesia equipment while she was serving in the Philippines from July to November 2002 during Operation Enduring Freedom (as part of a Mobile Field Surgical Team from Langley Air Force Base, Va). Hartgerink provided anesthesia to both military personnel and civilians injured as a result of a bombing by the Abu Sayyaf, a radical Islamic separatist group. Her husband, LCDR Brad Hartgerink, CRNA, MSN, NC, USN, is currently serving on the USNS Comfort in the Persian Gulf providing anesthesia for US servicemen, Iraqi prisoners of war, and civilians. The Hartgerinks are both graduates of the Uniformed Services University of the Health Sciences, Graduate School of Nursing, Program in Anesthesia Nursing, Silver Spring, Md. (Photo taken by 1st Lt Michael Edging, RN, USAF, NC.)