June 2013 AANA Journal

Table of Contents

The AANA Journal is now available in a digital edition.
The Table of Contents is reproduced below for your convenience.
General and Subscription Information 
Print version: 2013;81(3):164-168.
3-in-1 Block: Are We Still Using This Misnomer?
Roland A. Flores, Jr., MD
CDR Lisa A. Osborne, CRNA, PhD, NC, USN
Print version: 2013;81(3):169-172.
Practice News 
Keywords: Infection control, infection control guidelines, infection control task force, infection prevention, nurse anesthesia practice.
Print version: 2013;81(3):174-176. 
Education News
The National Practitioner Data Bank and CRNA Anesthesia-Related Malpractice Payments
Lorraine M. Jordan, CRNA, PhD, FAAN
Jihan A. Quraishi, RN, MS
Jason Liao, PhD
Keywords: Anesthesia malpractice, malpractice allegation, National Practitioner Data Bank, nurse anesthetists, severity of injury.
Print version: 2013;81(3):178-182.
Calendar of Events
Print version: 2013;81(3):244-247.
Index for Advertisers
Print version: 2013;81(3):248.
Predicting Success in Nurse Anesthesia Programs: An Evidence-Based Review of Admission Criteria
Keri H. Ortega, CRNA, DNAP
Sharon M. Burns, CRNA, EdD
Leslie C. Hussey, RN, PhD
James Schmidt, PhD
Paul N. Austin, CRNA, PhD
The authors examined the evidence for evaluating applicants to nurse anesthesia programs that may help predict success in the program and on the National Certification Examination for Nurse Anesthetists.
Keywords: Admission selection criteria, education, academic success, nurse anesthetist, review article.
Print version: 2013;81(3):183-189.
Investigation of the Anxiolytic Effects of Xanthohumol, a Component of Humulus lupulus (Hops), in the Male Sprague-Dawley Rat
Thomas E. Ceremuga, CRNA, PhD, LTC(ret), ANC, USA
MAJ Lori A. Johnson, BSN, CCRN, ANC, USA
CPT Jamilia M. Adams-Henderson, BSN, CCRN, ANC, USA
Suzanne McCall
Don Johnson, RN, PhD, Col(ret), USAFR, NC
This study investigated the anxiolytic effects of xanthohumol, a component of Humulus lupulus (hops), and its potential interaction with the benzodiazepine binding site on the γ-aminobutyric acid (GABAA) receptor in the male Sprague-Dawley rat.
Keywords: Anxiolysis, hops, Humulus Iupulus, Sprague-Dawley rat, xanthohumol.
Print version: 2013;81(3):193-198.
Posttraumatic Stress Disorder and Anesthesia Emergence
Donnamarie Lovestrand, RN
MAJ P. Steven Phipps, CRNA, USAR
Steven Lovestrand, PhD
In a US Army hospital’s postanesthesia care unit, combat-related posttraumatic stress disorder can complicate interventions. The authors conclude that best practice includes a proper identification of patients at risk of emergence
agitation, a minimally stimulating environment and intraoperative sympatholytic therapy.
Keywords: Emergence agitation, emergence delirium, flashbacks, general anesthesia, posttraumatic stress disorder.
Print version: 2013;81(3):199-203.
Absorption Atelectasis: Incidence and Clinical Implications
Jennifer O’Brien, CRNA, MSN
One mechanism for the formation of atelectasis intraoperatively is ventilation with 100% oxygen. The goal of this review is to determine if research suggests that intraoperative ventilation with 100% oxygen leads to clinically significant pulmonary side effects.
Keywords: Atelectasis, oxygen, ventilation. 
Print version: 2013;81(3):205-208.
Preoperative Chlorhexidine Anaphylaxis in a Patient Scheduled for Coronary Artery Bypass Graft: A Case Report
Matthew Toomey, CRNA, DNAP
This case report describes a 65-year-old patient scheduled for coronary artery bypass graft surgery who preoperatively experienced anaphylaxis to chlorhexidine delivered through multiple routes of administration.
Keywords:  Anaphylaxis, central venous catheter, chlorhexidine, hospital-acquired infection.
Print version: 2013;81(3):209-214.
Methylene Blue Encephalopathy: A Case Report and Review of Published Cases
Ellen Shopes, CRNA, MHS, MSN, CCRN
Wayne Gerard, MD
Jessica Baughman, CRNA
There have been a number of reports of altered neurologic status postoperatively in patients who are taking antidepressant medications when they received methylene blue for their surgery. We present a case report and review 30
additional cases reported in the literature.
Keywords: Methylene blue, parathyroidectomy, postoperative encephalopathy, serotonin syndrome.
Print version: 2013;81(3):215-221.
Elective Laparoscopic Fetal Laser Photocoagulation in Twin-Twin Transfusion Syndrome: A Case Report
Morgan A. Ward, CRNA
Twin-twin transfusion syndrome (TTTS) is a complication of multiple gestation in which arteriovenous vascular communications occur in a shared placenta. This case report involves a 32-year-old, gravida 5, para 2 patient at 19 weeks’ estimated gestational age with a monochorionic diamniotic twin gestation with TTTS diagnosed using ultrasonography presenting for an elective laparoscopic
fetal laser photocoagulation.
Keywords: Epidural anesthesia, fetal laser photocoagulation, monochorionic placenta, twin-twin transfusion syndrome (TTTS).
Print version: 2013;81(3):222-224.
Examining Transfer of Care Processes in Nurse Anesthesia Practice: Introducing the PATIENT Protocol
Suzanne M. Wright, CRNA, PhD
This article describes a 2-phase, nonexperimental exploratory study with a purpose to (1) examine current transfer of care practices of Certified Registered Nurse Anesthetists during the intraoperative period and (2) develop, implement,
and evaluate a communication checklist tool designed to improve situation awareness.
Keywords: Awareness, checklist, handoff, situation awareness, transfer of care.
Print version: 2013;81(3):225-232.
Unilateral Hypoglossal Neurapraxia Following Endotracheal Intubation for Total Shoulder Arthroplasty
Bryan Haslam, CRNA, MSN, CCRN
Shawn Collins, CRNA, PhD, DNP
In this case report, postulated causes of hypoglossal neurapraxia are presented. A review of the literature pertaining to anesthesia-related causes of hypoglossal nerve injury is included. In suspected cases of hypoglossal neurapraxia, conservative therapeutic interventions may be warranted.
Keywords:  Beach chair position, cranial nerve XII, endotracheal tube, hypoglossal nerve, laryngeal mask airway.
Print version: 2013;81(3):233-236.
AANA Journal Course: Update for Nurse Anesthetists – Part 2 – Mitochondrial Diseases and Anesthesia: A Literature Review of Current Opinions
MAJ Berenice Rivera-Cruz, CRNA, DNAP, USAR
This course explores the considerations that the anesthesia provider has to be aware of, when caring for a patient with a mitochondrial myopathy. Even though these disorders are rare, these patients may also need surgical care, requiring
that the anesthesia provider be informed of the best anesthesia options to consider.
Keywords: Anesthesia, mitochondria, myopathies, ragged-red fibers, respiratory chain.
Print version: 2013;81(3):237-243.
Volume 81 , Number 3
ISSN 0094-6354
On the Cover:
April King, CRNA, MSN, demonstrates the proper positioning of the Jaw Elevation Device (JED) to her colleague, Ken Wingler, MD, at the Naval Medical Center San Diego, California. King, founder and CEO of Hypnoz Therapeutic Devices, is the main inventor of the JED. Once positioned, the JED is designed to maintain jaw thrust and allow the provider a hands-free solution to keep the airway open. (Photo taken by Sharon Hackley, CRNA, MSHS.)