October 1992 AANA Journal

Table of Contents

Contents

Letters
Personality, addiction and anesthesia; Adenosine: Novel antiarrhythmic therapy for supraventricular tachycardia; Punitive damages; Perioperative corneal abrasions.
Print version: 1992;60(5):431-432.

Legal Briefs
By Gene A. Blumenreich, JD
Informed consent
Print version: 1992;60(5):433-436.
Keywords: Informed consent, spousal consent, standard of care.

Guest Editorial
By Cathy Mastropietro, CRNA, MEd
Implementing the National Commission on Nurse Anesthesia Education recommendations
Print version: 1992;60(5):437-441.
Keywords: Educational initiatives, National Commission on Nurse Anesthesia Education, nurse anesthetist shortage.

Education News
By Nancy J. Lindauer, MBA
Cathy A. Mastropietro, CRNA, MEd
Hospital involvement with nurse anesthesia education
Print version: 1992;60(5):442-444.
Keywords: CRNA shortage, hospital education programs, nurse anesthesia education.

Washington Scene
By Kathleen A. Michels, RN, JD
HCFA publishes Medicare CRNA fee schedule final rule
Print version: 1992;60(5):453-463.
Keywords: CRNA fee schedule, Health Care Financing Administration, Medicare, specialized services.

Hemostasis and hemodynamics during intranasal surgery: The effects of cocaine, oxymetazoline, and epinephrine
By CPT Terry C. Wicks, CRNA, MHS, USA, AN
COL Donald Yim, MD, USA, MC
CPT Timothy Newcomer, CRNA, MHS, USA, AN
LTC Larry Zieske, MD, USA, MC
MAJ Alfred E. Lupien, CRNA, MSN, USA, AN
CDR Andrey Blumberg, MD, USN, MC
MAJ Marc A. Paradis, MD, USA, MC
Cocaine is frequently used as a local anesthetic in otolaryngology, anesthesia, and reconstructive surgery, and epinephrine is used frequently as a vasoconstrictor in local anesthetic solutions that are administered concurrent with cocaine. This study was designed to evaluate the hemodynamic and hemostatic consequences of substituting 4% lidocaine with 0.002% oxymetazoline for 4% topical cocaine and 1:200,000 for 1:50,000 infiltrated epinephrine during intranasal surgery conducted under local anesthesia.
Print version: 1992;60(5):464-471.
Keywords: Cocaine, epinephrine, intranasal surgery, local anesthesia, oxymetazoline.

Flumazenil: A specific benzodiazepine antagonist
By Brian J. Kasson, CRNA, MHS
In this review, the author discusses flumazenil as a promising, effective, and short-acting benzodiazepine antagonist that should provide an additional degree of safety whenever the undesirable effects of benzodiazepine agonists occur. Flumazenil received final approval from the U.S. Food and Drug Adlministration for release in January 1992.
Print version: 1992;60(5):472-476.
Keywords: Benzodiazepine antagonist, flumazenil, midazolam reversal.

Effects of endogenous plasma beta-endorphin levels on ventilatory status of the human newborn in response to the stress of labor and delivery
By Nancy Jean Alexa Murray, CRNA, MS
Evamarie Malsch, MD
Michael Booth, CRNA, MA
Beta-lipotropin and beta-endorphin are released during pregnancy and elevated at delivery in both mother and baby. The purpose of this study was to determine if elevated endorphin levels contribluted to respiratory depression in the newborn.
Print version: 1992;60(5):485-489.
Keywords: Beta-endorphin, human newborn, labor and delivery, stress.

AANA Journal Course: Update for nurse anesthetists–The laryngeal mask airway: A review for the nurse anesthetist
By Joseph R. Brimacombe, MB, ChB, FCAnaes
In this fourth chapter of the AANA Journal Update Course, the author states that the laryngeal mask airway is a new general purpose airway which has achieved widespread popularity in Europe and looks similarly poised for success in the United States. An overview of the laryngeal mask airway, including its history and current controversies surrounding its use, is provided.
Print version: 1992;60(5):490-499.
Keywords: Airway management, laryngeal mask airway.

General and Subscription Information
Print version: 1992;60(5):431.

Index to Advertisers
Print version: 1992;60(5):524.

October 1992 AANA Journal
Volume 60 , Number 5
ISSN 0094-6354
On the Cover: