October 2000 AANA Journal

Table of Contents

Departments

Books and Multimedia of Interest
The Handbook of Preoperative Assessment and Management
Reviewed by Lori Ann Dix, RN, BSN
Print version: 2000;68(5):401.

Legal Briefs
Supervision
Gene A. Blumenreich, JD
Print version: 2000;68(5):404-408.
Keywords: Captain of the ship doctrine, Health Care Financing Administration, history of anesthesia, supervision.

Poster Session Topics and Presenters at the 6th World Congress for Nurse Anesthetists/Chicago 2000 Annual Meeting
Print version: 2000;68(5):429-435.

Articles

The Effect of Nitrous Oxide on Laryngeal Mask Cuff Pressure
Richard G. Ouellette, CRNA, MEd
While cuff pressures have been shown to increase during general anesthesia with the laryngeal mask airway, the extent of the pressure rise has not been systematically studied for procedures lasting more than 2 hours. This descriptive clinical study demonstrated that there was a gradual increase in the cuff pressure well over a 3-hour period during nitrous oxide and oxygen anesthesia.
Print version: 2000;68(5):411-414.
Keywords: Cuff pressure, laryngeal mask airway, nitrous oxide.

Anesthetic Implications of Subacute Left Ventricular Rupture Following Acute Myocardial Infarction: A Case Report
James W. Bard, CRNA, CCRN, BS
Rupture of the free wall of the left ventricle is associated with a high mortality rate. This article reports a case of subacute rupture of the left ventricle that was successfully repaired using a novel surgical technique and discusses the anesthetic implications surrounding the case.
Print version: 2000;68(5):415-419.
Keywords: Cardiovascular anesthesia, cardiac tamponade, myocardial infarction, ventricular rupture.

Newer Trends in Monitoring: The Esophageal Doppler Monitor
Karen E. Kauffman, CRNA, MSN
This review compares the esophageal Doppler monitor with the pulmonary artery catheter and examines the monitor's history; pediatric, perioperative, and intensive care unit uses; and costs and practical issues.
Print version: 2000;68(5):421-428.
Keywords: Esophageal Doppler, hemodynamics, monitoring, ultrasound.

The Dose-related Effects of Bolus Esmolol on Heart Rate and Blood Pressure Following Laryngoscopy and Intubation
Kasey P. Bensky, CRNA, MSNA
Linda Donahue-Spencer, CRNA, MSN
G. Erik Hertz, MD
Martha T. Anderson, MD
Robert James, MS, M. Stat

While many researchers have studied the effects of esmolol on heart rate and blood pressure, all studied relatively large doses of esmolol. This study shows that small doses of esmolol may block the increases in heart rate and blood pressure resulting from laryngoscopy and intubation.
Print version: 2000;68(5):437-442.
Keywords: Blood pressure, esmolol, heart rate, laryngoscopy.

Acute Circulatory and Respiratory Collapse in Obstetrical Patients: A Case Report and Review of the Literature
Laura Rodgers, CRNA, MSN
Mary Claire Dangel-Palmer, CRNA, MSN
Nancy Berner, CRNA, MS

This report describes acute cardiorespiratory collapse in a young woman during cesarean delivery of a healthy infant. The differential diagnosis, medical assessment, treatment, prevention, and anesthetic implications for gravid women with unexpected cardiorespiratory collapse are discussed.
Print version: 2000;68(5):444-450.
Keywords: Amniotic fluid embolism, pregnancy, thromboembolism, venous air embolism.

A Comparison of Nurse Anesthesia Practice Types
Scott H. Shumway, CRNA, MS
Jesus Del Risco, CRNA, MS

As practice arrangements continue to change and fewer nurse anesthetists are hospital-employed, each nurse anesthetist must understand current practice trends. The results of this study indicated that significant differences exist in income, workload, scope of practice, and employment arrangement between anesthesia care team (ACT) and non-ACT practice types.
Print version: 2000;68(5):452-462.
Keywords: Nurse anesthetists–economics, nurse anesthetists–organization and administration, nurse anesthetist–utilization.


AANA Journal Course: Update for Nurse Anesthetists—Part 4
The Ruddy Globule: The Erythrocyte—Its Biology, Chemistry and Functional Variations
Laura Lahay
Chuck Biddle, CRNA, PhD

The red blood cell is multifunctional entity whose absence would make life as we know it impossible. This Journal course reviews the architecture of the red blood cell, the biochemistry of hemoglobin, the mechanics of the oxygen-hemoglobin affinity-altering diphosphoglycerate compounds, and the variants of hemoglobin.
Print version: 2000;68(5):463-467.
Keywords: Blood chemistry, hemoglobin, 2,3-diphosphoglycerate.

October 2000 AANA Journal
Volume 68 , Number 5
ISSN 0094-6354
On the Cover: