October 2001 AANA Journal

Table of Contents


Improved Method of Applying a Safety Strap to Prevent Ocular Injury From a Mayfield Horseshoe Apparatus
Shirley Swindoll-Crawford, CRNA
Print version: 2001;69(5):361-363.

Assessing Pain Responses During General Anesthesia
Letter 1:Michael A. Fiedler, CRNA, MS
Letter 2: Henry Clinton Talley V, CRNA, MS
Response:Margareta Warrén Stomberg, RNA
Björn Sjöström, RNA, PhD
Hengo Haljamäe, MD, PhD
Print version: 2001;69(5):361-363.

Legal Briefs
Anesthesia Personnel and the Americans With Disabilities Act
Gene A. Blumenreich, JD
Print version: 2001;69(5):365-368.
Keywords: Disability, judicial interpretation.

Books and Multimedia of Interest
Bonica's Management of Pain
Reviewed by Margaret Faut-Callahan, CRNA, DNSc, FAAN
Print version: 2001;69(5):371.

Education News
The National Commission on Nurse Anesthesia Education 10 Years Later — Part 1: The Commission Years (1989-1994)
Cathy A. Mastropietro, CRNA, PhD
Betty J. Horton, CRNA, DNSc
Sandra M. Ouellette, CRNA, MEd, FAAN
Margaret Faut-Callahan, CRNA, DNSc, FAAN
Print version: 2001;69(5):379-385.
Keywords: Certified Registered Nurse Anesthetist shortage, faculty, National Commission on Nurse Anesthesia Education, nurse anesthesia.


Preventable Adverse Patient Outcomes: A Closed Claims Analysis of Respiratory Incidents
Sandra L. Larson, CRNA, MS
Lorraine Jordan, CRNA, PhD

Closed claims analysis of adverse anesthesia outcomes was initiated to examine adverse outcomes of anesthesia care provided by Certified Registered Nurse Anesthetists. This article will detail a subset of claims, in which a respiratory system incident led to a negative patient outcome.
Print version: 2001;69(5):386-392.
Keywords: Adverse patient outcomes, closed claims research, standard of care, respiratory complications, vigilance.

Anesthesia in a Child with Rett Syndrome: A Case Report and Literature Review
Jane Pierson, CRNA
James F. Mayhew, MD

Rett syndrome is a progressive deterioration of the central nervous system in the young child. This case report of anesthesia in a child with Rett syndrome explains features that may be of importance to the anesthetic management of these children.
Print version: 2001;69(5):395-396.
Keywords: Automatism, anesthesia, pediatrics, Rett syndrome, syndrome.

Transient Radiculopathy After 5% lidocaine or 0.75% bupivacaine Spinal Anesthesia in 3 Surgical Positions
MAJ John Canady, CRNA, MSN, AN, USA
MAJ Mary Hargrove, RN, BSN, AN, USA
CPT Anita Ganz, CRNA, MSN, AN, USA

In this article, the authors compare the incidence of transient radicular irritation (TRI) after spinal anesthesia with 5% lidocaine or 0.75% bupivacaine in the supine, prone, and lithotomy surgical positions. The findings suggest that TRI after spinal anesthesia occurs more frequently with 5% lidocaine than with 0.75% bupivacaine only when patients undergo surgery in the lithotomy position.
Print version: 2001;69(5):399-404.
Keywords: Bupivacaine, lidocaine, surgical position, spinal anesthesia, transient radicular irritation.

Analysis of Noteworthy Indicators on the Anesthesia Record: A Prospective, Multiregional Study
Chuck Biddle, CRNA, PhD
Lucy Bauer, CRNA, MS
Michael Dosch, CRNA, MS
Celeste Dove, CRNA, MSNA
John Nagelhout, CRNA, PhD
Wynne Waugaman, CRNA, PhD, FAAN
Karen Zaglaniczny, CRNA, PhD, FAAN

This study identifies 13 noteworthy charting components and examines anesthesia records in diverse locales prospectively for the presence of the defined components. Finding inconsistencies in record completeness, the authors suggest that further studies evaluate strategies for improving compliance with national standards of documentation.
Print version: 2001;69(5):407-410.
Keywords: Documentation, monitoring, quality assurance, record keeping.

AANA Journal Course: Update for Nurse Anesthetists—Part 4
Latex Allergy: Are You at Risk?
Karen Zaglaniczny, CRNA, PhD, FAAN
The prevalence of latex allergies in healthcare workers has significantly increased over the past 2 decades. This Journal Course provides an overview of the information available related to latex allergy in healthcare workers.
Print version: 2001;69(5):413-424.
Keywords: Healthcare worker exposure, latex allergy, latex-reduced environments, latex sensitivity.
October 2001 AANA Journal
Volume 69 , Number 5
ISSN 0094-6354
On the Cover:
Cynthia Hammonds, CRNA, prepares a 5-year-old boy for a tonsillectomy and bilateral insertion of ear tubes at the Surgery Center in Oxford, Ala. The procedure took place in February 2001 during taping for a segment on Certified Registered Nurse Anesthetists produced by Pat Summerall Productions for Champions of Industry. The segment aired in May on Fox Cable News and may be viewed via a link on the AANA Website.