October 2005 AANA Journal

Table of Contents


Keyed vaporizer refilling not infallible
Ryan C. Freeman, RN, BS
Elizabeth Monti Seibert, CRNA, MSN
Print version: 2005;73:337-338.

Imagining in Time
AANA's 75th Anniversary: Past AANA Annual Meetings in Cleveland
Kathy Koch, MLIS, CA
Print version: 2005;73:339-342.

Education News
Area Health Education Centers and Health Education Training Centers: A well-kept secret
Elizabeth Monti Seibert, CRNA, MSN
Print version: 2005;73:345-349.

State of the Science Oral and Poster Sessions: Part 1
Print version
: 2005;73:387-397.


The Certified Registered Nurse Anesthetist: Occupational responsibilities, perceived stressors, coping strategies, and work relationships
Tristan Roberts Perry, RN, PhD, MSN
A qualitative inquiry was launched to explore occupational stress among Certified Registered Nurse Anesthetists (CRNAs). The purpose of this study was to examine how job-related stress manifests itself among CRNAs regarding their ability to relate to their peers.
Print version: 2005;73:351-356.
Key words: Coping, nurse anesthetists, stress, work.

Dexmedetomidine as a sole sedating agent with local anesthesia in a high-risk patient for axillofemoral bypass graft: A case report
James M. Rich, CRNA, MA
In this case report, the author describes the use of dexmedetomidine as a sole sedating agent in conjunction with local anesthesia for major vascular surgery, and it describes the indications, dosing, off-label uses, pharmacodynamics, pharmacokinetics, and common adverse effects of dexmedetomidine.
Print version: 2005;73:357-360.
Key words: Conscious sedation, dexmedetomidine, difficult airway, total intravenous anesthetic agent (TVA), Troop elevation pillow.

SNOMED CT: Electronic health record enhances anesthesia patient safety
Franklin R. Elevitch, MD
This article discusses the importance of electronic health records (EHRs) in anesthesiology, emphasizing the critical role of standardized clinical terminology in the EHR's structure. The author states that SNOMED Clinical Terms (CT) offers a controlled healthcare terminology with comprehensive coverage of diseases, clinical findings, etiologies, therapies, procedures, and outcomes.
Print version: 2005;73:361-366.
Key words: Anesthesia record, electronic health information, health record, patient information system, standardized clinical terminology.

A national survey of Certified Registered Nurse Anesthetists' knowledge, beliefs, and assessment of herbal supplements in the anesthesia setting
Michael Davis Temple, CRNA, MS, BSN
Kathleen Fagerlund, CRNA, PhD
Elizabeth Saewyc, RN, PhD, PHN

This is the first study performed that explores Certified Registered Nurse Anesthetists' (CRNAs) knowledge and beliefs regarding herbal supplements in the surgical setting. The low knowledge scores and lack of confidence in familiarity with herbal supplement - anesthesia interactions highlight the need for further CRNA education.
Print version: 2005;73:368-377.
Key words: Anesthesia, herbal assessment, herbal supplements, nurse anesthesia.



AANA Journal Course, Part 4
Update for nurse anesthetists --
Acupressure and postoperative nausea and vomiting
Angela G. Hickman, CRNA, MSN, APN
Donald M. Bell, CRNA, DNSc, APN
John C. Preston, CRNA, DNSc, APN

Increasing attention has been given to the potential benefits of nonpharmacological intervention for the prevention of postoperative nausea and vomiting (PONV) in association with anesthesia care. The purpose of this course is to explore the literature regarding use of the nonallopathic remedy of acupressure as a nonpharmacological alternative to commonly used antiemetic prophylaxis.
Print version: 2005;73:379-385.
Key words: Acupressure, acupuncture, anesthesia, nausea, surgery, vomiting.

Volume 73 , Number 5
ISSN 0094-6354
On the Cover:
A painting titled "12th Evac. Cu Chi, RVN (Republic of Vietnam)" by artist James Davis Nelson, includes Charles Campbell, CRNA-ret, of Madison, Wis., shown at the head of the table (third from right). The painting, unveiled at the 12th Evacuation Hospital Reunion in San Antonio, Texas, in November 2004, is now on display at New York State Military Museum in Saratoga Springs, NY. The "12th Evac," which opened in 1966, treated more than 37,000 patients before it closed in 1970. During 1967, Campbell served at the 12th Evacuation Hospital, and Nelson served with Company C, 2nd Battalion, 22nd Infantry Mechanized, 25th Division, in 1967. Look for the full story on page 4 in the September 2005 AANA NewsBulletin. For 11" x 14" prints of the painting, as well as a copy of his book Vietnam War Paintings, contact James Nelson, RD2, Box 13A, Jewell, KS 66949. (Copy of painting courtesy of James Davis Nelson.)