October 2007 AANA Journal

Table of Contents


Upgrading nurse anesthesia educational requirements 

David G. Potter, CRNA, MBA
Epidural catheter complication
Jeffrey Huang, MD
Print version: 2007;75:323-324.

Education News
Share your secrets— Teach! A proposal to increase the number of nurse anesthesia educators

Tara D. Ray, CRNA, MSN
Print version: 2007;75:325-328.
Key words: Barriers, CRNA instructor shortage, nurse anesthesia education.

State of the Science Oral and Poster Sessions
Print version: 2007;75:357-387. 


Airway management in a child with penetrating pharyngeal wall foreign body injury: A case report
Fabio Incollingo, CRNA, MSC
Yuri Shevchenko, MD
In this case report, the authors state that penetrating foreign bodies of the oropharynx are encountered in children of all ages, although more frequently between the ages of 3 to 5 years. A thorough preanesthetic evaluation of these patients, including type and extent of injury, must be performed if time allows. As a result of the often emergent nature of these cases, poor patient cooperation, and great potential for airway compromise, special considerations are given to management of the airway. The use of nontraditional equipment may greatly facilitate laryngoscopy and intubation.
Print version: 2007;75:329-332.
Key words: Airway management, difficult intubation, penetrating oropharyngeal foreign body.

Predictors of student success in the US Army Graduate Program in Anesthesia Nursing
CPT Joseph A. Hulse, CRNA, MSN, ANC, USA
CPT Thomas Chenowith, CRNA, MSN, ANC, USA
LTC Linda Lebedovych, CRNA, BSN, ANC, USA
MAJ Paul Dickinson, RN, BSN, ANC, USA
Brett Cavanaugh, RN, BSN
Normalynn Garrett, CRNA, PhD
The primary objective of this research was to identify cognitive and noncognitive factors that may predict student success in the US Army Graduate Program in Anesthesia Nursing. Second, the results of this study will help iddentify students possibly at risk for failure so that interventional measures can be developed and implemented to promote success and reduce attrition. The findings suggest that locus of control and trait anxiety may be the most predictive indicators of success in the program, and the findings support that noncognitive factors may be as vital as cognitive factors in predicting academic success.
Print version: 2007;75:339-346.
Key words: Academic perfrmance, anesthesia nursing, graduate nursing education.



AANA Journal Course 4
Update for nurse anesthetists --
Life in the balance: The role of serpins in disease genesis and prevention
John Aker, CRNA, MS
Chuck Biddle, CRNA, PhD
The conditions discussed in this course, pulmonary emphysema and angioedema, result in part from a functional imbalance in the mechanics of protease inhibition by the serpins. The authors introduced this concept using the metaphor of Yin and Yang, 2 opposing but intertwined forces that interact to achieve an exquisite balance in human life. They conclude that proteases are diffusely located in the body and have essential roles in maintaining homeostasis. The serpin, a1-AT, exerts influence of such magnitude that aberrations in its expression lead to conditions of significant consideration to anesthesia providers,
Print version: 2007;75:349-354.
Key words: a1-Antitrypsin deficiency, angioedema, emphysema, serpins.

October 2007 AANA Journal
Volume 75 , Number 5
ISSN 0094-6354
On the Cover:
Suzanne M. Wright, CRNA, MSNA, assistant professor (seated), incorporates distance learning technologies while directing simulation training for nurse anesthesia students in the Center for Research in Human Simulation, Department of Nurse Anesthesia, VIrginia Commonwealth University (VCU), Richmond, Virginia. VCU students shown working in an operating room environment (from left to right) are: Karen Barnes, Ashley Hutchinson, and Scott Petey. The background screen and accompanying audio equipment allow the Center to communicate visually and vocally with distance classroom and simulation lab in Southwest Virginia. (Photo courtesy of Department of Nurse Anesthesia, VCU.)