October 1998 AANA Journal

Table of Contents

Contents

Letters
Femoral nerve block and 3-in-1 block in anesthesia
Print version: 1998;66(5):433.

Legal Briefs
By Gene A. Blumenreich, JD
Positioning, padding, documentation, and the CRNA 
Print version: 1998;66(5):435-438.
Keywords: Documentation, padding and positioning, res ipsa loquitur, standards of practice.

Education News
By E. Jane McCarthy, CRNA, PhD, FAAN
J. Robert Halliburton, CRNA, MHS

Judy L. Ikirt, CRNA, MSN
Maura S. McAuliffe, CRNA, PhD
John P McDonough, CRNA, EdD

W. Patrick Monaghan, CLS, SBB, PhD
Donald D. Rigamonti, PhD
An analysis of a nurse anesthesia program curriculum by decomposition 
Print version: 1998;66(5):443-447.
Keywords: Curriculum, curriculum analysis, nurse anesthesia program.

Unexplained asystole during thoracotomy irrigation: A case report
By Mark Welliver, CRNA, MS
Ronald Kumor, CRNA, MS
This case presentation involves a 76-year-old man who consented to an open thoracotomy biopsy, which confirmed carcinoma. A left upper lobectomy was performed. The operative procedure was significant for a 12-second acute episode of atrioventricular standstill during post-thoracotomy thoracic irrigation with warm saline. Return of sinus rhythm occurred spontaneously after cessation of irrigation.
Print version: 1998;66(5):451-453.
Keywords: Asystole, baroreceptor reflex, lobectomy, parasympathetic innervation, thoracotomy, vagus.

Information for Authors
Print version: 1998;66(5):483.

Index to Advertisers
Print version: 1998;66(5):528.

Evaluation of the effects of the addition of morphine sulfate to a standard Bier block solution in peripheral arm surgery 
By MAJ Thomas E. Ceremuga, CRNA, MSN, AN, USA
CPT Elizabeth A. Gelinas, CRNA, MSN, AN, USA
CPT Janice L. Gonzales, CRNA, MSN, AN, USA
MAJ Joann M. Ramos-Alarilla, CRNA, MSN, AN, USA
The purpose of this study was to analyze postoperative pain differences in patients undergoing peripheral arm surgery. Differences between patients' perceived pain who received 2 mg of morphine sulfate added to the standard Bier block solution and the standard Bier block solution without morphine were studied.
Print version: 1998;66(5):459-465.
Keywords: Arm surgery, Bier block, opioid receptors, pain.

Books of Interest
Comprehensive Postanesthesia Care
Reviewed by: Rex A. Marley, CRNA, RRT, MS
Print version: 1998;66(5):457.

AANA Journal Course: Update for nurse anesthetists–The preoperative pulmonary assessment: Is this patient at high risk for surgery?
By Michael J. Kremer, CRNA, DNSc
Postoperative pulmonary complications most often involve atelectasis followed by pneumonia and arterial hypoxemia. The severity of these complications is related to the decreases that occur in vital capacity and functional residual capacity. Astute anesthetists can prospectively identify patients and surgical procedures likely to be associated with pulmonary complications. In this Journal course, the author includes introduction and background, as well as information on pulmonary evaluation, laboratory data, clinical implications of pulmonary disease, and factors influencing decisions on postoperative ventilation.
Print version: 1998;66(5):467-480.
Keywords: Diagnostic tests, postoperative complications, pulmonary.

On Leadership
By Karlene Kerfoot, RN, CNAA, PhD, FAAN
Leadership: when success leads to failure
Print version: 1998;66(5):481-482.
Keywords: Healthcare, failure, leadership, nursing, success.

Poster Session abstracts presented at the 1998 AANA Annual Meeting in Nashville, Tennessee
Print version: 1998;66(5):485-517.

October 1998 AANA Journal
Volume 66 , Number 5
ISSN 0094-6354
On the Cover: