AANA Journal Issue Details

On The Cover

AANA Journal April 2000


  • Comparing the Effects of Stress and Relationship Style on Student and Practicing Nurse Anesthetists Stress-related outcomes present heavy costs to organizations and can lead to burnout for the healthcare professional. This study compares and contrasts stress levels between practicing nurse anesthetists and those in training and evaluates whether stress and the style in which a nurse anesthetist relates to others affect communication.
    Keywords: Communication, interpersonal relationships, occupational stress.
    Version: 2000;68(2):115-122. Authors: Communication, interpersonal relationships, occupational stress.
  • Dental Guards: Helpful or Hazards? — A Case Report This case report relates how a dental guard was apparently overlooked during the sequence of events following intubation and displaced into the patient's posterior orpharynx. The authors also provide recommendations for the proper use of dental guards to avoid adverse effects to the patient.
    Keywords: Aspiration, dental guards, dental injury.
    Version: 2000;68(2):127-130. Authors: Linda R. McFadden, CRNA, MSN John M. O'Donnell, CRNA, MSN Carol E. Rose, MD
  • An Investigation of the Effect of 2 Sedation Regimens on Patient Mood State Following Upper Extremity Surgery Using Local Anesthesia Designed to look for differential effects of 2 sedation regimens on perioperative mood states, this study examines differences in mood between patients receiving propofol or midazolam intravenously for interoperative sedation.
    Keywords: Midazolam, Profile of Mood States (POMS), propofol, upper extremity surgery.
    Version: 2000;68(2):135-140. Authors: Sheri A. Baker, CRNA, MSN Charlene A. Benz, CRNA, MSN Nancy A. Dalton, CRNA, MSN Janna J. Smith, CRNA, MSN Angela N. Stillmunkes, CRNA, MSN Beth A. Elliott, MD Edward S. Thompson, CRNA, PhD
  • An Update on Cystic Fibrosis and Implications for Anesthesia The majority of infants born with cystic fibrosis now reach adulthood, making surgical procedures performed in this patient group more common. In this article, the author outlines the epidemiology, genetics, and pathophysiology of cystic fibrosis; reviews preoperative assessment; and offers guidelines for anesthetic management of patients with the disease.
    Keywords: Cystic fibrosis, respiratory disease.
    Version: 2000;68(2):141-148. Authors: Mary C. Karlet, CRNA, PhD
  • Induction Pain Perception After Premedication With Propofol vs Lidocaine: A Pilot Study Propofol has a substantial potential for causing a burning sensation at the intravenous site during anesthetic induction. In this study, the author examines the clinical effectiveness administering preinduction doses of lidocaine vs propofol for decreasing pain upon induction with propofol.
    Keywords: Induction, lidocaine, propofol.
    Version: 2000;68(2):149-151. Authors: John David Singleton, CRNA, MSN
  • Do Oxygen-enriched Atmospheres Exist Beneath Surgical Drapes and Contribute to Fire Hazard Potential in the Operating Room? Although the occurrence of small fires caused by the ignition of drapes and other fuels by cautery devices is extensively documented, the circumstances surrounding their development are not well known. This study aims to describe the microenvironment in terms of oxygen beneath the drapes of healthy subjects who were simulating patients undergoing minor surgical procedures with supplemental oxygen and to evaluate the efficacy of using a scavenger system to lower those concentrations.
    Keywords: Anesthesia complications, fires, gas scavengers, oxygen, safety.
    Version: 2000;68(2):153-161. Authors: Angela M. Barnes, CRNA, MSN Rita A. Frantz, RN, PhD, FAAN
  • AANA Journal Course Part 1—Update for Nurse Anesthetists Transient Neurologic Symptoms and Spinal Anesthesia During the last decade, the use of hyperbaric 5% lidocaine as a spinal anesthetic has been implicated as the cause of transient neurologic syndrome (TNS) and cauda equina syndrome. In this AANA Journal Course, the author discusses factors that contribute to the development of TNS, the occurrence of TNS associated with various local anesthetics, and alternatives to lidocaine for short spinal anesthetics.
    Keywords: Spinal anesthesia, spinal narcotics, transient neurologic syndrome.
    Version: 2000;68(2):163-168. Authors: Capt Anne C. Sime, CRNA, MS, USAF, NC