On The Cover

Displayed on the cover is an aerial photograph of "Sacred Trust," a 3-acre work of "crop art" by environmental artist Stan Herd of Lawrence, Kan. The work of art, which is located near the Topeka, Kan. Airport, was commissioned by a group of Certified Registered Nurse Anesthetists called CPR (CRNAs for PR) to commemorate the 2001 National Nurse Anesthetists Week. The CRNA group, which can be seen gathered in the CRNA's "cap" in the photo, chose this inventive method to promote the profession of nurse anesthesia and convey the idea that "CRNAs are outstanding in their field." Photo © CRNA 2001. Photo courtesy of John Blumb, Lawrence, Kan.

Articles

  • The Addition of Interscalene Block to General Anesthesia for Patients Undergoing Open Shoulder Procedures Anecdotal evidence suggests that an interscalene block combined with general anesthesia decreases unwanted effects of general anesthesia following open shoulder surgery. Results of this study suggest that adding an interscalene block to general anesthesia can be of value in today's outpatient-dominated surgery schedule.
    Keywords: Combined technique, general anesthesia, interscalene block, shoulder surgery.
    Version: 2001;69(2):105-109. Authors: LCDR Mark R. Gohl, CRNA, MS, NC, USN LT Robin K. Moeller, CRNA, MS, NC, USN CDR R. Lee Olson, CRNA, MS, NC, USN CDR Charles A.Vacchiano, CRNA, PhD, NC, USN
  • Cost Analysis in Vitrectomy: Monitored Anesthesia Care and General Anesthesia This retrospective study compared hospital charges associated with monitored anesthesia care with retrobulbar block (MAC/RBB) with charges associated with general anesthesia among patients undergoing vitrectomy. Results indicated that hospital charges associated with MAC/RBB were 20% less than charges associated with general anesthesia.
    Keywords: Charges, cost, general anesthesia, monitored anesthesia care.
    Version: 2001;69(2):111-113. Authors: Jeffrey Jian-Hong Huang, MD, MS Steven Fogel, MD Michael Leavell, MD
  • Anesthetic Implications in Epidermolysis Bullosa Dystrophica Epidermolysis bullosa, a genetic disease in which blisters form after minor shearing trauma to the skin or mucous membranes, presents special problems for the anesthesia provider. In this case report, the author describes the precautions taken when delivering anesthesia to a young woman undergoing esophageal dilation and reviews the symptoms and anesthetic considerations of the disease.
    Keywords: Bullae, collagenase, epidermolysis bullosa dystrophica, regional anesthesia, skin disease.
    Version: 2001;69(2):114-118. Authors: Theresa L. Culpepper, CRNA, PhD
  • Relative Value Guide Basic Units in Operating Room Scheduling to Ensure Compliance with Anesthesia Group Policies for Surgical Procedures Performed at Each Anesthetizing Location A uniformly understood measure of case complexity could assist an anesthesia group in ensuring appropriate anesthesia provider expertise and equipment availability at each anesthetizing location. In this article, the authors show how the American Society of Anesthesiologists' Relative Value Guide basic units can be used as a criterion to establish the maximum level of complexity of cases performed at each location.
    Keywords: Compliance program, operating room management, operating room information system, practice management, relative value guides.
    Version: 2001;69(2):120-123. Authors: Franklin Dexter, MD, PhD Edward Thompson, CRNA, PhD
  • AANA Journal Course: Update for Nurse Anesthetists—Part 1 The Hazards of Surgical Smoke Inhaling surgical smoke is an ever-growing concern for the healthcare professional since the majority of all surgeries generate laser or electrosurgical smoke. This article explores the hazards of surgical smoke (including plume odor, particulate matter size, viability of the smoke contents, and laparascopic concerns) and describes effective methods to evacuate the plume.
    Keywords: Smoke evacuation, surgical plume, surgical smoke.
    Version: 2001;69(2):125-132. Authors: Kay Ball, RN, MSA, CNOR, FAAN