AANA Journal Issue Details

On The Cover

Lisa C. Scott, RN, BSN, confirms placement of a double-lumen endobronchial tube with a fiberoptic scope. Scott is a senior student in The University of Iowa College of Nursing Anesthesia Program, Iowa City, Iowa. The school is one of 88 nurse anesthesia programs in the United States today.


  • Surgical mortality and type of anesthesia provider In this research article, the authors studied the effect of type of anesthesia provider on surgical mortality associated with selected surgical procedures performed on Medicare beneficiaries. Their findings indicate that for the surgical procedures included in this study, the type of anesthesia provider does not affect inpatient surgical mortality.
    Keywords: Anesthesia mortality, anesthesia providers, nurse anesthetist, quality of care, surgical mortality.
    Version: 2003;71:109-116. Authors: Michael Pine, MD, MBA Kathleen D. Holt, PhD You-Bei Lou, PhD
  • Suspected methemoglobinemia following awake intubation: One possible effect of benzocaine topical anesthesia -- A case report Methemoglobinemia is a potential negative side effect associated with the use of benzocaine for topical anesthesia. This case report discusses a patient whose abnormally low intraoperative pulse oximeter readings were suspected to result from methemoglobinemia.
    Keywords: Benzocaine, differential diagnosis, methemoglobinemia, methylene blue, oxidation.
    Version: 2003;71:117-118. Authors: Robert Sean Rinehart, CRNA, MS David Norman, CRNA, MS
  • Anaphylactoid syndrome of pregnancy: A review of the literature with latest management and outcome data Anaphylactoid syndrome of pregnancy has an 80% to 90% mortality rate. It is difficult to diagnose, and once symptoms occur there is rapid deterioration in the patient's condition. This review article provides an introduction as well as literature related to amniotic fluid emboli etiology and morbidity, anaphylactoid syndrome of pregnancy, and management and outcomes.
    Keywords: Amniotic fluid emboli, anaphylactoid syndrome of pregnancy, extracorporeal membrane oxygenation, intra-aortic balloon pump, transesophageal echocardiography.
    Version: 2003;71:126-126. Authors: Debra A. Gilmore, CRNA, MSN Judith Wakim, RN, PhD Janet Secrest, RN, PhD Richard Rawson, CRNA, MSN
  • Comparison of inhaled isopropyl alcohol and intravenous ondansetron for treatment of postoperative nausea and vomiting Postoperative nausea and vomiting (PONV) is a pervasive problem in patients who undergo general anesthesia. For reasons not clearly understood, the inhalation of isopropyl alcohol vapors seems to be effective for treating PONV. In this randomized investigation, the authors compare the efficacy of 70% inhaled isopropyl alcohol and intravenous ondansetron.
    Keywords: Antiemetics, inhaled isopropyl alcohol, ondansetron, postoperative nausea.
    Version: 2003;71:127-132. Authors: LT Anthony W. Winston, CRNA, MS, NC, USN LT Robert S. Rinehart, CRNA, MS, NC, USN LT George P. Riley, CRNA, MSN, NC, USN CAPT Charles Vacchiano, CRNA, PhD, NC, USN CDR Joseph Pellegrini, CRNA, DNSc, NC, USN
  • AANA Journal Course, Part 1 Update for nurse anesthetists -- Antiemetic prophylaxis: Pharmacology and therapeutics Postoperative nausea and vomiting (PONV), a common problem with complex causes, may result in substantial complications. In this AANA Journal course, the author provides an overview of the pathogenesis and physiological mechanisms of postoperative nausea and vomiting (PONV), in addition to an extensive review of current pharmacology for antiemetic prophylaxis and a description of therapeutic anesthetic techniques to minimize PONV.
    Keywords: Antiemetics, nausea, vomiting.
    Version: 2003;71:133-140. Authors: Carol L. Norred, CRNA, MHS