On The Cover

Annette Fuller Hightower, CRNA, BA, is shown preparing her equipment before the start of an anesthetic for surgery at Charleston Memorial Hospital (now known as Charleston Area Medical Center), Charleston, WVa. Hightower was the first African-American to graduate from anesthesia school in West Virginia in 1966, and she was the first African-American to work in West Virginia as a CRNA. See the "Imagining in Time" column for more information on the history of minorities in nursing. (Photograph, taken in 1968, courtesy of Priscilla P. Walkup, CRNA, MS.)

Articles

  • The critical airway, rescue ventilation, and the Combitube: Part 2 In Part 2 of this review article, the authors discuss esophageal-tracheal Combitube (ETC) advantages, contraindications, and reported complications in prehospital, emergency medicine, and anesthesia settings. Safe methods to exchange the ETC for a definitive airway also are described.
    Keywords: Airway complications, combat casualty core, Combitube, failed intubation, rescue ventilation
    Version: 2004;72:115-124. Authors: James M. Rich, CRNA, MA Andrew M. Mason, MB, BS, MRCS, LRCP Tareg A. Bey, MD Peter Krafft, MD, PhD Michael Frass, MD
  • Postoperative respiratory depression and unresponsiveness following epidural opiate administration: A case report In this case report, the authors outline a patient's postoperative course in which she experienced respiratory depression while receiving epidural opioids. The pharmacokinetics of lipophilic vs hydrophilic opioids in relation to the occurrence of respiratory depression is discussed.
    Keywords: Epidural opioids, hydromorphone, morphine, opioid pharmacokinetics, respiratory depression, sublimaze.
    Version: 2004;72:126-128. Authors: LT Johnnie Holmes, CRNA, MS, NC, USN LCDR John P. Maye, CRNA, PhD, NC, USN
  • Ondansetron versus dolasetron: A comparison study in the prevention of postoperative nausea and vomiting in patients undergoing gynecological procedures Despite advances in technology, postoperative nausea and vomiting (PONV) continues to have a negative impact on patients in both the inpatient and ambulatory surgery setting. The purpose of this study was to determine if 4 mg of ondansetron and 12.5 mg of dolasetron were equally effective in preventing postoperative nausea and vomiting in patients undergoing gynecological procedures.
    Keywords: Antiemetics, dolasetron, gynecological procedures, ondansetron, postoperative nausea and vomiting.
    Version: 2004;72:129-132. Authors: Beth A. Browning, CRNA, MAE Carol A. Fort, CRNA, MAE Kevan D. Kemp, CRNA, MAE Manardie F. Shimata, CRNA, MAE Melissa D. Strube, CRNA, MAE
  • AANA Journal Course, Part 1 Update for nurse anesthetists -- The Starling resistor: A model for explaining and treating obstructive sleep apnea Anesthesia providers need to be aware of the acute and residual influences of anesthetic drugs on the complex orchestration of airway muscles and reflexes involved in upper airway patency in the patient with obstructive sleep apnea. This article provides an overview of the Starling resistor model, its application to obstructive sleep apnea, and preoperative and postoperative anesthetic considerations.
    Keywords: Airway, anesthesia complications, obstructive sleep apnea, Starling resistor.
    Version: 2004;72:133-138. Authors: Catherine B. Stalford, CRNA, MSNA