On The Cover

Nurse anesthetists Mary Alice Costello (standing) director of the Cincinnati General Hospital School of Anesthesia, and Marjorie Day staff an exhibit sponsored by the AANA at the 1952 American Congress of Obstetrics and Gynecology in Cincinnati, Ohio. To commemorate AANA's 75th anniversary, 12 historical photos, including this one, are available, as postcards, along with other anniversary logo items. For more information, see page 119. (Photo courtesy of AANA Archives)

Articles

  • Perioperative beta blockade in noncardiac surgery: A review of the literature In this article, the authors discuss randomized trials of beta blocker use perioperatively, those who should receive this therapy, agents and goals of therapy, when to start and when to stop beta blocker therapy, and contraindications to perioperative beta blockade.
    Keywords: Beta blockade, beta blockers, perioperative.
    Version: 2006;74:113-117. Authors: Kimberly E. Mason, CRNA, MSN Liana L. Davis, CRNA, MSN
  • Pollution of ambient air by volatile anesthetics: A comparison of 4 anesthetic management techniques This study compares waste anesthetic gas concentrations resulting from 4 combinations of fresh gas flow and vaporizer settings during a simulated intravenous induction in which the anesthetic is deepened using a volatile anesthetic delivered via mask ventilation before intubation.
    Keywords: Anesthesia, environmental monitoring, occupational exposure.
    Version: 2006;74:121-125. Authors: Capt Joy C. Barberio, CRNA, MSN, USAF, NC Capt Jason D. Bolt, CRNA, MSN, USAF, NC Lt Col(ret) Paul N. Austin, CRNA, PhD, USAF, NC Maj William J. Craig, CRNA, MSN, USAF, NC
  • The effect of transdermal scopolamine on the incidence and severity of postoperative nausea and vomiting in a group of high-risk patients given prophylactic intravenous ondansetron Patients at greater risk for postoperative nausea and vomiting (PONV) are routinely treated prophylactically with intravenous ondansetron or transdermal (TD) scopolamine. Based on this study, the authors recommend using a combination of TD scopolamine and IV ondansetron to prevent PONV in patients identified as high risk for PONV.
    Keywords: Ondansetron, postoperative nausea and vomiting, prevention, scopolamine.
    Version: 2006,74:127-132. Authors: LCDR Shari Jones, CRNA, MSN, NC, USN LT Robert Strobl, CRNA, MSN, NC, USN LCDR Dan Crosby, CRNA, MSN, NC, USN CDR Joseph F. Burkard, CRNA, DNSc, NC, USN CDR John Maye, CRNA, PhD, NC, USN CAPT Joseph E. Pellegrini, CRNA, DNSc, NC, USN
  • Anesthetic implications for patients receiving exogenous corticosteroids This article reviews the literature and explains the rationale and the proper perioperative dosing with corticosteroids for patients with long-standing asthma, rheumatoid arthritis, or Crohn disease, and it includes information on endogenous hormones, exogenous hormones, diseases that require long-term corticosteroid therapy, the hypothalamus-pituitary-adrenal axis, and corticosteroid replacement therapy.
    Keywords: Anesthesia, exogenous corticosteroids, perioperative implications.
    Version: 2006;74:133-139. Authors: Judith H. Wakim, RN, EdD Kathryn C. Sledge, CRNA, MSN
  • Thoracic endovascular stent graft placement: A case report Endovascular stent grafting (EVSG) is a minimally invasive alternative to open repair of thoracic aortic aneurysms. It is alternative to open repair of thoracic aortic aneurysms. It is useful in the treatment of thoracic aneurysms, dissections, and ruptures. This article describes a patient who underwent EVSG who had a history of abdominal aortic aneurysm repair and a known bovine arch.
    Keywords: Aortic aneurysm repair techniques, aortic aneurysms, thoracic endovascular stent graft repair, thoracic stent grafts.
    Version: 2006; 74:140-144. Authors: Colleen M. Smith, CRNA, MS
  • AANA Journal Course, Part 1 Update for nurse anesthetists – The neurobiology of the human febrile response In this AANA Journal course, the author reviews normal temperature homeostasis, the mechanisms of the febrile response, and the rationale for target therapies. Included are discussions of normal thermoregulation, the role of the hypothalamus, how the brain senses the presence of a pyrogen, the value of fever and whether or not to treat it, and postoperative fever.
    Keywords: Circumventricular organ system, febrile response, fever, hypothalamus, pyrogenic cytokines.
    Version: 2006;74:145-150. Authors: Chuck Biddle, CRNA, PhD