AANA Journal Issue Details

On The Cover

AANA's founder and first president Agatha Hodgins at Lakeside Hospital, circa 1920s. Hodgins was the director of Lakeside's school of anesthesia from 1915 until her retirement in 1933. For more information, see the "Imagining in Time" column on page 97. (Photo courtesy of the Stanley A. Ferguson Archives, University Hospitals of Cleveland.)


  • The Icarus effect: The influence of diluent warming on dantrolene sodium mixing time Prompt administration of intravenous dantrolene sodium (DS) is the primary determinant of successful treatment of malignant hyperthermia (MH) syndrome. Because DS has a long reconstitution time for use in treating an MH crisis, the authors evaluated an alternative technique for hastening the reconstitution.
    Keywords: Dantrolene sodium, diluent temperature, Icarus effect, particulate-free, malignant hyperthermia.
    Version: 2007;75:101-106. Authors: Kevin R. Baker, CRNA, MSNA Donna Landriscina, CRNA, MSNA Heather Kartchner, RN, BSN David M. Mirkes, RN, BSN
  • Anesthesia "Go Team" for trauma patients: Field based anesthesia Sedation, and even general anesthesia, is sometimes required in field settings. This article focuses on a unique CRNA-surgeon team that is able to provide definitive operative services to patients injured in the field who are unable to be rapidly transported to a trauma center or other medical facility. Basic considerations in establishing and maintaining such a system are addressed.
    Keywords: Go Team, field anesthesia, prehospital, surgery, trauma.
    Version: 2007;75:107-110. Authors: William O. Howie, CRNA, MS
  • The effect of spinal needle design, size, and penetration angle on dural puncture cerebral spinal fluid loss Postdural puncture headache (PDPH) is a debilitating side effect of spinal anesthesia, the result of dural puncture and cerebrospinal fluid (CSF) leakage with an incidence of 3% to 75% in patient populations. The purpose of this study was to evaluate the relationship between spinal needle type (pencil tipped or cutting), needle size (22 or 25 gauge), and dura penetration angle from perpendicular (90° or 30°), with the resulting CSF leak measured after dural puncture.
    Keywords: Cerebrospinal fluid leak, dural puncture, postdural puncture headache, spinal headache, spinal needle design.
    Version: 2007;75:111-116. Authors: Glenn O'Connor, CRNA, MS Ryan Gingrich, CRNA, MS Malini Moffat, CRNA, MS
  • Thoracoabdominal aneurysm repair: A case report Aneurysms that extend from the descending thoracic aorta into the abdomen, which can also involve the visceral segments of the upper abdominal aorta, are traditionally classified as thoracoabdominal. The patient in this case report presented for elective repair of a type IV thoracoabdominal aortic aneurysm, with utilization of standard invasive hemodynamic monitoring and cerebrospinal perfusion pressure monitoring as a neuroprotective measure.
    Keywords: Aneurysm, spinal cord perfusion, thoracoabdominal aortic aneurysm.
    Version: 2007;75:117-121. Authors: Lisa Adams, CRNA, MSN Cara Malcotti, CRNA, MSN Eric Petrunak, CRNA, MSN
  • The PAXpress airway causes more pharyngeal irritation than the reusable laryngeal mask airway In this study, the authors sought to determine whether the PAXpress airway should replace the standard laryngeal mask airway in their practice. Records of patients who had been ventilated with a PAXpress airway or an laryngeal mask airway (LMA) were examined. The authors concluded that the PAXpress airway is more likely to cause irritation (often severe) of the airway and, therefore, should not replace the standard LMA in their practice.
    Keywords: Laryngeal mask airway, PAXpress, reusable, reuse.
    Version: 2007;75:123-125. Authors: Evan J. Goodman, MD E. Jane Ziegler, CRNA, MSN Allen M. Douglas, CRNA
  • Spinal anesthesia for abdominoplasty with liposuction: A case report Currently, little information describing the use of spinal anesthesia for abdominoplasty in the office-based setting is available. This case report demonstrates the feasibility of spinal anesthesia for office-based plastic surgical procedures including abdominoplasty with liposuction in carefully selected patients. Further studies are recommended to evaluate the safe use of spinal anesthesia in office-based anesthesia settings.
    Keywords: Abdominoplasty, ambulatory surgery, office-based surgery, spinal anesthesia.
    Version: 2007;75:126-128. Authors: Shari M. Burns, CRNA, MSN N. Bradly Meland, MD, FACS
  • AANA Journal Course Part 1 Update for nurse anesthetists -- The esophageal-tracheal double-lumen airway: Rescue for the difficult airway Although the laryngeal mask airway is often used in the operating room should endotracheal intubation fail, the esophageal-tracheal double-lumen airway represents another alternative rescue airway device. In this AANA Journal course, the author provides information on the Combitube, insertion, special circumstances, and orotracheal intubation after Combitube placement.
    Keywords: Combitube, difficult airway, esophageal-tracheal double-lumen airway, failed intubation, rescue airway device.
    Version: 2007;75:129-134. Authors: Alan J. Smally, MD, FACEP