AANA Journal Issue Details

On The Cover

AANA Journal August 2000


  • Anesthesia for Cesarean Section for Achondroplastic Dwarf: A Case Report In this case report, the author describes the pre-anesthesia plan, anesthesia administration, and post-anesthesia course involving a gravid patient with achondroplastic dwarfism. Also illustrated is the need for discussion of all anesthesia options when planning the anesthesia care associated with uncommon disorders and pregnancy.
    Keywords: Achondroplasia, anesthesia, pregnancy, cesarean section.
    Version: 2000;68(4):305-307. Authors: Scott McGlothlen, CRNA
  • Massive Blood Transfusion Therapy Surgical patients requiring massive blood transfusion therapy present many challenges for the anesthetist. This article presents a review of metabolic changes that occur in banked blood, the risk of infection, and physiologic derangements that may develop during massive blood transfusion.
    Keywords: Coagulopathies, massive blood transfusions.
    Version: 2000;68(4):311-314. Authors: Michelle L. Corazza, CRNA, MSN Anne M. Hranchook, CRNA, MSN
  • Patient Perceptions of the Importance of Maintaining Preoperative NPO Status Although NPO (nothing by mouth) after midnight policies are being liberalized, noncompliance with NPO policies remains a threat to patient safety and may result in delays of elective surgical procedures. Findings of this study of ambulatory surgery patients suggest that providing patients with the rationale for adhering to preoperative NPO orders can significantly increase the patient's perception of the NPO policy's importance.
    Keywords: NPO status, NPO rationale, patient knowledge, preoperative education.
    Version: 2000;68(4):321-328. Authors: Frances M. Kramer, CRNA, MSN, ND
  • Perioperative Monitoring with the Electroencephalogram and the Bispectral Index Monitor Recent clinical studies using the bispectral index monitor have renewed interest in the use of a monitor to assess the effects of anesthetics on the brain. This article provides a historical perspective of the development and use of the processed electroencephalographic monitor, as well as a discussion of the clinical usefulness of the bispectral index monitor in anesthesia practice today.
    Keywords: Bispectral index, electroencephalogram power spectrum.
    Version: 2000;68(4):333-340. Authors: LTC (ret.) James R. Halliburton, CRNA, MHS, AN, USA CAPT E. Jane McCarthy, CRNA, PhD, FAAN, USPHS
  • Does ketorolac Produce Preemptive Analgesic Effects in Laparoscopic Ambulatory Surgery Patients? Preemptive analgesia is a new concept for providing pain relief, suggesting that an analgesic given before a pain stimulus will prevent or reduce subsequent pain. Findings from this study of patients undergoing laparoscopic gynecological surgical procedures suggest that the preemptive administration of ketorolac did not demonstrate preemptive analgesic effects in these patients.
    Keywords: Ambulatory surgery, ketorolac, preemptive analgesia.
    Version: 2000;68(4):343-349. Authors: Constance Anne Cabell, CRNA, MSNA
  • AANA Journal Course—Part 3—Update for Nurse Anesthetists Low Molecular Weight Heparin: Pharmacology and Regional Anesthetic Implications This Journal course includes the pharmacology, incidence and risk factors for the development of spinal or epidural hematoma, and current recommendations for the use of low molecular weight heparins in conjunction with spinal or epidural anesthesia. Guidelines for the postoperative use of indwelling spinal or epidural catheters in patients receiving this drug therapy perioperatively also are provided.
    Keywords: Anticoagulants, low molecular weight heparin, regional anesthesia, spinal or epidural hematoma.
    Version: 2000;68(4):357-364. Authors: Barbara Crosby Thames, CRNA, MA Donald O. Allen, PhD