AANA Journal Issue Details

On The Cover

The Moscone Center, located in the heart of downtown San Francisco, is the city's premier meeting and exhibition facility situated on two adjacent 11-acre blocks. The Moscone Center will be home to nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 68th Annual Meeting of the American Association of Nurse Anesthetists, August 11-15, 2001. AANA's Annual Meeting is devoted to assessing and evaluating issues that affect nurse anesthesia practice and to offering continuing educational opportunities that re-energize attendees and enhance their effectiveness as providers of the highest quality healthcare. (Photo courtesy of San Francisco Convention Facilities.)


  • Mode of Delivery Following Labor Epidural Analgesia: Influence of Ropivacaine and Bupivacaine This study compares the cesarean section and instrumental delivery rates for patients receiving labor epidural analgesia using bupivacaine with those receiving ropivacaine. Results indicated that the use of ropivacaine decreased both cesarean section and instrumental delivery rates when compared with bupivacaine at the facility studied.
    Keywords: Bupivacaine, cesarean section, epidural analgesia, ropivacaine.
    Version: 2001;69(4):259-261. Authors: Alexander A. Litwin, CRNA, MSN
  • Learning From a Nurse Anesthetist Perspective: A Qualitative Study Understanding how expert nurse anesthetists learn and develop may enable educators and students to identify and design learning activities that prepare students for successful anesthesia practice. Using interviewing and observation techniques, the author explores the learning and problem-solving experiences in daily clinical practice of 5 expert Certified Registered Nurse Anesthetists.
    Keywords: Expert clinical practitioners, learning, qualitative case study.
    Version: 2001;69(4):273-278. Authors: Kathleen R. Wren, CRNA, PhD
  • New Advances in the Treatment of Sickle Cell Disease: Focus on Perioperative Significance Patients with sickle cell diseases, a group of inherited disorders that cause hemolytic anemia and reoccurring instances of painful vascular occlusion, present a challenge to the anesthetist. This article reviews traditional preoperative and postoperative therapies, recent research, and promising new therapies that should improve the anesthetic course of patients with sickle cell disease.
    Keywords: Anesthesia, pain, sickle cell anemia.
    Version: 2001;69(4):281-286. Authors: Heidi M. Dix, CRNA, MSNA
  • Modified Rapid-Sequence Induction of Anesthesia: A Survey of Current Clinical Practice The purpose of this study was to identify the use of rapid-sequence induction (RSI) and its hybrids. Results of the survey revealed that a modification of standard RSI is used commonly in clinical practice, and that these modified RSI techniques are not standardized. Further study is necessary to identify widespread use of modified RSI techniques and to clarify the risks and benefits of modified RSI.
    Keywords: Modified rapid-sequence induction, preoxygenation, cricoid pressure, positive-pressure ventilation.
    Version: 2001;69(4):291-298. Authors: Stacy Schlesinger, CRNA, MSN, MBA Diane Blanchfield, CRNA, MS
  • Data-Driven Practice Improvement: The AANA Foundation Closed Malpractice Claims Study Most risk management studies have evaluated the practices of the physician anesthesiologist, while minimal research has been conducted to examine anesthesia care provided by Certified Registered Nurse Anesthetists (CRNAs). Filling a need to examine adverse outcomes of anesthesia care provided by CRNAs, this study of CRNA-related anesthesia events provides information for improving anesthesia care and patient safety and compring outcomes with various provider mixes.
    Keywords: Adverse outcomes, anesthesia risk, closed claims, damaging events, malpractice.
    Version: 2001;69(4):301-311. Authors: Lorraine M. Jordan, CRNA, PhD Michael Kremer, CRNA, DNSc Karen Crawforth, CRNA, PhD Susan Shott, PhD
  • AANA Journal Course: Update for Nurse Anesthetists—Part 3—Asthma: An Anesthetic Update The effective management of the patient with asthma continues to represent a significant challenge in modern anesthesia practice. A thorough understanding of the pathogenesis of asthma will assist in developing anesthetic management plans that are patient specific and use the best treatment pathways currently available.
    Keywords: Anesthesia, asthma, bronchospasm.
    Version: 2001;69(4):317-324. Authors: Mary Karlet, CRNA, PhD John Nagelhout, CRNA, PhD