AANA Journal Issue Details

On The Cover

A statue of Paul Revere, messenger of the American Revolution, is one of the many historical sites along Boston's Freedom Trail. The Hynes Convention Center in Boston's Back Bay is the site for the 70th Annual Meeting of the American Association of Nurse Anesthetists (AANA), August 2-6, 2003. The Annual Meeting program has been compressed to allow more free time to visit the city's attractions, while still offering a quality educational program and networking opportunities. (Photo courtesy of Greater Boston Convention & Visitors Bureau)


  • Variability in the American Society of Anesthesiologists Physical Status Classification Scale The American Society of Anesthesiologists (ASA) Physical Status (PS) Classification is used worldwide anesthesia providers as an assessment of the preoperative physical health of patients. The purpose of this study was to assess interrater reliability and describe sources of variability among anesthesia providers in assigning ASA PS scores.
    Keywords: ASA physical status, assessment, classification, physical status, preoperative physical status.
    Version: 2003;71:265-274. Authors: Capt Wendy L. Aronson, CRNA, MSN, NC, USAF Maura S. McAuliffe, CRNA, PhD, FAAN Ken Miller, RN, PhD, FAAN
  • The use of simulation to demonstrate hemodynamic response to varying degrees of intrapulmonary shunt The concept of intrapulmonary shunt can be difficult to master, but mastery is necessary for advanced practice nurses in anesthesia and critical care. A recent study explored the effects of increased cardiac output on arterial hemoglobin oxygen saturation and shunt during 1-lung ventilation of pigs. To learn more about shunt-related pathophysiology, the authors replicated the study on a human patient simulator in the classroom/laboratory setting.
    Keywords: Intrapulmonary shunt, nurse anesthesia, simulation education, simulation technology.
    Version: 2003;71:277-284. Authors: Melanie Register, CRNA, MN Judy Graham-Garcia, CRNA, MN, BC, APRN Richard Haas, CRNA, EdM, MS
  • Laryngeal mask anesthesia in children: A case report The laryngeal mask airway has become one of the major tools of modern anesthesia airway management. The authors report the case of an uneventful 5-hour long laryngeal mask anesthesia in a spontaneously breathing 11-year-old boy undergoing lower limb surgery.
    Keywords: Laryngeal mask airway; operation, duration; pediatric anesthesia; spontaneous ventilation.
    Version: 2003;71:285-286. Authors: Brian Ross, MD, PhD Youri Vater, MD, PhD Greg Dembo, MD Clare Hunter, RN, BA, BSc Kenneth Martay, MD
  • Accessing the living laboratory: Trigger films as an aid to developing, enabling, and assessing anesthesia clinical instructors Trigger films are 2- to 4-minute vignettes simulating real-life situations that finish abruptly, stimulating participants to analyze situations in a safe environment. The purpose of this study was to develop and assess the validity of high fidelity trigger films in facilitating nurse anesthesia clinical instructor development.
    Keywords: Anesthesia faculty development, clinical instruction, simulation, teaching methodologies, trigger films.
    Version: 2003;71:287-291. Authors: William Hartland, CRNA, PhD Chuck Biddle, CRNA, PhD Michael Fallacaro, CRNA, DNSc
  • Parental presence during pediatric anesthetic inductions Children's responses to parental presence during anesthetic induction have been researched thoroughly; however, not much is known about the response of parents to being present at their child's induction. In this research article, the authors examine parent's preparation for, attitudes and emotions about, and experiences with being present for their child's anesthetic induction.
    Keywords: Parental presence, pediatric anesthesia induction, preoperative education.
    Version: 2003;71:293-298. Authors: Mary Kay Himes, CRNA, MS Kristina Munyer, CRNA, MS Susan J. Henly, RN, PhD
  • AANA Journal Course, Part 3 Update for nurse anesthetists Aspiration prophylaxis: Is it time for changes in our practice? Pulmonary aspiration of gastric contents during anesthesia is a complication that is fortunately rare, yet potentially catastrophic. Despite its infrequency, techniques geared toward preventing this serious outcome influence many of our routine practices and beliefs. This AANA Journal course outlines current knowledge as to the incidence, risk factors, and efficacy of practices geared toward preventing aspiration.
    Keywords: Aspiration, cricoid pressure, preoperative fasting, preoperative medications, rapid-sequence induction.
    Version: 2003;71:299-303. Authors: John J. Nagelhout, CRNA, PhD