On The Cover

Just one of the countless memorable scenes to be enjoyed by nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 71st AANA Annual Meeting in Seattle, August 7-11. Throughout the meeting, participants will have opportunities to benefit from quality educational programs, the exhibit hall, and social activities. Visitors to the "Emerald City" of Seattle, known for its lush surroundings, also will enjoy a variety of outdoor activities, shopping and nightlife. (Photo courtesy of Seattle's Convention and Visitors Bureau.)

Articles

  • Anesthetic management of a difficult airway in a patient with epidermolysis bullosa: A case report Epidermolysis bullosa is an inherited skin disease that leads to an array of medical problems. This case report describes a 15-year-old patient with epidermolysis bullosa presenting for contracture release, with a difficult airway.
    Keywords: Difficult airway, epidermolysis bullosa, fiberoptic intubation.
    Version: 2004;72:361-263. Authors: Kelly L. Crowley, CRNA, MSN Yuri O. Shevchenko, MD
  • Arterial cannulation: A critical review Arterial catheterization for hemodynamic monitoring is used widely in clinical management. Complications of cannulation have been recognized since introduction of the technique. This review article examines radial, brachial, axillary, and femoral cannulation sites. Waveform distortion, adjacent structure injury, and the incidence of thrombus also are described.
    Keywords: Arterial cannulation, site review
    Version: 2004;72:267-271. Authors: Teresa R. Cousins, RN, BSN John M. O'Donnell, CRNA, MSN
  • The addition of clonidine to bupivacaine in combined femoral-sciatic nerve block for anterior cruciate ligament reconstruction Clonidine has been shown to prolong sensory analgesia when given as an adjunct to peripheral nerve blocks but has not been evaluated when given in conjunction with a femoral-sciatic nerve block. The purpose of this investigation was to determine whether the addition of clonidine to a femoral-sciatic nerve block would prolong the duration of sensory analgesia in groups of patients undergoing anterior cruciate ligament reconstruction.
    Keywords: Anterior cruciate ligament reconstruction, femoral-sciatic nerve block, postoperative pain management, regional anesthesia.
    Version: 2004;72:273-278. Authors: LT Darren J. Couture, CRNA, MSN, NC, USNR LT Heather M. Cuniff, CRNA, MSN, NC, USNR LCDR Joseph F. Burkard, CRNA, MSN, NC, USN LCDR John P. Maye, CRNA, PhD, NC, USN CDR Joseph Pellegrini, CRNA, DNSc, NC, USN
  • Childhood airway manifestations of lymphangioma: A case report This is a case report of a 9-year-old patient with lymphangioma who had impacted teeth and a suspected odontogenic cyst. There seems to be little information on the optimal anesthetic management for this age group. The challenges with airway management, including bleeding, laryngospasm, and a difficult intubation, are outlined.
    Keywords: Airway management, anesthesia, intubation, lymphangioma.
    Version: 2004;72:280-283. Authors: Bettina M. Thompson, CRNA, MNA Jeffrey O. Welna, DO Jan L. Kasperbauer, MD James M. Van Ess, DDS, MD Mary E. Shirk Marienau, CRNA, MS
  • Visual loss as a complication of non-ophthalmologic surgery: A review of the literature Decreased visual acuity and loss of visual ability are devastating anesthetic and surgical complications. In this review article, the authors provide information on anatomy and physiology, cause of visual impairment, ischemic optic neuropathy, incidence of eye injury and visual loss, onset of symptoms, preexisting and predisposing factors, and review of the literature.
    Keywords: Anterior ischemic optic neuropathy, intraocular pressure, ischemic optic neuropathy, posterior ischemic optic neuropathy.
    Version: 2004;72:285-292. Authors: Kimberly Rupp-Montpetit, CRNA, MS Merri L. Moody, CRNA, MS
  • AANA Journal Course, Part 3 Update for nurse anesthetists -- Eliminating surgical fires: A team approach In this AANA Journal course, the author reports that surgical fires are on the rise, and one agency estimates the frequency of surgical fires is comparable to that of wrong-site surgery, with an incidence of 50 to 100 fires annually. The need for a clearly formulated plan, rehearsing a response to fires in or on the patient, and clearly designated prevention parameters are included.
    Keywords: ECRI recommendations, fire triangle, surgical fires.
    Version: 2004;72:293-298. Authors: COL Gale S. Pollock, CRNA, MBA, MHA, FACHE, AN, USA