AANA Journal Issue Details

On The Cover

San Diego, renowned for its idyllic climate and 70 miles of pristine beaches, welcomes attendees to the 76th Annual Meeting of the American Association of Nurse Anesthetists, August 8-12, 2009. The Annual Meeting program is structured so there is ample free time to visit many attractions, while still offering a quality educational program, the exhibit hall, and social activities. (Photo courtesy of the San Diego Convention & Visitors Bureau.)


  • Answers to the AANA Journal Course No. 28 Examination This case report identifies the need for continued fire training and prevention strategies, persistent vigilance, and quick intervention to prevent injury whenever electrosurgical units are used in an oxygen-enriched environment.
    Keywords: Fire, open heart surgery, operating room.
    Version: 2009;77(4):261-264. Authors: Michael Moskowitz, CRNA, MS
  • Radiation Safety in Fluoroscopy for Neuraxial Injections The purpose of this article is to review the basic concepts of fluoroscopic imaging, biologic effects of ionizing radiation, and radiation safety.
    Keywords: Epidural injections, fluoroscopy, radiation safety.
    Version: 2009;77(4):265-269. Authors: Gerry E. Fink, CRNA, MS
  • Frontal Lobe Oxygenation Is Maintained During Hypotension Following Propofol-Fentanyl Anesthesia In this research article, the authors evaluated whether marked reduction in mean arterial pressure during propofol-fentanyl anesthesia induction affects frontal lobe oxygenation.
    Keywords: Anesthesia, blood pressure, cerebral autoregulation, heart rate, near infrared spectroscopy.
    Version: 2009;77(4):271-276. Authors: Peter Nissen, CRNA Johannes J. van Lieshout, MD, PhD Henning B. Nielsen, MD Niels H. Secher, MD, PhD
  • Hemodynamic Measurement in the Operating Room: A Review of Conventional Measures to Identify Hypovolemia Commonly used intraoperative monitoring techniques and their potential limitations as they relate to hypovolemia and hemorrhagic shock are discussed in this article.
    Keywords: Hemodynamic monitoring, hypovolemia, measurements.
    Version: 2009;77(4):279-284. Authors: Matthew R. D’Angelo, CRNA, DNP Richard P. Dutton, MD, MBA
  • Effects of Anesthetics and Analgesics on Natural Killer Cell Activity In this review article, the authors discuss the effects of various anesthetics and analgesics on natural killer cell activity and suggest techniques to attenuate the suppressive effects of these compounds.
    Keywords: Analgesics, anesthetics, cancer, morphine, natural killer cells.
    Version: 2009;77(4):287-292. Authors: MAJ Brett Welden, CRNA, MSN, ANC, USA MAJ Gerald Gates, CRNA, MSN, ANC, USA CPT Resti Mallari, CRNA, MSN, ANC, USA Normalynn Garrett, CRNA, PhD, COL(ret), ANC, USA
  • Comparison of Inhalation of Isopropyl Alcohol vs Promethazine in the Treatment of Postoperative Nausea and Vomiting (PONV) in Patients Identified as at High Risk for Developing PONV The purpose of this study was to determine if using an aromatic therapy of 70% isopropyl alcohol would be more effective than promethazine in resolution of breakthrough PONV symptoms in groups of high-risk patients administered prophylactic ondansetron.
    Keywords: Isopropyl alcohol, postoperative nausea and vomiting (PONV), promethazine, risk factors for PONV.
    Version: 2009;77(4):293-299. Authors: Joseph Pellegrini, CRNA, PhD, CDR(ret), NC, USN LT Jon DeLoge, CRNA, MSN, NC, USNR LCDR John Bennett, CRNA, MSN, NC, USNR Joseph Kelly, CRNA, MS, CAPT(ret), NC, USN
  • AANA Journal Course: Update for Nurse Anesthetists—Part 3—New Drug, Fospropofol Disodium: A Propofol Prodrug Fospropofol is an aqueous solution of a propofol prodrug intended for injection. Discovery and development of this drug may address the concerns with the current propofol emulsion formulations while offering altered pharmacokinetics and pharmacodynamics for sedation. The structure, pharmacokinetics, pharmacodynamics, clinical studies, clinical applications, and implications are discussed.
    Keywords: 2,6-Diisopropylphenoxymethyl phosphate disodium salt, fospropofol disodium, lipid-based emulsion, prodrug, propofol.
    Version: 2009;77(4):301-308. Authors: Mark Welliver, CRNA, DNP Susan M. Rugari, RN, PhD, CNS