AANA Journal Issue Details

On The Cover

AANA Journal December 2000


  • Preanesthesia Detection of Equipment Faults by Anesthesia Providers at an Academic Hospital: Comparison of Standard Practice and a New Electronic Checklist Failure to perform a preanesthetic check of anesthesia equipment has been cited as the most common associated factor with mishaps attributed to anesthesia systems failure. The authors compare a computer-based interactive electronic checklist with their institution's standard equipment check practice. The results indicated that their electronic checklist was superior, but that further study and improvements in checklist design and provider education are needed.
    Keywords: Anesthesia machines, computer checklist, equipment, pre-use checkout methods, US Food and Drug Administration anesthesia checklist.
    Version: 2000;68(6):497-505. Authors: George Blike, MD Chuck Biddle, CRNA, PhD
  • Dislocation of the Mandible: A Case Report This article describes the case of a patient who developed dislocation of the mandible during general anesthesia. The anatomy of the temporomandibularjoint, the anatomy and etiology of the dislocation, presenting symptoms, and the technique for bimanual reduction of the dislocation are reviewed.
    Keywords: Mandibular condyle, mandibular dislocation, mandibular subluxation, temporomandibular joint dislocation.
    Version: 2000;68(6):507-513. Authors: Allan J. Schwartz, CRNA, DDS
  • Faculty Perceptions of Characteristics Needed for Clinical Success at Military Nurse Anesthesia Programs This study focuses on the student characteristics needed for success in the clinical portion of graduate education, as described by 29 military nurse anesthesia clinical faculty. The findings represent a first step in developing a map to success and suggest ways that students might prepare themselves for anesthesia school.
    Keywords: Anesthesia education, clinical success, military training.
    Version: 2000;68(6):515-523. Authors: LTC Brian L. Clayton, CRNA, MSN, USAF, NC MAJ Douglas J. Lypek, CRNA, MSN, USAF, NC COL Lynne M. Connelly, RN, PhD, USA, AN (ret.)
  • Assessment of Blood Pressure Discrepancies in Third-Trimester Hypertensive Gravidas Hypertension has been associated with discrepancies between right arm and left arm blood pressure (BP) measurements. The findings of this study indicated BP discrepancies between arms exist in both normotensive and hypertensive gravidas, with a greater range and frequency of differences in the hypertensive group, supporting the American Heart Association's recommendation of initial bilateral BP assessment.
    Keywords: Blood pressure, blood pressure discrepancies, blood pressure monitoring, hypertension in pregnancy.
    Version: 2000;68(6):525-530. Authors: W. Terry Ray, CRNA, PhD
  • AANA Journal Course: Update for Nurse Anesthetists—Part 5 Intraoperative Fluid Management for the Pediatric Surgical Patient Intraoperative fluid management for the pediatric surgical patient is a critical element of the anesthetic care plan. This course explains how to calculate hourly fluid requirement, estimated fluid deficit, fluid replacement plan, third-space loss, estimated blood volume, and allowable blood loss, as well as formulate a blood replacement plan based on 1 of 4 formulas.
    Keywords: Blood loss, fluid management, fluid translocation, hypovolemia, pediatric anesthesia.
    Version: 2000;68(6):531-538. Authors: Theresa Long Culpepper, CRNA, PhD