On The Cover

The Vietnam Women's Memorial, dedicated November 11, 1993 in Washington, D.C., is a fitting tribute to the military nurse anesthetists who have been called to duty in the US-led military campaign in Afghanistan and stand ready to serve US civilians who may be victims of the war on terrorism on US soil. In a booklet titled Celebration of Patriotism and Courage, Diane Carlson Evans, RN, founder and chair, Vietnam Women's Memorial Project, said the bronze sculpture "...will always be a reminder that America is great because of the men and women working and serving together."

Articles

  • Preinduction Activities: A Closed Malpractice Claims Perspective The AANA Foundation conducts an ongoing study of closed malpractice claims that involve nurse anesthetists. Claims that involved inadequate preinduction activities were analyzed in the context of their compliance with published standards of care. The involved standards of care are reviewed, and recommendations are made regarding consistent completion of preinduction activities.
    Keywords: Closed malpractice claims, outcome, payout, preinduction activities.
    Version: 2001;69(6):461–465. Authors: Merri L. Moody, CRNA, MS Michael Kremer, CRNA, DNSc
  • The Analgesic Effects of Subhypnotic Doses of Propofol in Human Volunteers with Experimentally Induced Tourniquet Pain The purpose of this double-blind, placebo-controlled study was to determine the analgesic and sedative effects of propofol administered intravenously at subhypnotic doses. Results of this study suggest that propofol given at subhypnotic doses could serve as a valuable adjunct for acute postoperative pain management.
    Keywords: Analgesia, ischemic pain, propofol, tourniquet pain.
    Version: 2001;69(6):466–470. Authors: Rick Hand, Jr, CRNA, DNSc LT George P. Riley, CRNA, MS, NC, USN LT Michael L. Nick, CRNA, MS, NC, USN Susan Shott, PhD Margaret Faut-Callahan, CRNA, DNSc, FAAN
  • The Connell Airway: A Feasibility Study Management of a patient's airway during sedation or light general anesthesia presents several challenges to the anesthetist. In this research article, the authors state that the Connell airway is a feasible airway design that could have use in the management of a patient's airway during sedation and that it warrants further investigation.
    Keywords: Airway, general anesthesia, sedation.
    Version: 2001;69(6):473–475. Authors: Francine Capizzi, CRNA Robert S. Greenberg, MD
  • The BIS Monitor: A Review and Technology Assessment The development of a monitor to measure the bispectral index (BIS) provides anesthetists with the first clinically tested and US Food and Drug Administration-approved monitor to assess the effects of anesthesia on the cerebral cortex. This article reviews the development of the BIS monitor, compares it with other commonly used clinical monitors, assesses the cost-benefit from the use of this monitor, and explores some of the possible uses for the BIS monitor outside of the operating suite.
    Keywords: Awareness, cost assessment, electroencephalogram.
    Version: 2001;69(6):477–483. Authors: James W. Bard, CRNA, CCRN, BS
  • AANA Journal Course: Update for Nurse Anesthetists—Part 5 Thermoregulation: Anesthetic and Perioperative Concerns Understanding how and why core temperature declines in association with anesthesia and surgery and safe, effective methods to prevent that decline will enable nurse anesthetists and perioperative nurses to increase both the comfort and safety of their patients while reducing costs to the institution. In this Journal course, the author provides background on this topic and describes anesthesia and core temperature decline, as well as the effects of hypothermia, perioperative warming methods, and complications associated with warming and intraoperative temperature monitoring.
    Keywords: Anesthesia, drug effects of body temperature regulation, human, hypothermia, thermoregulation.
    Version: 2001;69(6):485–491. Authors: Michael A. Fiedler, CRNA, MS