AANA Journal Issue Details

On The Cover

A thorough evaluation of the patient an anesthesia provider is mandatory prior to the administration of anesthesia. In addition to a review of systems and a records review, such an evaluation should contain personal communications; physical assessment, when indicated; and evidence that informed consent for the anesthetic has been obtained. (Source: Documenting the Standard of Care: The Anesthesia Record. In: Professional Practice Manual for the Certified Registered Nurse Anesthetist. Park Ridge, Ill: American Association of Nurse Anesthetists. 1991:1.)


  • The effects of spinal anesthesia vs epidural anesthesia on 3 potential postoperative complications: Pain, urinary retention and mobility following inguinal herniorrhaphy Efforts to minimize postoperative complications following outpatient inguinal hernia surgery are important for the anesthesia provider since most patients undergoing inguinal hernia repair will care for themselves at home after their procedures. This study demonstrates epidural anesthesia results in less urinary retention and earlier mobility than spinal anesthesia in men undergoing inguinal herniorrhaphy.
    Keywords: Inguinal herniorrhaphy, mobility, pain, outpatient anesthesia, urinary retention.
    Version: 2002;70:441-447. Authors: Ceri L. Faas, CRNA, MSN Florence J. Acosta, CRNA, MSN Mark D. R. Campbell, CRNA, MSN Chris E. O'Hagan, CRNA, MSN Sarah E. Newton, RN, PhD Karen Zaglaniczny, CRNA, PhD, FAAN
  • The effect of spinal introducer needle use on postoperative back pain In this research article, the authors compare the back pain and patient satisfaction scores after the administration of a spinal anesthetic with or without the use of an 18-gauge introducer needle.
    Keywords: Back pain, introducer needle, postdural puncture back pain, spinal anesthesia, spinal needle.
    Version: 2002;70:449-452. Authors: LCDR Rebekah R. Brooks, CRNA, MS, NC, USN LT Chris Oudekerk, CRNA, MS, NC, USN CDR R. Lee Olson, CRNA, MSN, NC, USN LCDR Carol Daniel, CRNA, MSN, NC, USN CAPT Charles Vacchiano, CRNA, PhD, NC, USN LCDR John Maye, CRNA, PhD, NC, USN
  • Massive subcutaneous emphysema and hypercarbia: Complications of carbon dioxide absorption during extraperitoneal and intraperitoneal laparoscopic surgery -- Case studies The authors present 2 case studies that describe the circumstances contributing to a complication of laparoscopic surgery using CO2 as the insufflation gas: subcutaneous emphysema.
    Keywords: Emphysema, hypercapnia, laparoscopy, subcutaneous emphysema.
    Version: 2002;70:456-461. Authors: Lt Col Jeffrey B. Worrell, CRNA, MSN, USAF, NC Lt Col Deborah Tarleton Cleary, CRNA, MSN, USAF, NC
  • Nurse anesthesia research: A follow-up study The amount of research published in the AANA Journal has steadily increased with a stable focus on clinical practice. The authors describe a follow-up study comparing nurse anesthesia research in the 1990s with findings of a previous study.
    Keywords: Nurse anesthesia research, research, scientific literature, trends.
    Version: 2002;70:463-469. Authors: COL (ret) Lynne M. Connelly, RN, PhD, ANC, USA LTC Joel Schretenthaler, CRNA, MHS, ANC, USA Roma Lee Taunton, RN, PhD
  • Assessing the authenticity of the human simulation experience in anesthesiology The purpose of this study was to assess the authenticity of human simulation with the goal of making future adjustments targeted at enhancing the overall worth of the experience.
    Keywords: Anesthesia simulators, authenticity, computers, crisis resource management.
    Version: 2002;70:470-473. Authors: Melissa A. Hotchkiss, CRNA, MSNA Chuck Biddle, CRNA, PhD Michael Fallacaro, CRNA, DNS
  • AANA Journal Course, Part 5 Update for nurse anesthetists -- Gender and pain In this Journal course, the author provides historical background on gender and pain, gender differences in medical research, epidemiology of pain, gender and opioids, gender differences in pain perception, gender reports of pain, and gender bias in pain assessment and treatment.
    Keywords: Gender pain management, provider bias.
    Version: 2002;70:475-480. Authors: Amy Criste, RN, BSN, CCRN