AANA Journal Issue Details

On The Cover

A banner announcing National Nurse Anesthetists Week, January 25-31, 2004, is prominently displayed at the entrance of the American Association of Nurse Anesthetists headquarters in Park Ridge, Ill. National Nurse Anesthetists Week was formally established in 2000 to educate the American public about the safe, high-quality anesthesia care that Certified Registered Nurse Anesthetists have been providing for more than a century. To request promotional materials for the fifth annual week-long event, email shorton@aana.com or fax (847) 692-2051.


  • A theory of inhaled anesthetic action disruption of ligand diffusion chreodes A novel theory of inhalational anesthesia extends beyond earlier work the author, invoking the concept of chreodes. Chreodes are passages through water, occurring near a protein surface, that are organized amino acid side chains of varying lipophilic status. The theory accounts for the nonspecific, ubiquitous, and modest stereospecificity observed for inhalation anesthetics.
    Keywords: Inhaled anesthetics, ligand diffusion, mechanism of action, protein landscape, water chreodes.
    Version: 2003;71:422-428. Authors: Lemont B. Kier, PhD
  • Anesthetic management for the placement of a fully implantable heart: A case report The authors report that this unique and interesting case was challenging for anesthesia providers. The review of the hemodynamic and pharmacologic management of the case provides an excellent review of the principals of cardiac anesthesia.
    Keywords: Abiocor, end-stage cardiomyopathy, hemodynamics, replacement heart.
    Version: 2003;71:431-439. Authors: Debra A. Barber, CRNA, MS Carla Hobbs, CRNA Ken Thielmeier, MD
  • A comparison of endotracheal tube cuff pressures using estimation techniques and direct intracuff measurement This study focused on estimation techniques used to assess the adequacy of endotracheal tube cuff pressure anesthesia providers. The results of this study suggest that estimation techniques are not adequate. The findings of this study can be used to establish standards in anesthesia practice and add to the body of information to support practice guidelines in all areas of nursing.
    Keywords: Endotracheal cuff pressures, estimation techniques.
    Version: 2003;71:443-447. Authors: Scott L. Stewart, CRNA, MSN Janet A. Secrest, RN, PhD Barbara R. Norwood, RN, EdD Richard Zachary, CRNA, MSN
  • AANA Journal Course, Part 5 Update for nurse anesthetists – Epidural analgesia using loss of resistance with air versus saline: Does it make a difference? Should we reevaluate our practice? Epidural analgesia is a popular method of pain control for laboring parturients. The most common method for determining entry into the epidural space is the loss-of-resistance (LOR) technique. In this AANA Journal course, the author discusses the problems associated with the 2 most common injected substances used for the LOR technique.
    Keywords: Air, analgesia, epidural, loss of resistance, saline.
    Version: 2003;71:449-453. Authors: CDR David Norman, CRNA, MSN, NC, USN