AANA Journal Issue Details

On The Cover

A handheld computer device displaying an assessment of pulmonary history is held by John Michael Borza, CRNA, BS, who developed mobile technology for anesthesia providers and nurse anesthesia students to improve clinical productivity. "The software allows the end user to query data on its server for outcome studies to support anesthesia safety," says Borza. At the 2005 AANA Annual Meeting in Washington, DC, Borza presented a professional session on "Mobile Technology in Delivery of Anesthesia Care." He is the manager of nurse anesthetists at Ingham Regional Medical Center, Lansing, Michigan. (Photo taken by Robert Hopkins, CRNA, MSN, Ingham Regional Medical Center.)


  • Double-lumen endotracheal tube for one-lung ventilation through a fresh tracheostomy stoma: A case report For one-lung ventilation in many surgical cases, double-lumen endotracheal tubes are the first-line choice for airway management. This report describes an elective tracheostomy and the use of a double-lumen endotracheal tube directly through the fresh stoma site for a patient with a known difficult airway who had undergone a left-sided radical neck dissection and postoperative radiation 10 years earlier.
    Keywords: Arndt, bronchial blocker, double-lumen endotracheal tube, one-lung ventilation, tracheostomy, Univent.
    Version: 2007;75:411-415. Authors: Lana Leinbach Yaney, CRNA, MS, BSN
  • The effectiveness of inhalation isopropyl alcohol versus granisetron for the prevention of postoperative nausea and vomiting The authors designed this study to analyze the incidence of postoperative nausea and vomiting (PONV) in a fertile female patient population undergoing laparoscopic surgical procedures. They compare the effectiveness of granisetron, 0.1 mg, IV intraoperatively with the inhalation of 70% isopropyl alcohol as a prophylactic treatment for PONV vs a control group.
    Keywords: Granisetron, postoperative nausea and vomiting, inhalation isopropyl alcohol.
    Version: 2007;75:417-422. Authors: MAJ Lara Teran, CRNA, MSN, ANC, USA LTC John K. Hawkins, CRNA, PhD, ANC, USA
  • Occurrence and removal of a knotted pulmonary artery catheter: A case report In order to monitor and provide anesthesia safely to older, obese patients with various comorbidities the nurse anesthetist must weigh the risks and benefits of all types of monitoring when these patients undergo major invasive procedures. One such option is the Swan-Ganz pulmonary artery catheter. This case report describes one potential complication, a knot, and its management by the anesthesia care team in coordination with interventional radiology.
    Keywords: Interventional radiology, invasive hemodynamic monitoring, pulmonary artery catheter, Swan-Ganz catheter.
    Version: 2007;75:423-428. Authors: Ladan Eshkevari, CRNA, MS, Dipl Ac Brandee M. Baker, CRNA, MS
  • The effects of valerian on the time course of emergence from general anesthesia in Sprague-Dawley rats (Rattus norvegicus) The purpose of this study was to investigate the effects on emergence from isoflurane anesthesia using a combination of the herb valerian and midazolam compared with valerian alone, midazolam alone, and no additional drug-herb treatment in Sprague-Dawley rats. The findings suggest that the combination of valerian and midazolam may prolong emergence time.
    Keywords: Benzodiazepines, emergence, rats, valerian.
    Version: 2007;75:431-435. Authors: Capt Robert L. Chaplin, Jr, CRNA, MSN, USAF, NC Capt Jeffrey Jedynak, CRNA, MSN, USAF, NC Capt David Johnson, CRNA, MSN, USAF, NC Lt Col Donna Heiter, CRNA, MS, USAF, NC Lt Col Lawrence Shovelton, CRNA, MS, USAF, NC Normalynn Garrett, CRNA, PhD
  • AANA Journal Course Part 5 Update for nurse anesthetists -- Transfusion-related acute lung injury Between 2003 and 2005, transfusion-related acute lung injury surpassed ABO incompatibility as the number one cause of transfusion-related mortality in the United States. Prompt recognition and appropriate intervention are required to reduce the potential for mortality. This course includes 3 case reports, definitions and signs and symptoms, incidence, differential diagnosis, cause and pathophysiologic factors, treatment, and prevention.
    Keywords: Acute respiratory distress syndrome (ARDS), transfusion-associated circulatory overload (TACO), transfusion-related acute lung injury (TRALI).
    Version: 2007;75:437-444. Authors: Joseph A. Joyce, CRNA, BS