AANA Journal Issue Details

On The Cover

AANA Journal February 2000


  • Use of Complementary and Alternative Medicines by Surgical Patients In this study, the authors examine the frequency of use of alternative medicines by surgical patients and evaluate potential adverse interactions with anesthesia based upon a literature review of known effects of unconventional medicines.
    Keywords: Anesthesia, complementary and alternative medicine, drug interaction, herbs, surgical patient.
    Version: 2000;68(1):13-18. Authors: Carol L. Norred, CRNA, MHS Stacy Zamudio, PhD Susan K. Palmer, MD
  • Statistical Method Using Operating Room Information System Data to Determine Anesthetist Weekend Call Requirements This article presents a statistical method that uses data from surgical services information systems to determine the minimum number of anesthetists to be scheduled for weekend call in an operating room suite. Using this method, an anesthesia group can assure as few anestetists are on call as possible, and for as few hours as possible, while maintaining the level of risk of understaffing that the group is willing to accept.
    Keywords: Anesthetist staffing, operating room economics, operating room information system, operating room management, staff scheduling.
    Version: 2000;68(1):21-26. Authors: Franklin Dexter, MD, PhD Alex Macario, MD, MBA Rodney D. Traub, PhD
  • Determining Staffing Requirements for a Second Shift of Anesthetists by Graphical Analysis of Data From Operating Room Information Systems In this article, the authors present a graphical statistical method that can be used to determine how many anesthesia providers are required on the second shift to minimize labor costs. The method uses data from surgical services information systems or hospital information systems to compensate for seasonality or seasonal variation in the number of operating rooms running at different times of the day.
    Keywords: Health economics, operating room information systems, operating room management, staff scheduling.
    Version: 2000;68(1):31-36. Authors: Franklin Dexter, MD, PhD Rodney D. Traub, PhD
  • Comparison of 4 Analgesic Agents for Venipuncture Venipuncture is perceived as a painful and stressful event to an already anxious surgical patient. If an inexpensive and effective analgesic agent for venipuncture can be identified, healthcare agencies can preserve patient comfort while attempting to minimize the cost of venipuncture. This study compares pain on application, pain on venipuncture, cost, and convenience of 4 analgesic agents used for venipuncture.
    Keywords: Analgesia, application pain, convenience, cost, venipuncture pain.
    Version: 2000;68(1):43-51. Authors: MAJ Priscilla Patterson, CRNA, MSN, AN, USA MAJ Ann A. Hussa, CRNA, MSN, AN, USA MAJ Kimberly A. Fedele, CRNA, MSN, AN, USA CPT Gary L. Vegh, CRNA, MSN, AN, USA MAJ Christina M. Hackman, CRNA, MSN, AN, USA
  • Peripheral Nerve Injury From Intravenous Cannulation: A Case Report When an intravenous (IV) catheter penetrates a nerve, it can cause temporary or permanent nerve damage. This case report of a patient who had an IV catheter inserted into her cephalic vein and sustained an injury to the superficial branch of the radial nerve also discusses IV therapy, the location of the peripheral nerves, injury to neurons, and recommendations to avoid nerve damage.
    Keywords: Intravenous therapy, nerve damage, neuroma, peripheral intravenous cannulation.
    Version: 2000;68(1):53-57. Authors: Mary Beth Boeson, CRNA, MSN Anne Hranchook, CRNA, MSN Jeff Stoller, CRNA
  • Influence of Whitacre Spinal Needle Orifice Direction on the Level of Sensory Blockade This research examines whether the direction of the needle orifice during injection of anesthetic into the subarachnoid space affects the level of sensory blockade achieved, and if the time from injection to surgical anesthesia differs when the anesthetic is injected with the needle in a cephalad vs a caudad orientation.
    Keywords: Regional anesthesia, spinal anesthesia, spinal needle, Whitacre spinal needle.
    Version: 2000;68(1):67-72. Authors: Franklin J. McShane, CRNA, MSN CPT Nelson Burgos, CRNA, MSN, AN, USA CPT Michael Kapp, CRNA, MSN, AN, USA Christine Wieczorek, CRNA, MSN
  • AANA Journal Course: Update for Nurse Anesthetists—Part 6 Anesthesia for the Ruptured Globe When giving anesthesia to a patient with a ruptured globe, a smooth, atraumatic induction is desired to avoid increasing intraocular pressure. However, methods to achieve this end may place the patient at risk for aspiration. This AANA Journal Course describes various anesthetic techniques for this type of injury, including the use of narcotics, lidocaine, nitroglycerin, alpha (α 2), agonism, beta (β) adrenergic and calcium channel blockades, plus the layrngeal mask airway.
    Keywords: Intraocular pressure, ocular anesthesia, perforated globe.
    Version: 2000;68(1):78-83. Authors: Elizabeth Laura Wright, CRNA, MNA Mark A. Kossick, CRNA, MS