AANA Journal Issue Details

On The Cover

Dave Pederson, CRNA, administers an epidural anesthetic for a scheduled cesarean section at St. Anthony Regional Hospital in Carroll, Iowa. The hospital serves a rural community of 10,000 people and is staffed by 4 nurse anesthetists who provide anesthesia for ear, nose and throat; ophthalmologic; orthopedic; urologic; obstetric/gynecologic; and general surgeries.


  • Diagnosis and treatment of tension pneumothorax under anesthesia: A case report This case report describes the occurrence, diagnosis, and treatment of a tension pneumothorax during general anesthesia.
    Keywords: General anesthesia, jet ventilation, otolaryngology surgery, subcutaneous emphysema, tension pneumothorax.
    Version: 2002;70(1):21-24. Authors: Vicki L. Gambrill, CRNA, MSN
  • The morphine-sparing effect of metoclopramide on postoperative laparoscopic tubal ligation patients The primary purpose of this study was to determine whether the administration of metoclopramide could decrease the morphine requirements in the postanesthesia care unit (PACU) and decrease the total time a patient stays in the PACU.
    Keywords: Analgesia, metoclopramide, pain measurement, postoperative pain, tubal sterilization.
    Version: 2002;70(1):27-32. Authors: LCDR Robin D. Gibbs, CRNA, MS, NC, USN LT Beth Ann Movinsky, CRNA, MS, NC, USN CDR Joseph Pellegrini, CRNA, DNSc, NC, USN CAPT Charles A. Vacchiano, CRNA, PhD, NC, USN
  • Prevalence of and reasons for preoperative tobacco use Smoking cigarettes has an impact on all aspects of the perioperative anesthetic. In this original research, 81 patients completed a questionnaire concerning smoking behavior in the 24 hours before surgery.
    Keywords: Addiction, anesthesia, carboxyhemoglobin, smoking, teaching.
    Version: 2002;70(1):33-40. Authors: Janice Shannon-Cain, CRNA, MS Steven F. Webster, MD Brian S. Cain, MD
  • Safety in the use of compressed air versus oxygen for the ophthalmic patient The purpose of this study was to determine whether hypoxia occurs more frequently when compressed air replaces supplemental oxygen during ophthalmic surgery.
    Keywords: Cataract extraction, compressed air, oxygen, operating room fire, photosensitivity.
    Version: 2002;70(1):41-46. Authors: Laura A. Rodgers, CRNA, BSN Anahid Kulwicki, DNS, MSN, BSN
  • Herbal medicines and possible anesthesia interactions In this review article, the author provides an industry overview and look at commonly used herbal medicines, focusing on those with the greatest potential for anesthetic and operative complications.
    Keywords: Anesthesia, drug interaction, herbs.
    Version: 2002;70(1):47-51. Authors: Timothy R. Lyons, RN, MSN
  • Microbial growth on the anesthesia machine The purpose of the study was to determine the amount of microbial growth that develops on the anesthesia machine after a full day's use in the operating room.
    Keywords: Anesthesia machines, bacteriology, colony-forming units (CFUs), infection control, microbes.
    Version: 2002;70(1):53-56. Authors: PaTricia A. Maslyk, CRNA, MS Daniel A. Nafziger, MD Susan M. Burns, BS, CIC Philip R. Bowers, CRNA, MS
  • AANA Journal Course, Part 6 Update for nurse anesthetists A pathway toward safer anesthesia: Stereochemical advances BSDevelopment of stereochemically pure medications can lead to safer medications, reduce the amount of medication needed to produce the desired effect, and potentially reduce untoward and/or toxic effects of a medication. In this Journal course, the author provides background, biological significance, and anesthesia implications of stereochemical pure medications.
    Keywords: Chiral, racemic mixture, enantiomers, geometric isomers, optical activity, stereoselectivity.
    Version: 2002;70(1):63-67. Authors: Joseph A. Joyce, CRNA