AANA Journal Issue Details

On The Cover

AANA Journal June 2000


  • Hemorrhage After the Preoperative use of Complementary and Alternative Medicine: A Case Report Widely self-prescribed complementary and alternative medicines are often considered to be safe food supplements because of minimal federal product labeling requirements, although some herbal products may cause adverse effects or interact with prescription medications. This case report describes a patient who underwent breast surgery and had extensive postoperative bleeding. Preoperatively the patient consumed vitamin E and several herbs with potential to alter the hemostatic process combined with the drugs quinine sulfate and sertraline hydrochloride.
    Keywords: Anesthesia, complementary and alternative medicine, drug interaction, herbs, surgical patient.
    Version: 2000;68(3):217-220. Authors: Carol L. Norred, CRNA, MHS Christina A. Finlayson, MD
  • Laryngoscope Handles: A Potential for Infection In this original research, the author describes the incidence and types of microbes on laryngoscope handles after their use in the operating rooms of a 502-bed medical center. The author states that recognizing the existence of potential pathogens on laryngoscope blades and handles necessitates development of institution policies to promote cleaning, as well as use of disposable covers, high-level disinfection, or sterilization for blades and handles after each use.
    Keywords: Disinfection, laryngoscope handle, nosocomial infection.
    Version: 2000;68(3):233-236. Authors: Sue Ann Simmons, CRNA, MSN
  • Bilateral Tension Pneumothorax During Jet Ventilation: A Case Report Anesthetic management for the patient undergoing jet ventilation (high-pressure ventilation for upper laryngeal laser procedures) can be challenging, as complications of jet ventilation can include subcutaneous emphysema and tension pneumothorax. The authors use this case report to discuss the pathophysiology related to tension pneumothorax and anesthetic implications for management of cases involving jet ventilation.
    Keywords: Bilateral tension pneumothorax, jet ventilation, laser surgery.
    Version: 2000;68(3):241-244. Authors: Mary Jo Hardy, CRNA, MSN Craig Huard, CRNA, MSN Thomas C. Lundblad, CRNA, MSN
  • CRNA Awareness and Experience with DNR Orders Despite 2 decades of experience with do-not-resuscitate (DNR) orders, some controversy regarding their use still remains. The purpose of this study was to determine nurse anesthetists' level of awareness of their institution's perioperative DNR policy and their experiences and opinions regarding surgical candidates with DNR orders.
    Keywords: Anesthesia, do-not-resuscitate, ethical issues, resuscitate.
    Version: 2000;68(3):247-256. Authors: Vicki Callan Coopmans, CRNA, MS Carolyn Austin Gries, CRNA, MSN
  • Xenon: Anesthesia for the 21st Century As a result of the environmental concerns surrounding the use of nitrous oxide, both microscopically and globally, investigation of the use of xenon (a naturally occurring element in the earth's atmosphere) as a replacement for nitrous oxide has been renewed. This review article presents a historical perspective, environmental issues, and the advantages and disadvantages of the use of xenon.
    Keywords: Anesthesia, inhalation, nitrous oxide, xenon.
    Version: 2000;68(3):259-264. Authors: Joseph A. Joyce, CRNA, BS
  • AANA Journal Course—Part 2—Update for Nurse Anesthetists Refrigerated Anesthesia-related Medications Most anesthesia-related medications need not be refrigerated; however, some of them must be refrigerated to maintain potency until the expiration date. This AANA Journal course discusses anesthesia medications that require refrigeration and how long potency and safety is maintained out of the refrigerator.
    Keywords: Medications, potency, refrigeration, safety, warming.
    Version: 2000;68(3):265-268. Authors: Bill Lewis, CRNA, PharmD