On The Cover

Ann Steelquist, CRNA, MSN, performs spinal anesthesia on a patient at Mario Catarino Rivas Hospital, San Pedro Sula, Honduras, where she served as a volunteer for Mercy Ships in May 2007. Steelquist is a staff nurse anesthetist at Winchester Medical Center, Winchester, Virginia. (Photo taken by Ann McFarland, PA-C.)

Articles

  • Nurse Anesthesia Program Requirements for Esophageal/Precordial Stethoscope Earpieces: A Demographic Report The purpose of this project was to determine the number of anesthesia programs that required mandatory purchase of the auscultatory earpiece by student nurse anesthetists. Results revealed that 95% of the responding nurse anesthesia programs require esophageal/precordial stethoscope earpieces for their students, but 45% of those programs provide the earpieces.
    Keywords: Anesthesia education, auscultatory earpiece, esophageal stethoscope, precordial stethoscope.
    Version: 2009;77(3)191-192. Authors: Jennifer Smith, CRNA, MSN Judith H. Wakim, RN, EdD, CNE Linda Hill, CRNA, DNSc
  • Spinal Anesthesia in Preterm Infants Undergoing Herniorrhaphy Spinal anesthesia has begun to gain acceptance as an alternative to general anesthesia for repair of an inguinal hernia in preterm infants. In this review article, the author describes the benefits and risks of spinal anesthesia in preterm infants undergoing herniorrhaphy.
    Keywords: Herniorrhaphy, preterm infants, spinal anesthesia.
    Version: 2009;77(3)199-206. Authors: Amber Libby, CRNA, MSN
  • Anesthetic Management of Acute Subcutaneous Emphysema and Pneumothorax Following a Nuss Procedure: A Case Report The minimally invasive Nuss procedure has become the standard of care for surgical correction of pectus excavatum. This case report describes the perioperative course of a young patient undergoing the Nuss procedure.
    Keywords: Nuss procedure, patient controlled anesthesia, pectus excavatum, Ravitch procedure, subcutaneous emphysema.
    Version: 2009;77(3)208-211. Authors: Michael E. Conti, CRNA, MSN
  • Will the Addition of a Sciatic Nerve Block to a Femoral Nerve Block Provide Better Pain Control Following Anterior Cruciate Ligament Repair Surgery? Two common forms of postoperative analgesia used in patients following an anterior cruciate ligament repair (ACLR) are the femoral nerve block and the combined femoral-sciatic nerve block. The purpose of this study was to determine if the addition of the sciatic nerve block to the femoral nerve block is beneficial in ACLR patients requesting regional anesthesia for postoperative pain control.
    Keywords: Analgesia, anterior cruciate ligament repair, femoral nerve block, peripheral nerve blocks, sciatic nerve block.
    Version: 2009;77(3)213-218. Authors: LCDR Tammy K. Jansen, CRNA, MSN, NC, USN LCDR Brian E. Miller, CRNA, MSN, NC, USN LCDR Nicolas Arretche, CRNA, MSN, NC, USN Joseph E. Pellegrini, CRNA, PhD, CAPT(ret), NC, USN
  • An Update on Sugammadex Sodium Sugammadex sodium is the generic drug name for the novel modified gamma cyclodextrin that terminates neuromuscular blockade induced by aminosteroidal neuromuscular blocking agents. This update focuses on the most recent findings of phase II and III clinical studies.
    Keywords: Clinical trials, neuromuscular blockade reversal, sugammadex.
    Version: 2009;77(3)219-228. Authors: Mark Welliver, CRNA, DNP Dennis Cheek, RN, PhD, FAHA
  • AANA Journal Course: Update for Nurse Anesthetists—Part 2—Semmelweis Revisited: Hand Hygiene and Nosocomial Disease Transmission in the Anesthesia Workstation Hospital-acquired infections occur at an alarmingly high frequency, possibly affecting as many as 1 in 10 patients, resulting in a staggering morbidity and an annual mortality of many tens of thousands of patients. The author states it is vital that all healthcare providers, including anesthesia providers, appreciate the role of inadequate hand hygiene in nosocomial infection and meticulously follow the mandates of the American Association of Nurse Anesthetists and other professional healthcare organizations.
    Keywords: Anesthesia workstation, biofilm, hand hygiene, hand washing, nosocomial infection.
    Version: 2009;77(3)229-237. Authors: Chuck Biddle, CRNA, PhD