On The Cover

Cynthia Hammonds, CRNA, prepares a 5-year-old boy for a tonsillectomy and bilateral insertion of ear tubes at the Surgery Center in Oxford, Ala. The procedure took place in February 2001 during taping for a segment on Certified Registered Nurse Anesthetists produced by Pat Summerall Productions for Champions of Industry. The segment aired in May on Fox Cable News and may be viewed via a link on the AANA Website.

Articles

  • Preventable Adverse Patient Outcomes: A Closed Claims Analysis of Respiratory Incidents Closed claims analysis of adverse anesthesia outcomes was initiated to examine adverse outcomes of anesthesia care provided by Certified Registered Nurse Anesthetists. This article will detail a subset of claims, in which a respiratory system incident led to a negative patient outcome.
    Keywords: Adverse patient outcomes, closed claims research, standard of care, respiratory complications, vigilance.
    Version: 2001;69(5):386-392. Authors: Sandra L. Larson, CRNA, MS Lorraine Jordan, CRNA, PhD
  • Anesthesia in a Child with Rett Syndrome: A Case Report and Literature Review Rett syndrome is a progressive deterioration of the central nervous system in the young child. This case report of anesthesia in a child with Rett syndrome explains features that may be of importance to the anesthetic management of these children.
    Keywords: Automatism, anesthesia, pediatrics, Rett syndrome, syndrome.
    Version: 2001;69(5):395-396. Authors: Jane Pierson, CRNA James F. Mayhew, MD
  • Transient Radiculopathy After 5% lidocaine or 0.75% bupivacaine Spinal Anesthesia in 3 Surgical Positions In this article, the authors compare the incidence of transient radicular irritation (TRI) after spinal anesthesia with 5% lidocaine or 0.75% bupivacaine in the supine, prone, and lithotomy surgical positions. The findings suggest that TRI after spinal anesthesia occurs more frequently with 5% lidocaine than with 0.75% bupivacaine only when patients undergo surgery in the lithotomy position.
    Keywords: Bupivacaine, lidocaine, surgical position, spinal anesthesia, transient radicular irritation.
    Version: 2001;69(5):399-404. Authors: MAJ John Canady, CRNA, MSN, AN, USA MAJ Mary Hargrove, RN, BSN, AN, USA CPT Anita Ganz, CRNA, MSN, AN, USA
  • Analysis of Noteworthy Indicators on the Anesthesia Record: A Prospective, Multiregional Study This study identifies 13 noteworthy charting components and examines anesthesia records in diverse locales prospectively for the presence of the defined components. Finding inconsistencies in record completeness, the authors suggest that further studies evaluate strategies for improving compliance with national standards of documentation.
    Keywords: Documentation, monitoring, quality assurance, record keeping.
    Version: 2001;69(5):407-410. Authors: Chuck Biddle, CRNA, PhD Lucy Bauer, CRNA, MS Michael Dosch, CRNA, MS Celeste Dove, CRNA, MSNA John Nagelhout, CRNA, PhD Wynne Waugaman, CRNA, PhD, FAAN Karen Zaglaniczny, CRNA, PhD, FAAN
  • AANA Journal Course: Update for Nurse Anesthetists—Part 4 Latex Allergy: Are You at Risk? The prevalence of latex allergies in healthcare workers has significantly increased over the past 2 decades. This Journal Course provides an overview of the information available related to latex allergy in healthcare workers.
    Keywords: Healthcare worker exposure, latex allergy, latex-reduced environments, latex sensitivity.
    Version: 2001;69(5):413-424. Authors: Karen Zaglaniczny, CRNA, PhD, FAAN