AANA Journal Issue Details

On The Cover

John Aker , CRNA, MS, verbally comforts a Philippino child during a halothane anesthetic induction in preparation for the correction of the child's cleft lip. Aker was an anesthesia team member with Operation Smile at the J.P. Rizal Hospital in Cavite, Philippines, in March of 1999 and 2000. Each year, hundreds of nurse anesthetists donate their time, expertise, and often pay their own expenses in order to join various surgical missions throughout the world.


  • The perceived influence of financial risk factors on the viability of nurse anesthesia educational programs Curtailing of expenditures and reestablishing profit can include managed care, mergers, changing profit status, and aggressive competition. The purpose of this study was to evaluate whether directors of nurse anesthesia programs (NAPs) perceived these items as being detrimental to their NAPs.
    Keywords: Healthcare delivery reform, hospital mergers, managed care, nurse anesthesia education, program closure.
    Version: 2002;70:359-366. Authors: Sonja J. Myers, CRNA, MS Denise Martin-Sheridan, CRNA, PhD
  • A comparison of rocuronium and lidocaine for the prevention of postoperative myalgia after succinylcholine administration The incidence of postoperative myalgia (POM) after succinylcholine administration has been reported to range from 5% to 83%. The purpose of this investigation was to compare the severity of POM in subjects receiving pretreatment with rocuronium and lidocaine.
    Keywords: Fasciculations, lidocaine, postoperative myalgia, rocuronium, succinylcholine.
    Version: 2002;70:367-372. Authors: LT Dennis Spence, CRNA, MS, NC, USN LCDR Ramona Domen-Herbert, CRNA, MS, NC, USN LCDR Elizabeth Boulette, CRNA, MS, NC, USN CDR R. Lee Olson, CRNA, MS, NC, USN CDR Charles Vacchiano, CRNA, PhD, NC, USN LCDR John Maye, CRNA, PhD, NC, USN
  • Chronic gastroesophageal reflux disease and its effect on laryngeal visualization and intubation: A case report This case report discusses a condition that is common but often overlooked in many instances during the evaluation process. The author states that the incidence of gastroesophageal reflux disease is increasing in the general population, and it is of utmost importance that it be considered during any airway assessment.
    Keywords: Airway edema, difficult airway, gastroesophageal reflux, subglottic stenosis.
    Version: 2002;70:373-375. Authors: Lorraine Stevens, CRNA, EdD
  • Costs and risks of weekend anesthesia staffing at 6 independently managed surgical suites In this study, the authors used their previously developed statistical method to review nurse anesthetist weekend staffing at 6 surgical suites that were part of a healthcare system with a cost-conscious management team. The statistical method determines the optimal combination of shifts specified as being appropriate for providing operating room care.
    Keywords: Economics, organization and administration; operating room information systems; operating rooms; operations research; personnel staffing and scheduling.
    Version: 2002;70:377-381. Authors: Franklin Dexter, MD, PhD Richard H. Epstein, MD H. Michael Marsh, MBBS
  • The process of evaluating and regulating a new drug: Phases of a drug study In this article, the author reviews the process every new drug must go through before it can be marketed in the United States, from the chemist's bench to the pharmacist's shelf, and the primary institution and laws that govern this process.
    Keywords: Clinical human trials, investigational new drug, phases of a drug study, preclinical trials.
    Version: 2002;70:385-390. Authors: Christine C. Cowan, CRNA, MSN
  • A study of clinical decision making Certified Registered Nurse Anesthetists In this study, the cognitive psychology framework of information-processing theory and literature pertaining to the use of heuristics, or rules of thumb, and clinical biases, were used to analyze cases from the AANA Foundation closed malpractice claims database.
    Keywords: Closed claims, clinical decisions.
    Version: 2002;70:391-397. Authors: Michael J. Kremer, CRNA, DNSc Margaret Faut-Callahan, CRNA, DNSc, FAAN Frank D. Hicks, RN, PhD
  • AANA Journal Course, Part 4 Update for nurse anesthetists -- Functional residual capacity: The human windbag In this Journal course, the authors review the basic anatomy and physiology of functional residual capacity (FRC) during the perioperative period. The course include determinants of FRC structure and function of surface forces, role of pulmonary surfactant, structure and function of chest wall components, and anesthesia and the FRC.
    Keywords: Alveolar architecture, anesthesia, atelectasis, functional residual capacity. (Editor's Note: Figure 3 was published in Foundations of Anesthesia: Basic and Clinical Sciences, Papadakos P, Chapter 49, Artificial ventilation, pp. 507-514, Hemmings HC and Hopkins PM, eds, 2000, by permission of the publisher Mosby. Copyright Elsevier, 2002. Reprinted with permission.)
    Version: 2002;70:399-407. Authors: Penelope S. Villars, CRNA, RRT, MSN Joseph T. Kanusky, CRNA, MS Michael G. Levitzky, PhD