AANA Journal Issue Details

On The Cover

Lisa C. Scott, RN, BSN, confirms placement of a double-lumen endobronchial tube with a fiberoptic scope. Scott is a senior student in The University of Iowa College of Nursing Anesthesia Program, Iowa City, Iowa. The school is one of 88 nurse anesthesia programs in the United States today.


  • The AANA Foundation Closed Malpractice Claims Study on nerve injuries during anesthesia care Anesthesia-associated nerve injury is a common cause of patient morbidity and litigation. to identify factors associated with perioperative nerve injuries and rationalize preventive strategies, 44 cases from the AANA Foundation Closed Malpractice Claims Database pertaining to nerve injuries in which nurse anesthetists provided care were analyzed.
    Keywords: Closed claims analysis, complications, peripheral nerve injury.
    Version: 2003;71:347-352. Authors: Tracie Fritzlen, RN, BSN Michael Kremer, CRNA, DNSc, FAAN Chuck Biddle, CRNA, PhD
  • Uterine rupture in a primigravid patient and anesthetic implications: A case report Early diagnosis and swift treatment of uterine rupture is essential for optimal maternal and fetal outcomes. In the case presented, aggressive resuscitation and treatment aided in overcoming the delay in the diagnosis and definitive treatment for uterine rupture.
    Keywords: Epidural analgesia, obstetrical anesthesia, uterine rupture.
    Version: 2003;71:353-356. Authors: Alexander A. Litwin, CRNA, MSNA
  • Acupuncture and pain: A review of the literature In this review article, the author discusses the basics of Western medicine theories and treatment modalities of pain, followed an in-depth look at acupuncture. The discussion touches upon the theory of acupuncture with a concise review of the investigations that have been undertaken to provide scientific data for its effectiveness in pain management.
    Keywords: Acupuncture, alternative medicine, chronic pain, complementary medicine, pain management.
    Version: 2003;71:361-370. Authors: Ladan Eshkevari, CRNA, MS, Dipl. Ac.
  • Late postpartum eclampsia coincident with postdural puncture headache: A case report In this case report, the authors conclude that symptoms of postdural puncture headache can mimic those of postpartum preeclampsia. Early recognition and treatment of postpartum preeclampsia may decrease patient mortality and morbidity preventing late postpartum eclampsia.
    Keywords: Epidural blood patch, late postpartum eclampsia, late postpartum preeclampsia, postdural puncture headache.
    Version: 2003;71:371-372. Authors: LT Anthony W. Winston, CRNA, MS, NC, USN CDR David Norman, CRNA, MSN, NC, USN
  • Awareness under general anesthesia Undetected intraoperative awareness remains a significant problem for anesthesia providers. This literature review discusses assessment methods that can be trusted when general anesthesia is provided and measures that can be taken to prevent recall patients under general anesthesia.
    Keywords: Anesthesia, awareness, monitoring, prevention, recall.
    Version: 2003;71:373-379. Authors: Natalie Sigalovsky, RN, BSN
  • Version: 2003;71:381-388. Authors:
  • AANA Journal Course, Part 4 Update for nurse anesthetists -- Neuroleptic malignant syndrome Neuroleptic malignant syndrome (NMS) is a potentially fatal condition composed of hyperthermia, extrapyramidal symptoms, autonomic nervous system disturbances, and altered levels of consciousness. Although uncertainty exists about its cause, most studies suggest it is the result of dopaminergic deficiency in the central nervous system, most commonly caused neuroleptic medications. In this AANA Journal course, the author discusses pathophysiology, risk factors, signs and symptoms, differential diagnosis, and treatment of NMS.
    Keywords: Malignant, neuroleptic, syndrome.
    Version: 2003;71:389-394. Authors: Steve Waldorf, CRNA, MSN