On The Cover

Belinda C. Shauver, CRNA, holds a Vietnamese child on the way to the operating room where she was serving on a mission trip in 2004 with Facing Futures Foundation in Ho Chi Minh City, Vietnam. The Foundation's focus is the surgical correction of birth defects found in children in Third World countries. "My first trip was in 1999, and I have gone back every year except 2003, when I was deployed to Iraq," said Shauver. "I consider it a great privilege to serve these children." Shauver is a nurse anesthetist at Mayo Clinic, Jacksonville, Fla.

Articles

  • Brief laboratory report: Surgical drape flammability Fires in the operating room continue to present a hazard to patients, at times with catastrophic and debilitating results. Recent data from closed claim files reveal oxygen, electrosurgical unit, and surgical drapes are common components of the fire triangle in the operating room. The purpose of this study was to test the flammability of different surgical drape materials and to determine the time to ignition using a bipolar electrosurgical unit device in 21%, 35%, and 100% oxygen concentrations.
    Keywords: Electrosurgical unit, flammability, operating room, surgical drapes.
    Version: 2006;74:352-354. Authors: Jessica Goldberg, CRNA, MS
  • New drug sugammadex: A selective relaxant binding agent Sugammadex is the first introduction of a new class of drugs called selective relaxant binding agents that encapsulate aminosteroid nondepolarizing muscle relaxants, terminating their effects. In this review article, the author discusses the animal studies and clinical trials of sugammadex and elaborates on sugammadex encapsulation.
    Keywords: Cyclodextrin, encapsulation, modified cyclodextrin, selective relaxant binding agents, sugammadex.
    Version: 2006;74:357-363 Authors: Mark Welliver, CRNA, MS
  • Nurse anesthetists as university faculty As university faculty, Certified Registered Nurse Anesthetists are expected to meet the same obligations as other members of the academy. The authors conclude that increasing the percentage of doctorally prepared faculty and the amount of time allocated to research and scholarship are essential for full integration of nurse anesthetists into the university and to continue the development of nurse anesthesia's specialty knowledge.
    Keywords: Faculty productivity, nurse anesthesia education, nurse anesthesia faculty.
    Version: 2006;74:366-372. Authors: Alfred E. Lupien, CRNA, PhD Marlene M. Rosenkoetter, RN, PhD, FAAN
  • Vocal cord dysfunction: A case report Vocal cord dysfunction (VCD) is a respiratory condition characterized by the paradoxical closure of the vocal cords. In this case report, the authors describe a 30-year-old woman with known VCD who underwent local anesthesia with intravenous sedation for perianal skin tag removal. Postoperatively, the patient experienced respiratory distress, prompting interventions and investigation. A review of the literature revealed limited information on VDC, and no anesthesia literature was found regarding this entity.
    Keywords: Airflow, airway limitation, asthma, vocal cord.
    Version: 2006;74:375-378. Authors: LCDR Erik C. Cline, CRNA, MSN, NC, USN LCDR Roger Davis, CRNA, MSN, NC, USN CDR Joseph F. Burkard, CRNA, DNSc, NC, USN
  • AANA Journal Course Part 4 Update for nurse anesthetists -- Itching, the "little" big problem as an orphan symptom The phenomenon of itching has received surprisingly little scientific scrutiny despite its commonality – hence its designation as a kind of neglected, "orphan symptom." Recent research and clinical understanding has shed light on itching, helping to illuminate its previously shaded landscape. This course reviews the nature of itching, its physiology, major triggers of particular interest to anesthetists (especially when using neuraxial agents), and interventions directed at its resolution.
    Keywords: Complications, neuraxial opiates, pruritis.
    Version: 2006;74:279-284. Authors: Matthew Toomey, RN, BSN Chuck Biddle, CRNA, PhD