AANA Journal Issue Details

On The Cover

Suzanne M. Wright, CRNA, MSNA, assistant professor (seated), incorporates distance learning technologies while directing simulation training for nurse anesthesia students in the Center for Research in Human Simulation, Department of Nurse Anesthesia, VIrginia Commonwealth University (VCU), Richmond, Virginia. VCU students shown working in an operating room environment (from left to right) are: Karen Barnes, Ashley Hutchinson, and Scott Petey. The background screen and accompanying audio equipment allow the Center to communicate visually and vocally with distance classroom and simulation lab in Southwest Virginia. (Photo courtesy of Department of Nurse Anesthesia, VCU.)


  • Airway management in a child with penetrating pharyngeal wall foreign body injury: A case report In this case report, the authors state that penetrating foreign bodies of the oropharynx are encountered in children of all ages, although more frequently between the ages of 3 to 5 years. A thorough preanesthetic evaluation of these patients, including type and extent of injury, must be performed if time allows. As a result of the often emergent nature of these cases, poor patient cooperation, and great potential for airway compromise, special considerations are given to management of the airway. The use of nontraditional equipment may greatly facilitate laryngoscopy and intubation.
    Keywords: Airway management, difficult intubation, penetrating oropharyngeal foreign body.
    Version: 2007;75:329-332. Authors: Fabio Incollingo, CRNA, MSC Yuri Shevchenko, MD
  • Predictors of student success in the US Army Graduate Program in Anesthesia Nursing The primary objective of this research was to identify cognitive and noncognitive factors that may predict student success in the US Army Graduate Program in Anesthesia Nursing. Second, the results of this study will help iddentify students possibly at risk for failure so that interventional measures can be developed and implemented to promote success and reduce attrition. The findings suggest that locus of control and trait anxiety may be the most predictive indicators of success in the program, and the findings support that noncognitive factors may be as vital as cognitive factors in predicting academic success.
    Keywords: Academic perfrmance, anesthesia nursing, graduate nursing education.
    Version: 2007;75:339-346. Authors: CPT Joseph A. Hulse, CRNA, MSN, ANC, USA CPT Thomas Chenowith, CRNA, MSN, ANC, USA LTC Linda Lebedovych, CRNA, BSN, ANC, USA MAJ Paul Dickinson, RN, BSN, ANC, USA Brett Cavanaugh, RN, BSN Normalynn Garrett, CRNA, PhD
  • AANA Journal Course 4 Update for nurse anesthetists -- Life in the balance: The role of serpins in disease genesis and prevention The conditions discussed in this course, pulmonary emphysema and angioedema, result in part from a functional imbalance in the mechanics of protease inhibition by the serpins. The authors introduced this concept using the metaphor of Yin and Yang, 2 opposing but intertwined forces that interact to achieve an exquisite balance in human life. They conclude that proteases are diffusely located in the body and have essential roles in maintaining homeostasis. The serpin, a1-AT, exerts influence of such magnitude that aberrations in its expression lead to conditions of significant consideration to anesthesia providers,
    Keywords: a1-Antitrypsin deficiency, angioedema, emphysema, serpins.
    Version: 2007;75:349-354. Authors: John Aker, CRNA, MS Chuck Biddle, CRNA, PhD