AANA Journal Issue Details

On The Cover

Denver, the "Mile High City," will be home to nurse anesthetists, nurse anesthesia students, exhibitors, and guests attending the 74th Annual Meeting of the American Association of Nurse Anesthetists, August 4-8, 2007. Throughout the meeting, participants will have opportunities to benefit from quality educational programs, the exhibit hall, and social activities, as well as all the things Denver has to offer, such as abundant outdoor recreation, a wide selection of restaurants, and endless shopping possibilities. (Photo courtesy of Denver Metro Convention & Visitors Bureau.)


  • A study comparing chloroprocaine with lidocaine for skin infiltration before intravenous catheter insertion In this original research, the authors conducted a prospective, double-blind, mixed, crossover study to determine the perception of pain associated with intradermal lidocaine and chloroprocaine for insertion of an 18-gauge intravenous catheter. They report that, although the use of lidocaine is the most economical choice, both local anesthetics are relatively inexpensive and are effective in reducing the pain associated with an 18-gauge catheter insertion and should be implemented to reduce the pain.
    Keywords: Chloroprocaine, lidocaine, local anesthetics, visual analog scale.
    Version: 2007;75:255-258. Authors: MAJ Richard Ales, CRNA, MSN, AN, USA CPT Dorianne May, CRNA, MSN, AN, USA CPT Lori Whitney, CRNA, MSN, AN, USA
  • Anesthetic management in a pediatric patient with Noonan syndrome, mastocytosis, and von Willebrand disease: A case report This case report describes anesthetic considerations for a 6-year-old boy, admitted for adenoidectomy under general anesthesia, who had a complicated medical history, including mastocytosis, Noonan syndrome, and von Willebrand disease. Each affected the anesthetic plan and was addressed preoperatively among all surgical and anesthesia providers. Discussion included the clinical and anesthetic management of the case with a review of pertinent literature.
    Keywords: Anesthetic, Noonan syndrome, mastocytosis, pediatric, von Willebrand disease.
    Version: 2007;75:261-264. Authors: Lynn Fitzgerald Macksey, CRNA, MSN Beth White, CRNA, MSN
  • Closed claims studies in anesthesia: A literature review and implications for practice Historically, closed malpractice claims have been used to identify and examine potential causes for adverse anesthesia outcomes. In the United States, the American Association of Nurse Anesthetists and the American Society of Anesthesiologists have compiled and analyzed such data. The author concludes that although some researchers have cited closed claims studies as evidence of anesthesia risk trends, the nature of the data makes it inappropriate for calculation or comparison of risk. Further work is needed to elucidate some mechanisms of injury and to develop interventions to maximize patient safety.
    Keywords: Adverse outcomes, anesthesia risk, closed claims, malpractice.
    Version: 2007;75:267-275. Authors: Meghan G. MacRae, RN, PhD
  • Anesthetic implications for surgical correction of scoliosis This literature review focuses on key considerations for anesthetists, including common comorbidities in patients with scoliosis, the need for induced hypotension, large surgical blood loss, the need for transfusion of blood and blood products, possible autologous blood donation and acute normovolemic hemodilution, patient positioning, possible intraoperative wake-up testing to assess motor function, spinal cord monitoring, and hypothermia.
    Keywords: Anesthesia, scoliosis, spinal fusion.
    Version: 2007;75:277-285. Authors: Melissa A. Gambrall, CRNA, MSN, ARNP
  • AANA Journal Course Part 3 Update for nurse anesthetists -- Cyclodextrin introduction to anesthesia practice: Form, function, and application Cyclodextrins are some of the select molecules exhibiting properties that are beneficial across multiple industries. The author states that cyclodextrins, though known and studied for more than 100 years, have only recently been explored for specific application to anesthesia. In this AANA Journal course, the author includes discussion on pharmacologic benefits, form, function, clinical application, and clinical considerations.
    Keywords: Anesthesia, cyclodextrins, encapsulation, host-guest assembly/inclusion complex, modified cyclodextrins/derivatives.
    Version: 2007;75:289-296. Authors: Mark Welliver, CRNA, MS, ARNP