In honor of the 70th anniversary of the founding of the American Association of Nurse Anesthetists on June 17, 1931 (then known as the National Association of Nurse Anesthetists), this issue's cover features nurse anesthetist Agatha Hodgins, who was the Association's founder and first president. She is pictured here administering anesthesia during World War I. Hodgins and others from Lakeside Hospital in Cleveland, Ohio, were part of the Lakeside Unit that served at the American Ambulance Hospital at Neuilly, France. Part of Hodgins' work included training others in the use of nitrous oxide-oxygen anesthesia. After her return from France in 1915, Hodgins set up the Lakeside School of Anesthesia in Cleveland.
Transmyocardial Laser RevascularizationTransmyocardial laser revascularization creates channels in the heart that promote angiogenesis and reestablish blood flow, giving an alternative to those with intractable angina and generally improving quality of life. This article describes the case of a 47-year-old man with worsening angina who underwent this surgery.
Keywords: Angina, angiogenesis, end-stage coronary artery disease, transmyocardial laser revascularization.
The Impact of Nalmefe
Version: 2001;69(3):195-197.Authors: Mary W. Bernheim, CRNA, MSN
Keywords: Cesarean section, intrathecal opioids, nalmefene, neuraxial side effects of morphine, obstetrical anesthesia.
Version: 2001;69(3):199-205.Authors: CDR Joseph E. Pellegrini, CRNA, DNSc, NC, USN
CAPT Steven L. Bailey, MD, MC, USN
Jeffery Graves, MD
Judith A. Paice, RN, PhD, FAAN
Susan Shott, PhD
Margaret Faut-Callahan, CRNA, DNSc, FAAN
Amputation and Phantom Limb Pain: A Pain-Prevention ModelMore than 200,000 surgical amputations are performed in the United States each year. Of these patients, 70% experience phantom limb pain after the procedure, and 50% still experience phantom pain 5 years later. This article reviews the mechanisms involved in phantom limb pain, interventions, and prevention.
Assessing Pain Responses During General AnesthesiaThis study of Swedish nurse anesthetists assesses which clinical signs, indirect as well as monitor-derived, are considered indicative of intraoperative pain or depth of anesthesia. The findings indicate that indirect physiological signs are still considered of major importance during the anesthetic management of surgical patients.
Keywords: Awareness, depth of anesthesia, general anesthesia, pain, physiological response.