Table Of ContentNURSE ANESTHESIA
Fourth Edition
John J. Nagelhout, PhD, CRNA, FAAN
Director, School of Anesthesia, Kaiser Permanente/California State University, Fullerton, Southern
California Permanente Medical Group, Pasadena, California
Karen L. Plaus, PhD, CRNA, FAAN
Executive Director, National Board on Certification and Recertification of Nurse Anesthetists, Park
Ridge, Illinois
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NURSE ANESTHESIA
ISBN: 978-1-4160-5025-4
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Notice
Knowledge and best practice in this field are
constantly changing. As new research and experience
broaden our knowledge, changes in practice, treatment,
and drug therapy may become necessary or appropriate.
Readers are advised to check the most current
information provided (i) on procedures featured or (ii) by
the manufacturer of each product to be administered to
verify the recommended dose or formula, the method and
duration of administration, and contraindications. It is the
responsibility of the practitioner, relying on his or her
own experience and knowledge of the patient, to make
diagnoses, to determine dosages and the best treatment
for each individual patient, and to take all appropriate
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neither the Publisher nor the Authors assumes any
liability for any injury and/or damage to persons or
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The Publisher
Library of Congress Cataloging-in-Publication
Data
Nurse anesthesia / [edited by] John J. Nagelhout,
Karen L. Plaus. – 4th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-4160-5025-4 (alk. paper)
1. Anesthesia. 2. Operating room nursing. I.
Nagelhout, John J. II. Plaus Karen L.
[DNLM: 1. Anesthesia–Nurses’ Instruction. 2.
Anesthetics–Nurses’, Instruction. 3. Nurse Anesthetists.
WO 200 N974 2010]
RD82.N87 2010
617.9′6–dc22
2008051376
Executive Publisher: Darlene Como Editor: Tamara
Myers Associate Developmental Editor: Tina Kaemmerer
Publishing Services Manager: Anne Altepeter Senior
Project Manager: Cheryl A. Abbott Designer: Paula
Catalano Printed in the United States of America Last
digit is the print number: 9 8 7 6 5 4 3 2 1
CONTRIBUTORS
John G. Aker, CRNA, MS, Staff Anesthetist, Department of Anesthesia,
University of Iowa Hospitals and Clinics, Iowa City, Iowa
Charles R. Barton, CRNA, MSN, MEd, Director, Graduate Anesthesia
Program, College of Nursing, The University of Akron, Akron, Ohio
Chuck Biddle, CRNA, PhD, Professor and Staff Anesthetist, Virginia
Commonwealth University, Richmond, Virginia
Gregory Bozimowski, CRNA, MS, Assistant Professor, Graduate Program
of Nurse Anesthesiology, University of Detroit Mercy, Detroit, Michigan
Charlene V. Brouillette, CRNA, MS, APRN, Kenner, Louisiana
Joseph F. Burkard, CRNA, DNSc, Associate Professor, USD DNP Program,
Hahn School of Nursing, University of San Diego, San Diego, California
Anthony Chipas, CRNA, PhD, Division Director/Associate Professor,
Medical University of South Carolina, Charleston, South Carolina
Gary D. Clark, CRNA, EdD, Associate Professor, Associate Director,
Coordinator Special Projects, Nurse Anesthesia Program, Department of
Biological Sciences, Webster University, St. Louis, Missouri
Theresa L. Culpepper, CRNA, PhD, Director, Clinical Anesthesia Services,
Ida V. Moffett School of Nursing, Department of Nurse Anesthesia,
Samford University, Birmingham, Alabama
Nicholas C. Curdt, CRNA, MS, BSN, RN, Northwest Anesthesia, St. Louis,
Missouri
Michael P. Dosch, CRNA, MS, Associate Professor and Chair, Nurse
Anesthesia, University of Detroit Mercy, Detroit, Michigan
Melydia J. Edge, CRNA, MSN, Clinical Associate Professor, Nurse
Anesthesia Program, College of Nursing, East Carolina University,
Greenville, North Carolina
Sass Elisha, CRNA, EdD, Assistant Director, Kaiser Permanente School of
Anesthesia, Pasadena, California
Wayne E. Ellis, PhD, CRNA, ANP, Private Practice Anesthesia and Pain
Management, Mountain State University, Beckley, West Virginia
Ladan Eshkevari, CRNA, MS, PhD(c), Assistant Professor, Georgetown
University, Washington, DC
Margaret Faut-Callahan, CRNA, PhD, FAAN, Dean and Professor, College
of Nursing, Marquette University, Milwaukee, Wisconsin
Carmencita Ford-Fleifel, CRNA, MS, Staff Anesthetist and Clinical
Instructor, St. John Macomb–Oakland Hospital, Macomb Center, Warren,
Michigan
Judith A. Franco, MSN, ACNP, CRNA, Clinical Instructor of
Anesthesiology, USC University Hospital, Los Angeles, California
Paul Gregg Gambrell, CRNA, MSN, Clinical Assistant Professor, College of
Nursing, East Carolina University, Greenville, North Carolina
Francis Gerbasi, CRNA, PhD, Executive Director, Council on Accreditation
of Nurse Anesthesia Educational Programs, American Association of Nurse
Anesthetists, Park Ridge, Illinois
C. Wayne Hamm, CRNA, MSN, AP, Certified Registered Nurse Anesthetist
Medical Anesthesia Group Memphis, Tennessee
Walter R. Hand, Jr., CRNA, PhD, Director of Corporate Education
Performance Anesthesia Fort Bragg, North Carolina
Randolf R. Harvey, CRNA, BS, Chief of Anesthesia Florida Eye Clinic/ASC
Altamonte Springs, Florida
Betty J. Horton, CRNA, PhD, Education Consultant Tower Hill, Illinois
Donna M. Jasinski, CRNA, PhD, Georgetown University Washington, DC
Joseph Anthony Joyce, CRNA, BS, Certified Registered Nurse Anesthetist
Moses Cone Health System Wesley Long Community Hospital Greensboro,
North Carolina
Mary C. Karlet, CRNA, PhD, Samford University Birmingham, Alabama
Bruce Evan Koch, CRNA, MSN, Adjunct Faculty Kaiser Permanente
School of Nurse Anesthesia Pasadena, California
Mark A. Kossick, CRNA, DNSc, APN, Professor and Senior Fellow School
of Nursing Union University Jackson, Tennessee
Julie Ann Lowery, CRNA, MS, BSN, Certified Registered Nurse Anesthetist
University of North Carolina Chapel Hill, North Carolina
Rex A. Marley, CRNA, MS, RRT, Chief Nurse Anesthetist Northern
Colorado Anesthesia Professional Consultants Fort Collins, Colorado
John Maye, CRNA, PhD, Commander, United States Army Uniformed
Services University Graduate School of Nursing Nurse Anesthesia Program
Bethesda, Maryland
Maura S. McAuliffe, CRNA, PhD, FAAN, Professor and Director Nurse
Anesthesia Program College of Nursing East Carolina University
Greenville, North Carolina
Beth Ann Movinsky, CRNA, MS, MA, Clinical Coordinator Navy Nurse
Corps Anesthesia Program San Diego, California
Anne Kiyomi Nishinaga, CRNA, MSN, Staff Nurse Anesthetist Kaiser
Permanente Medical Center Panorama City, California
Jan Odom-Forren, MS, RN, CPAN, FAAN, Perianesthesia Consultant
Louisville, Kentucky
Michael P. O’Donnell, PhD, Didactic Director, Minneapolis School of
Anesthesia Professor, St. Mary’s University of Minnesota Minneapolis,
Minnesota
R. Lee Olson, CRNA, MS, Director, Navy Nurse Corps Anesthesia Program
Bethesda, Maryland
Lisa A. Osborne, CRNA, PhD, Clinical Coordinator Navy Nurse Corps
Anesthesia Program Naval School of Health Sciences San Diego, California
Sandra Maree Ouellette, CRNA, MEd, FAAN, President, International
Federation of Nurse Anesthetists President, R&S Ouellette, Inc. Winston-
Salem, North Carolina
Timothy J. Palmer, CRNA, MS, Anesthesia Education Coordinator
Surgical Services Education William Beaumont Hospital Royal Oak,
Michigan
Joseph E. Pellegrini, CRNA, PhD, DNP, Associate Professor and Assistant
Director Nurse Anesthesia Program University of Maryland Baltimore,
Maryland
Brian P. Radesic, CRNA, MSN, Associate Director, Graduate Anesthesia
Program College of Nursing The University of Akron Akron, Ohio
Michael Rieker, CRNA, DNP, Director, Nurse Anesthesia Program Wake
Forest University Baptist Medical Center Winston Salem, North Carolina
Bernadette T. Higgins Roche, CRNA, EdD, Administrative Director and
Assistant Professor NorthShore University Health System School of Nurse
Anesthesia De Paul University Evanston, Illinois
Allan J. Schwartz, DDS, CRNA, Dentist-Certified Registered Nurse
Anesthetist Columbia, Missouri
Elizabeth Monti Seibert, CRNA, PhD, Associate Professor and Director of
Doctoral Education Department of Nurse Anesthesia Virginia
Commonwealth University Richmond, Virginia
Julie A. Stone, CRNA, EdD, Northwest Anesthesia St. Louis, Missouri
Henry C. Talley, V, CRNA, PhD, Program Director College of Nursing
Michigan State University East Lansing, Michigan
Lisa J. Thiemann, CRNA, MNA, Acting Senior Director, Professional
Practice American Association of Nurse Anesthetists Park Ridge, Illinois
Charles A. Vacchiano, CRNA, PhD, Professor Nurse Anesthesia Program
Duke University School of Nursing Durham, North Carolina
Ronald L. Van Nest, CRNA, MA, Adjunct Assistant Professor Van Nest and
Associates, LLC Davidsonville, Maryland
Edward Waters, CRNA, MN, Instructor Kaiser Permanente School of
Anesthesia Pasadena, California
Mark D. Welliver, CRNA, DNPc, Assistant Professor Nurse Anesthetist
