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Addressing Barriers to Dexmedetomidine Use in Anesthesia Practice: Provider Education Public Deposited

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Morgan J. Stuut. Addressing Barriers to Dexmedetomidine Use In Anesthesia Practice: Provider Education. . n242. https://saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?locale=en

APA citation style

Morgan J. Stuut. (n242). Addressing Barriers to Dexmedetomidine Use in Anesthesia Practice: Provider Education. https://saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?locale=en

Chicago citation style

Morgan J. Stuut. Addressing Barriers to Dexmedetomidine Use In Anesthesia Practice: Provider Education. n242. https://saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?locale=en

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  • Background: While initially approved for sedation in the intensive care units, dexmedetomidine use has vastly evolved and has been utilized as a perioperative anesthesia adjunct to improve adult and pediatric patient outcomes related to postoperative shivering, emergence delirium, and acute pain management. However, dexmedetomidine was an underutilized anesthetic adjunct by Great Lakes Anesthesia (GLA) providers at Saint Joseph Health System: Plymouth Medical Center (PMC). Methodology: The intention of the DNP scholarly project was to increase knowledge and use of dexmedetomidine through an educational intervention. The intervention consisted of an educational PowerPoint, which contained a detailed summary of the latest systematic reviews and meta-analyses on the various uses of dexmedetomidine in anesthetic practice. In addition, the DNP project team leader included a reference notecard with a concise summary of dexmedetomidine dosages and indications. To assess GLA provider knowledge, a pretest and posttest were administered before and after the educational intervention. To assess use of dexmedetomidine, a prospective chart audit was completed three months after the educational intervention. Findings: The DNP project team leader utilized percent of change to analyze GLA provider knowledge of dexmedetomidine and raw frequencies to assess use of dexmedetomidine. While there was only a 4% increase in posttest scores compared to pretest scores, 23 vials of dexmedetomidine were administered over the three-month period following project implementation. Implications: Due to the minimal increase in pre/posttest scores, an educational PowerPoint may not have been the most effective means to educate anesthesia providers. However, a condensed and accessible summary of the various uses of dexmedetomidine in anesthetic practice may have contributed to the increased use of dexmedetomidine at PMC.
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