Addressing Barriers to Dexmedetomidine Use in Anesthesia Practice: Provider Education
Public DepositedMLA citation style (9th ed.)
. n242. saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?q=June%2027,%202022. Addressing Barriers to Dexmedetomidine Use In Anesthesia Practice: Provider Education.APA citation style (7th ed.)
(n242). Addressing Barriers to Dexmedetomidine Use in Anesthesia Practice: Provider Education. https://saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?q=June%2027,%202022Chicago citation style (CMOS 17, author-date)
Addressing Barriers to Dexmedetomidine Use In Anesthesia Practice: Provider Education. n242. https://saint-francis.hykucommons.org/concern/generic_works/c5a58569-f08d-4467-b2b9-d6b1cd367684?q=June%2027,%202022.Note: These citations are programmatically generated and may be incomplete.
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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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Morgan_Stuut_Final_Project.pdf | 2022-09-14 | Public | Download |