Does an Educational Intervention on the Benefits of Remimazolam for Endoscopic Procedures Change Practice and Improve Patient Outcomes

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Holly A. Nunn (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Vadim Korogoda

Abstract: Background: Current anesthetics used for endoscopic procedures include primarily propofol, with or without midazolam or fentanyl. Common side effects of these frequently used medications include injection site pain, respiratory depression, hypotension, and prolonged return to baseline neurologic function. While these medications have been the standard, anesthesia techniques are constantly changing to improve patient outcomes. Recent studies have examined the use of remimazolam for sedation on patients undergoing endoscopic procedures such as endoscopy, colonoscopy, bronchoscopy, or transesophageal echocardiogram (TEE) to reduce adverse effects associated with currently utilized anesthetics for these procedures. Purpose: This DNP project intended to change practice and improve patient outcomes by utilizing current literature to educate anesthesia providers on the benefits of using remimazolam for endoscopic procedures in patients over the age of 65. Methods: This project used a pretest-posttest quantitative design with an additional survey component to address knowledge and barriers. An educational intervention was presented to anesthesia providers at the facility. Data collected and analyzed included pre and post intervention patient chart reviews, and post intervention anesthesia provider survey responses. Results: Provider use of remimazolam did not increase or decrease following the intervention, but overall patient outcomes were improved post-intervention. The survey found that anesthesia providers understood and agreed with the presented material and addressed barriers to implementation of the EBP recommendations presented. Conclusion: Findings support that an educational intervention for anesthesia providers on the use of remimazolam for endoscopic procedures in elder patients improves patient outcomes. Increased access to the anesthetic and additional follow up education is recommended to increase provider implementation of EBP recommendations of using remimazolam in the target population.

Does an Educational Intervention on the Benefits of Remimazolam for Endoscopic Procedures Change Practice and Improve Patient Outcomes
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Created on 6/25/2024
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Additional Information

Publication

Other

Language: English

Date: 2024

Keywords

remimazolam, sedation, anesthesia, endoscopic, colonoscopy, endoscopy, bronchoscopy, hemodynamic stability, hypotension, elderly, safety

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