Impact on an Educational Intervention for Anesthesia Providers on the Benefits of Total Intravenous Anesthesia (TIVA) in Patients Undergoing Laparoscopic Bariatric Surgeries: Outcomes and Barriers

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

Cheahee Kim (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

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

Advisor

Vadim Korogoda

Abstract: Background: Laparoscopic bariatric surgery is associated with a high risk of developing postoperative nausea and vomiting (PONV). PONV causes various complications that delay healing and increase cost. It is one of the most undesirable anesthesia complications. Total intravenous anesthesia (TIVA) with propofol, instead of traditional inhalational anesthesia, is known to reduce risk of PONV. Purpose: The purpose of this DNP project was to assess the impact of an educational intervention on knowledge, practice change, patient outcomes, and barriers to TIVA use. Methods: An educational intervention on the benefits of TIVA and drawbacks of volatile anesthesia was provided to anesthesia providers. Pre- and post-intervention surveys were administered to assess the impact of the educational intervention on knowledge, practice, and perceived barriers. A retrospective chart review on patients who underwent laparoscopic bariatric surgeries, 28 days before and after the intervention, evaluated the incidence of PONV in the PACU and time to extubation from the end of the procedure. Results: There were no statistically significant changes in knowledge, practice, and perceived barriers before and after the educational intervention. Participants reported an increase in TIVA usage in patients with a high risk of PONV after the educational intervention. Perceived barriers to implementing TIVA also increased after the educational intervention. Patient chart review revealed lower incidences of PONV in patients who received TIVA, compared to patients that received inhalational or balanced anesthesia. Recommendations and Conclusion: An educational intervention on TIVA and PONV increases utilization of TIVA and improves patient outcomes. Barriers should be addressed to increase the use of TIVA and improve patient outcomes.

Impact on an Educational Intervention for Anesthesia Providers on the Benefits of Total Intravenous Anesthesia (TIVA) in Patients Undergoing Laparoscopic Bariatric Surgeries: Outcomes and Barriers
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Created on 2/3/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

TIVA, PONV, propofol, volatile anesthetics, emergence, laparoscopic bariatric surgeries, inhalational agents AND drawbacks, TIVA AND benefits, anti-emetic AND propofol, PONV AND risk factors

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