Assessing Malignant Hyperthermia Protocol Familiarity Through the Incorporation of Simulation Training in Certified Registered Nurse Anesthetists

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

Sabrina A. Zaleski (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

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

Advisor

Vadim Korogoda

Abstract: Background: Malignant hyperthermia (MH) is a rare, life-threatening crisis that occurs when genetically susceptible individuals undergo general anesthesia. Survival is time-sensitive during an MH crisis and contingent upon prompt intervention and hemodynamic stabilization. Due to the scarce occurrence of MH, perioperative staff may be underprepared and lack confidence in their ability to manage a crisis. Objective: The purpose of this Doctor of Nursing Practice (DNP) project was to examine the impact of an educational presentation and MH simulation on clinician confidence and competence while managing an MH crisis at an urban tertiary care hospital. Methods: The Awareness to Adherence model and Johns Hopkins Evidence-Based Practice model provided context for implementation. Certified registered nurse anesthetists (CRNAs) received a PowerPoint presentation followed by an MH crisis simulation reenacted by the researchers. A mixed-methods design using a pre-and post-test survey was utilized for data collection. Results: Seven CRNAs participated in the intervention. A Wilcoxon signed-rank test was utilized to analyze the data from the pre-and post-test surveys. The majority of the participants reported increased clinician confidence after receiving the presentation and simulation. Conclusion: The results indicated that the intervention effectively increased confidence and knowledge of MH management, which helps decrease morbidity and mortality if a crisis occurs. Additionally, results indicated that simulation training is beneficial to increase confidence levels while preparing for life-threatening emergencies in a safe, controlled environment.

Assessing Malignant Hyperthermia Protocol Familiarity Through the Incorporation of Simulation Training in Certified Registered Nurse Anesthetists
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Created on 2/14/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

malignant hyperthermia, anesthesia management, education, simulation, clinician confidence

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