Developing a Corneal Abrasion Protocol in Robotic Assisted Procedures

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Cameron Scott Toney (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Joshua Borders

Abstract: Background: The rapid emergence of robotic-assisted surgery has provided patients with an abundance of benefits including reduced postoperative pain, faster recovery time, reduced hospital stays, and improved cosmetic outcomes. However, robotic-assisted surgery places the patient at a higher risk for intraoperative corneal abrasions. Anesthesia providers are the first line of defense in protecting the patient against ocular injury in the perioperative setting. Therefore, it is important for anesthesia providers to become aware of the etiologies surrounding this increased incidence, as well as the optimal methods of ocular protection to minimize corneal abrasions in robotic assisted surgeries. Purpose: The purpose of this research project is to increase knowledge on the increased incidence of corneal abrasions in surgical patients undergoing robotic assisted procedures. Additionally, the purpose is to increase anesthesia providers’ confidence in corneal abrasion prevention and increase their readiness to change in adapting a comprehensive eye care protocol.Methods: An educational intervention with simulation was presented to a sample of 20 CRNAs at a rural hospital in North Carolina. Pre- and post- intervention surveys were utilized to analyze the change in knowledge, confidence, and readiness to change. Wilcoxon signed-ranked tests were performed using SPSS software to evaluate for statistically significant changes in mean scores after the educational intervention. Results and Conclusion: Educational intervention and simulation resulted in a statistically significant (p<0.001) increase in CRNA knowledge, confidence, and readiness to change. Corneal abrasion education should be implemented into onboarding and ongoing anesthesia training programs.

Additional Information

Publication
Other
Language: English
Date: 2023
Keywords
Corneal abrasion, robotic, robotic assisted, robotic assisted procedures, general anesthesia, Tegaderm, bio-occlusive

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