Improving the early identification of malignant hyperthermia, neuroleptic malignant syndrome, and serotonin syndrome for anesthesia providers
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Ashley Adeola Elliott (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Terry Wicks
Abstract: Background: Serotonin syndrome (SS), Neuroleptic Malignant Syndrome (NMS) and Malignant Hyperthermia (MH) are all potentially life-threatening conditions that share similar clinical features. Anesthesia providers need to be able to recognize the hallmark features and management priorities of each condition.Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to investigate the use of a cognitive aid tool to help clinicians differentiate malignant hyperthermia (MH), neuroleptic malignant syndrome (NMS), and serotonin syndrome (SS) in a clinical case scenario presentation. This DNP project aimed to improve the clinician’s ability to identify and appropriately manage each condition through prompt intervention. Methods: The DNP student designed a cognitive aid tool and conducted a mixed-method investigation of the use of the cognitive aid by anesthesia providers during case scenario presentations involving SS, NMS, and MH. Assessment of the anesthesia provider’s initial knowledge of the management of each condition without using a cognitive aide was determined through responses to survey questions. After a baseline response from the participants was obtained, a cognitive aid tool was introduced to the participants. The participants were asked to respond to a second series of case scenarios involving either NMS, SS, or MH. Their responses were collected (post-cognitive aid responses) and compared to the initial responses (pre-cognitive aid responses).Results: Anesthesia providers demonstrated improved mean score responses to the case scenario presentations after the introduction of a cognitive aid tool and educational presentation. The outcome of the DNP project indicated an enhanced ability to identify and prioritize the management of a patient experiencing either SS, NMS, or MH through the use of a cognitive aid tool. Recommendations and Conclusions: A cognitive aid tool is a practical and effective resource to improve recognition of these rare and life-threatening conditions during case scenario presentations.
Improving the early identification of malignant hyperthermia, neuroleptic malignant syndrome, and serotonin syndrome for anesthesia providers
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Created on 6/25/2024
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Additional Information
- Publication
- Other
- Language: English
- Date: 2024
- Keywords
- Malignant Hyperthermia, Serotonin syndrome, Neuroleptic Malignant Syndrome, Management priorities, Cognitive Aid