Educational Intervention On Preinduction Ondansetron As Prophylaxis For Subarachnoid Block-Induced Shivering

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

Samuel L. Reddinger (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

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

Advisor

Stacey Schlesinger

Abstract: Background: Post-anesthesia shivering affects 55% of patients who receive a subarachnoid block and increases the risk of cardiac complications. Ondansetron can reduce the incidence of shivering by 57% to 80% when administered before the block. However, anesthesia providers do not typically administer ondansetron before the block. Purpose: This project aimed to increase provider recognition of post-anesthesia shivering as a clinical problem, decrease the incidence of post-anesthesia shivering, and increase the administration of ondansetron before subarachnoid block using an educational intervention. Methods: The eight-week project used an educational intervention to change anesthesia providers' perceptions of the incidence and severity of post-anesthesia shivering and the safety and efficacy of ondansetron in preventing it. The providers' perceptions were assessed using a pre- and post-intervention survey and retrospective chart data. Results: The results showed a significant change in provider perceptions of ondansetron's efficacy and benefits. However, pre-subarachnoid block ondansetron administrations decreased after the intervention. It was not possible to quantitatively measure the incidence of shivering. Recommendations: Systemic changes at the project site, including stakeholder ownership and the operating room process, may be necessary to improve the quality of care further.

Educational Intervention On Preinduction Ondansetron As Prophylaxis For Subarachnoid Block-Induced Shivering
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Created on 6/27/2024
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Additional Information

Publication

Dissertation

Language: English

Date: 2024

Keywords

educational intervention, Health Beliefs Model, healthcare, neuraxial anesthesia, ondansetron, practice changes, shivering, spinal anesthesia, Zofran

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