An Educational Intervention on Guidelines to Attenuate Spinal Anesthesia-Induced Maternal Hypotension and Related Side Effects

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Mildred A. Shaw (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Vadim Korogoda

Abstract: Background: Spinal anesthesia (subarachnoid block; SAB) is the preferred anesthetic technique used for elective cesarean sections (CS). While this technique is safe, hypotension and bradycardia are commonly occurring complications, putting both mother and baby at risk for adverse effects. Recent studies have examined the practice of administering prophylactic ondansetron, co-loading of crystalloids, and using sequential compressive devices as effective methods to reduce the incidence of spinal-induced maternal hypotension (SIH) and bradycardia. Purpose: This Doctor of Nursing Practice (DNP) project aimed to examine the impact of an educational intervention provided to Certified Registered Nurse Anesthetists (CRNAs) on evidence-based guidelines to attenuate spinal induced maternal hypotension and bradycardia. Outcomes included the effectiveness of an educational intervention, practice change, and barriers to change. Methods: The project utilized a post-intervention follow-up study design consisting of a pre-intervention survey, an online educational video, and a post-intervention survey. Results: Findings revealed a knowledge gap in the management of SIH. Although not statistically significant, there was an increase in knowledge and utilization of presented EBP to reduce SIH during elective CS. An educational intervention helped enhance CRNAs’ knowledge regarding SIH management and encouraged practice change.Recommendations and Conclusion: Findings support the use of EBP guidelines for managing SIH for parturient patients. Larger-scale research on this topic is recommended to support practice implementation.

Additional Information

Language: English
Date: 2022
ondansetron, spinal anesthesia, hypotension, cesarean section

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