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Spinal Induced Hypotension Prophylaxis: Indiana CRNA Techniques

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MLA citation style (9th ed.)

Thomas, Kristen M. Spinal Induced Hypotension Prophylaxis: Indiana Crna Techniques. . 2023. marian.hykucommons.org/concern/generic_works/0af586f0-c40c-4f9a-880e-b6f957f8132e.

APA citation style (7th ed.)

T. K. M. (2023). Spinal Induced Hypotension Prophylaxis: Indiana CRNA Techniques. https://marian.hykucommons.org/concern/generic_works/0af586f0-c40c-4f9a-880e-b6f957f8132e

Chicago citation style (CMOS 17, author-date)

Thomas, Kristen M. Spinal Induced Hypotension Prophylaxis: Indiana Crna Techniques. 2023. https://marian.hykucommons.org/concern/generic_works/0af586f0-c40c-4f9a-880e-b6f957f8132e.

Note: These citations are programmatically generated and may be incomplete.

Anesthesia providers who give spinal anesthetics in obstetric anesthesia commonly witness spinal induced hypotension (SIH) in patients due to the sympathetic blockade after injection. This DNP project evaluated Indiana Certified Registered Nurse Anesthetists (CRNAs) and their utilization of preventative treatment for SIH after the administration of spinal anesthesia in healthy pregnant women undergoing elective cesarean sections. A needs assessment depicted a lack of research specifically concerning Indiana CRNAs and their prophylaxis practices when addressing SIH. This project design was a descriptive study and yielded a 13.27% response rate. By utilizing the Indiana Association of Nurse Anesthetists (INANA) email contact list of five hundred and sixty-five (565) members, an information sheet including implied consent, and an anonymous link to a 7-question Qualtrics self-assessment survey was administered. Survey questions included general demographics, prevention options, and treatment options utilized to prevent SIH in obstetrics. The select all that apply survey question regarding SIH prophylactic and rescue methods resulted in 296 responses from 75 Indiana CRNAs. After conducting data analysis, the most common practices of these 75 Indiana CRNAs were exposed. Data collection and analysis indicated the following results: 71 CRNAs reported administering an intravenous crystalloid infusion to reduce SIH (23.99%), 52 CRNAs reported administering intravenous ondansetron (17.58%), 48 CRNAs reported administering ephedrine boluses (16.22%), 47 CRNAs reported administering phenylephrine boluses (15.88%), and 37 CRNAs reported decreasing the height-based dosing of their spinal anesthetic (12.5%). This project assesses Indiana CRNA approaches to reduce SIH compared to current, published anesthesia practice guidelines.

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file details DNP_3__Kristen_Thomas_Final_Project_Report_Aug_2023.pdf 2023-09-05 Public Download