Nurse Anesthesia DNP Project Presentations
A Pre-Operative Pseudocholinesterase Deficiency Screening Tool
Academic Level at Time of Presentation
Graduate
Major
Nursing Anesthesia DNP Project Presentations (NUR 915)
List all Project Mentors & Advisor(s)
Dr. Tiffany Eye
Presentation Format
Poster Presentation
Abstract/Description
Pseudocholinesterase deficiency can cause prolonged peri-operative ventilatory times and paralysis up to 8 hours from just a normal dose expected to last 5 minutes. There is little to no action done pre-operatively to screen risks for pseudocholinesterase deficiency to prevent complications such as pro-longed apnea, an ICU admission, awareness, and respiratory arrest. A pre-operative pseudocholinesterase screening tool was designed to help assess patient risk with the anticipated use of a Succinylcholine or Mivacurium paralytic, and pro-longed ventilatory times. Pre and post-surveys were conducted along an educational intervention followed by an introduction to the screening tool. The convenience sample of anesthesia providers (n =9) had an average of 2.56 on the pre-survey Likert scale of 1 to 5, with five being most inclined to use the screening tool and one less inclined. The post-survey Likert scale after the educational intervention averaged 4.33 on the 1 to 5 scale. We concluded that after a thorough education session on pseudocholinesterase deficiency, CRNA’s (certified registered nurse anesthetists) and SRNA (student registered nurse anesthetists) are more inclined to use a pseudocholinesterase screen to provide a safer anesthetic plan.
Spring Scholars Week 2024 Event
Nurse Anesthesia DNP Project Presentations (NUR 915)
A Pre-Operative Pseudocholinesterase Deficiency Screening Tool
Pseudocholinesterase deficiency can cause prolonged peri-operative ventilatory times and paralysis up to 8 hours from just a normal dose expected to last 5 minutes. There is little to no action done pre-operatively to screen risks for pseudocholinesterase deficiency to prevent complications such as pro-longed apnea, an ICU admission, awareness, and respiratory arrest. A pre-operative pseudocholinesterase screening tool was designed to help assess patient risk with the anticipated use of a Succinylcholine or Mivacurium paralytic, and pro-longed ventilatory times. Pre and post-surveys were conducted along an educational intervention followed by an introduction to the screening tool. The convenience sample of anesthesia providers (n =9) had an average of 2.56 on the pre-survey Likert scale of 1 to 5, with five being most inclined to use the screening tool and one less inclined. The post-survey Likert scale after the educational intervention averaged 4.33 on the 1 to 5 scale. We concluded that after a thorough education session on pseudocholinesterase deficiency, CRNA’s (certified registered nurse anesthetists) and SRNA (student registered nurse anesthetists) are more inclined to use a pseudocholinesterase screen to provide a safer anesthetic plan.