Nurse Anesthesia DNP Project Presentations

Decreasing Perioperative Complications in Current Smokers by the Utilization of Endotracheal Tube Intracuff Alkalized 2% Lidocaine: CRNA Education

Presenter Information

Cody ReeleyFollow

Academic Level at Time of Presentation

Graduate

Major

DNP - Nurse Anesthesia

List all Project Mentors & Advisor(s)

Dina Byers, PhD, APRN, ACNS-BC

Presentation Format

Event

Abstract/Description

Postoperative complications can be undesirable in smokers after general endotracheal tube anesthesia (GETA). The purpose of this quality improvement project was to determine the efficacy of anesthesia education on the use of intracuff alkalinized lidocaine and implementation into practice. Certified Registered Nurse Anesthetists (CRNAs) anonymously agreed to an educational intervention consisting of an eight-question pre-survey, self-paced handout, and seven-question post-survey to test knowledge and effectiveness. Eleven CRNAs completed surveys that were analyzed using a t-test. Results suggested an increase in knowledge from the pre/post-surveys by a 47.3% average rise in correct responses. Providers exhibited understanding of the smoking incidence and effects this can have during anesthesia. Practice implications positively benefit the patient with fewer adverse events and improved satisfaction. Overall, results signified intracuff lidocaine education increased CRNA knowledge and willingness to incorporate into daily practice.

Keywords: Certified Registered Nurse Anesthetists, alkalinized lidocaine, intracuff, smokers, survey, education

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Nurse Anesthesia DNP Project Presentations (NUR 915)

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Decreasing Perioperative Complications in Current Smokers by the Utilization of Endotracheal Tube Intracuff Alkalized 2% Lidocaine: CRNA Education

Postoperative complications can be undesirable in smokers after general endotracheal tube anesthesia (GETA). The purpose of this quality improvement project was to determine the efficacy of anesthesia education on the use of intracuff alkalinized lidocaine and implementation into practice. Certified Registered Nurse Anesthetists (CRNAs) anonymously agreed to an educational intervention consisting of an eight-question pre-survey, self-paced handout, and seven-question post-survey to test knowledge and effectiveness. Eleven CRNAs completed surveys that were analyzed using a t-test. Results suggested an increase in knowledge from the pre/post-surveys by a 47.3% average rise in correct responses. Providers exhibited understanding of the smoking incidence and effects this can have during anesthesia. Practice implications positively benefit the patient with fewer adverse events and improved satisfaction. Overall, results signified intracuff lidocaine education increased CRNA knowledge and willingness to incorporate into daily practice.

Keywords: Certified Registered Nurse Anesthetists, alkalinized lidocaine, intracuff, smokers, survey, education