SNHP | Nurse Anesthesia DNP Project Presentations
Preventing LAST: An Educational Initiative for Anesthesia Providers
Academic Level at Time of Presentation
Graduate
Major
Doctorate of Nursing Practice
List all Project Mentors & Advisor(s)
Dr. Tiffany Eye
Presentation Format
Poster Presentation
Abstract/Description
Abstract
Local Anesthetic Systemic Toxicity (LAST) is a potentially lethal complication of administering local anesthetics in the perioperative setting. Many anesthesia providers (CRNAs and SRNAs) are not always informed about maximum dosing, risk factors, or management of LAST. The purpose of the DNP project was to educate CRNAs and SRNAs about LAST and provided electronic resources that could help prevent local anesthetic overdose. The methodology of this quasi-experimental project involved a pre-test, comprehensive educational session and posttest for 17 anesthesia providers (15 SRNAs, 2 CRNAs). A paired t-test was used to determine significance between the pre and posttest scores. The results displayed a mean score of 35.23 for the pre-test, and 91.18 for the posttest. The t-value of this data was calculated to be -12.05, with a two-tail p-value of 1.94E-09 and two-tail critical value of 2.12. The findings of this project suggested an effective teaching intervention. Conclusions of this project are that anesthesia providers benefitted from a focused teaching on LAST, and that a majority (88%) of participants would utilize electronic resources to prevent complications in the future.
Keywords: Local Anesthetic Systemic Toxicity (LAST), education, CRNAs, SRNAs, electronic resources
Fall Scholars Week 2024 Event
Other (Please write in)
Other Scholars Week Event
Spring 2025 Scholars Week Event (4/14/25)
Preventing LAST: An Educational Initiative for Anesthesia Providers
Abstract
Local Anesthetic Systemic Toxicity (LAST) is a potentially lethal complication of administering local anesthetics in the perioperative setting. Many anesthesia providers (CRNAs and SRNAs) are not always informed about maximum dosing, risk factors, or management of LAST. The purpose of the DNP project was to educate CRNAs and SRNAs about LAST and provided electronic resources that could help prevent local anesthetic overdose. The methodology of this quasi-experimental project involved a pre-test, comprehensive educational session and posttest for 17 anesthesia providers (15 SRNAs, 2 CRNAs). A paired t-test was used to determine significance between the pre and posttest scores. The results displayed a mean score of 35.23 for the pre-test, and 91.18 for the posttest. The t-value of this data was calculated to be -12.05, with a two-tail p-value of 1.94E-09 and two-tail critical value of 2.12. The findings of this project suggested an effective teaching intervention. Conclusions of this project are that anesthesia providers benefitted from a focused teaching on LAST, and that a majority (88%) of participants would utilize electronic resources to prevent complications in the future.
Keywords: Local Anesthetic Systemic Toxicity (LAST), education, CRNAs, SRNAs, electronic resources
