Date of Award
Spring 4-12-2024
Document Type
Thesis
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Brian Garrett
First Committee Member
Deanna Batross
Second Committee Member
Amy Bishop
Keywords
Anesthesia, Opioid tolerance, Opioid misuse
Subject Categories
Medicine and Health Sciences | Other Nursing | Perioperative, Operating Room and Surgical Nursing
Abstract
Opioids have highly addictive properties that allow for high levels of misuse. Since the early 1990s, the misuse and deaths rates related to narcotics have steadily risen in the United States. Efforts to identify individuals using opioids prior to surgery have proven difficult. The number of patients misusing opioids and reporting for surgery can only be estimated due to under-reporting related to fear and self-stigma. With 50 million surgeries in the U.S. annually and 3.32 million people misusing opioids monthly, the chances of a patient with Opioid Use Disorder (OUD) presenting for anesthesia are exceptionally high. Moreover, patients who rate pain higher throughout their hospital stay are more likely to have longer stays and be readmitted for pain issues. Notably, the average readmission cost is $15,200 for the patient. Issues with anesthetizing patients who chronically misuse opioids include cardiac dysrhythmias, respiratory complications, death from acute intoxication, higher opioid requirements postoperatively, prolonged hospital stays and increased readmission rates. The project serves to evaluate current literature to provide direct guidelines for implementation for OUD. The providers will be given a set of guidelines for adaption into practice. The success of the project will be measured by the outcomes of amount of opioids used, the length of stay, and readmission rates.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, some rights reserved. Attribution – Noncommercial – No Derivative Works
Recommended Citation
Joos, Jessica Kayla, "Final Scholarly Project: Clinical Guidelines for the Perioperative Management of Patients with Opioid Use Disorder Requiring Anesthesia" (2024). Doctor of Nursing Practice Scholarly Projects. 122.
https://digitalcommons.otterbein.edu/stu_doc/122