Date of Award
Spring 4-13-2023
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Brian Garrett
First Committee Member
Dr. Brian Garrett
Second Committee Member
Dr. Joy Shoemaker
Third Committee Member
Dr. Amy Bishop
Keywords
Regional Anesthesia, Combat, Ultrasound, Training Course, Peripheral Extremity Wounds
Subject Categories
Medicine and Health Sciences | Nursing
Abstract
Dating back to 3200 BC, military personnel routinely experience peripheral extremity wounds during combat. Traditionally, military anesthesia providers utilized general anesthesia and opioids to treat acute pain in the combat setting. Opioids can cause adverse effects such as respiratory depression, delirium, hemodynamic instability, nausea & vomiting, and addiction, which causes delays in care and requires more resources. Regional anesthesia is gaining favor during military operations due to its safety profile and effectiveness in controlling acute pain. Regional anesthesia is safer and more effective than opioids in the trauma/combat setting. Guidelines were provided based on current evidence in the literature and provided to guide anesthesia providers in combat. Implementing a regional training course for military anesthesia providers will instill confidence and provide guidelines for future and current providers in the combat setting. Medical carts in the operating room will reduce the time spent searching for equipment and maintain workflow during combat. Changing the current clinical practice will improve post-surgical recovery and ease of transportation for U.S. personnel serving in the combat setting.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Baker, Matthew, "Development of Guidelines for Early Implementation of Regional Anesthesia in United States Personnel with Peripheral Injuries" (2023). Doctor of Nursing Practice Scholarly Projects. 109.
https://digitalcommons.otterbein.edu/stu_doc/109
Poster