Date of Award
Spring 4-20-2024
Document Type
Paper
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Susan Butz
First Committee Member
Dr. Susan Butz
Second Committee Member
Dr. Danielle Winch
Third Committee Member
Dr. Amy Bishop
Keywords
Goal-directed fluid therapy, Stroke volume variation, Cardiac optimization algorithm, Whipple procedure
Subject Categories
Medicine and Health Sciences
Abstract
A fundamental responsibility of a certified registered nurse anesthetist includes intraoperative fluid and hemodynamic management. While Enhanced Recovery After Surgery protocols advocate goal-directed fluid therapy, the methodology remains controversial. An algorithmic approach systematically optimizes cardiac function and fluid volume status based on stroke volume variation, cardiac index, and mean arterial pressure. This project aims to evaluate the effects of placing intraoperative guidelines for patients undergoing a Whipple procedure when using a cardiac optimization algorithm to guide fluid and vasopressor management. The outcomes evaluated included the amount of fluids delivered intraoperatively, vasoactive medication administration, urine output, amount of blood transfusions, cardiac and respiratory outcomes, and pancreatic fistulas. The findings of this project present an effective way to manage a patient's fluid status to help improve patient surgical outcomes and postoperative complications.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, some rights reserved. Attribution – Noncommercial – No Derivative Works
Recommended Citation
Genther, Jarrod, "Evidence-Based Practice Recommendations for the use of a Cardiac Optimization Algorithm in Patients Undergoing a Whipple Procedure" (2024). Doctor of Nursing Practice Scholarly Projects. 127.
https://digitalcommons.otterbein.edu/stu_doc/127