Date of Award
Spring 4-19-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Kirk Hummer
First Committee Member
Brian Garrett
Second Committee Member
Joy Shoemaker
Keywords
Ketamine, Dexmedetomidine, Lidocaine, Non-opioid Analgesia, Pain, Spine Surgery
Subject Categories
Medicine and Health Sciences
Abstract
The most common cause of adult disability is chronic back pain. As medication maintenance therapy becomes ineffective, surgical intervention is the last resort for treatment. Patients with chronic pain often rely on pain medication such as opioids for relief. The exposure and dependency of opioids can create unique challenges for anesthesia providers to deliver safe and adequate anesthesia for surgery. Patient’s dependent on chronic opioids develops many adverse effects including sleep disordered breathing, suppression of the immune system, and higher risk of developing cardiovascular events under stress. There is a lack of consistent perioperative guidelines for patients undergoing spinal surgery with or without opioid exposure. This doctoral project seeks to develop evidence-based practice guidelines for perioperative management for patients undergoing spinal surgery. The Johns Hopkins evidence-based practice model was utilized to develop this doctoral project and to analyze the impact of non-opioid analgesia on visual analogue scale (VAS) scores, postoperative opioid consumption, and length of stay in the hospital (LOS). The non-opioid perioperative analgesic medications include ketamine, lidocaine, and dexmedetomidine. The project includes a plan for implementing the evidence-based practice guidelines, preparation and training staff, measuring outcomes, and potential revisions to the guidelines if there are undesirable effects.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
WAGNER, JONATHAN, "Development of Evidence-Based Practice Guidelines for Perioperative Multimodal Analgesia during Spine Surgery" (2024). Doctor of Nursing Practice Scholarly Projects. 140.
https://digitalcommons.otterbein.edu/stu_doc/140