Date of Award
Doctor of Nursing Practice (DNP)
Brian Garrett, DNP, CRNA
First Committee Member
Kacy Ballard, DNP, CRNA
Second Committee Member
Greg Stockton, DNP, CRNA
Neuromuscular Blocking Agents, Airway Training, Airway Management, Endotracheal Intubation
Medicine and Health Sciences
Emergency endotracheal intubations occurring outside of the Operating Room (OR) are often performed by non-anesthesia providers. At a large, urban, level one trauma center, the current airway management policy for these non-anesthesia providers does not follow best practices based on the literature. Specifically, some non-anesthesia providers are not credentialed and/or privileged to administer neuromuscular blocking agents (NMBAs) during emergency endotracheal intubations. The purpose of this project was to develop evidence-based clinical recommendations for emergency airway management outside of the OR. The following objectives are framed using the Johns Hopkins Evidence-Based Practice (EBP) Model and were established to achieve the projects overall aim: 1) synthesize the evidence around the use of NMBAs during emergency airway management, 2) develop evidence-based recommendations for emergency airway management training, and 3) develop a comprehensive plan on how to enact and monitor recommendations for effectiveness. This project was significant because it provided a blueprint for clinical practice changes that could be adopted and implemented to improve patient outcomes. The project created evidence-based recommendations to optimize outcomes and enhance training for these providers requiring credentialing. In addition, the project included the development of a plan to monitor and measure the recommendations for effectiveness, as well as the development of a plan for adjusting/changing recommendations if identified as ineffective. These plans are outside the scope of the project’s academic/curricular timeline and would be implanted by the facility.
Copyright, all rights reserved. Fair Use
Ridgway, Danielle, "Clinical Recommendations for Non-Anesthesia Healthcare Providers Performing Emergency Airway Management Outside the Operating Room" (2022). Doctor of Nursing Practice Scholarly Projects. 64.