Date of Award
Spring 4-30-2024
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Brian Garrett
First Committee Member
Dr. Joy Shoemaker
Second Committee Member
Mrs. Kerrie Rodgers
Keywords
Breast Cancer, Anesthesia, Natural Killer Cells, Opioids, Metastasis
Subject Categories
Medicine and Health Sciences
Abstract
In the United States, the rate at which cancer is diagnosed is on the rise. In women, breast cancer is the second most common cancer diagnosis, following skin cancer, with approximately one in eight women developing breast cancer in their lifetime. When a patient receives a breast cancer diagnosis, the oncologic team will discuss the most suitable treatment plan for the patient, this often includes chemotherapy, radiation therapy, and surgery. Within the last few decades, research has shown that there may be a correlation between anesthetic medications and breast cancer metastasis. This project aims to create an evidence-based anesthesia guideline for patients undergoing breast cancer surgery. Interventions will include a paravertebral block, total intravenous anesthesia (TIVA), and non-opioid analgesics; evidence has shown that volatile agents and opioids can decrease natural killer cell activity and increase postoperative metastasis. The Johns Hopkins Evidence-Based Practice Guideline Model for Nurses and Healthcare Professionals will be used to guide this process.
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
High, Alexa, "Final Scholarly Project: Development of Evidenced-Based Practice Guidelines for Female Patients Undergoing Anesthesia for Breast Cancer Surgery" (2024). Doctor of Nursing Practice Scholarly Projects. 95.
https://digitalcommons.otterbein.edu/stu_doc/95
Poster