Spinal Induced Hypotension Prophylaxis: Indiana CRNA Techniques

Anesthesia providers who give spinal anesthetics in obstetric anesthesia commonly witness spinal induced hypotension (SIH) in patients due to the sympathetic blockade after injection. This DNP project evaluated Indiana Certified Registered Nurse Anesthetists (CRNAs) and their utilization of preventative treatment for SIH after the administration of spinal anesthesia in healthy pregnant women undergoing elective cesarean sections. A needs assessment depicted a lack of research specifically concerning Indiana CRNAs and their prophylaxis practices when addressing SIH. This project design was a descriptive study and yielded a 13.27% response rate. By utilizing the Indiana Association of Nurse Anesthetists (INANA) email contact list of five hundred and sixty-five (565) members, an information sheet including implied consent, and an anonymous link to a 7-question Qualtrics self-assessment survey was administered. Survey questions included general demographics, prevention options, and treatment options utilized to prevent SIH in obstetrics. The select all that apply survey question regarding SIH prophylactic and rescue methods resulted in 296 responses from 75 Indiana CRNAs. After conducting data analysis, the most common practices of these 75 Indiana CRNAs were exposed. Data collection and analysis indicated the following results: 71 CRNAs reported administering an intravenous crystalloid infusion to reduce SIH (23.99%), 52 CRNAs reported administering intravenous ondansetron (17.58%), 48 CRNAs reported administering ephedrine boluses (16.22%), 47 CRNAs reported administering phenylephrine boluses (15.88%), and 37 CRNAs reported decreasing the height-based dosing of their spinal anesthetic (12.5%). This project assesses Indiana CRNA approaches to reduce SIH compared to current, published anesthesia practice guidelines.

Creator

• Thomas, Kristen M.

Language

• English

Mot-clé

• spinal anesthesia
• hypotension
• cesarean
• prevention

Date created

• 2023

Resource type

• Research Paper

Rights statement

• http://rightsstatements.org/vocab/InC/1.0/