Abstract

Objective: Anesthesia plays a critical role in the management of an adult brain-dead donor. It is imperative that the anesthesia provider understand the pathophysiology of brain death and its subsequent effects on the body, hemodynamic maintenance, lung recruitment strategies, fluid and electrolyte balance, hormone replacement therapy, and the use of other pertinent medications. Failure to comprehend can result in improper management and may lead to the inability to recover and transplant organs. The purpose of this quality improvement project is to determine if an educational module to describe best practice for organ donation for certified registered nurse anesthesia providers (CRNA) will help improve knowledge base regarding anesthetic management of an adult brain-dead donor patient.

Methods: Forty-one participants completed a pretest on the anesthetic management of an adult brain-dead donor. Following completion of the pretest, an educational module was presented. After presentation of the module, a posttest was completed by all participants. Scores of both the pretest and posttest were recorded and analyzed.

Results: The Wilcoxon Signed Ranks test was utilized to compare differences between pretest and posttest scores. The data was found to be statistically significant. In all forty-one participants, posttest scores were improved compared to pretest scores after an educational module was presented.

Conclusion: This study demonstrated that the use of an educational module for anesthetic management of adult brain-dead donors increases knowledge of CRNAs in the care of this specialized population.

Author Details

Rebecca VanWinkle, DNAP, CRNA

Sigma Membership

Non-member

Type

Other Graduate Paper

Format Type

Text-based Document

Study Design/Type

Quality Improvement

Research Approach

Other

Keywords:

Brain-dead Organ Donor, Anesthetic, Organ Donation

Advisor

Chandler, Holly

Degree

Doctoral-Other

Degree Grantor

Bryan College of Health Sciences

Degree Year

2020

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Proxy-submission

Full Text of Presentation

wf_yes

Share

COinS