择期手术的大麻使用患者的术前准备和指南。
Preoperative Preparation and Guidelines for Cannabis-Using Patients Undergoing Elective Surgery.
机构信息
Staff CRNA, Astria Sunnyside Hospital, Sunnyside, WA.
Duke University Doctor of Nursing Practice Program, Durham, NC.
出版信息
J Perianesth Nurs. 2023 Aug;38(4):560-563. doi: 10.1016/j.jopan.2022.10.002. Epub 2023 Jan 4.
PURPOSE
Appropriate preoperative screening techniques are needed to safely provide anesthesia to increasing numbers of cannabis using surgical patients.
DESIGN
This was a quasi-experimental quality improvement project.
METHODS
Preoperative identification of cannabis users by registered nurses (RNs) and certified registered nurse anesthetists (CRNAs) was compared to baseline identification rates. CRNAs' compliance with evidenced base guidelines was recorded. Perioperative medication requirements were recorded and compared between cannabis-users and noncannabis users.
FINDINGS
Identification of cannabis users by CRNAs conducting preanesthetic assessments increased from 4.08% to 14.36% while RN identification improved from 11.22% to 13.81%. Compliance with identification guidelines was 69.2% among CRNAs. There were no differences in anesthetic requirements, complications, or postanesthesia care unit (PACU) length of stay between cannabis users and nonusers.
CONCLUSIONS
Preoperative identification of cannabis users allows for safer, more effective perioperative care by CRNAs, registered nurses, and surgical staff.
目的
需要适当的术前筛查技术，以安全地为越来越多的使用大麻的手术患者提供麻醉。
设计
这是一个准实验性的质量改进项目。
方法
由注册护士（RN）和注册麻醉师（CRNA）术前识别大麻使用者，并与基线识别率进行比较。记录麻醉师遵守循证指南的情况。记录围手术期用药需求，并比较大麻使用者和非使用者之间的差异。
结果
CRNA 进行术前评估时识别大麻使用者的比例从 4.08%增加到 14.36%，而 RN 的识别率从 11.22%提高到 13.81%。CRNA 的识别指南符合率为 69.2%。大麻使用者和非使用者在麻醉需求、并发症或术后恢复室（PACU）停留时间方面无差异。
结论
术前识别大麻使用者可使 CRNA、注册护士和外科工作人员能够更安全、更有效地进行围手术期护理。
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