NorthShore University HealthSystem, School of Nurse Anesthesia, Evanston, IL; School of Nursing, College of Science and Health, DePaul University, Chicago, IL.
NorthShore University HealthSystem, School of Nurse Anesthesia, Evanston, IL.
J Perianesth Nurs. 2023 Aug;38(4):629-635.e3. doi: 10.1016/j.jopan.2022.11.012. Epub 2023 Mar 8.
The purpose of this study was to examine the experiences of CRNAs using opioid sparing techniques in their perioperative anesthesia practice.
This study used a qualitative descriptive methodology.
Semistructured individual interviews were conducted with Certified Registered Nurse Anesthetists who use opioid sparing anesthesia in their clinical practice in the United States.
Sixteen interviews were completed. Thematic network analysis revealed two major themes: (1) perioperative benefits of opioid sparing anesthesia and (2) prospective benefits of opioid sparing anesthesia. Perioperative benefits described include reduction or elimination of postoperative nausea and vomiting, superior pain control, and improved short-term recovery. Prospective benefits described include higher surgeon satisfaction, superior surgeon-managed pain control, increased patient satisfaction, reduction of opioids in the community, and awareness of positive prospective benefits of opioid sparing anesthesia.
This study highlights the significance of opioid sparing anesthesia and its role in comprehensive perioperative pain control, reduction of opioids in the community, and patient recovery beyond the postanesthesia care unit.
本研究旨在探讨使用阿片类药物节约技术的麻醉护师在围手术期麻醉实践中的经验。
本研究采用定性描述性方法。
对在美国临床实践中使用阿片类药物节约型麻醉的注册护士麻醉师进行了半结构式个体访谈。
完成了 16 次访谈。主题网络分析揭示了两个主要主题：（1）阿片类药物节约型麻醉的围手术期益处，（2）阿片类药物节约型麻醉的预期益处。描述的围手术期益处包括减少或消除术后恶心和呕吐、更好的疼痛控制以及改善短期恢复。描述的预期益处包括更高的外科医生满意度、更好的外科医生管理的疼痛控制、更高的患者满意度、减少社区中的阿片类药物以及对阿片类药物节约型麻醉的积极预期益处的认识。
本研究强调了阿片类药物节约型麻醉的重要性及其在综合围手术期疼痛控制、减少社区中的阿片类药物以及术后恢复的作用。
