Bibliographic Details
| Title: |
Implementation of a Perioperative Lung Protective Ventilation Protocol for Robotic-Assisted Surgeries. |
| Authors: |
Elmore, Sydney A.1 sydney.elmore@duke.edu, Tola, Denise H.2 denise.tola@duke.edu, Simmons, Virginia C.3 chris.v.simmons@duke.edu, Wilson, Lauren A.4 LaurenAWilson15@gmail.com, Szydlowski, Jessica D.5 jessica.szydlowski@duke.edu |
| Source: |
AANA Journal. Oct2024, Vol. 92 Issue 5, p337-344. 8p. |
| Subject Terms: |
*LUNG disease prevention, *SURGICAL robots, *MEDICAL protocols, *OXYGEN saturation, *STATISTICAL power analysis, *SCALE analysis (Psychology), *HUMAN services programs, *HEALTH attitudes, *POSITIVE end-expiratory pressure, *BODY mass index, *HEALTH status indicators, *PROFESSIONAL practice, *DATA analysis, *EVALUATION of human services programs, *BODY weight, *KRUSKAL-Wallis Test, *ANESTHESIOLOGISTS, *RETROSPECTIVE studies, *CONFIDENCE, *DESCRIPTIVE statistics, *MANN Whitney U Test, *CHI-squared test, *PROFESSIONS, *PRE-tests & post-tests, *EXPIRATORY flow, *STATURE, *SURVEYS, *ARTIFICIAL respiration, *MEDICAL records, *ACQUISITION of data, *ELECTRONIC health records, *RESPIRATORY measurements, *ATTITUDES of medical personnel, *STATISTICS, *QUALITY assurance, *COMPARATIVE studies, *DATA analysis software, *PERIOPERATIVE care, *PREVENTIVE health services, *LEGAL compliance, *NONPARAMETRIC statistics |
| Abstract: |
This project sought to educate providers on the benefits of lung protective ventilation (LPV), implement a LPV protocol in robotic surgery, and evaluate adherence to the protocol in the adult (≥ 18 years) robotic-assisted surgery population. This project used a pre/post quality improvement design with a retrospective chart review and periodic knowledge, attitude, and practice surveys over the course of 6 months. This project retrospectively reviewed electronic medical records to assess adherence to the LPV protocol. The type of surgery; ventilator settings including positive end-expiratory pressure, FiO2, tidal volume, SpO2, ventilator mode, compliance, driving pressure and peak pressure; patient height and weight; patient body mass index; and American Society of Anesthesiologists physical status classification were collected. Analyzed results compared baseline preeducation data and data collected at 3- and 6-months postimplementation. Adherence to the LPV protocol parameters of tidal volume (P < .001), respiratory rate (P = .014), and driving pressure (P < .001) within LPV limits improved with statistical significance from pre- to postimplementation. Provider confidence and knowledge increased from pre- to posteducation (P = .049). Adherence to a LPV protocol improved with education and information tools. [ABSTRACT FROM AUTHOR] |
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| Database: |
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