Date of Award

Fall 2020

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Mary Jane Collins

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Michong Rayborn

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

The adverse effects of general anesthesia can vary significantly among groups of individuals. The pediatric population is no exception. Pediatric emergence agitation is a potential adverse effect observed following emergence from general anesthesia. The negative impacts from this adverse effect have the potential to decrease patient satisfaction, increased the cost of care, and increase the risk of post-operative complications. The exact etiology of pediatric emergence agitation remains unclear; however, it is thought to be multifactorial (Hoch, 2019). A targeted review of the current literature suggests a reduction in the incidence of pediatric emergence agitation could be achieved through alterations in anesthetic techniques. Currently, the literature identifies a gap existing between evidence-based techniques and actual anesthetic practice (Hoch, 2019).

This project utilized a systemic review of current, evidence-based literature to develop a best-practice guideline for reducing the incidence of pediatric emergence agitation. The guideline and supporting literature was presented to a panel of experts in the field of anesthesia. Panel members were asked to review the guideline and supporting literature, and offer feedback. Feedback from the panel of experts indicated they were receptive to the content of contained in the best-practice guideline. Data from the panel of experts was reviewed and considered in the final draft of this guideline. The final best-practice guideline was given to members of the panel of experts working at a hospital in Southeastern Mississippi for use in clinical practice.

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