Best Practice in the Perioperative Anesthetic Management of Infants with Gastroschisis

Author

Emily R. Lester, Southern Illinois University EdwardsvilleFollow

Date of Award

Spring 5-6-2022

Document Type

DNP Project

Project Team Faculty Member

Whitney Heischmidt, DNP, CRNA, APRN

Project Team Faculty Member

Rebecca Collier, DNP, CRNA, APRN

Keywords

Gastroschisis, infants, pediatric, anesthetic management, guideline, best practice, perioperative, anesthesia

Abstract

Gastroschisis, a severe abdominal wall defect, occurs in approximately 1 in every 2,000 fetuses. Despite care advancements, gastroschisis is associated with significant morbidity and mortality including prolonged time to tolerance of enteral feeds, prolonged ventilator support, and increased intensive care unit length of stay and hospital costs. A recent practice change in the care of infants with gastroschisis at a tertiary care facility in central Illinois lead to the request for an integrative review of the available literature and subsequent development of a comprehensive guideline discussing best-practice perioperative recommendations pertinent to the care of infants with gastroschisis. Through review of the available literature and development of a comprehensive guideline, this project aimed to facilitate the delivery of standardized, evidence-based care to infants with gastroschisis in the perioperative setting, potentially reducing the associated morbidity and mortality. An educational PowerPoint and comprehensive guideline were presented to the anesthesia providers at the project host facility, followed by a short survey. Results of the post-implementation survey were positive and revealed an increase in provider knowledge and overall approval and acceptance of the guideline. With the continued use of the knowledge and comprehensive guideline presented in this project, the potential to improve patient outcomes exists.

Recommended Citation

Lester, Emily R., "Best Practice in the Perioperative Anesthetic Management of Infants with Gastroschisis" (2022). Doctor of Nursing Practice Projects. 209.
https://spark.siue.edu/dnpprojects/209

Download Full Text Above