Intrathecal and Epidural Dexmedetomidine for Obstetric Patients

Author

Sarah Tobias, Southern Illinois University EdwardsvilleFollow
Addison Hohner, Southern Illinois University EdwardsvilleFollow

Date of Award

Spring 3-6-2022

Document Type

DNP Project

Project Team Faculty Member

Leah Baecht

Project Team Faculty Member

Rebecca Collier

Keywords

Obstetrics, neuraxial dexmedetomidine, intrathecal dexmedetomidine, epidural dexmedetomidine, opioid free or sparing anesthesia

Abstract

The use of dexmedetomidine in spinals and epidurals can be beneficial for obstetric patients. The combination of dexmedetomidine with local anesthetics for neuraxial anesthesia potentiates the effect of the blockade while eliminating the undesirable side effects associated with opioid administration. This project used a non-experimental, pre-test/post-test design to assess key stakeholders' current use and intended future use of dexmedetomidine in neuraxial anesthesia for obstetrical patients. The goal of this project was to review current evidence-based literature regarding the use of dexmedetomidine as a neuraxial adjunct for obstetric anesthesia. The aim of this project was to summarize the results of the literature review into a PowerPoint presentation for a group of anesthesia providers at a tertiary medical center in central Illinois. Knowledge of the risks and benefits of dexmedetomidine and willingness to use dexmedetomidine as an adjunct were assessed via anonymous pre- and post-presentation surveys. Evidence via the post-presentation survey demonstrated an increase in provider understanding of the risks and benefits of dexmedetomidine as a neuraxial adjunct, as well as optimal dosing for spinal and epidural anesthesia in the obstetrical population.

Recommended Citation

Tobias, Sarah and Hohner, Addison, "Intrathecal and Epidural Dexmedetomidine for Obstetric Patients" (2022). Doctor of Nursing Practice Projects. 218.
https://spark.siue.edu/dnpprojects/218

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