Date of Award

Spring 5-5-2024

Document Type

DNP Project

Project Team Faculty Member

Mary Zerlan

Project Team Faculty Member

Matthew Bednarchik

Keywords

Ketamine Infusion, Protocol, Regional Pain Syndrome Complex

Abstract

Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy (RSD) and causalgia, is a debilitating neurological disease accounting for 1.2% of all chronic pain conditions, with eighty percent being severely disabled (Zhao et al., 2018). Altered pain pathways in CRPS patients result in resistance to traditional methods of analgesia, contributing to poor quality of life and unanticipated hospitalizations. Multiple meta-analysis studies suggest ketamine infusions effectively lower chronic pain scores in CRPS patients. Despite the evidence, a lack of standardized ketamine infusion protocols creates a barrier to provider implementation. This Doctor of Nursing Anesthesia project aimed to develop a ketamine infusion protocol and patient education pamphlet for CRPS providers in a Midwest Hospital. Project implementation consisted of an educational presentation and pamphlet with a post-education survey completed anonymously by anesthesia providers and recovery room nurses. Analysis of survey responses indicated that the project successfully improved provider knowledge and comfort in managing ketamine infusions. The protocol is a potentially impactful clinical resource for pain management in the CRPS population.

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