Application of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU
Citation & Export
Hide
Simple citation
DiCicco, Matthew & Dillman, Jedd.
Application of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU. Retrieved from
https://doi.org/doi:10.7282/t3-79b7-0x30
Export
Description
TitleApplication of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU
Date Created2020
Other Date2020-05 (degree)
Extent1 online resource (47 pages) : illustrations
DescriptionPurpose of Project
Pediatric emergence delirium (ED) is a unique postoperative occurrence. With varying prevalence, manifesting as hyperactivity, disorientation, non-purposeful movement, incoherence, and potential for self-harm. Due to its unpredictability and distressing presentation, pediatric emergence delirium requires prompt recognition and accurate identification. However, the PAED scale is under-utilized and emergence delirium assessment is not consistently performed by anesthesia providers. This postoperative phenomenon continues to evolve within literature as there remains unanswered questions pertaining to identification, prevention, treatment, and long-term impacts. A gap in the knowledge translation exists for properly identifying, treating, and preventing pediatric emergence delirium. Within the hospital selected for this study’s intervention, there are no guidelines or diagnostic assessment tools used for pediatric ED.
Methodology
The project design incorporated a quantitative and qualitative, multiple cohort presentation for Rutgers University nurse anesthesia residents, PACU registered nurses, and anesthesia providers. This project incorporated a pretest/posttest intervention survey to evaluate current knowledge gaps, assess baseline understanding of pediatric ED, provide evidence-based treatment interventions, risk reduction strategies, and utilization of the PAED assessment scale. The presentation took place at Rutgers University, Newark campus during a scheduled nurse anesthesia program meeting. A separate professional presentation was conducted at a tertiary academic medical center in north-central New Jersey. Recruitment strategy consisted of a PAED flyer distributed to all anesthesia cohorts via Rutgers email, in addition to all project participants at the tertiary hospital. Primary outcome measures focused on increased confidence levels with use of the PAED scale, prevention strategies, identification and understanding pediatric emergence delirium.
Results
There was a higher level of understanding the defining behaviors of ED following post-survey. In addition, there were increased levels of understanding how to use the PAED scale, and higher knowledge and confidence in the level of ED prevention.
Implications for Practice
The implementation of the PAED scale improves recognition and treatment response time. Increasing provider clinical awareness enhances recognition of the triggers and signs of pediatric ED. Application of the PAED scale at in the PACU improves health outcomes for highly specialized patient population. There was a significant decrease in existing knowledge gaps in properly identifying, treating, and preventing pediatric ED. This project serves as a foundation for further researchers to focus on comparative randomize control trials to determine accepted pharmacologic treatment in the acute setting of pediatric ED.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.