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Perioperative management of the patient on buprenorphine with or without naloxone for the anesthesia provider
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Antunes, Bernadette & Abdallah, Ayah. Perioperative management of the patient on buprenorphine with or without naloxone for the anesthesia provider. Retrieved from https://doi.org/doi:10.7282/t3-exgn-jd11

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TitlePerioperative management of the patient on buprenorphine with or without naloxone for the anesthesia provider
NameAntunes, Bernadette (author); Abdallah, Ayah (author); McLaughlin, Michael (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectAnesthesia, Nurse Anesthesia
Extent1 online resource (83 pages)
DescriptionProject Purpose: The increased popularity to prescribe buprenorphine (BUP) or buprenorphine with naloxone (BUP/N) is attributed to its ease of access, convenient use for the patient, its ability to decrease withdrawal symptoms/cravings, and its association with decreased opioid-related mortality. Research has shown that characteristics of BUP agents including the increased affinity for μ-opioid receptor can inhibit or decrease the actions of conventional opioids. Undertreatment of acute pain risks precipitation of opioid use disorder, relapse and is considered suboptimal. Anesthesia providers may encounter the patient receiving BUP or BUP/N therapy in the perioperative period due to its increased popularity. This study aimed to evaluate whether the completion of an online point-of-care practice recommendation module increased perceived confidence of the anesthesia provider in the management of the BUP or BUP/N patient undergoing surgery.

Methodology: The project was based on a quantitative correlation prospective design that utilized a pre- and post-module survey that measured the perceived confidence level of Certified Registered Nurse Anesthetists (n = 24) and Resident Registered Nurse Anesthetists (n = 40). Analysis of the data was completed by conducting paired sample t-tests for both groups.

Results: Both groups demonstrated a statistically significant ( p < .05) increase in perceived confidence after completion of the online module.

Implications for Practice: The results indicated that an online module does have an impact on the anesthesia provider’s perceived confidence in the management of the specified patient population. On this basis, it is recommended that anesthesia providers maintain familiarity with the latest literature, practice considerations and guidelines directed at the perioperative management of patients treated with BUP or BUP/N.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-exgn-jd11
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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