Journal article
Growth in an Anesthesiologist- and Nurse Anesthetist-Supervised Sedation Nurse Program Using Propofol and Dexmedetomidine
A & A case reports, Vol.6(12), pp.402-410
06/15/2016
DOI: 10.1213/XAA.0000000000000339
PMID: 27301058
Abstract
In 2007, the Department of Anesthesia at the University of Iowa established an anesthesiologist-supervised nurse-managed sedation program. In 2008, the use of propofol and dexmedetomidine by nurses was approved in Iowa. We reviewed 11,038 elective sedation cases done between January 1, 2007, and June 30, 2014. Caseload increased from 170 to 470 cases/quarter. Propofol use increased from 0% to approximately equal to 70% of cases and dexmedetomidine from 0% to approximately equal to 25% of cases. There were no safety issues. The number of nurses working each day (on average) increased from 2.2 to 4.7, but supervising providers remained at 1/day. There were no changes in general anesthesia or monitored anesthesia care cases performed for comparable procedures. Trained, supervised nurses can safely administer propofol or dexmedetomidine to selected patients for a wide variety of procedures.
Details
- Title: Subtitle
- Growth in an Anesthesiologist- and Nurse Anesthetist-Supervised Sedation Nurse Program Using Propofol and Dexmedetomidine
- Creators
- Joss Thomas - From the Department of Anesthesia, University of Iowa, Carver College of Medicine, Iowa City, IowaFranklin DexterRuth E WachtelMichael M Todd
- Resource Type
- Journal article
- Publication Details
- A & A case reports, Vol.6(12), pp.402-410
- Publisher
- United States
- DOI
- 10.1213/XAA.0000000000000339
- PMID
- 27301058
- ISSN
- 2325-7237
- eISSN
- 2325-7237
- Language
- English
- Date published
- 06/15/2016
- Academic Unit
- Health Management and Policy; Anesthesia
- Record Identifier
- 9983806385602771
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