Year
2014
Season
Summer
Paper Type
Doctoral Project
College
Brooks College of Health
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
NACO controlled Corporate Body
University of North Florida. School of Nursing
First Advisor
Dr. John P. McDonough
Second Advisor
Dr. W. Patrick Monaghan
Department Chair
Dr. Lillia Loriz
College Dean
Dr. Pamela S. Chally
Abstract
Postoperative pain is of serious concern to patients and anesthesia providers alike. Management of a patients’ pain is a central component of anesthesia care. Ketamine as an anesthetic agent has been available for 50 years. It has been utilized as a general anesthetic and selectively as an anesthetic agent for high-risk patients. Due to dysphoric side effects associated with the dosage required to render general anesthesia, anesthesia providers may be reluctant to utilize this medication to its full potential. Recently there has been a resurgence of interest in ketamine as an analgesic agent. The researcher for this project performed a thorough literature review focusing on intravenous ketamine as an adjunct to standard opioid-based analgesia for postoperative pain. Four systematic reviews published in the last 10 years support the safety and efficacy of ketamine when administered intravenously in sub-anesthetic doses. The purpose of this project was to provide evidence-based education to anesthesia providers regarding the benefits of ketamine and follow-up to evaluate for evidence of changes in practice after the educational At a large community hospital data concerning ketamine utilization by anesthesia providers as a component of multimodal analgesia was collected for a six-month period, including three months pre- and three months post-educational intervention. Despite various methods utilized to present evidence regarding the safety and efficacy of ketamine, the results of this study demonstrated no significant change in practice. Based upon the extensive published literature the evidence is compelling that the addition of a sub-anesthetic (0.5 mg/kg) dose of ketamine to the surgical patient’s operative pain management plan would improve comfort and decrease opioid-related side effects with minimal negative impact.
Suggested Citation
Goldfarb, Allison, "Increasing Practitioner Knowledge of Ketamine as an Adjunct Analgesic for Postoperative Pain" (2014). UNF Graduate Theses and Dissertations. 517.
https://digitalcommons.unf.edu/etd/517