Experience of Nurse Anesthetists In Overcoming The Ineffectiveness of Spinal Anesthesia Drugs: A Qualitative Study
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Abstract
Background Spinal anesthesia is the most commonly performed anesthetic procedure. There are 5% of spinal anesthesia out of 15 million surgeries per year in the world but with a frequency of ineffectiveness of around 1 to 17%, the researcher is interested in researching the experience of nurse anesthetists in overcoming the ineffectiveness of spinal anesthesia drugs. The purpose of this research is to find out how the experience of nurse anesthetists in overcoming the ineffectiveness of spinal anesthesia drugs.
Methods This study used a descriptive qualitative method with a phenomenological approach. Data collection used an in-depth interview method, with snowball sampling method. There were five participants who participated in this study with predetermined inclusion criteria and exclusion criteria.
Results The results of the study obtained four themes: first, Factors affecting spinal anesthesia. Second, safety and comfort of the procedure. Third, countermeasures for spinal anesthesia ineffectiveness. Fourth, obligations of the nurse anesthetist.
Conclusions In conclusion, Based on the experience of nurse anesthetists, factors that influence ineffectiveness include human resources both in experience and insight, preparation from patients, injection techniques, and drug quality.
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References
Butterworth, J. F., Mackey, D. C., & Wasnick, J. D. (2022). Morgan & Mikhail’s Clinical Anesthesiology (J. F. Butterworth, D. C. Mackey, & J. D. Wasnick (eds.); 7th ed.). McGraw Hill/Medical.
Demilie, A. E., Denu, Z. A., Bizuneh, Y. B., & Gebremedhn, E. G. (2024). Incidence and factors associated with failed spinal anaesthesia among patients undergoing surgery: a multi- center prospective observational study. BMC Anesthesiology, 24(1), 129. https://doi.org/10.1186/s12871-024-02484-y
Fitriani, C., Uyun, Y., & Utomo, F. C. (2020). Gagal Spinal Pada Operasi Sectio Caesarea. Jurnal Komplikasi Anestesi, 9(3), 6–37.
Gill, D. R. S., Rana, D. A., & Arora, D. K. K. (2020). The incidence and causes of failed spinal anesthesia in a tertiary care Hospital: A retrospective observational study. International Journal of Medical Anesthesiology, 3(3), 91–94. https://doi.org/10.33545/26643766.2020.v3.i3b.154
Girard, T., & Savoldelli, G. L. (2024). Failed spinal anesthesia for cesarean delivery: Prevention, identification and management. Current Opinion in Anaesthesiology, 37(3), 207–212. https://doi.org/10.1097/ACO.0000000000001362
Khan, F. A., Khan, S., & Afshan, G. (2017). An analysis of perioperative adverse neurological events associated with anesthetic management at a Tertiary Care Center of a developing country. Journal of Anaesthesiology Clinical Pharmacology, 33(1), 48–56. https://doi.org/10.4103/0970-9185.202195
Permenkes. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 18 Tahun 2016 Tentang Izin dan Penyelenggaraan Praktik Penata Anestesi. 13(3), 44–50.
Rehatta, N. M., Hanindito, E., Tantri, A. R., Redjeki, I. S., Soenarto, R. F., Bisri, D. Y., Musba, A. M. T., & Lestari, M. I. (2019). Anestesiologi dan Terapi Intensif (edisi ke-1). PT Gramedia Pustaka Utama.
Yüksek, A., Miniksar, Ö. H., Honca, M., & Öz, H. (2020). Incidence and Causes of Failed Spinal Anesthesia. Dubai Medical Journal, 3(2), 50–54. https://doi.org/10.1159/000508837