CRNAs’ Perceptions of a Quick Reference Guide For Aspiration Pneumonitis: A Quality Improvement Project

Abstract

Perioperative aspiration pneumonitis continues to be a relevant complication in anesthesia as it is one of the leading causes of morbidity and mortality. The purpose of this Doctor of Nursing Practice quality improvement project is to assess the perceptions of CRNAs working at a partnering facility regarding the adequacy of a Quick Reference Guide (QRG) designed to aid in the prompt identification of at-risk patients and provide prevention strategies and treatment options for perioperative aspiration pneumonitis. A newly designed aspiration QRG was distributed to CRNAs working at an outpatient surgery center for use during a two-week implementation period. A pre- and post-implementation survey was used to collect data. By comparing survey results, CRNAs showed an increased awareness of fasting guidelines, GLP-1 agonist recommendations, and the use of gastric ultrasound to assess aspiration risk. Post-implementation survey results showed mixed reviews on the usefulness of the QRG and CRNAs’ likelihood of using it again. However, the post-implementation survey did indicate a desire for more hands-on training in the use of gastric ultrasound as a tool to assess aspiration risk.