CRNA Perceptions of a Quick Reference Guide for Aspiration Pneumonitis in Clinical Practice: A DNP Project

Abstract

Aspiration pneumonitis is a rare but serious perioperative complication; timely recognition and effective management are essential for keeping patients safe during the administration of anesthesia. The purpose of this DNP project was to evaluate CRNAs’ perceptions of a Quick Reference Guide (QRG) designed to support the prevention, recognition, and treatment of aspiration pneumonitis in the perioperative setting. A pre-implementation survey, PowerPoint presentation, distribution of the QRG, and two-week implementation period were conducted at two rural hospitals, followed by a post-implementation survey. Three CRNAs from one of two facilities completed both surveys. Results appeared to increase confidence in managing perioperative aspiration, particularly regarding guideline adherence for aspiration risk factors and withholding GLP-1 medications. Limitations of the project included a small sample size of three participants, potential bias from self-reported surveys, and a short implementation period of two weeks. Despite these constraints, the project results suggest that the QRG may be a valuable reference tool to reinforce evidence-based practice and support real-time decision-making in the event of an emergency. Future projects should consider expanding implementation to larger and more diverse anesthesia groups, incorporate longer evaluation periods, and provide formal training opportunities, such as gastric ultrasound education, to strengthen provider preparedness and improve patient safety outcomes.