Remifentanil and Its Applications in the Management of Parturient Labor Pain
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2017
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Abstract
The purpose of this research study project is to educate student nurse anesthetists and anesthesia providers about the many benefits of using Remifentanil in the obstetric population. Treating labor pain has always been a difficult task to achieve for anesthesia providers throughout the century. Once continuous laboring epidurals (CLE) were founded, it was quickly entitled the “gold standard” for managing labor pain. However, there are several obstetrical patient populations that are unable to receive an epidural. As more obstetric disorders are encountered that prohibit placement of an epidural, student registered nurse anesthetists need to be educated and informed on alternative labor pain analgesics.
A literature review of Remifentanil and its management of labor pain was conducted in preparation for this study. After the literature review was completed, a PowerPoint presentation was assembled and presented to 26 SRNAs during their class that focused on the obstetric population and anesthesia management. Pre-tests were administered prior to the PowerPoint presentation to evaluate the SRNAs baseline knowledge on Remifentanil. After completion of the lecture, each student filled out post-tests in order to assess the effectiveness of the lecture. Data were then analyzed using the paired sample t test, which yielded statistical significance with a P value <0.05. In conclusion, the improvement of the posttests when compared to the pre- tests suggested that the SRNAs developed a better understanding of Remifentanil as a drug as well as its administration for controlling labor pain among the parturient.
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