Sugammadex Use Among CRNAs in Illinois: A Qualitative Analysis

Abstract

The availability of sugammadex has increased options for Certified Registered Nurse Anesthetists’ (CRNAs) and their choice of neuromuscular reversal agents, however administration is impacted by a variety of provider and institutional factors. The purpose of qualitative this study was to examine and describe the personal and institutional factors impacting the use of sugammadex by CRNAs in Illinois. Methods: This study utilized a qualitative, descriptive study design using an online survey with open ended questions to identify themes and subthemes surrounding Illionis CRNAs’ use of sugammadex. Demographic questions were categorical in nature and analyzed using SPSS software. Qualitative data were analyzed using Nvivo. Results: 209 responses yielded three main themes: 1) Why CRNAs choose to use or avoid sugammadex 2) How CRNAs dose sugammadex and 3) Practice variations existing within the clinical setting. The most commonly reported subthemes included depth of blockade/dosing of paralytic, underlying disease pathology, size of the patient, and cost considerations or availability at their institution. Conclusion: Based upon these main themes and subthemes, it is recommended that institution wide policies be created to reduce variability in provider administration practices if sugammadex is not widely accepted as standard reversal.