Date of this Version
2023
Document Type
DNP Project
Abstract
Background: Hypoxemia is a frequent adverse effect during gastrointestinal endoscopic procedures (GEPs) when performed with the administration of sedation. Use of sedation during GEPs can lead to hypoxemia via respiratory depression or airway obstruction. Despite the frequency of hypoxemia during GEPs, there is no clear recommendation for the use of devices to deliver supplemental oxygen. The high-flow nasal cannula (HFNC) is a non-invasive device that can deliver supplemental oxygen and may benefit patients undergoing GEPs with higher oxygen requirements.
Methods: A literature review was conducted using CINAHL Plus with Full Text, MEDLINE, and PubMed, comparing HFNC and SNC. An online educational module was created and presented to anesthesia providers at a level 1 trauma hospital in Hollywood, Florida. The educational material included an anonymous pre- and post-test questionnaire to assess the anesthesia providers' baseline knowledge and the educational module's impact baseline, respectively.
Results: The current literature indicates that HFNC is more effective in preventing or reducing the incidence of hypoxemia and may also lead to fewer airway interventions by the anesthesia providers when compared to SNC use. A quality improvement (QI) project was implemented at a level 1 trauma hospital in Hollywood, Florida which included an educational module and a pre-and post-test to assess anesthesia providers’ knowledge about the use of HFNC.
Recommended Citation
Chen, James; Valdés, Jorge; and Williams, Brittany, "An Educational Module for the Use of High-Flow Nasal Cannula During Gastroscopy Procedures to Decrease Incidence of Hypoxia: A Quality Improvement Project" (2023). Nicole Wertheim College of Nursing Student Projects. 217.
https://digitalcommons.fiu.edu/cnhs-studentprojects/217