Date of this Version

11-28-2023

Document Type

DNP Project

Abstract

Background: Inflammatory bowel disease (IBD) patients experience more pain and discomfort during colonoscopy due to the nature of the disease. They are often young, highly anxious before the procedure, and have undergone many previous colonoscopies, which are known risk factors for intolerance to the procedure. Currently, the sedative drugs used with these procedures are primarily propofol and midazolam. Midazolam possesses a prolonged half-life, necessitating a lengthier recovery period from anesthesia for patients. In this patient population, the utilization of a new drug called remimazolam as an alternative can lead to improved outcomes.

Methods: A thorough search of research was performed utilizing PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar to distinguish research studies published within the past ten years that have assessed the efficacy of remimazolam to midazolam and/or another anesthetic agent in similar populations. Using the literature review, an educational module was presented to educate providers on the use of remimazolam.

Results: The educational module resulted in a boost in providers' knowledge and attitudes concerning remimazolam, leading to its increased utilization for IBD patients undergoing endoscopic procedures.

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