NUR435 Week 9 Discussion: Evidence-Based Practice in the Workplace
Step 1 Review an article.
Using the Cochrane Collaboration website, browse a topic of interest related to your nursing practice (Gastroenterology). Find a peer-review research article in your area of interest and read the article.
Step 2 Post a summary of the article.
Post a brief summary of the article and results.
Step 3 Answer additional questions.
After providing the article summary, answer the following questions:
- Describe how this EBP research supports your practice.
- If your practice is different than the recommendations in the evidence-based article, how could you use this article to support your practice?
Summary of the Article
In the article, “Total intravenous anesthesia versus inhalational anesthesia for adults undergoing transabdominal robotic assisted laparoscopic surgery,” the researchers aimed at evaluating outcomes related to the choice of anesthesia used in transabdominal robotic-assisted laparoscopic surgery. The adoption of robotic transabdominal surgery in healthcare provision has necessitated re-evaluating the most suitable form of anesthesia for the patients. Thus, the researchers conducted this study to compare inhalation and intravenous anesthesia and determine which one would be the most suitable. The researchers reviewed articles that compared the two anesthesia methods from different sources, including MEDLINE, CINAHL, ISRCTN, and CENTRAL. They also evaluated ongoing clinical trials (Herling et al., 2017).
The study included two-arm and three single-center randomized clinical trials, including 170 participants and one ongoing trial comprised of males between 50 and 75 years. The researchers found that there was no clinically significant difference between intravenous and inhalation anesthesia. However, there was evidence suggesting the intravenous anesthesia was effective in preventing postoperative nausea and vomiting 1 to 6 hours after the surgery compared to inhalation anesthesia. Although low-quality, the study also found evidence suggesting that propofol, intravenous anesthesia was effective in preventing intraocular pressure following steep Trendelenburg positioning compared to inhalation anesthesia such as sevoflurane. The evidence obtained, however, was not adequate to conclude which form of anesthesia was more superiors. However, evidence gathered suggests that intravenous anesthesia might offer more benefits (Herling et al., 2017).
Describe how this EBP Research Supports your Practice
The study findings are important in guiding gastroenterology practice. Surgeries involving the digestive system are usually associated with postoperative effects such as pain, nausea and vomiting, and other discomforts. Finding the best anesthesia for transabdominal surgeries would help prevent the associated effects, improving patient experience and health outcomes. While the researchers did not find enough evidence to conclude, the findings suggest that intravenous anesthesia might be more beneficial than inhalation anesthesia. Hence, care providers in the gastroenterology practice should favor intravenous anesthesia when performing surgeries to inhalation anesthesia.