Student Research Symposium Program Portal: Submission #50

Submission information
Submission Number: 50
Submission ID: 7761
Submission UUID: 7cb98fea-0c7b-4ea7-8292-38f1a025cdf6

Created: Mon, 02/03/2025 - 07:28 PM
Completed: Mon, 02/03/2025 - 07:48 PM
Changed: Tue, 04/01/2025 - 08:47 AM

Remote IP address: 172.59.67.20
Submitted by: Anonymous
Language: English

Is draft: No
First Name Cybill
Last Name Robinson
Pronouns
FSU Student Email CR22O@fsu.edu
Student Photo DNP Project Photo.jpg
Major(s) Doctor of Nurse Anesthesia Practice - DNAP
Student Bio This group, in accordance with graduation requirements, is presenting a quality improvement project on the use of dexmedetomidine in neurosurgical spine cases. We have a deep passion for anesthesia and its evolving role in patient care. Our interest in dexmedetomidine stems from its ability to provide sedation while preserving respiratory function and offering neuroprotective benefits, making it a valuable tool in anesthesia management. With a strong commitment to advancing our knowledge and clinical skills, we aspire to contribute to the field of anesthesia by optimizing patient outcomes, particularly in complex surgical cases, through evidence-based practices and innovative approaches.
Poster Title Dexmedetomidine in neurosurgical spine procedures
Abstract Due to its unique pharmacological properties, dexmedetomidine, a selective α2-adrenergic agonist, has gained significant attention in clinical practice. This literature review explores its role in neurosurgical spine surgeries, guided by the PICO question: Do adult patients undergoing neuroskeletal spine procedures (P) who receive perioperative dexmedetomidine (I), compared to those who do not (C), require less perioperative narcotics (O)? A total of six research articles were critically reviewed from CINAHL, PubMed, and Cochrane, including four systematic reviews and meta-analyses totaling 53 studies with 3,379 patients, and two randomized control trials with 172 patients. Four of the six studies provided strong statistical evidence (95% confidence intervals) that dexmedetomidine reduces PACU opioid consumption and postoperative pain intensity. Dexmedetomidine offers advantages such as stable hemodynamics, minimal respiratory depression, and reduced opioid requirements. Additionally, it has neuroprotective properties, reduces emergence delirium, and decreases shivering and postoperative nausea and vomiting. It facilitates smoother extubation and enhances postoperative outcomes. However, potential complications, including bradycardia and hypotension, require cautious administration. This quality improvement project aimed to present these findings to staff and encourage dexmedetomidine use in neurosurgical procedures. Despite successful collaboration with anesthesia staff, unforeseen bureaucratic hurdles delayed access to medication records, preventing the collection of required pre- and post-data. Nonetheless, this project highlights dexmedetomidine’s potential as a valuable adjunct in neurosurgical spine surgeries and the need for continued research and institutional support to optimize its use in clinical practice.
Research Mentor Name Lonnie Hodges, DNP, CRNA, CHSE, LtCol USAF(ret)
Research Mentor's College (or High School) Florida State University
Research Mentor's Department (or Subject) Nurse Anesthesia Program
Research Mentor's Email lwhodges@pc.fsu.edu
Additional Research Mentor(s) Jerry Hogan
Co-presenter(s) Jeremy Matyjaszek and Matthew Usry
Keywords Dexmedetomidine, neurosurgical spine procedures, Precedex
Poster Session/Number https://pc.fsu.edu/student-research/symposium/symposium-program-2025/dnap
Work Complete
Presentation Modality Synchronous Online Presentation
Poster PDF
Poster Thumbnail
I will be printing my poster No
Year 2025
Annual description 5th annual Undergraduate Research Symposium, April 17, 2025
Update URL https://pc.fsu.edu/student-research/symposium/research-symposium-program-portal?element_parents=elements/student_photo&ajax_form=1&_wrapper_format=drupal_ajax&token=sy8LDhLQOZFxEDYP405dyHXrMlX4kF55qPJ9KoOvZy8