Evidence-Based Practice Poster Session (Posters #29-#36)
35 - Evidence-based Practice of Intraoperative Eye Protection for Children Undergoing General Anesthesia Non-eye Surgery
Description: Clinical Problem/SignificanceAt present, children with general anesthesia and non-ophthalmic surgery often suffer from eye edema and allergies. Therefore, it is necessary to take appropriate protective measures for the eyes of children undergoing general anesthesia.This project is going to use John Hopkins evidence based model to find the best practice evidence suitable for children's eye protection under general anesthesia and non operative site, and apply it to clinical practice, so as to provide the best scientific basis for nurses.Background It is reported that in general anesthesia non-eye surgery, the incidence of corneal epithelial injury is 44.4% when the eyes are unprotected, and 2.1% when the eyes are protected with ointment. Therefore, in general anesthesia surgery for children, good eye protection measures are very important to prevent eye complications.Clinical questions what are the guidelines for intraocular protection in children undergoing general anesthesia and non ophthalmic surgery?How to do?Description of Evidenced-Based ProtocolSystematic management: Training anesthesiologists, interns and nurses in a standardized way, and establishing a standardized management model for eye protection.interventions: supine position, non head and face surgery, Lipton eye drops; apply to eyeball; 3M medical hydrogel / chlortetracycline eye ointment and medical butterfly plaster; 3M is applied directly to eyes and surrounding environment; adhesive tape or eye ointment. Tetracycline eye ointment + small square yarn +3M supine head facial non ophthalmic surgical application or normal saline brain cotton tablet soaked +3M compress or medical hydrogel / gauze. Prone position surgery, aseptic brain cotton immersion + aseptic film patch or eye ointment and tape combined use.Implementation of Evidenced-Based Protocol To investigate the incidence of ocular complications after general anesthesia and non-ophthalmic surgery in children.Nurse InterviewDevelop a standardized eye management model for children undergoing general anesthesia and non-ophthalmic surgery?ResultAfter training, the implementation rate of eye care for nurses increased significantly, the scores of theoretical knowledge of eye care for nurses increased significantly, the implementation rate of eye care measures for nurses, the incidence of ocular complications and uncomfortable symptoms after general anesthesia surgery decreased.DiscussionEvidence-based practice of eye protection under general anesthesia in children undergoing non-ophthalmic surgery can improve the quality of perioperative nursing.Perioperative Nursing Implications:This evidence-based study prevents ocular complications in children after operation, strengthens nurses'evidence-based thinking, achieves scientific and orderly nursing work, achieves multidisciplinary cooperation, and fully embodies the connotation of high-quality nursing.
Co-Authors: Meixue Zhang, Peizhen Liu, Huihong Liang, Fengxian Liu