Development of Clinical Practice Guidelines for General Anesthesia in Patients with Anterior Cervical Discectomy & Fusion to Reduce Postoperative Complications

Abstract

This research aimed to develop and implement clinical nursing practice guidelines for general anesthesia in patients with anterior cervical discectomy & fusion (ACDF) to reduce postoperative complications  in srisaket hospital. The guideline development was from the National Health and Medical Research Council (NHMRC), Australia. Evidences were searched and synthesized from 6 medical research and related papers. The AGREE II was used to measure the values ​​of guidelines. The feasibility of the guidelines was evaluated by using questionnaires which reviewed for content validity by 5 experts. The content validity index, CVI was 0.90. Data were collected during January to December 2015.

Results: 1) The CNPG  comprised of 21 items divided into three categories: Category 1 Before anesthesia phase, there was 7 items; 2) the evaluation of values of the CNPG by category and the whole were in high levels with the mean of total score was 81.15. This meant the CNPG was worth to be used; 3) The fesibility of the CNPG to use in practice was in good level (=99.84); 4) Implementation by health care team was in good level (=99.84); and 5) Patients’ outcomes revealed that the complication within 24 hours post operation and the complications dued to positioning during and after operation was not found. The developed CNPG should be used continuously.