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Effect of an asynchronous educational module on anesthesia providers' knowledge, confidence, and intent to use quantitative neuromuscular monitoring
Dissertation   Open access

Effect of an asynchronous educational module on anesthesia providers' knowledge, confidence, and intent to use quantitative neuromuscular monitoring

Michael Bunting and Ryan Will
Doctor of Nursing Practice (D.N.P.), Drexel University
15 Mar 2026
DOI:
https://doi.org/10.17918/00011284
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Abstract

Quantitative nerve monitoring Quantitative neuromuscular monitoring
Residual neuromuscular blockade (RNMB) remains a significant concern in anesthesia practice, contributing to postoperative pulmonary complications, delayed recovery, and increased healthcare costs. Despite the availability of sugammadex--a highly effective reversal agent for aminosteroid neuromuscular blocking agents--dosing inaccuracies persist, often due to reliance on subjective monitoring techniques. This Doctor of Nursing Practice (DNP) quality improvement project evaluates the impact of an educational module designed to enhance anesthesia providers' knowledge and confidence in using quantitative neuromuscular monitoring to guide sugammadex dosing. Through a quasi-experimental design, anesthesia providers at a large academic medical center participated in an online intervention featuring interactive content and pre- and post-intervention assessments. The project aimed to improve adherence to evidence-based dosing protocols, reduce RNMB incidence, and promote safer, more efficient perioperative care. Findings demonstrated increased provider competence and confidence, with implications for broader adoption of quantitative monitoring practices and integration into continuing education initiatives.

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