Date of Award

2025

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Heather Balser

Readers

Rachel Donahue

Abstract

Significance: The rate of total hip arthroplasties performed in ambulatory surgery centers has greatly increased over the past ten years and is projected to continue to increase. Aim: The purpose of this project was to evaluate whether patient outcomes improved for individuals undergoing total hip arthroplasty at an ambulatory surgery center when receiving sugammadex compared to neostigmine for neuromuscular blockade reversal. Methods: Data from 18 patient charts were reviewed and compared to previously collected baseline data to assess outcome differences between the two medications. Results: Patients who received sugammadex demonstrated shorter post-anesthesia care unit stays, reduced need for antiemetic administration, and earlier ambulation compared to those who received neostigmine. Conclusion:Sugammadex resulted in faster discharge from facility with decreased side effects, however, further research is needed to determine generalizability of findings.

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