Nurse-led sedation during cardiac ablation.
Research type
Research Study
Full title
Which factors contribute to the success of nurse led procedural sedation and analgesia during cardiac ablation?
IRAS ID
215901
Contact name
Stuart Barker
Contact email
Sponsor organisation
University of Northumbria at Newcastle
Clinicaltrials.gov Identifier
8221, Newcastle Hospitals R&D number
Duration of Study in the UK
3 years, 7 months, 28 days
Research summary
Cardiac ablation aims to cure arrhythmia, yet the process can cause pain and anxiety in the patient. Historically, this has been managed either by an anesthetist or by the operator giving direct instructions to a nurse. Neither system is ideal. One Trust has instituted a protocol within which a specially trained nurse can adjust the dose of sedation and analgesia, while monitoring the patient for evidence of adverse reaction.
This study aims to evaluate the efficacy of this practice in terms of safety and patient experience. It aims to investigate individual cases and identify which factors contribute to patient satisfaction, including the type and duration of the ablation and the preparation and physical condition of the patient. The contribution made by the individual nurse-sedationist will also be analysed.
This study will be performed at a single NHS hospital Trust.
This study will be undertaken using a mixed methods design consisting of survey and case study phases. The survey will collect patient's retrospective evaluation of their experience, which will be paired with clinical data from the individual's sedation record. Full written consent will be obtained for this. This data will be analysed using regression analysis and qualitative comparative analysis. A model that predicts the success of nurse-led sedation and analgesia will be constructed. This will then be used to select a small number of cases, for which a high level of patient-satisfaction would be predicted, for detailed study.
The case study phase aims at testing the model constructed during the survey phase. It will also account for the amnesic effect of the sedatives used: a factor that could threaten the validity of the survey method alone. It will also seek to appraise the contribution of the individual nurse in terms of the decision-making processes used.REC name
South West - Cornwall & Plymouth Research Ethics Committee
REC reference
17/SW/0122
Date of REC Opinion
30 May 2017
REC opinion
Further Information Favourable Opinion