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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Cristina Lammers


cataract surgery, sedation, midazolam, sublingual, preoperative, elderly


Cataract surgery is one of the most common surgeries performed in the elderly population. It is a day surgery procedure, which typically requires only small amounts of sedation. A variety of sedation methods including intravenous (IV), oral, and sublingual medications have been utilized in large academic centers to provide comfort during cataract surgery. However, there is a paucity of research on the effectiveness of sublingual midazolam in cataract surgery in rural practices. This practice innovation project (PIP) compared the effects of preoperative sublingual midazolam with IV midazolam and fentanyl given in the operating room on patient and surgeon satisfaction with anesthesia. Additional data collection reflected on the cost of providing perioperative care to cataract patients and incidence of postoperative nausea. Results of the implementation revealed similar high levels of satisfaction with anesthesia care between the IV sedation and sublingual group. Additionally patients in the sublingual group requested the same treatment when they returned for their second cataract surgery. Surgeon satisfaction was also similar in both groups. Financial benefits were noted for patients, the organization, and Medicare. Limitations of the study were noted with emphasis on the small sample size and absence of blinding for participants and providers.

Library of Congress Subject Headings

Cataract --Surgery
Conscious sedation


Includes bibliographical references (pages 65-73)



Number of Pages



South Dakota State University


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