[Nurse anaesthetist, autonomous and expanded practice].

Area of Science:

• Nursing Anesthesia Practice
• Anesthesiology
• Perioperative Care

Background:

• Nurse anesthetists have performed procedures for over 20 years.
• A 2017 decree expanded their scope of practice.
• Their practice evolves with medical advancements and anesthesiologist collaboration.

Purpose of the Study:

• To analyze the evolving scope of nurse anesthetist practice.
• To examine the integration of new clinical practices.
• To assess challenges in incorporating patient-focused procedures into operating schedules.

Main Methods:

• Review of historical and recent legislative changes (2017 decree).
• Analysis of collaborative practices with anesthesiologists.
• Exploration of emerging clinical practices like hypnosis.

Main Results:

• Expanded scope of practice for nurse anesthetists, both in-theatre and outside.
• Ongoing adaptation to medical developments and collaborative roles.
• Introduction of new patient-centered practices such as hypnosis.

Conclusions:

• Nurse anesthetist roles have significantly expanded over two decades.
• Integration of advanced clinical practices requires careful scheduling.
• Further adaptation is needed to incorporate patient-focused care within dense operating room schedules.