Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2017
Preventing Opioid-Induced Respiratory Depression in the Hospitalized Patient With Obstructive Sleep Apnea.
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Jungquist Carla R, Card Elizabeth, Charchaflieh Jean, Gali Bhargavi, Yilmaz Meltem
Аннотация
PURPOSE: To enhance the role of nursing interventions in the management of perioperative opioid-induced respiratory depression (OIRD) in patients with obstructive sleep apnea (OSA).
DESIGN: Narrative review of the literature.
METHODS: Literature reviewed with emphasis on recommendations by professional and accrediting organizations.
FINDINGS: Postsurgical OIRD increases hospital stay (55%), cost of care (47%), 30-day readmission (36%), and inpatient mortality (3.4 fold). OSA increases the risk of OIRD and may result in legal claims averaging $2.5 million per legal claim.
CONCLUSIONS: Nursing interventions are essential to improving outcome and reduce cost in the management of postsurgical OIRD in OSA patients.
DESIGN: Narrative review of the literature.
METHODS: Literature reviewed with emphasis on recommendations by professional and accrediting organizations.
FINDINGS: Postsurgical OIRD increases hospital stay (55%), cost of care (47%), 30-day readmission (36%), and inpatient mortality (3.4 fold). OSA increases the risk of OIRD and may result in legal claims averaging $2.5 million per legal claim.
CONCLUSIONS: Nursing interventions are essential to improving outcome and reduce cost in the management of postsurgical OIRD in OSA patients.