Continuous Capnography Reduces the Incidence of Opioid-Induced Respiratory Rescue by Hospital Rapid Resuscitation Team.
Autor: Stites, Mindy; Surprise, Jennifer; McNiel, Jennifer; Northrop, David; De Ruyter, Martin
Publication year: 2021
Journal of patient safety
issn:1549-8425 1549-8417
doi: 10.1097/PTS.0000000000000408
Abstract:
OBJECTIVE: The aim of this study was to determine the impact of end tidal carbon dioxide or capnography monitoring in patients requiring patient-controlled analgesia (PCA) on the incidence of opioid-induced respiratory depression (OIRD) in the setting of rapid response. METHODS: A retrospective analysis was conducted in an urban tertiary care facility on the incidence of OIRD in the setting of rapid response as defined by a positive response to naloxone from January 2012 to December 2015. In March 2013, continuous capnography monitoring was implemented for all patients using PCA. RESULTS: The preintervention incidence of OIRD in the setting of rapid response was 0.4% of patients receiving opioids. After the implementation of capnography, the incidence of OIRD in the setting of rapid response was reduced to 0.2%, which was statistically significant (χ2 = 46.246; df, 1; P < 0.0001). The rate of transfers to a higher level of care associated with these events was also reduced by 79% (baseline, 7.6 transfers/month; postintervention, 1.6 transfers/month). CONCLUSIONS: Continuous capnography monitoring in patients receiving PCA significantly reduces the incidence of OIRD in the setting of rapid response and unplanned transfers to a higher level of care. Language: eng Rights: Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. Pmid: 28731933 Tags: Humans; Incidence; Retrospective Studies; Hospitals; *Analgesics, Opioid/adverse effects; *Capnography Link: https://pubmed.ncbi.nlm.nih.gov/28731933/
