Preventing Opioid-Induced Respiratory Depression in the Hospitalized Patient With Obstructive Sleep Apnea

被引：4

作者：

Jungquist, Carla R. ^{[1
]}

Card, Elizabeth ^{[2
]}

Charchaflieh, Jean ^{[3
]}

Gali, Bhargavi ^{[4
]}

Yilmaz, Meltem ^{[5
]}

机构：

[1] SUNY Buffalo, 3435 Main St,Wende Hall 314, Buffalo, NY 14214 USA

[2] Vanderbilt Univ, Med Ctr, Nashville, TN USA

[3] Yale Univ, Sch Med, New Haven, CT USA

[4] Mayo Clin, Rochester, MN USA

[5] Northwestern Univ, Evanston, IL USA

来源：

JOURNAL OF PERIANESTHESIA NURSING | 2018年 / 33卷 / 05期

关键词：

obstructive sleep apnea; positive airway pressure; opioid induced respiratory depression; PACU; sleep disordered breathing; POSITIVE AIRWAY PRESSURE; POSTOPERATIVE OUTCOMES; SURGICAL-PATIENTS; AMERICAN-SOCIETY; ELECTIVE SURGERY; STOP-BANG; ASSOCIATION; MANAGEMENT; IMPACT; COMPLICATIONS;

D O I：

10.1016/j.jopan.2016.09.013

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

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.

引用

页码：601 / 607

页数：7

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