(From the May issue of: SOCCA Interchange)

Respiratory Depression:
Beyond the PACU, before the ICU

at Risk of Respiratory Depression, rdss

Summary of the Respiratory Depression: Beyond the PACU, before the ICU written by: Ashish K. Khanna, MD Staff Intensivist and Anesthesiologist, Assistant Professor of Anesthesiology, Center for Critical Care and Departments of General Anesthesiology and OUTCOMES RESEARCH, Anesthesiology Institute, Cleveland Clinic is summarized by John Zaleski

The Medscape article, “Respiratory Depression in the Postoperative Period” by Khanna et al. describes the challenges faced in managing patients receiving postoperative opioids, particularly on the general care floor where continuous monitoring has not traditionally been the norm.

The occurrence of hypoxemia beyond PACU and outside of ICU is a common and persistent one and goes largely undetected. Furthermore, neither the STOP-BANG score nor the use of long-term opioids seem to herald the onset and detection of hypoxemia postoperatively.

The general recommendation is that continuous monitoring, particularly pulse oximetry and capnography, but measurements of arterial oxygen saturation, respiratory rate, and blood pressure should be part of a continuous monitoring protocol in all general care floor patients in order to provide early identification of the onset of respiratory depression.

To read the SOCCA article in its entirety click here.

Have a Bernoulli representative contact you.

Let us show you how we can help you improve patient safety.

Bernoulli’s real-time system for patient safety overcomes the challenges associated with respiratory depression surveillance by:

Connecting to your existing pulse oximeters and capnographs, even from multiple vendors
Provides centralized monitoring of patients at risk or respiratory depression
Uses exclusive multi-variable analytics – set by the hospital – to identify clinically actionable events
Integrates with mobile clinical communications systems to deliver the right alarm to the right clinician

Bernoulli’s Bernoulli One™ platform, a clinical middleware platform that incorporates an integrated, end to end solution for device integration, alarm management, real-time clinical surveillance and Virtual ICU that can support respiratory workflow and provide a uniform approach to ventilator weaning and empower staff with the needed knowledge to improve clinical outcomes.

Respiratory Depression:
Beyond the PACU, before the ICU

To read the SOCCA article in its entirety click here.

Have a Bernoulli representative contact you.

Let us show you how we can help you improve patient safety.

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