To help identify and monitor for respiratory compromise, Canadian Society of Respiratory Therapists has launched a Respiratory Compromise Toolkit.
By Adam Buettner, RRT, FCSRT (President-Elect, Canadian Society of Respiratory Therapists) and Carolyn McCoy, BHS, RRT, FCSRT (Director of Professional Practice, Canadian Society of Respiratory Therapists)
The Canadian Society of Respiratory Therapists (CSRT) recently released a Respiratory Compromise Toolkit to help detect and prevent respiratory compromise.
With the permission of the Association for the Advancement of Medical Instrumentation (AAMI), the Physician-Patient Alliance for Health & Safety (PPAHS) is pleased to release the AAMI video on how to keep patients and their families safe, “Only Continuous Electronic Monitoring Can Ensure Patients Receiving Opioids Are Safe.”
In a clinical education podcast, Frank Overdyk, MD, who is an anesthesiologist practicing in Charleston, SC, discusses preventing avoidable deaths and the costs of monitoring patients receiving opioids and the costs of not being monitored. It is impossible to predict with 100% accuracy how a particular patient will react when administered an opioid. Continuous patient monitoring, which costs just $20-$30 per day in the case of monitoring with pulse oximetry, is a small price to pay to help prevent avoidable patient deaths.
By Michael Wong, JD (Founder/Executive Director, Physician-Patient Alliance for Health & Safety)
I recently interviewed Frank Overdyk, MD, who is an anesthesiologist practicing in Charleston, SC, about the costs of monitoring patients receiving opioids and the costs of not being monitored. Dr. Overdyk is a member of board of advisors of the Physician-Patient Alliance for Health & Safety and organized the two conferences on opioid-induced respiratory depression (“OIRD”) for the Anesthesia Patient Safety Foundation.
Researchers have found that respiratory compromise may occur with obstructive sleep apnea (OSA) patients receiving opioids.
Research conducted by Yamini Subramani, MD et al, “Death or near-death in patients with obstructive sleep apnoea: a compendium of case reports of critical complications” found 5 reasons why the risk of death is higher in patients with obstructive sleep apnea (OSA).
After removing for duplicates, the researchers analyzed more than 1,000 patient cases.
# 1 Fact – Patients can have obstructive sleep apnea and not know it
Third Most Common Cause of Avoidable Death in the United States
Respiratory compromise is the third most common cause of avoidable death in the United States.
In help recognize and better manage respiratory compromise, clinicians at Columbia University Medical Center (CUMC) discuss the need for identifying patients at risk, understanding the benefits of early intervention and respiratory monitoring to mitigate patient adverse events and deaths. To listen to the webinar, please click here.
The Physician-Patient Alliance for Health & Safety (PPAHS) is pleased to announce that the Columbia University Medical Center (CUMC) webinar on respiratory compromise prevention, recognition and intervention is now available on the PPAHS YouTube Channel.
Columbia University Medical Center Webinar on Respiratory Compromise Prevention, Recognition and Intervention
The webinar features the following clinicians from CUMC:
- Paul Boerem, ACNP, RT, Critical Care Nurse Practitioner and Certified Respiratory Therapist, Department of Medicine, Pulmonary, Allergy and Critical Care;
- Monica P. Goldklang, MD, Assistant Professor of Medicine (in Anesthesiology)
Department of Anesthesiology, Critical Care Medicine;
- Steven E. Miller, MD, Assistant Professor of Anesthesiology (Moderator)
Department of Anesthesiology, Critical Care Medicine; and
- Amanda J. Powers, MD, Assistant Professor of Surgery (in Anesthesiology)
Department of Surgery, Acute Care
The Respiratory Compromise Institute (RCI) — a diverse coalition of 13 medical and safety organizations devoted to raising awareness about the condition — defines respiratory compromise as a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhanced monitoring and/or therapies) might prevent or mitigate decompensation.
“This webinar highlights how respiratory compromise is a serious, potentially deadly patient safety issue that may be avoidable when proper prevention and identification strategies are used, and when healthcare providers are equipped with comprehensive patient monitoring technology,” explains Michael Wong, JD, Executive Director, PPAHS. “Education about the condition and how it can be prevented is vital to reducing its incidence. We encourage all clinicians to view the webinar to learn how they can provide the safest possible care for their patients, particularly those with risk factors that may increase their chances of developing respiratory compromise.”
Risk factors for respiratory compromise include obstructive sleep apnea, older age, obesity and chronic obstructive pulmonary disease1-2, in addition to receiving opioid administration.3
The webinar was made possible through an educational grant from Medtronic plc, one of the world’s largest medical technology, services and solutions companies.
- Frederickson TW, Gordon DB, De Pinto M, et al. Reducing Adverse Drug Events Related to Opioids Implementation Guide. Philadelphia: Society of Hospital Medicine, 2015.
- Karcz M, Papadakos PJ. Respiratory complications in the postanesthesia care unit: A review of pathophysiological mechanisms. Can J Respir Ther. 2013;49(4):21-29.
- Jarzyna D, Jungquist CR, Pasero C, et al. American society for pain management nursing guidelines on monitoring for opioid-induced sedation and respiratory depression. Pain Manag Nurs. 2011;12(3):118-145. doi: 10.1016/j.pmn.2011.06.008.
From the articles we have been reading this week, here are 3 tips for managing pain and using opioids safely.
#1 Tip for Managing Pain and Using Opioids Safely – Premier Safety Institute new toolkit helps providers manage pain, curb opioid use
Editor’s note: In this personal message from the Founder and Executive Director, Physician-Patient Alliance for Health & Safety, Michael Wong invites you to listen to 3 must view podcasts on reducing opioid-related adverse events.
By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety)
Watch and share these 3 Clinical Education Podcasts on how to reduce opioid-related adverse events.
Our podcasts feature health and safety experts on the latest recommendations and best practices:
Reading about the ongoing coverage of the opioid epidemic this past week has prompted the following questions – do you agree or disagree?
Should newborns with opioid withdrawal be kept together with their mothers?
Newborns suffering from opioid withdrawal have traditionally been separated from their mothers.
The PPAHS team has been reading many must read articles for battling the opioid epidemic this week.
Must Read Articles for Clinicians and Hospital Executives for Battling the Opioid Epidemic