Proper inhaler use can prevent many instances of respiratory compromise. In a recent survey, “The Role of Inhalation Delivery Devices in COPD: Perspectives of Patients and Health Care Providers,” researchers from the American College of Chest Physicians surveyed 513 healthcare providers managing COPD and 499 patients with COPD across the United States and found that both patients and healthcare providers place less importance on inhaler devices than medication in the treatment of chronic obstructive pulmonary disease (COPD) and concluded:
COPD is a tremendous healthcare burden in the U.S. and worldwide, and it is important for patients and their clinicians to understand COPD’s role in respiratory compromise.
To better understand some of the key issues every patient and clinician should know about COPD’s role in respiratory compromise, the Physician-Patient Alliance for Health & Safety is pleased to release a clinical education podcast with the Society of Hospital Medicine’s COPD Team.
Researchers at the University of Colorado Hospital recently reported that their use of a PCA safety checklist was found to reduce pain from moderate-severe pain to no-mild pain in 42% of patients within 2 days. In “Let’s Be Smart About Improving Pain,” they reported:
Our PCA safety checklist smart phrases increased use of a safety checklist and documentation of daily PCA opioid trends, and correlated with more rapid improvement in moderate-severe pain levels.
Using benzodiazepines and opioids may be a deadly combination. According to the National Institute on Drug Abuse, more than 30% of opioid overdoses involve the use of benzodiazepines.
One of the commonly overlooked complications to safe opioid administration is failing to account for the additive sedation effects of non-opioid medication. In recognition of these dangers, in August 2016, the FDA issued its strongest warning about combined use of opioids and benzodiazepines and issued another caution more recently on September 20, 2017.
Recent survey points to the need for better education for COPD patients on how to use inhalers.
Chronic obstructive pulmonary disease (COPD) is a respiratory disorder that affects millions of patients and leads to substantial morbidity, mortality, disability, impaired quality of life, and increased health care costs. As the COPD Outcomes-based Network for Clinical Effectiveness & Research Translation (CONCERT) explains:
“Chronic Obstructive Pulmonary Disease (COPD) is a respiratory disorder that affects about 300 million patients worldwide and 30 million patients in the US alone. COPD carries a substantial burden in human suffering. Dyspnea and other respiratory symptoms are common and can be disabling. Respiratory infections and exposure to environmental triggers lead to episodic deteriorations (acute exacerbations of COPD; AE-COPD) and result in over 700,000 hospitalizations and 100,000 deaths each year in the U.S. alone.
Articles we have been reading this past week of May 7, 2018 focus on opioids and preventing “dead-in-bed.”
How Often Does “Dead-In-Bed” Happen in Hospitals?
The Physician-Patient Alliance for Health & Safety (PPAHS) announced its intention to develop a position statement on recommendations for procedural sedation.
Michael Wong, JD (Founder and Executive Director, PPAHS) explained that such a position statement on recommendations for procedural sedation would encapsulate guidelines and recommendations from leading medical organizations in Canada and the United States:
The number of patients – and, particularly, children – dying from dental sedation is indicative that there are gaps in the standard of medical care being used during dental sedation.
In this article by Bradley T. Truax, MD (The Truax Group) and Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety), the authors discuss why dental sedation needs better standards to prevent further patient deaths and provide seven keys.
To read the article in Dentistry Today, please click here.
The Physician-Patient Alliance for Health & Safety (PPAHS) released a clinical education podcast, “Using Capnography and Recognizing Respiratory Compromise Could Save Patient Lives.”
The podcast features an interview with Jenifer Lightdale, MPH, MD who is division chief, pediatric gastroenterology and chief quality officer at the Children’s Medical Center at the University of Massachusetts Medical School.
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.