Opioid Safety, Patient Safety, Respiratory Compromise

Was the Death of Erik Nelson Preventable? Continuous monitoring may have prevented his death.

By Michael Wong, JD (Founder and Executive Director, Physician-Patient Alliance for Health & Safety)

According to the Bozeman Daily Chroncle’s article, “Wrongful death lawsuit filed against Bozeman surgeon,” Erik Nelson underwent surgery to correct his chronic nasal obstruction and severe obstructive sleep apnea. Discharged the day after surgery, Mr, Nelson was sent home with a prescription of Oxycodone to manage his pain. Oxycodone is a semisynthetic opioid, which is prescribed for moderate to severe pain.

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Opioid Safety, Patient Safety

Can Clinicians Reduce Opioid Dependence Through Multimodal Approaches to Pain Management?

By Sean Power
November 17, 2015

Mary Rechtoris, writer at Becker’s Healthcare, reported on the North American Spine Society’s 30th Annual Meeting held in Chicago, at which experts discussed whether multimodal pain management approaches could reduce opioid dependence.

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Opioid Safety, Patient Stories, Respiratory Compromise

Risk Stratification of Sleep Apnea Patients – A Recipe for Death?

American Society of Anesthesiologists guidelines for the perioperative management of obstructive sleep apnea provide a scoring system for perioperative risk for obstructive sleep apnea – but does such stratification harm patient safety?

By Kenneth P. Rothfield, M.D., M.B.A., Chairman, Department of Anesthesiology, Saint Agnes Hospital (Baltimore, MD)

The American Society of Anesthesiologists recently updated its practice guidelines for the perioperative management of obstructive sleep apnea (published February 2014). Read More

Respiratory Compromise

Procedural Sedation guidelines for Tonsillectomy and Adenoidectomy: The Basics

By Lynn Razzano, RN, MSN, ONCC (Clinical Nurse Consultant, Physician-Patient Alliance for Health & Safety)

The American College of Emergency Physicians (ACEP) defines procedural sedation as:

“a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardiorespiratory function. Procedural sedation and analgesia (PSA) is intended to result in a depressed level of consciousness that allows the patient to maintain oxygenation and airway control independently.”

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