Respiratory Compromise

Does Monitoring with Capnography Improve Patient Safety and Outcomes?

Two recently published studies seem to point to completely different results on the benefit of monitoring with capnography.

In the article, “ETCO2 Concentration Correlates With Trauma Mortality,” Anesthesiology News discusses the research by Danielle K. Bodzin, MD (anesthesiologist, University of Miami/Jackson Memorial Medical Center) and her colleagues: Read More

Opioid Safety, Respiratory Compromise

Reducing Adverse Events and Death from Colonoscopies and Other Gastrointestinal Endoscopic Procedures

Millions of colonoscopies and other gastrointestinal endoscopic procedures in the US each year. In 2009, more than 55 million gastrointestinal endoscopic procedures were performed.

Endoscopy is usually a safe procedure and the risk of serious complications is very low. In looking at colonoscopies, which constitute about half of gastrointestinal endoscopic procedures, overall serious adverse event rate was 2.8 per 1000 procedures and the death rate was just 0.03 percent, according to guidelines published by the American Society for Gastrointestinal Endoscopy.

However, the risk of complication rises with the use of sedation. The goal of sedation when used in colonoscopies and other gastrointestinal endoscopic procedures is safely and effectively manage any pain, discomfort, or anxiety the patient may have during the procedure. Read More

Opioid Safety, Respiratory Compromise

Aspiration and Risks of Anesthesia

By Patricia Iyer MSN RN LNCC

(Pat is a legal nurse consultant who provides education to healthcare providers about patient safety. She can be reached at patriciaiyer@gmail.com)

I woke up from a routine colonoscopy with coughing and not being able to speak. What went wrong?
The gastroenterologist told me I started coughing during the procedure. I inhaled some saliva into my lungs. Read More

Patient Stories, Respiratory Compromise

Anesthesiologists and Colonoscopies: A Lesson in Better Physician-Patient Relationships

By Patricia Iyer MSN RN LNCC

(Pat is a legal nurse consultant who provides education to healthcare providers about patient safety. She can be reached at patriciaiyer@gmail.com)

I went to see a gastroenterologist (Doctor A) because I am due for a colonoscopy. I had a colonoscopy done 4 years ago by a different doctor (Doctor B), and one closer to home. Doctor A wanted to know why I had not returned to Doctor B for this new one. I explained Doctor B and I had not clicked. This is what happened, and it is a good lesson for what not to say or do to a patient. Read More

Must Reads

Weekly Must Reads in Patient Safety (Apr 3, 2015)

Our must reads for this week focus on 5 key tips, which if followed, could save a life.

As well, if you tweet about patient safety, a big “thank you” – see if your name appears below in our retweet shout outs. Read More