Opioid Safety, Respiratory Compromise

3 Must View Podcasts on Reducing Opioid-Related Adverse Events An invitation to view PPAHS's latest podcasts

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:

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Opioid Safety, Respiratory Compromise

Nursing Recommendations on How Capnography Improves Patient Safety Sunnybrook Health Sciences Centre monitors patients with capnography during procedural sedation

Nursing recommendations from ARIN and AORN encouraged Sunnybrook Health Sciences Centre to monitor with capnography patients undergoing procedural sedation.

In a podcast with the Physician-Physician Alliance for Health Safety, Barbara McArthur, RN, BScN, CPN(C), an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada, discussed why Sunnybrook Health Sciences Centre decided to monitor with capnography.

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Opioid Safety, Respiratory Compromise

Capnography Monitoring During Conscious Sedation: Essential for Maintaining "Eyes and Ears" on Patients

The Physician-Physician Alliance for Health Safety has released a clinical education podcast on capnography monitoring during conscious sedation with Barbara McArthur, RN, BScN, CPN(C). Ms. McArthur is an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada.

Capnography Monitoring: An Early Indicator of Patient Deterioration

After reviewing the current literature, Sunnybrook decided that monitoring with capnography resulted in safer patient care. Capnography monitoring provides an early indicator of patient deterioration, which can be crucial in averting adverse events and patient deaths. Capnography monitoring, says Ms. McArthur, is monitoring in “real time. With pulse oximetry, there is a delay, which could be up to a minute in healthy patients. So, that’s a significant sort of time that is delayed that reaction could happen.” 

 

#Capnography Monitoring Provides An Early Indicator of Patient Deterioration Click To Tweet                Read More

Opioid Safety, Respiratory Compromise

Today’s Must-Have: Capnography Monitoring During Conscious Sedation Clinical Education Podcast with Drs. Matt Kurrek and Richard Merchant

Today, the Physician-Patient Alliance for Health Safety released a clinical education podcast with Matt Kurrek, MD, FRCPC (Professor, Department of Anesthesia, University of Toronto) and Richard Merchant, MD, FRCPC (Clinical Professor, University of British Columbia, Department of Anesthesia, Pharmacology & Therapeutics).

Drs. Kurrek and Merchant coauthored an editorial, “Yesterday’s Luxury, Today’s Necessity” after the Canadian Anesthesiologists’ Society [CSA] published its revised 2012 guidelines to the practice of anesthesia. The CSA guidelines recommend capnography monitoring during conscious sedation. In the podcast, Drs. Kurrek and Merchant discuss why capnography monitoring may have been considered yesterday’s luxury, but is now a necessity during conscious sedation.

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Respiratory Compromise

Is Respiratory Compromise The New “Sepsis”? An Interview with Jeffrey Vender, MD The Benefits of Early Detection Through Continuous Patient Monitoring

Oct 26 update – The full podcast “Is Respiratory Compromise The New ‘Sepsis’?” can now be viewed at https://youtu.be/xmOpSZaBi1w. We had tried to have YouTube correct the previously upload which only played for 4 minutes, but they were unable to do that and so we have been forced to re-upload the podcast. We apologize again for any inconvenience that this may have caused you.

Oct 23 update – the podcast on YouTube is unfortunately only playing about 4 minutes of the more than 18 minute interview. We are working with YouTube to have this fixed as soon as possible. When this is fixed, we will post another update on this post. We apologize for any inconvenience this may have caused you.

The Physician-Patient Alliance for Health & Safety is pleased to announce the release of a clinical education podcast with Jeffrey Vender, MD.

Jeffrey S. Vender, MD is Clinical Professor at the University Of Chicago, Pritzker School of Medicine. He is also Chairman of the clinical advisory committee to the Respiratory Compromise Institute.

#RespiratoryCompromise is The New “#Sepsis”? #patientsafety Click To Tweet Read More

Must Reads

Top 10 Patient Safety Must Reads – August 2016

We’re saying goodbye to August with a roundup of PPAHS’ most popular posts and tweets of articles we’ve read.

Top Posts

This month’s published content is highlighted by its insightful guest and collaboration posts. For any who have read our content and want to contribute their opinions on matters of patient safety, reach out to us in the comments, on Twitter, or our Contact Page. Read More

Opioid Safety, Respiratory Compromise

5 Keys to Safer Hospital Sedation

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

Conscious sedation is routinely used with patients so that they can tolerate procedures that may cause them discomfort, anxiety, or pain. Some of the tests and procedures conscious sedation may be used for are:

  • Breast biopsy
  • Dental prosthetic or reconstructive surgery
  • Minor bone fracture repair
  • Minor foot surgery
  • Minor skin surgery
  • Plastic or reconstructive surgery
  • Procedures to diagnose and treat some stomach (upper endoscopy), colon (colonoscopy), lung (bronchoscopy), and bladder (cystoscopy) conditions.

Conscious sedation may also be used with pediatric patients or adult patients who may have difficulty remaining still for certain tests and medical procedures. Read More

Opioid Safety, Respiratory Compromise

Reducing Rapid Response Calls by 50% and Avoiding Respiratory Depression During Conscious Sedation: An Interview with Richard Kenney, RRT

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

White Memorial Medical Center in Los Angeles has experienced a “better than fifty percent reduction in calls of rapid responses”, according to Richard Kenney, MSM, RRT, NPS, ACCS, RCP (Director, Respiratory Care Services, White Memorial Medical Center).

To better understand what Adventist Health hospitals have done to reduce rapid response calls and improve patient safety and health outcomes, the Physician-Patient Alliance for Health & Safety (PPAHS) interviewed Mr. Kenney.

In this interview titled, “Avoiding Respiratory Depression During Conscious Sedation”, Mr. Kenney says using capnography monitoring has reduced rapid response calls by more than 50%.

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Opioid Safety, Respiratory Compromise

How to Avoid Respiratory Depression During Conscious Sedation

A podcast interview soon to be released by the Physician-Patient Alliance for Health & Safety will detail one hospital’s experience in avoiding respiratory depression during conscious sedation. The podcast will feature Richard Kenney, MSM, RRT, NPS, ACCS, RCP (Director, Respiratory Care Services, White Memorial Medical Center, Los Angeles).

Mr Kenney recently wrote an article for Advance for Respiratory Care and Sleep Medicine, “Essential Capnography” in which he describes how patient monitoring is a fundamental tool of the care team at White Memorial Medical Center.

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