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J. Perianesth. Nurs. · Oct 2018
ReviewPreventing Opioid-Induced Respiratory Depression in the Hospitalized Patient With Obstructive Sleep Apnea.
- Carla R Jungquist, Elizabeth Card, Jean Charchaflieh, Bhargavi Gali, and Meltem Yilmaz.
- J. Perianesth. Nurs. 2018 Oct 1; 33 (5): 601-607.
PurposeTo enhance the role of nursing interventions in the management of perioperative opioid-induced respiratory depression (OIRD) in patients with obstructive sleep apnea (OSA).DesignNarrative review of the literature.MethodsLiterature reviewed with emphasis on recommendations by professional and accrediting organizations.FindingsPostsurgical OIRD increases hospital stay (55%), cost of care (47%), 30-day readmission (36%), and inpatient mortality (3.4 fold). OSA increases the risk of OIRD and may result in legal claims averaging $2.5 million per legal claim.ConclusionsNursing interventions are essential to improving outcome and reduce cost in the management of postsurgical OIRD in OSA patients.Copyright © 2017 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
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