by Michael Wong
In the recent survey that we conducted, 90% of respondents believe that “continuous electronic monitoring of oxygenation and ventilation should be available and considered for all patients and would reduce the likelihood of unrecognized clinically significant opioid-induced depression of ventilation in the postoperative period.”
There were almost 300 respondents, almost all of whom are physicians, nurses, and healthcare providers, who indicated anesthesiology as a medical area of practice. What these respondents are saying is that all patients should be monitored after surgery; and not just those who may before surgery have been identified as having an increased risk, such as that associated with obstructive sleep apnea, obesity, or chronic opioid therapy. This is in accord with recent recommendations by the Anesthesia Patient Safety Foundation (for links to and quotes from anesthesiology experts on the recommendations, please click here).
Do you agree or disagree? How would this affect the management of postoperative patients? What does that say about the 10% who disagreed?
PPAHS is currently looking for funding or grants to pursue the results of this survey.