Category: Respiratory Compromise

Preventing Avoidable Deaths

In a clinical education podcast, Frank Overdyk, MD, who is an anesthesiologist practicing in Charleston, SC, discusses preventing avoidable deaths and the costs of monitoring patients receiving opioids and the costs of not being monitored. It is impossible to predict with 100% accuracy how a particular patient will react when administered an opioid. Continuous patient monitoring, which costs just $20-$30 per day in the case of monitoring with pulse oximetry, is a small price to pay to help prevent avoidable patient deaths.

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

I recently interviewed Frank Overdyk, MD, who is an anesthesiologist practicing in Charleston, SC, about the costs of monitoring patients receiving opioids and the costs of not being monitored. Dr. Overdyk is a member of board of advisors of the Physician-Patient Alliance for Health & Safety and organized the two conferences on opioid-induced respiratory depression (“OIRD”) for the Anesthesia Patient Safety Foundation.

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5 Facts that Makes Patients with Obstructive Sleep Apnea More At-Risk for Death

Researchers have found that respiratory compromise may occur with obstructive sleep apnea (OSA) patients receiving opioids.

Research conducted by Yamini Subramani, MD et al, “Death or near-death in patients with obstructive sleep apnoea: a compendium of case reports of critical complications” found 5 reasons why the risk of death is higher in patients with obstructive sleep apnea (OSA).

After removing for duplicates, the researchers analyzed more than 1,000 patient cases.

# 1 Fact – Patients can have obstructive sleep apnea and not know it

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Preventing the Third Most Common Cause of Avoidable Death in the United States

Third Most Common Cause of Avoidable Death in the United States

Respiratory compromise is the third most common cause of avoidable death in the United States.

In help recognize and better manage respiratory compromise, clinicians at Columbia University Medical Center (CUMC) discuss the need for identifying patients at risk, understanding the benefits of early intervention and respiratory monitoring to mitigate patient adverse events and deaths. To listen to the webinar, please click here.

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Columbia University Medical Center Webinar on Respiratory Compromise Prevention, Recognition and Intervention

The Physician-Patient Alliance for Health & Safety (PPAHS) is pleased to announce that the Columbia University Medical Center (CUMC) webinar on respiratory compromise prevention, recognition and intervention is now available on the PPAHS YouTube Channel.

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3 Must View Podcasts on Reducing Opioid-Related Adverse Events

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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5 Questions on Battling the Opioid Epidemic

Reading about the ongoing coverage of the opioid epidemic this past week has prompted the following questions – do you agree or disagree?

Should newborns with opioid withdrawal be kept together with their mothers?

Newborns suffering from opioid withdrawal have traditionally been separated from their mothers.

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Nursing Recommendations on How Capnography Improves Patient Safety

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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Capnography Monitoring During Conscious Sedation:

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.” 

 

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